Trinitas Hospital Library Interlibrary Loan Request E-Form

Please allow 3-5 business days for interlibrary loans to be filled. Daily deliveries are provided by courier service. Faxes and rushes are reserved for patient care only.

First Name*	Last Name*
Dept/Status*	Campus* WSC JSC New Point
Phone/Pager/Ext*	Fax*
Email Address*
Loansome Doc (registered users only)
How would you like your copy returned to you?* Mail Inter-office Mail Fax (patient care only) Email Pickup In Library (indicate which campus)
Please provide as much information as possible: Journal Name
Vol/No/Mos/Pages: ///-
PMID#:
Author:
Title (first key words will suffice):
Deadline:
Please note due to budget restrictions the library can no longer pay for ill incurring fees for nonpatient care research ($11 standard fee). Are you willing to pick up fees? Yes No For patient care support please speak to library staff for more details.

This request may also be faxed

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