Palmer College of Chiropractic, Library, ILL Forms, Journal Article

Inter Library Loan

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Request Form

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Palmer Health Sciences Library
1000 Brady Street
Davenport IA 52803-5287
(563) 884.5641
(563) 884.5897 fax

02 March 2007
drp

Palmer College of Chiropractic

David D. Palmer
Health Sciences Library

Interlibrary Loan Request Form for Journal Articles

This form is for requesting journal, magazine, or newspaper articles. Please do not use this form to request books or theses.

Please note that interlibrary loan services are only available to Palmer Colleges' faculty, students, and staff.

Please check PHSL's online catalog to ensure that the item you need is not already available at Palmer, Davenport.

Fill in as many of the fields as possible. Fields Marked by * are required. Please do NOT abbreviate. If the information does not fit in the box provided, keep typing, text will scroll and all information entered will be sent.

One article per request form.

Reason for Request

Attention Faculty Proxies: enter the Faculty members information rather than your own information.

Enter your Proxy number here:

*Last Name

*First Name

Mailing Address

City, State, Zipcode

*Phone Number

Home
Work

Email Address

Fax Number

Student Information
Matric Number

PCC Box Number

Status

Faculty / Staff / Graduate Students
Department to be billed

Item is for Personal Use
Will Pay for at Pick-up

Status

Notify me by

*Desired Handling of Request

Not Wanted After

ITEM INFORMATION:
*Journal/Magazine/Newspaper title:

Volume:

Issue:

Year:

Pages:

Author(s) of Article:

*Title of Article:

*Source of the above information / Name of database / Other source/ If Medline database include UI/PMID number

Any additional information: ISSN or OCLC number

I have read and agree to comply with the Copyright warning and the David D. Palmer Health Sciences Library Interlibrary Loan Policies

Palmer College of Chiropractic
1000 Brady Street, Davenport, IA 52803-5287
Circulation Desk Phone: (563) 884-5641 | Fax: (563) 884-5897
e-mail: Library Web Master