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Interlibrary Loan / Document Delivery Form

This form will be sent to IWK Health Sciences Library staff who will contact you to arrange for a loan or copy of the requested item.

Name:		Costs
Dept./Hosp.:		Required only if no cost
Phone/Pager:		Required if less than $10
Email:		Required if less than $15
Article Required By:		Required at any cost
Urgent Request: (24 hours)

Journal	Title:
	Volume:      Issue#:      Date(m/y):      Pages:
	Author(s):
	Article Title:
	ISSN:
Source of Reference:

Book	Author(s):
	Title:
	Series:
	Place:      Publisher:      Date:
	Edition/Series Volume::
	ISBN:
Source of Reference:

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