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: *

Dept./Hosp:

Email: *

Article Required By:

Urgent Request: (24 hours):

Yes

Costs:

Required only if no cost

Required if less than $10

Required if less than $15

Required at any cost

Journal Title:

Journal Volume:

Journal Issue#:

Journal Date(m/y):

Journal Pages:

Journal Author:

Journal Article Title:

Journal ISSN:

Journal Source of Reference:

Book Author(s):

Book Title:

Book Series:

Book Place:

Book Publisher:

Book Date:

Book Edition/Series Volume:

Book ISBN:

Book Source of Reference:

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