NWAHEC Journal Article Request Form

Submit the information below about a journal article you would like the library to obtain for you.  We will return your email with information about the availability of the article, when it will arrive, and if there will be a charge.  (There is generally no charge for AHEC articles).  Please note the statements about fines and copyright at the bottom of this form.

NWAHEC Journal Article Request Form

Patron's Name:

Library Card # (bar code #)

Home Phone:

Work Phone (if applicable):

Email Address:

Journal or Book Title:

Title of Journal Article:

Author:

Publisher:

Publication Location (book):

Copyright Year (book):

ISBN # (book) :

The following information must be provided for journal articles

Issue Date:

Volume # :

Issue # :

Page #s :

ISSN # (8-digit # for title of the journal, ex: 3549-8254)

Cited (how was article located-CINAHL, MasterFile Premier, etc.)

Article is needed (check one and specify date if necessary)

by anytime

FEES

If a charge is associated with the loan

Do not process, notify me
Process, if less than $

I hereby request that the Broyhill Learning Resource Center contact North West Area Health Education Consortium (NWAHEC) to request an interlibrary loan.  I understand that I will be responsible for all corresponding fees or fines.  In the event I fail to return the requested materials, my contact information will be released to NWAHEC for collection purposes.

I agree to this request

Warning concerning copyright restrictions

The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. This institution reserves the right to refuse an article request if, in its judgment, fulfillment of the order would involve violation of copyright law.

I agree to comply with these restrictions