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Wegner Health Science Information Center

Consumer Health Digital Library

Book/Article Request Form

Please fill out this form as completely as possible.  If the form says "required", you must fill in that information.  If you have problems with this form, please contact the Wegner Center:

Phone: (605) 357-1400 or (800) 521-2987 - Fax: (605) 357-1490
Email: wegner@usd.edu

Your Name (required):

Affiliation (required):
Department:
Position (required):
 Faculty
Staff
Student
Resident
Other

Street Address:

Phone (required):
Email address (required):

How would you like to receive your material?
Pick Up at the Library
 Ariel - Address:
Mail
FAX - Number:
Email (if allowed by publisher.)

Is this book/article available at the Wegner Center?
Yes
 No
 Don't Know

If the book/article of not available from the Wegner Center, may we order from out-of-state libraries or you? (Fees start at $11 per article.)
Yes
 No

And, how would you like to order your items:
Rush (Additional fees start at $5.)
 Regular

Last Usable Date:

You can Copy and Paste the Journal Citation from PubMed, or other databases, into the
Notes box below, or complete each data box separately.
 Book or Journal Title:
Article or Chapter Title:
Author(s):
Volume:
Issue No.:
Month:
Year:
Pages:
Publisher:
Edition:






Unique  identifier, UI, AN or PMID :

Notes:

NOTICE
Warnings Concerning Copyright Restrictions

  • The Copyright law of the United States governs the making of photocopies or other reproductions of copyrighted materials.
     
  • Photocopies or other reproductions can be furnished only under certain conditions, if they will be used solely for private study, scholarship, or research. Use of the reproduction for other purposes may make the user liable for copyright infringement.
     
  • This institution reserves the right to refuse to accept a copying order if, in its judgment, fulfillment of the order would involve violation of copyright law.

By submitting this form, you are agreeing to abide by all copyright restrictions.

 or  
Return to the Consumer Health Digital Library Wegner Health Science Information Center
1400 W. 22nd Street - Suite 100 - Sioux Falls, South Dakota 57105
Phone: (605) 357-1400 or (800) 521-2987 - Fax: (605) 357-1490
Email: wegner@usd.edu
Questions or problems regarding this web site should be directed to efox@usd.edu.
Last modified: 01/05/2004		 This page may be reproduced.