BOOK REQUEST
Available to CoxHealth Employees & Affiliates

CONTACT INFORMATION

NAME:

PHONE:

DEPARTMENT:

FAX:

ADDRESS:

E-MAIL: Cox or other:

 

PURPOSE OF REQUEST


Please check all that apply:

Community Outreach

CoxHealth Committee Research

CoxHealth Patient or In-Patient Care

General Knowledge

Grand Rounds

Management Decisions

Personal/Family Health Information

Professional Development/CEU

Speech Presentation

Student Use

 

Training Preparation
Please list group/dept:


Teaching Preparation
Please list course #:


Other:
Please briefly describe:

DELIVERY INFORMATION

Book(s) Needed Before (Date):          OR                Routine

Please choose a delivery method:    North Library Pick Up           South Library Pick Up   

CHARGING INFORMATION

Books that are checked out from our collection will not incur delivery charges. Books ordered from other libraries by Interlibrary Loan (ILL) will incur additional charges.

Request book ONLY if available at a CoxHealth Library (no charge).

CHOOSE ONE OF THE FOLLOWING OPTIONS FOR INCURRING COSTS

Ordering for PERSONAL USE:
(Orders from other libraries)

HOSPITAL/PATIENT CARE/DEPARTMENTAL USE:
(Photocopies and/or orders from other libraries)

Library Minimum ($5)
$10.00 - $12.00
Over $12.00

Library Minimum $5.00
$10.00 - $12.00
Over $12.00
DEPT./COST CENTER # or
SUPERVISOR:

COPYRIGHT COMPLIANCE

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. One of these specified conditions is that the photocopy or other reproduction is not to be “used for any purpose other than private study, scholarship, or research.” If a user makes a request for, or later uses, a photocopy or reproduction for purposes in excess of “fair use,” that user may be 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.

I agree to comply with these restrictions. (Failure to check will cancel this request.)

PLEASE GIVE COMPLETE BIBLIOGRAPHIC INFORMATION
Complete requests expedites processing

ISBN #:    (If known expedites processing.)

BOOK TITLE:      

AUTHOR(S):

PUBLISHER:

PLACE OF PUBLICATION:  

PUBLICATION DATE:

Second Request

ISBN #:    (If known expedites processing.)  

  

BOOK TITLE:  

AUTHOR(S):

 
  PUBLISHER:

PLACE OF PUBLICATION:  

 

 

PUBLICATION DATE:  

Third Request

ISBN #:    (If known expedites processing.)  

  

BOOK TITLE:    

AUTHOR(S):

 
  PUBLISHER:

PLACE OF PUBLICATION:  

 

 

PUBLICATION DATE:  

 


CoxHealth Libraries

Phone: 417-269-3460

Fax: 417-269-3492

E-mail:  Library@coxhealth.com

On the web:  http://www.coxhealth.com/libraries