Document Request Form

Please complete the following form and fax it to (212) 722-7650, or mail it to:

The New York Academy of Medicine Library
1216 Fifth Avenue
New York, NY 10029-5293

Contact Information

Name _________________________________________________________

Address _______________________________________________________

City __________________State _______________ Zip Code ____________

Telephone _______________________ Fax__________________________

Payment Information

Credit Card # ________________________Exp ______Sec Code_________

Name on Card __________________________________________________

Delivery Schedule and Fees

Delivery   Turn Around   Charge
Fax/Email   Same Day*   $50/article
Fax/Email   Next day or any other day   $40/article
U.S. Mail   3-5 business days   $30/article

(*Not guaranteed)

Copyright fees, as assigned by the Copyright Clearance Center, are charged in addition to NYAM fees

Delivery Information

Please check off your preferred method of delivery.

[ ] Fax/Email Please provide fax/email for delivery. ____________________

[ ] FedEx Your Acct. # _________________

[ ] Mail

Shipping Address (if different from above)

Name __________________________________________________________

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City __________________State _______________ Zip Code _____________

ATTN: _________________________________________________________

 

Items

You may only request up to ten (10) items per order from the Academy Library. You may only have one(1) order in process at a time.

Item 1

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 2

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 3

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 4

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 5

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 6

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 7

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 8

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 9

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Item 10

Author _________________________________________
Book/Journal Title ________________________________
Date _______
Volume # _______ Issue # ______ Pages _____________

Announcement

Library Patrons

The Reading Rooms will be closed over the holiday season.  Friday, December 21, 2012 will be the last day before closing. The Reading Rooms will reopen on Wednesday, January 2, 2013.

Readers can continue to make appointments by calling 212-822-7315 or sending an email to library@nyam.org. We will endeavor to respond quickly as possible, but there may be delays in responding to request over the holiday period.

Special Event Announcement

NYAM Section on the History of Medicine and Public Health

present

The John K. Lattimer Lecture

Putting Asthma on the Map: Weather, Pollen, Pollution and the Geography of Risk

Date: December 12, 2012
Time: 6:00PM - 7:30PM
Light refreshments at 5:30 p.m.,
Lecture at 6:00 p.m.

Manipulation of the patient's environment has been central to prevention and treatment for asthma since antiquity. Over the course of the past two centuries, physicians and patients have sought to move from testimonials and complaints to quantitative measures of risk. In this lecture, Dr. Carla Keirns of Stony Brook University of Medicine will discuss the shift over time of efforts to predict or create safe places for those who suffer from asthma and document the disproportionate risks faced by minority communities.

More information » | Register »

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