The New York Academy of Medicine: Library: ILL Request Form

ILL Request Form

Interlibrary Loan for Public/Unaffiliated Patrons

Book chapters, journal articles, proceedings papers, and other materials which are not owned by our Library, or are missing from our Library’s collections can be obtained via photocopies from other libraries.

How much will it cost per article?

E-Mail/Fax/Pickup/Mail: ($45.00 Rush)

E-Mail/Fax/Pickup/Mail: ($35.00 Regular)

How long will it take?

Typically 5-7 days(Rush) and/or 14-21 days(Regular), depending on the level of service you choose.

*For information on the status of your request, call (212) 822-7292.

Please complete the Request Form and Fax it to (212) 722-7650, or Mail it to:

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

* Request Forms available at the Library Front Desk, Document Delivery Department and on the Web: http:/www.nyam.org/library

Interlibrary Loan Request Form for Public/Unaffiliated Patrons

Contact Information
Name _________________________________________________________
Address _______________________________________________________
City __________________State _______________ Zip Code ____________
Telephone _____________ Fax ______________ FedEx Acct. #____________

Payment Information
Credit Card # ___________________________________ Exp ___________
Name on Card __________________________________________________

Delivery Options (Please check off one)
[ ] PICK UP [ ] MAIL [ ] FEDX [ ] FAX [ ] E-MAIL

The copyright law of the United States (Title 17, US 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 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 invoke violation of copyright law.

Signature: __________________________________ Date: _______________________________

*You may only request up to five (5) items per order

Item 1 PubMed ID # _____________________________

Author _________________________________________
Book/Journal Title ________________________________
Year _______Volume # _______ Issue # _________ Pages __________________
Article, Chapter Author (First)____________________________
Article, Chapter Title (Few Words)_________________________

Item 2 PubMed ID # _____________________________

Item 3 PubMed ID # _____________________________

Item 4 PubMed ID # _____________________________

Item 5 PubMed ID # _____________________________