Interlibrary Loan/Reprint Request Form
Requests are limited to Albert Einstein Healthcare Network staff.
Occasionally, we must obtain books and photocopies from libraries that charge a fee for interlibrary lending. The requester is responsible for these fees.
E-mail:
First Name:
Last Name:
Cost Center:
Department:
Phone:
Fax:
Beeper:
Journal:
Publication Date:
Volume/Issue Number:
Pages:
Article Title or Subject:
First Author:
Book Title:
First Author:
Edition/Year of Publication:
Chapter Pages:
**Please allow 7-10 day turnaround (except for patient care emergencies)
Because we value the relationship we have with you, Albert Einstein Healthcare Network does not share or sell this information to any outside organizations. However, this form is not on a secure server, and your information could be viewed by an outside source.