Article/Book Request Form

Interlibrary loan is provided for physicians, residents, nurses, employees, and affiliates of Via Christi Health. Complete the form below providing as much information as possible. A request may be delayed if infomation is incomplete or incorrect.

If this is a rush request, call 316-268-5979 (Via Christi Library on St. Francis)

* Indicates required information
Name: * 
Email Address: * 
Location/Affiliation: * 

If Other, please specify:

Department/Specialty: * 
Contact Phone Number: * 
Patron: * 

If Other, please specify:

Patient Care?: * 

Journal Name/Book Title: * 
PMID (or UI) Number: 
Vol.: * 
Pages: * 
Article/Chapter Title: 
Do you wish to pay for the article if it is not found for free? * 
If the above answer is "Yes", specify Cost Center, Department Name or Self: 
Need By:    (mm/dd/yyyy)
Delivery method: * 
OPTIONAL: Cut and paste the bibliographic citation from your search to the space below. You must include all citation information: title, author, journal, volume, year, pages, and UI, PMID, or other citation number.  
Bibliographic Citation: 
Authentication * 

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