You must be an eligible staff member of the Western Australian Department of Health to access our services and be a registered library borrower before completing this form.

If you have queries regarding any forms at this site, please contact the library on 9222 4313 or via e-mail: doh.library@health.wa.gov.au.

Copy Request

Use this form to request a copy of a journal article or a section from a book.

Note:

Under copyright legislation, only one article or more on the same topic, may be copied from a single journal issue. A separate form must be completed for each article request.

DETAILS

Title of Journal/Book:

Year, Volume, Issue:

Author of Article/Chapter:

Title of Article/Chapter:

Inclusive Pages:

ISBN/ISSN (if known):

Date Required by:

COPYRIGHT DECLARATION
I declare that this copy is required for the purpose of research, and that I have not previously been supplied with a copy of this item by an authorised Officer of the Department of Health Library.

I Accept I Do Not Accept

CONTACT DETAILS

* Note: If you are not a registered library user, please register here

Name:

(req.)

Requestor's PIN No.:

(req.)

Position:

(req.)

Section/Health Service:

(req.)

Address:

(req.)

Email Address:

Telephone:

(optional)

Fax:

(optional)