Our Six Strategic Directions - Healthy Workforce • Healthy Hospitals • Healthy Partnerships • Healthy Communities • Healthy Resources • Healthy Leadership
Delivering a Healthy WA
Department of Health Library

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.

Loan Request

Use this form to request to borrow a book or video.

BOOK/VIDEO DETAILS
Title:
Author:  
Series:  
Publisher:  
Date:  
Place:  
Edition Required:  
CONTACT DETAILS
* Note: If you are not a registered library user, please register here
Name: (req.)
Position: (req.)
Section/Health Service: (req.)
Address: (req.)
Email Address:
Telephone: (optional)
Fax: (optional)