Request a Checked-out Book
Use this form to place a HOLD on an item. We'll contact you via e-mail or phone when item is ready for pick up.
General Information
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Name
(first, last)
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Barcode
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Department
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Status
Faculty
Fellow
Resident
Student
Research Associate
Staff
Other
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Affiliation
Hospital
Graduate School
Niehoff School of Nursing
SSOM
Other
Contact Information
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Phone/Pager
*
E-mail Adress
Book Information
Call Number
Title
Author/Editor
Edition/Year
I need item before (specify date)
Comments/special requests
If you have any questions concerning this form, contact Jan Behnke at (708) 216-9192 or AccessServices@lumc.edu.
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Indicates Response Required