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Please use 1 form per article request.

I request the Austin Health Library to supply me with a copy of the following:
OPTION 1: Paste your reference details in the box below (please do not paste a link)
	Please request only 1 article per form
OPTION 2: Complete the following fields only if you have not pasted your article details in the box above:
Article title
Author(s)
Journal title
Year
Volume / Issue
Pages required
Your Details
*Name	This is a mandatory field.
*Email	This is a mandatory field.
*Department	This is a mandatory field.
*Campus	Austin Heidelberg Repat (HRH) Royal Talbot BRICC or other Austin satellite sites MHW - Heidelberg This is a mandatory field.
*Library Barcode	This is a mandatory field.
Copyright Declaration Copyright Act 1968 Section 49 (1) Declaration
I declare that I require the reproduction for the purpose of research and study and I will not use it for any other purpose, and I have not previously been supplied with a reproduction of the same material by an authorised officer of the library. In the event that my request is for more than one article from the same issue of a periodical, I further declare that each article is for the same research or course of study.
*Copyright Declaration	I have read and agree to the above Copyright Declaration This is a mandatory field.
If you require this article by a particular date, please phone the Library: 9496 3638