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Interlibrary Loan Borrowing Request Form


The Interlibrary Loan Department (601-984-1234) assists library users in obtaining health resources not available at Rowland Medical Library. Interlibrary Loan (ILL) services are offered in support of research, education and patient care services at UMMC, and are available to the current faculty, staff, and students of UMMC. Delivery time for materials ranges from a few days to several weeks. Sufficient time should be allowed for receipt of items.

For help with ILL forms and procedures please call 4-1247 or 4-1234 or contact the department at

For UMMC staff, students, and faculty only. Only one request per form.

Rowland Medical Library provides most document delivery at no charge to affiliated users. By submitting this form, I understand that fees may apply if the lending library charges Rowland Medical Library. Fees apply for book loans (approximately $11.00).

Please fill out this form completely to expedite processing. The fields listed in red are required.

* = Required Fields

Borrower Info

Name of Borrower (UMMC only)* 
Phone Number *() -    
E-mail Address * 
Position * 
Dept/Division/School * 
Student Status

Method of Payment

Method of Payment
If by Credit Card: Please call library with credit card number and expiration date: 4-1247. Visa or MasterCard only.
If by UMMC Charge Code:

Loan Info

COPYRIGHT FEE: Occasionally copyright limitation is reached and a fee must be added to the cost of a request. If this happens, you will be notified by email and given the option to accept the fee or cancel the request.
Date needed *  
Cancel request if not obtained by 
Priority *
Normal 7-14 days$11-$15
Rush 1-4 days$15-$20+
Rush for Patient Care Only (ASAP)Most do not charge extra: $11-$15
Maximum amount you are willing to pay for this request *
- you will only be charged actual cost

Method of Delivery

Articles will be emailed as PDF Files. Adobe Acrobat Reader is required.

Item Information

Please fill out one request per submission. BE SURE to fill out both the Title and Author fields of the request.
Journal Request
Journal Title
Volume (Issue)
Article Author *
Article Title *
Book Request
Book / Proceedings Title
Chapter Author
Source of Reference