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Place materials from the Medical Library Collection on Course Reserve

This service allows affiliated instructors to request that library book material be put on reserve in support of a course.
At this point, there is no provision for using this form for individual article reserve.

1. Reserve Period Information

Dates needed on reserve -- specify last day needed:

Both terms Fall term only Spring term only Other (specify below)

  • Beginning Date:
  • End Date:

    2. Book Information

    Please include the year at the end of the call number. If submitting more than eight items, please fill out an additional form.

    First Title:

  • Call Number: (required)
  • Author(s) (last name, first name): (required)
  • Complete title, edition (if applicable), and publication year: (required)
    Second Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Third Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Fourth Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Fifth Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Sixth Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Seventh Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:
    Eighth Title:

  • Call Number:
  • Author(s) (last name, first name):
  • Complete title, edition (if applicable), and publication year:

    Note: for requests of more than eight items, please submit an additional form.

    3. Instructor and Course Information

  • Course Number & Title: (required)
  • Number of Students (in course):
  • Instructor: (required)

    4. Communication preferences

    Communication method preferred: (click in one circle)(required)

    E-mail address:

    Telephone:(formats: x-xxxx, xxx-xxxx or xxx-xxx-xxxx)
    Best times to reach you by phone, (between 9:00 a.m. - 5:00 p.m., weekdays):