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Client/Staff Information		Article/Book Information
*Name (full):		Date needed by:
*Organization/Hospital Site:	Please choose from the list below Bluewater Health CKHA GBHS LHSC Childrens LHSC LRCP LHSC SSH LHSC UH LHSC VH Parkwood Regional Mental Health Care London Regional Mental Health Care St. Thomas Shared Library Services St Josephs SW-CCAC	*Article or Book:	Article Book Photocopy of book chapter
Department/Mailstop:		Copy & paste citation here:
Mode of Delivery:	Pick up at library site Inter Hospital Mail FAX Courier
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