ROYAL COLLEGE OF PSYCHIATRISTS
LIBRARY AND INFORMATION SERVICE
The Royal College Of Psychiatrists
22 Prescot Street
London
E1 8BB
Telephone: 020 7235 2351
Facsimile: 020 3701 2761
email: infoservices@rcpsych.ac.uk
www.rcpsych.ac.uk
REQUEST AND DECLARATION FORM FOR A PHOTOCOPY/ARTICLE
A SMALL CHARGE WILL BE MADE FOR OBTAINING ARTICLES OUTSIDE OUR COLLECTION
BRITISH LIBRARY £6.00, BMA OR INSTITUTE £4.50, PLCS LIBRARY £2.50
SECTION 1: CONTACT DETAILS AND COPYRIGHT DECLARATION
NAME
MEMBERSHIP NUMBER
TELEPHONE
E-MAIL OR FAX
IN ORDER TO COMPLY WITH COPYRIGHT LAW YOU MUST SIGN ONE DECLARATION FOR EACH REQUEST
COPYRIGHT DECLARATION
I declare that: I have not previously been supplied with a copy of the same material by you or by any other library;

I will not use the copy except for research or private study and only for non-commercial purposes.

I will not supply a copy to any other person;

To the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same
time as this request, a request for substantially the same material for substantially the same purpose

I understand that if the declaration is false in a material particular the copy supplied to me by you will be infringing copyright
and that I shall be liable to infringement of copyright as if I had made the copy myself

This must be the personal signature of the person making the request. A stamped or typewritten signature, or the signature of
an agent, is not acceptable.

Only one copy of any article or book chapter / only one article or item from each issue of a journal / only one chapter (not to
exceed one tenth of total) of a book may be photocopied.
Signature
Date
.
SECTION 2 ARTICLE DETAILS
Book/Article
Author
Book/Article
Title
Journal Title
Journal
Year
Volume
Book
Publisher
Part
Pages
Total
Year
Edition
ISBN
SECTION 3 RESULTS SUPPLIED
BY POST
BY FAX
BY EMAIL
FOR OFFICE USE
RCP
BMA
£4.50
BL
£6.00
INST
£4.50
PLCS
£2.50
LOG