URMC / Libraries / Edward G. Miner Library / Get Help / Purchase Request Form Purchase Request Form University of Rochester Medical Center faculty, staff, and students may use this form to request the purchase of particular books, journals, or electronic resources. (Miner Library makes decisions about new journal subscriptions only once a year in the fall.) If your need is more urgent (for example, a resource required for a course), please contact Beth Merkle at Elizabeth_Merkle@urmc.rochester.edu. Information about you Name: Department: Email address: Box number: Phone number: ( ) - Second three digits Last four digits What is your affiliation and status? Affiliation: School of Medicine & Dentistry School of Nursing Strong Memorial Hospital Office of Vice-President for Health Affairs Eastman Dental Center UR other Non-UR Status: Faculty Staff Postdoc/Fellow Grad student Med student Resident Other Information about the item please complete all relevant information Author/Editor: Title: Publisher/Producer: Date: Price: Is this title for reserve?: YesNo Why should the library purchase this title?: collection weak in this areasupports current researchsupports clinical programssupports curriculumother (please explain below) Explanation: Do you wish to be notified if Miner Library purchases this resource?: yesno