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Lynn,
1.  It is important to follow the guideline or to pay for the excess
copies or you might end up in court like the Texaco case.  As far as I
know nobody has sued a hospital lib rary, but it may come.
 
2.  It would be impeding the needs of the physician, but according to
copyright law, you should be subscribing to the journal if the doctor
wants that  much from it.
 
Sorry it is Friday night  and I forgot the 3rd question.
 
Barbara Kormelink   [log in to unmask]