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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]