diff --git a/app/models/folio/patron.rb b/app/models/folio/patron.rb
index 61f2e9c0b..bbca15996 100644
--- a/app/models/folio/patron.rb
+++ b/app/models/folio/patron.rb
@@ -166,6 +166,14 @@ def expired?
       user_info['active'] == false
     end
 
+    def holds
+      patron_summary['holds']
+    end
+
+    def loans
+      patron_summary['loans']
+    end
+
     private
 
     def valid_proxy_relation?(info)
@@ -201,6 +209,11 @@ def policy_service
       @policy_service ||= Folio::CirculationRules::PolicyService.new(patron_groups: [patron_group['id']])
     end
 
+    def patron_summary
+      @patron_summary ||= user_info.dig('stubs', 'patron_summary') # used for stubbing
+      @patron_summary ||= self.class.folio_client.patron_summary(id)
+    end
+
     def patron_blocks
       @patron_blocks ||= user_info.dig('stubs', 'patron_blocks') # used for stubbing
       @patron_blocks ||= self.class.folio_client.patron_blocks(id).fetch('automatedPatronBlocks', [])
diff --git a/app/models/patron_request.rb b/app/models/patron_request.rb
index 7c99fa036..5c6324c2c 100644
--- a/app/models/patron_request.rb
+++ b/app/models/patron_request.rb
@@ -272,6 +272,39 @@ def selected_items
     items
   end
 
+  def on_account?(item = nil)
+    return instances_on_account if selectable_items.none?
+
+    items_on_account(item)
+  end
+
+  def instances_on_account
+    requests = 'request' if account_has_instance?(patron.holds)
+    loans = 'loan' if account_has_instance?(patron.loans)
+    [requests, loans].compact.join(' and ')
+  end
+
+  def items_on_account(item)
+    requests = 'request' if account_has_item?(item, patron.holds)
+    loans = 'loan' if account_has_item?(item, patron.loans)
+    [requests, loans].compact.join(' and ')
+  end
+
+  def account_has_instance?(instance_list)
+    return false unless selectable_items.none? && instance_list.present?
+
+    instanceids = instance_list.map { |elem| elem['item']['instanceId'] }
+    instanceids.include?(instance_id)
+  end
+
+  def account_has_item?(item, item_list)
+    return false unless (item || selectable_items.one?) && item_list.present?
+
+    itemid = item ? item.id : selectable_items.first.id
+    itemids = item_list.map { |elem| elem['item']['itemId'] }
+    itemids.include?(itemid)
+  end
+
   # @return [Array<Folio::Item>] the items that are holdable and recallable by the patron
   def holdable_recallable_items
     @holdable_recallable_items ||= selectable_items.filter { |item| item.recallable?(patron) && item.holdable?(patron) }
diff --git a/app/services/folio_client.rb b/app/services/folio_client.rb
index f2d9c35a6..428e03835 100644
--- a/app/services/folio_client.rb
+++ b/app/services/folio_client.rb
@@ -148,6 +148,10 @@ def patron_blocks(user_id)
     get_json("/automated-patron-blocks/#{user_id}")
   end
 
+  def patron_summary(user_id)
+    get_json("/patron/account/#{user_id}", params: { includeLoans: true, includeHolds: true })
+  end
+
   # Defines the hold request data for Folio
   # [String] pickup_location_id the UUID of the pickup location
   # [String] patron_comments
diff --git a/app/views/patron_requests/_item_request_hold.html.erb b/app/views/patron_requests/_item_request_hold.html.erb
new file mode 100644
index 000000000..7c3776e55
--- /dev/null
+++ b/app/views/patron_requests/_item_request_hold.html.erb
@@ -0,0 +1,9 @@
+<% if type.present? %>
+  <div class="alert alert-warning alert-dismissible shadow-sm d-flex gap-3 align-items-center">
+    <i class="bi bi-exclamation-triangle-fill fs-3 text-warning"></i>
+    <div>
+      Please be aware that there is already a <%= type %> for this title in our system under your name.
+    </div>
+    <button type="button" class="btn-close" data-bs-dismiss="alert" aria-label="Close"></button>
+  </div>
+<% end %>
\ No newline at end of file
diff --git a/app/views/patron_requests/new.html.erb b/app/views/patron_requests/new.html.erb
index cfc9e1d48..e12d490c7 100644
--- a/app/views/patron_requests/new.html.erb
+++ b/app/views/patron_requests/new.html.erb
@@ -6,6 +6,13 @@
 
 <%= render 'messages', messages: @patron_request.active_messages %>
 
+<% title_level_on_account = @patron_request.on_account? %>
+<% if title_level_on_account.present? %>
+  <div class="mt-3 col-lg-8">
+    <%= render 'item_request_hold', type: title_level_on_account %>
+  </div>
+<% end %>
+
 <h1 class="fw-semibold mt-4"><%= @patron_request.item_title %></h1>
 <% if @patron_request.selectable_items.one? %>
   <% single_item = @patron_request.selectable_items.first %>
@@ -154,7 +161,8 @@
             <tbody>
               <% sort_holdings(f.object.selectable_items).each.with_index(1) do |item, index| %>
                 <% not_requestable = cannot?(:request, item) %>
-                <tr data-sortby-status="<%= item.status_text.downcase.gsub(' ', '_') %>" data-sortby-callnumber="<%= index %>" >
+                <% request_holds = @patron_request.on_account?(item) %>
+                <tr data-sortby-status="<%= item.status_text.downcase.gsub(' ', '_') %>" data-sortby-callnumber="<%= index %>" class="<%= request_holds.present? ? 'border-white' : '' %>">
                   <td>
                     <label>
                       <%= f.check_box 'barcodes', { multiple: true, class: 'form-check-input', disabled: cannot?(:request, item), data: { 'itemselector-target': 'items', 'itemselector-id-param': item.id, 'itemselector-available-param': item.available?, 'itemselector-duequeueinfo-param': queue_length_display(item),  'itemselector-label-param': callnumber_label(item), action: 'itemselector#change' } }, item.barcode || item.id, "" %>
@@ -198,6 +206,13 @@
                     <%= requests_patron_item_selector_label(item, not_requestable:) %>
                   </td>
                 </tr>
+                <% if request_holds.present? %>
+                <tr>
+                  <td colspan="2" class="pt-0 px-3">
+                    <%= render 'item_request_hold', type: request_holds %>
+                  </td>
+                </tr>
+                <% end %>
               <% end %>
             </tbody>
           </table>
diff --git a/spec/factories/patrons.rb b/spec/factories/patrons.rb
index b5db1cad8..019bb2d9e 100644
--- a/spec/factories/patrons.rb
+++ b/spec/factories/patrons.rb
@@ -16,7 +16,8 @@
       {
         patron_blocks: [],
         proxies: [],
-        sponsors: []
+        sponsors: [],
+        patron_summary: { holds: [], loans: [] }
       }
     end
 
@@ -61,7 +62,8 @@
           }
         ],
         proxies: [],
-        sponsors: []
+        sponsors: [],
+        patron_summary: { holds: [], loans: [] }
       }
     end
   end
diff --git a/spec/features/create_aeon_patron_request_spec.rb b/spec/features/create_aeon_patron_request_spec.rb
index bb7184291..1a6384daa 100644
--- a/spec/features/create_aeon_patron_request_spec.rb
+++ b/spec/features/create_aeon_patron_request_spec.rb
@@ -8,8 +8,8 @@
   let(:bib_data) { :special_collections_single_holding }
   let(:patron) do
     instance_double(Folio::Patron, id: user.patron_key, username: 'auser', display_name: 'A User', exists?: true, email: nil,
-                                   patron_description: 'faculty',
-                                   patron_group_name: 'faculty',
+                                   patron_description: 'faculty', loans: [],
+                                   patron_group_name: 'faculty', holds: [],
                                    blocked?: false, proxies: [], sponsors: [], sponsor?: false, proxy?: false,
                                    allowed_request_types: ['Hold', 'Recall', 'Page'])
   end