Search Request Form
The Medical Library provides support for work-related literature searches. The library does not have the staff or resources to respond to non-work-related requests, which may more appropriately be directed to a public or school library.
* Your Name:
* Your E-Mail:
* Your Phone:
(999-999-9999)
* Date Needed:
* Search Topic:
* Years to Cover:
* Department
Medical Staff (physicians)
Other
* Status:
Physician
Resident
Nursing Staff
Admin/Mgr
Other Employee
* Repeat this search monthly?
Yes
No
Delivery
Pick up
E-mail
Fax to
Mail to
Patient Information (age, gender, comorbidity...?)
Intervention (treatment, diagnostic test, prognostic factor...?)
Comparison (gold standard, other alternative?)
Outcome (cure, quality of life, survival, changed rate of occurrence...?)
* Main Reason For Search
Patient Outcome
Education
Research
Cost Containment
Management
Legal
Other
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