Medical Libraries
If you would like to request an article, book, literature search or health information, please fill out and submit the interactive form below.
Your Name
Email Address
Phone
Location
Department
Preferred Method of Delivery
FAX
Address
1234, Your Street Way, State, Zip
Location
Hospital Room Number
Information Needed

Article Title
PMID
Author(s)
Pages
Journal Title
Year
Month
Edition
Volume
Book/AV Title
ISBN
Author/Editor(s)
 
Year
Edition
Publisher
Reason for Request:
  • Job-Related
  • General Interest
  • Patient Care
  • Education/Training
  • Research
  • Other
Health Information Request:
So we can serve your needs better, please be as specific as possible about what you would like to know.
Name of Disease/Condition:
What information is wanted? (e.g. definition/cause/treatment/prognosis)
Age (related to search)
Gender (Related to Search)
Check appropriate box below:
  • Easy to understand information
  • More technical level of information
How did you find out about our services?
Literature Search Request
Describe subject matter for which search is to be conducted. PLEASE BE SPECIFIC. If clinical in nature we prefer the request in form of a PICO question. Define terms that have meaning in your request. State points NOT to be included. Please do not abbreviate. List current, relevant citations and terminology and any other general requirements for the requested information. Examples of general requirements could be peer-reviewed, from nursing journals only, review articles only, authored by nurses, information from relevant books, etc.
Enter your Literature Search Request below:
Search Years:
  • 5-yrs or less
  • 10-yr backfile
  • 15-yr backfile
  • 20-yr backfile
  • 30-yr backfile
  • Other
Reason for Request
  • Education/Training
  • General Interest
  • Job-Related
  • Patient Care
  • Research
  • Other

By checking the box below, I acknowledge that the information received is from a medical librarian and is NOT a substitute for medical advice..
  • Check to confirm
In lieu of my signature, by submitting this form, I attest that the information submitted is accurate and correct.
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