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Library Literature Search Request Form
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 Library Interlibrary Information Request Form  Library Interlibrary Information Request Form
 Library Journal Request Form  Library Journal Request Form
 Library Literature Search Request Form  Library Literature Search Request Form
LITERATURE SEARCH REQUEST

Please allow at least five business days for us to fulfill your request.
* Indicates required information
First Name * 
Last Name * 
Telephone or hospital extension * 
Pager 
Email Address 
Fax number 
What is the best method to contact you if we have questions? (Please provide the appropriate contact information) * 



Department/Clinic 
Date this item is needed (normal turn-around is one week)   Calendar (mm/dd/yyyy)
Mailing Address 1 
Address 2 
City 
State 

If Other, please specify:
Zip 
Job Title * 








If Other, please specify:
Please provide as much information about your request as possible. 
I would like information on (for best results, be as specific as possible) * 
Keywords or syonymns (use commas to separate) 
Any relevant references? 
Please complete the following sections to further define your request: 
Language other than English (please specify) 
Years to be searched 



If Other, please specify:
Research 


Age Limitation 





Sex limitation 

Use * 








If Other, please specify:
Authentication * 

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