Medical Libraries at Lee Memorial Health System

Literature Search Request Form

NAME: DEPT/LOCATION:
DATE: PHONE/PAGER#
TIME REQUESTED: SEND VIA:
e-mail address: ______________

USER INFORMATION:

Physician___                                Nursing Services___

Other LMHS Employee___        Community___

HOW DO YOU INTEND TO USE THIS INFORMATION?

Patient Care___                   Rounds/Reports___

Education/Research___      Prepare Talk/Book___

School Course___                General Information___

SEARCH TOPIC:

(Please be as specific as possible.  Include synonyms & alternate terminology & terms NOT to be included)   

 

 

 

YEARS: 19____ to current years

LANGUAGE:

English only___

Foreign (specify)________________________

FORMAT:

Comprehensive search____

Review articles only___

Human only___

Age group, if relevant (specify)___________

Sex, if relevant (specify)_________________

PLEASE FAX THIS REQUEST TO: 239-343-3422

Limitations and Charges may apply.

REQUESTS WITHOUT A VALID PHONE NUMBER WILL NOT BE FILLED