Contact Information: (Bolded fields are required.) Name Department E-mail Address: Telephone or pager #: Please Select One: Extern/Med Student Health Park Employee Resident/Fellow/Intern Genesys Employee Other Staff Physician Needed by: Deliver to: Hold in library Departmental mail Physician lounge Detailed statement of search question: (Please describe as specifically as possible the information you need without using abbreviations. Include any key words that can be used and their relationships to each other.) Time period requested: -- Select one -- Last 2 years Last 5 years Last 10 years All back files (to 1966) Type of publication: Review Article Nursing Article Gender (only if it matters): Male only Female only Ages: (all ages will be searched unless a specific age group is choosen) -- Select one -- Infant - newborn (up to 1 month) Infant (1-23 months) Child - preschool (2-5 years) Child (6-12 years) Adolescence (13-18 years) Adult (19-44 years) Middle age (45-65 years) Aged (65 and over) This information will be used for: -- Select one -- Case presentation Committee assignment Health system project Hospital research project Medical/Nursing presentation Patient care Professional enlightenment Resident research project Student research project Did you find your last computer search useful? Yes No 1st search Any suggestions?
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