PLEASE CONTACT SCOTT ZETTLEMOYER AT scott.zettlemoyer@stjoe.org DIRECTLY FOR ANY ARTICLE REQUESTS.
THIS FORM IS TEMPORARILY OUT OF ORDER

Burlew Medical Library Request

Note-- If you do not fully explain to us what you are looking for, the relationship between the concepts and alternative terminology, we will have to call you and that will delay your search. Additionally, highly complex, involved or urgent searches should be called in to the library at 771-8291.  You are most welcome to CALL in your request at 771-8291.

Date:

Time Sent:

Needed By:

Status:

Name:

Email Address:

Phone Work:

Phone No:

Dept:

Institution: 

SJH Health System

Delivery:

HOLD 
  CHOC Outside   COURIER
       

MAIL TO:

FAX TO::

 EMAIL TO:

(note: not all searches can be sent by e-mail):

PURPOSE:

SJH PATIENT CARE

HOSPITAL /WORK RELATED/ RESEARCH

CHOC PATIENT CARE 

PATIENT ED (info going to patient)

PERSONAL / FAMILY

SCHOOL

SUBJECT TO BE SEARCHED
(in detail):

OTHER TERMS, DESCRIPTIONS OR LIMITS?

Did you hear about on the news or is this very recent?  please explain

SPECIFIC ASPECTS
(i.e. drug therapy, complications, etc.)

SPECIAL POPULATIONS
(i.e. animal, human, age groups)

IDEAL NUMBER OF REFERENCES
YEARS TO BE SEARCHED 

Restrict printout to journals available at Burlew?

YES   NO

WILL THERE BE MANY REFERENCES ON THIS TOPIC?

YES    NO

 If NO, any citations you already know about?

ENGLISH ONLY 

INCLUDE OTHER LANGUAGES

PLEASE INCLUDE
(may select more than one by holding Shift key)

Article Book Request Results