RWJUH Somerset Medical Library Literature Search Request Form

Paper copies of this form provided upon request.

Complete the below form to request a literature search.

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* 1. Searches will be completed in the order that they are received, and generally within 7 business days of the request. Please call ext. 62423 908-685-2423 if this timeframe doesn't meet your needs.

Today's Date

Date

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* 2. Campus

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* 3. Contact Info

Name

Department

Title

Email Address

Phone Number

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* 4. Topic. (Please include all relevant details.)

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* 5. Date Range of Search

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* 6. Language (select all that apply)

English

Spanish

Other Language(s)

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* 7. Species (select all the apply)

Human

Animal

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* 8. Sex & Gender (select all that apply)

All sexes & all genders

Assigned Female at Birth (AFAB) or Female

Assigned Male at Birth or Male

Transgender Female

Transgender Male

Nonbinary/Genderqueer

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* 9. Age (select all that apply)

All ages

Infant/Newborn

Infant (1-23 months)

Child/Preschool (2-5 years)

Child (6-12 years)

Adolescent (12-18 years)

Adult (19-44 years)

Middle Age (45-65 years)

Aged (65+ years)

80 and over (80+ years)

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* 10. Would you like to include any other limits to the search? (e.g. inpatient/outpatient, pregnant patients, race/ethnicity, type of publication, review articles)

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* 11. Purpose of Search (select all that apply)

Direct patient care

Quality Improvement Project

Research

Publication

Other (please specify)

Upon request form, you can receive a copy of this completed literature search form.