MSM Library Computerized Bibliographic Search Request

General Information
Please supply the following information or check all that apply:

Name of Requester:

Date: +

Institution/Organization Affiliation:

Status/Position and Department:

Street Address

Address Line 2

City

State

Zip Code

Fax:

Campus Extension/Phone:

Pager:

Detailed Search Information
Please supply the following information or check all that apply:

Pick-up Instruction:

Purpose of Search:

Detailed Statement of Search Requirements:

Most Recent or Most Relevant Articles Read on the Subject:

If you used Index Medicus for your preliminary search, please list the subject headings under which you found citations.

Limitations for Search
Please supply the following information or check all that apply:

Human Subjects:

Male

Female

Both Genders

Year to start search: *

Year to end search: *

Age Groups (Medline Only)
Please supply the following information or check all that apply:

Databases to Search (other than Medline):

No Species Restriction	Animal Subjects	English Language Only
Other Languages	No Restriction (All Languages)	Reviews (State of Art) Articles Only Abstracts