Bibliographic Search Request Form Contact Information * - denotes required field *Name: *E-mail address: *Phone Number: (Use dashes - Ex. 305-555-5555) Account Number: Institution: Department: Address: Fax Number: Status / Position: UMMSM - Faculty UMMSM - Staff UMMSM - Resident UMMSM - Student UM Nursing - Faculty UM Nursing - Staff UM Nursing - Student UM Other - Faculty UM Other - Staff UM Other - Student JHS - Faculty JHS - Staff Non-UM Patient Care (Institution) Non-UM Patient Care (Individual) Lawyer / Law Firm Other Search Information Reason for Search Request: Patient Care Education Litigation Research Other Detailed Statement of Search Requirements: Which database(s) should be searched? MEDLINE (Current 5 years) MEDLINE (Backfile 1966 - present) Which years? CINAHL Other(s) - Search Limits Language Desired: Gender Limit: No Restrictions Male Female Age Group(s) - (for MEDLINE only) All Infant (birth to 23 months) All Child (0-18 years) All Adult (19+ years) Newborn Infant (birth to 1 month) Infant (1-23 months) Preschool Child (2-5 years) Child (6-12 years) Adolescent (13-18 years) Adult (19-44 years) Middle Age (45-64 years) Middle Aged (45+ years) Aging (65-79 years) All Aged (65+ years) Aged (80+ years) Other Limits Human Subjects Only Pregnancy Include Animal Experiments Include Abstracts, if available Maximum Number of Citations How would you like your search results sent to you? Mailed (printed on paper - $5 additional charge) Mailed (on floppy disk - $5 additional charge) Faxed ($5 additional charge) Emailed (no additional charge) Mailing Address: Louis Calder Memorial Library University of Miami School of Medicine P.O. Box 016950 (R-950), Miami, FL 33101 Telephone: (305) 243-6648, Fax: (305) 325-9670. In order to submit your form, you must enter the characters you see below. Image Verification Please enter the characters you see in the image.  Refresh Image |  What's This?