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Database Search Request Form

Read about Mediated Search Requests (costs, databases available, etc.)

Please fill out the following form completely. Our mailbox will be checked for search requests once a day at 9:00 am, Monday - Friday. You may be contacted by a professional librarian to discuss your search if clarification is necessary. Therefore, we must have either an email address, phone/beeper number, or mailing address in order to contact you. The submit button is located at the end of the form.

Your Name:

Department/Division:

Address:

Your Email Address:

Phone # Beeper # Fax #

Call when search is ready? Yes No

Search needed by (date):

Payment method. Full payment will be required when the search is completed.
Check Cash Mastercard/Visa Bill me (must be pre-approved if not electronic)

Please note: Patrons will be billed for searches that are delivered electronically. Duke departments and patrons may pay the bill with a credit card by faxing or mailing the invoice with the credit card information, which will be destroyed once the charge is made.

Please select the format for your results (diskettes/CDs cost extra):
Paper printout Diskette or CD - ASCII format Diskette or CD - MEDLARS format

Please select the method for delivery of your results:
Cash/Check requests must be picked up from the Library Service Desk in the Library, unless prior arrangements have been made.
Pick up from Library Service Desk
Mail
Email
Fax (extra charge)

Database preference. You may select more than one option. If no database name is entered, MEDLINE will be searched.
MEDLINE
Biosis
Excerpta
International Pharmaceutical Abstracts
Nursing
PsycINFO
Web of Science

Please describe the subject of your search(es):
If you have more than one request, please number them.

Coverage (please enter a range of years - e.g. 2005-2007):

Do you want articles limited to:
English only?
English and another language? Other language(s):
All languages?

Do you want articles limited to:
Human studies only?
Animal studies only?
Both human and animal studies?

Number of references expected:

Number of references wanted:

Do you want the abstracts printed? Yes No

Please select the option that corresponds most closely to intended use of your search results:
Patient care
Research
Instructional/Coursework
Thesis/Dissertation
Publication
Other

Please select the option that best describes your status:
Duke MD
Duke PhD
Duke Nurse
Duke - Other
Local Health Professional
Patient/Consumer
Non-Duke Other

If you selected "Duke or Non-Duke Other" please enter type:

If there are any additional comments you wish to make please add them below: