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Include significant keywords. Please include any authors or articles on the topic if known. *Years to be covered Current 2-3 Years Past 5 Years Past 10 Years 1950 to 1965 1950 to Present *Purpose of the search Research Grand Rounds/Presentation Clinical/Patient Care Assignment/Homework Publication Grant Proposal Teaching/In-service Animal testing alternatives/Lab animal protocol Other If Other, please specify here: Limits (check all that apply) English Human Animal Age Range (if needed) Types of Articles (check all that apply) All Articles Review Clinical Trials Research/Evidence Based Practice Guidelines/Standards of Care Systematic Reviews/Meta-analysis If you have trouble submitting this form call (585) 275-2487 for assistance. Get Information for Your Patients Use this form to request reliable and appropriate healthcare information for your patients and their families. Available to URMC clinicians, social workers and staff. Searches are returned within 1 week. Fields marked with an * are required. Patient Information *Patient Name: *Date of Birth: *Medical Record Number (required) *Specify if Inpatient or Outpatient: Inpatient Outpatient *Specify Unit: *Phone Number or E-Mail for Patient/Family Member: I would like to review the information before it is sent to the patient/family member. Search Request Information *Describe Information Request:Include background information about condition/any complicating factors that should be considered in the information retrieval (include patient's age; no acronyms please). Healthcare Team Information *Healthcare Provider Name: *Phone/Pager Number: *Provider's Division/Community Practice Name: *Attending Physician: If you have trouble submitting this form call (585) 275-2487 for assistance.