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Library Search Request

This form is for use by Botsford physicians and employees only.

Name:

Dept/Office:

Dept. # (for copies):  

Search needed by (specific date please):

Phone/Beeper:   Fax:

E-mail:

Shift:  Position:  

Deliver to:

Purpose of Search:

Topic (Please be specific and submit one topic per form):

Indicate the following as needed:

Reviews Only?  Years:   from  to   

Is the topic rare?

      

     
     
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