Department of Health and Human Services s20

Literature Search Request (Please return to your nearest Library)

Date:………………………………………

Name:…………………………………………………………………… Email:……………………………………………

Position and address:…………………………………………………………………………………………………………

Phone number(s):……………………………………………………….. Fax:………………………………………......

DATE REQUIRED: _____ /_____ /_____

Information needed: / Patient care / Writing for publication / Study/Assignment
Policy/Guideline / Other / Specify…………………………

SEARCH TOPIC – be as specific and detailed as possible (use sentences) :


PERSONAL INFORMATION PROTECTION

Personal information will be collected from you for the purpose of recording your request for information and may be used to communicate with you about this service and for statistical and reporting purposes.

Library Services may be unable to provide this service to you if you do not supply this information.

Your personal information will be used for the primary purpose for which it is collected and will be managed in accordance with the Personal Information Protection Act 2004. It may be accessed by you on request to Library Services.

You can obtain a copy of the DHHS Management of Personal Information Policy at:

http://pssbpr-trim02/PandP/showdoc.aspx?recnum=P16/000669

LIBRARY STAFF USE ONLY: Date(s) results sent……………

Search strategies/databases used:

Other sources: