Information Request: Patients' Library: University of Iowa Health Care

The information can be picked up at the library, or we will deliver it to your bedside. Please allow 24 hours for information to be gathered and delivered. If your need is urgent, you may request a faster turn-around by calling 319-384-8908 or 319-356-2468 and informing the library staff of your request. This service is only available Monday through Friday pending availability of trained staff. If you require information to be mailed, please be sure to include a phone number in case we have questions.

Your Name:

Do you want to:

	Have it mailed to you
	Pick information up at Library
	Delivered to bedside (for in-patient families only. Deliveries are made between 3 p.m. and 4 p.m., Monday thru Friday.) Enter the building and room number: (e.g. Bldg. 2JCP, room 100)

Address:

Apt #:

City:

State:

Zip:

Phone:

In case we have questions please give us your phone number (please include your area code):

Email:

Patient's Age:

	Infant ( 2 yrs or younger)
	Preschool
	Elementary school age
	Middle school age
	Teen - 20
	Adult 21-49
	Senior 50+

What do you want to know about?

Which aspects are you especially interested in? (Check all that apply)

	Overview of the problem (will include basic disease information, including treatments and/or drug therapy)
	Complications
	Drug Therapy
	Surgery
	Prognosis (usual outcomes)
	Educational aspects
	Behavior problems
	Parenting a child with this problem
	National organizations
	List of links to informational web sites

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Last modification date: Mon Aug 28 16:11:27 2006
URL: https://wws.uihealthcare.com /depts/patientslibrary/inforequest.html