URMC / Libraries / Edward G. Miner Library / Ask A Librarian / Get Information for Your Patients 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: Please enter the patient's name. *Date of Birth: Please enter the patient's date of birth. *Medical Record Number (required) Please enter the patient's medical record number. *Specify if Inpatient or Outpatient: Inpatient Outpatient *Specify Unit: *Phone Number or E-Mail for Patient/Family Member: Please enter the information required. 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). Please enter the information request. Healthcare Team Information *Healthcare Provider Name: Please enter the healthcare provider's name. *Phone/Pager Number: Please enter a phone or pager number for the healthcare provider. *Provider's Division/Community Practice Name: Please enter the healthcare provider's division. *Attending Physician: Please enter the name of the attending physician. If you have trouble submitting this form call (585) 275-2487 for assistance.