The National Network of Libraries of Medicine, Pacific Southwest Region (NN/LM PSR), is updating its registry of self-selected information professionals who are willing to serve as con-sultants on a variety of issues to existing health sciences libraries/resource centers; to institutions without professional knowledge-based information services; or to individual health professionals in our Region. Please complete this form and return to PSRML if you are interested in providing any of the services listed and would like to be included in our registry for referral. Your name, phone number, etc. will be provided to reuests for assistance within the particular area(s) you specify. Such referrals do not obligate you to any specified amount of consulting time and/or charges. Thank you for your willingness to share your expertise with those in our Region!
Consultant Name:________________________________________________________________
Consultant Professional Degrees (e.g. MLS, MBA): _______________________________
Name of Consulting Firm (if applicable): _______________________________________
Address : ______________________________________________________________________
City: ____________________ State: ___________ Zip Code: _ _ _ _ _ - _ _ _ _
Phone: (___)_____-_________ Extension: ___________
Fax: (___)_____-_________
Email address: _______________________________________
Web site URL: ________________________________________
Non-English languages spoken:_________________________
Locales served:_________________
I charge for my services
I am willing to provide consulting service in any of the following areas:
Interlibrary lending (ILL)/Document Delivery
Online Searching
Additional Comments:______________________________________________________ ____________________________________________________________________________________
(You may also copy and distribute this form to other interested individuals in your institution.)