JEFFLINE: TJU Archives - Online Request Form

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Online Reference Request Form

The Archives provides reference services to the Jefferson Community free of charge and without time limitations. The Archives also accepts reference questions from non-Jefferson individuals. However, reference service to the general public is limited. Any request that requires a quick, straightforward response taking 15 minutes or less will be performed free of charge. Please use the form below to submit your question to the Archives.

Please note that the Archives do NOT include student or patient records. Please contact the Jefferson Registrar (215-503-8734) for student records, or Jefferson Hospital (215-955-6000) for patient records.

* = Required Field

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email Address:
*Telephone Number	(daytime -- include area code):
Type of User:
Purpose of Research:

Topic of Research:

Please provide as much information as possible for genealogical requests - graduation date (if known or estimated time period), birth/death dates (if known), and any additional biographical material that might prove helpful.

The Thomas Jefferson University web site, its contents and programs, is provided for informational and educational purposes only and is not intended as medical advice nor is it intended to create any physician-patient relationship. Please remember that this information should not substitute for a visit or a consultation with a health care provider. The views or opinions expressed in the resources provided do not necessarily reflect those of Thomas Jefferson University, Thomas Jefferson University Hospital, or the Jefferson Health System or staff.

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