Found in 1 Collection or Record:
Abstract Application for admittance to JCRS filled out by hand in ink for David Gordon. Information on the form includes his age, place of birth, occupation, residence, marital status, children's ages, previous stays at hospitals, nearest relatives, and is signed by David Gordon. At the bottom of the page is a section entitled "Recommendation" which is left blank. The back of the form has a section entitled "Report of the Medical Examiner," which states the exam took place March 20, 1909 and found the...
Dates: 1909 March 18