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Overview Application for admittance to JCRS filled out by hand in ink for Harry Benjamin. Information on the form includes his age, birth place, occupation, residence, marital status, previous hospital stays, nearest relatives, and signed by Harry Benjamin. At the bottom of the page, under "Recommendation," is a note that reads "card from Dr. H. Abramowitz." The back of the form has section entitled "Report of Medical Examiner," filled out by hand in ink and signed by Robert L. Charles and states that...
Dates: 1909 May 27