JCRS Patient #1458 and #1503. First referenced in B002.01.0103.0005
Found in 1 Collection or Record:
Abstract Application for admittance to JCRS filled out by hand in ink for Adolph Fiertag. Information on the form includes his age, birth place, occupation, residence, marital status, previous hospital stays, membership to beneficial societies and lodges, nearest relatives, and signed by Adolph Fiertag. At the bottom of the page is a section named "Recommendation," which is left blank. The back of the form has section entitled "Report of Medical Examiner," which is left blank. The middle section of the...
Dates: 1910 May 10-1910 July 4