Abe Kushneroff's Application for Admittance to JCRS, 1908 November 30

Item

Identifier: B002.01.0100.0107.00001

Staff Only

Overview

Application for admittance to JCRS filled out by hand in ink for Abe Kushneroff. Information on the form includes his age, birth place, citizenship, occupation, current residence [Denver, CO] former residence [Memphis, TN], medical information [treated at National Jewish Hospital for Consumptives], marital status, and nearest relatives or friends "Max Kushneroff (father) ...Julius "[Kushneroff] (brother)" [sic]. The back of the form has section entitled "Report of Medical Examiner," which reads, "Stage 1, [Illegible] case" signed by Philip [Illegible] [sic]. The middle section of the back is a form filled out by hand in ink. It reads, "Application No.976 Case No. 680 APPLICATION OF Abe Kushneroff, Address Natl. J. H. for Consumptives, Received Nov. 30, 1908, Accepted Jan. 9, 1909, Admitted Jan. 11, 1909, Discharged May 18, 1909." The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

1908 November 30

Creator

Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)

Conditions Governing Use

Extent

1 items (application)

Additional Description

Scope and Contents

From the Series: This series of patient records includes medical reports and histories, statistical data of patients, x-rays, and death certificates. The patient files include applications, correspondence and some may also contain photographs and personal items.