Abe Kushneroff's Application for Admittance to JCRS, 1908 November 30
Item
Identifier: B002.01.0100.0107.00001
Abstract
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
Copyright restrictions may apply. User is responsible for all copyright compliance.
Extent
1 Items (application)
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.
General
Title supplied by archivist.
Creator
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Repository Details
Part of the Special Collections and Archives Repository