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Bennie Weinstein's Application for Admittance to JCRS, 1908 November 30

 Item
Identifier: B002.01.0100.0106.00001

Overview

Application for admittance to the JCRS Sanatorium filled out by hand in ink for Bennie Weinstein. Information on the front of the form includes his age, birth place, citizenship, occupation, recent resident information, medical information, marital status, and nearest relatives or friends "Rachel Weinstein (sister) Elizabeth PA Oscar Weinstein (brother)" [sic]. The form is signed Bennie Weinstein Address 1471 Knox Court [Denver, CO], followed by section headed RECOMMENDATION, which was left blank. The back of the form has section entitled "REPORT OF MEDICAL EXAMINER," which reads, "Stage 1... [illegible] of [illegible] upper lobe" signed "Hillkowitz" [sic]. The middle section of the back is a form filled out by hand in ink. It reads, "Application No.975 Case No. 696 APPLICATION OF Bennie Weinstein Address 1471 Knox Court, Received Nov. 30, 1908, Admitted Feb. 16, 1909, Discharged June 1, 1909." The bottom of the page reads "ADMISSION AND DISMISSION COMMITTEE" which is blank.

Dates

  • 1908 November 30

Creator

Language of Materials

From the Collection: The records are primarily in English, but some materials are in other languages, including Hebrew, Yiddish, German, and Russian.

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

Repository Details

Part of the Special Collections and Archives Repository

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