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Aaron Agreen's Application for Admittance to JCRS, 1908 July 23

 Item
Identifier: B002.01.0100.0032.00001
Application for admittance to JCRS filled out by hand in ink for Aaron Agreen. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Aaron Agreen. The back of the form has section entitled "Report of Medical Examiner," which is dated July 24, 1908 and states that the applicant is suffering from the arrest [illegible] stage of pulmonary tuberculosis. Remarks read "Sclerosis (bronchial breathing) upper Right. mosture base R. [post] only occasionally and then after coughing only" and is signed Emanuel Friedman. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 854 Case No. 607, Application of, Aaron Agreen, 2816 [S.] 14th Ave., Received July 24, 1908, Accepted Sept. 2, 1908, Admitted Sept. 4, 1908, Left Oct. 6, 1908." The bottom of the page reads "Admission and Dismission Commitee" which is blank.

Dates

  • 1908 July 23

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.

Inscriptions and Marks

Written in pencil on the back middle of the page under "Remarks" reads "Written Mrs. Lorber 8/12."

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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