Skip to main content

Adolph Berman's Application for Admittance to JCRS, 1908 September 10

 Item
Identifier: B002.01.0100.0058.00001

Overview

Application for admittance to JCRS filled out by hand in ink for Adolph Berman. Information on the form includes his age, birth place, occupation, residence, marital staus, child's age, nerest relatives, and signed by Adolph Berman. At the bottom of the page, under "Recommendation" has been left blank. The back of the form has a section entitled "Report of Medical Examiner" which states that the examination was made 9 months prior to filling out the application and signed by Hillkowitz. The middle section of the back is a form filled out by hand in ink. It reads "Application No 895, Case No 628, Adolph M. Berman, 1476 Hooker St, Received Sept 10 1908, Accepted Oct 1 1908, Admitted Oct 2 1908, Discharged Oct 18 1908". Underneath, handwritten in pencil reads "new disrally 9/14/08". The bottom of the page reads "Admission and Dismission Committe" which is blank.

Dates

  • 1908 September 10

Creator

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.

Repository Details

Part of the Special Collections and Archives Repository

Contact:
2150 East Evans Avenue
Denver CO 80208
(303) 871-3428