David Gewirtzman's First Application for Admittance to JCRS, 1906 April 30

Item

Identifier: B002.01.0097.0138.00001

Staff Only

Abstract

Second application for admittance to JCRS filled out by hand in ink for David Gewirtzman. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signe dby David Gewirtzman. At the bottom of thepage under "Recommendation" are two names and addresses. "Jacob Lapidus, 1759 Lane" and "D. M. Mena, 318 Com Blvd.". The back of the form has a sections entiteld "Report of the Medical Examiner" which has been left blank. The middle section on the back is a form filled out by hand in ink. It reads "No. 219, Case # 143, David Gewirtzman, April 30, 1906, Date of Admission May 23 1906, Date of Discharge, April 6, 1907."

Dates

1906 April 30

Creator

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

Conditions Governing Use

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC-EDU/1.0/

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.