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Morris Goldman's Second Application for Admittance to JCRS, 1906 November 3

 Item
Identifier: B002.01.0101.0013.00003

Overview

Second application for admittance to JCRS filled out by hand in ink for Morris Goldman. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Morris Goldman. At the bottom of the front page is a section entitled "Recommendation" which is left blank. The back of the form has a section entitled "Report of Medical Examiner," which states that the exam took place on November 1st, 1906 by Dr. A. Zederbaum. Patient is determined to be an advanced case and Dr. A. Zederbaum states "applied for admission to Nat. J. Hospital [National Jewish Hospital] a few months ago. Rejected as advanced case. Previous to that had spent 10 m at our Sanatorium and was discharged as much improved." Zederbaum wrote of Morris Goldman's present condition but much of this is illegible. Notes temperature at 4 pm = 90 degrees and is signed by Dr. A. Zederbaum. The middle section of the back is a form filled out by hand in ink. It reads "Application No.351, Case No.288, Second Application of Morris Goldman, addressed 1429 Grove St Denver, Received November 3 1906, Accepted March 22 1907, Admitted March 25 1907, Discharged February 10 1908, Remarks: Second Application, [illegible] Feb 1 1908, 1/2/08." The bottom of the page reads "Admission and Dismission Committee" which is blank.

Dates

  • 1906 November 3

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.

Physical Characteristics and Technical Requirements

Application has small tears on the lefthand side.

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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