Joseph Dreyfus's Application for Admittance to JCRS, 1909 August 18
Application for admittance to JCRS filled out by hand in ink for Joseph Dreyfus. Information on the form includes his age, birth place, occuation, residence, marital status, nearest relatives, and signed by Joseph Dreyfus. At the bottom of the page, under "Recommendation," it has been left blank. The back of the form has a section entiteld "Report of Medical Examiner" which has been been filled out. The middle section of the back is a form filled out by hand in ink. It reads "Applicatio No. 1211, Case No. 819, Joseph Dreyfus, Received Aug 18 1909, Admitted Aug 18 1909, Died Aug 25 1909." The bottom of the page reads "Admission and Dismission Committee" which is blank.
- 1909 August 18
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
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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.
Materials Specific Details
On the front of the application is a black ink blot and on the back is a red stamp that reads "Emergency".
Title supplied by archivist.