Alex Berkson's Application for Admittance to the JCRS, 1909 August 20
Application for admittance to the JCRS filled out by hand in ink for Alex Berkson. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Alex Berkson. At the bottom of the page, under "Recommendation," it reads "Letter from Karnaiko." The back of the form has a section entitled "Report of Medical Examiner" which states Berkson's physical exam was made 3 days prior to filling out the application, it is signed by C. Elbalback. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1202, Case No 842, Alex berkson, 1471 Knox Ct., Received Aug 20 1909, Admitted Sept 28 1909, Left Sept 26 1910." The bottom of the page reads "Admission and Dismission Committee" which has been left blank.
- 1909 August 20
- 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.
Title supplied by archivist.