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Frank Kaufman's First Application for Admittance to JCRS, 1908 July 25

Identifier: B002.01.0101.0113.00002


Application for admittance to the JCRS filled out by hand in ink for Frank Kaufman. Information on the form includes his age, brith place, occupation, residence, marital status, nearest relatives, and signed by Frank Kaufman. At the bottom of the page, under "Recommendation," are two names. The first one reads "Nathan Weiner" and the second one reads "M. Jalpers." The back of the form has a section entitled "Report of Medical Examiner" which states that Kaufman's physical exam was made on the same day as filling out the application, it is signed by Emanuel Friedman. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 855, Case No. 612, Frank Kaufman, 1472 Knox Ct., Received July 25 1908, Accepted Sept 18 1908, Admitted Sept 14 1908, Discharged May 12 1909." The bottom of the page reads "Admission and Dismission Committee" which has been left blank.


  • 1908 July 25


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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.

Repository Details

Part of the Special Collections and Archives Repository

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