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Harry Schick's Application for Admittance to JCRS, 1909 July 26

Identifier: B002.01.0101.0105.00001


Application for admittance to the JCRS filled out by hand in ink for Harry Schick. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed by Hary Schick. At the bottom of the page, under "Recommendation," handwritten in ink it reads "letter from Jacob Schoen and Dr. E. Friedman." The back of the form has a section entitled "Report of Medical Examiner" which states that the examination was made the same day as he filled out the form. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1185, Case No. 815, H. Schick, 1477 Boul 7, Received July 26 1909, Admitted Aug 12 1909, Discharged Nov 8 1909." Added at a later date, written in pencil it reads "admit him at first offer, 8/5/09." The bottom of the page reads "Admission and Dismission Committee" which is blank.


  • 1909 July 26


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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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