Abraham Silverman's Application for Admittance to JCRS, 1909 July 8
Application for admittance to the JCRS filled out by hand in ink for Abraham Silverman. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by A. Silverman. At the bottom of the page, under "Recommendation," has been left blank. The back of the form has a section entitled "Report of Medical Examiner," which states Silverman's exam was made on the same day as filling out the application, signed by D.C. Elbalbach. The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1172, Case No. 813, Ab Silverman, 1424 Irving, Received July 8 1909, Admitted Aug 11 1909, Discharged Oct 4 1909." The bottom of the page reads "Admission and Dismission Committee" which has been left blank.
- 1909 July 8
- 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.