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Alexander Echowitz's Application for Admittance to JCRS, 1909 October 18

 Item
Identifier: B002.01.0102.0007.00001

Overview

Application for admission to JCRS filled out by hand in ink for Alexander Echowitz. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, and nearest relatives. Form is signed "A Eckowitz." Nearest relative is listed as "Ethel Echowitz (wife) 2645 1/2 E. Mission St., Frisco." In the Recommendation section at the bottom of the page there is a note that reads "Letter from Rabbi M.S. Levy." The section "Report of the Medical Examiner" on the back side of the form states examination took place on October 18, 1909, found that Mr. Echowitz suffered from second stage tuberculosis and is signed "H.N. Drohn." The middle section of the back of the form reads "Application No. 1249. Case No. 871. Application of Alexander Echowitz. Address 1471 Knox. Ct. Received Oct 18 1909. Admitted Nov 16 1909. Discharged April 27/1910." The "Admission and Dismission Committee" section of the back of the form is left blank.

Dates

  • 1909 October 18

Creator

Language of Materials

From the Collection: The records are primarily in English, but some materials are in other languages, including Hebrew, Yiddish, German, and Russian.

Conditions Governing Use

Copyright restrictions apply. User is responsible for all copyright compliance.

Extent

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.

General

Title supplied by archivist.

Repository Details

Part of the Special Collections and Archives Repository

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