Ethel Lockman's Application for Admittance to JCRS, 1910 July 15-1911 February 14
Application for admission to JCRS filled out by hand in ink for Ethel Lockman. Information on the form includes her age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed in Yiddish [archivist infers the signature is of Ethel Lockman]. At the bottom of the page, the section "Recommendation," is left blank. The back of the form has section entitled "Report of Medical Examiner," which is left blank. The middle section of the back is a form filled out by hand in ink. It reads "Application No.1514, Case No.1025, Application of Ethel Lockman, Address Denver, Colo., Received July 15 1910, Admitted July 15 1910, Left February 14/11." The bottom of the page has a section titled "Admission and Dismission Committee" which is blank.
- 1910 July 15-1911 February 14
- Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)
Language of Materials
Materials mostly in English, except for Ethel Lockman's signature.
Conditions Governing Use
Copyright restrictions may apply. User is responsible for all copyright compliance.
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.