Joseph Klein's Application for Admittance to JCRS, 1910 August 2-1910 October 17
JCRS Application filled out by hand in ink for Joseph Klein. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, previous hospital stays and signed by Joseph Klein. At the bottom of the page is a section entitled "Recommendation," which is left blank except for a note in pen on the left side that reads "Has no friends in city total stranger." The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 8, 1910 and found Klein to suffer from advanced stage tuberculosis and is signed by "Dr. M. Krohn." The middle section of the back is a form filled out by hand in ink. It reads "Application No. 1533, Case No 1056. Joseph Klein, Address [illegible] Denver, Colo., Received August 2 1910, Admitted Aug 17/10, Left Oct 17/10 11 1911". The bottom of the page reads "Admission and Dismission Committee" which is blank.
- 1910 August 2-1910 October 17
- 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.