Louis Levitt's Application for Admittance to JCRS, 1910 August 8-1911 January 24
JCRS Application filled out by hand in ink for Louis Levitt. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed by Louis Levitt. At the bottom of the page is a section entitled "Recommendation," which is left blank. The back of the form has a section called "Report of Medical Examiner" which states that the examination took place on August 6th 1910 and found Levitt to suffer from incipient pulmonary tuberculosis. Section 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. 1537, Case No 1077. Application of Louis Levitt, Address 1315 19th St. Denver, Colo., Received Aug 5 1910, Admitted Sept 8/10, Discharged January 24/11." The bottom of the page reads "Admission and Dismission Committee" which is blank.
- 1910 August 8-1911 January 24
- 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.