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Albert Scrinopskie's Application for Admission to JCRS, 1910 March 3

Identifier: B002.01.0102.0089.00001


Application form of Albert Scrinopskie for admission as a patient to the Jewish Consumptives' Relief Society. Scrinopskie filled out the form from Edgewater, Colorado where he was a patient at Fern Hill Sanatorium. He was age 27, married, and had one child at the time of the application. His place of birth states he is from Russia and came to the United States in 1889, however, he is a U.S. citizen and lived in Topeka Kansas for 20 years. On the bottom of the application there is a recommendation section with two signatures from reputable sources for Scrinopskie's admission. On the verso there is a red stamp that says "EMERGENCY" with text saying he should be admitted as soon as possible. He was admitted on March 5, 1910 and later died on April 2, 1910.


  • 1910 March 3


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1 items

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

Repository Details

Part of the Special Collections and Archives Repository

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