Hyman Goron's Application for Admittance to JCRS, between 1904 October 6-1905 June 15
Application for admittance to JCRS filled out by hand for Hyman Goron and undated. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and is signed by Hyman Goron. The back of the form has sections titled "Report of Medical Advisory Board," blank, and "Report of Executive Committee," filled in by hand with "Admitted to [crossed out] Admitted to Sanitarium at meeting of Executive Committee held Oct 6, 1904, [signed] C. D. Spivak, Secretary." The middle section of the back is a form filled out by hand in ink. It reads, "27, No. 27, 18 [both crossed out], Case #12, Application of, Hyman Goron, Oct. 6/04, Date of Admission Oct 17 1904, Date of Discharge [crossed out and replaced with] Died June 15th 1906."
- between 1904 October 6-1905 June 15
- Jewish Consumptives' Relief Society (U.S.) (Recipient, Organization)
Rights and Usage Statement
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.
Physical Characteristics and Technical Requirements
Fair 30 x 22 centimeter
Title supplied by archivist.
Inscription and Marks
Handwritten in the top right corner of the front page: "Received Oct 6, 1904, Dis." Handwritten in the bottom left corner of the front page: "Dead." Stamped in the top right corner: "Received Oct-6-04, Accepted, Admitted 10-17-04, Discharged, Left, Died 6-15-05."