Herman Bailey's Application for Admittance to JCRS, between 1905 February 7-August 15
Application for admittance to JCRS filled out by hand for Herman Bailey and dated February 7, 1905. Information on the form includes his age, birth place, occupation, residence, marital status, nearest relatives, and signed "Herman Bailey." The back of the form has sections titled "Report of Medical Advisory Board" and "Report of Executive Committee" both blank. The middle section of the back is a form filled out by hand in ink. It reads, "61, No. 61 38 [both crossed out], Case #32, Application of, Herman Bailey, Feb 7/05, Date of Admission March 20 1905, Date of Discharge Aug 15 1905."
- between 1905 February 7-August 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: "Receive Feb 7, 1905., Dis, answered, March 16, 05" Handwritten near the botton left corner of the front page: "[illegible due to an ink stain], Approved 3-15-05."