Application of Isidore Eichler to JCRS, 1906 March 9

Item

Identifier: B002.01.0097.0120.00002

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Isidore Eicher and is dated March 9, 1906. Information on the form includes his age, birth place, occupation, residence, marital status, children's ages, nearest relatives, and signed Isidore Eicher. The back of the form has sections titled "Report of Medical Advisory Board" and "Report of Executive Committee," both are blank. The middle section of the back is a form filled out by hand. It reads, "No. 199, Case #129, Application of, Isidore Eicher march 9/06, Date of Admission April 27, 1906, Date of Discharge (crossed out) Left November 15, 1906."

Dates

1906 March 9

Creator

Jewish Consumptives' Relief Society (U.S.) (Producer, Organization)

Rights and Usage Statement

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s). http://rightsstatements.org/vocab/InC-EDU/1.0/

Extent

1 Items (application)

Additional Description

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 centimeters

General

reformatted digital

title supplied by archivist

Inscription and Marks

Stamped in blue ink at bottom of left-hand side of application: "Received March 9. 1906, Accepted Apr. 06, Admitted April 27/06, Discharged, Left, Died."