Subject Source: Art & Architecture ThesaurusScope Note: Forms used by persons requesting assistance, authorization, employment, admission, or other action.
Found in 2 Collections and/or Records:
Overview Application form of Catherine Queen for admission as a patient to the Jewish Consumptives' Relief Society. She was age 40 at the time of the application. She was born in Russia and immigrated to the United States in 1894. She lived in Philadelphia when she contracted tuberculosis. She had been sick for 10 years upon arrival to Denver, Colorado. She was a widow at the time of filling out the application. She was admitted to the National Jewish Hospital before applying for JCRS. The verso of the...
Overview Application for admittance to JCRS filled out by hand in ink for Catherine Queen. Information on the form includes her age, place of birth, occupation, residence, marital status, previous hospital stays, nearest relatives, and signed by Catherine Queen. At the bottom of the page, under "Recommendation," are two names and addresses. The first reads "Barney [illegible], 1459 Knox Ct," and the second reads "Leon Mussoff, N 1569 Julian St." The back of the form has section entitled "Report of...