Application of Annie Cohen to JCRS, 1909 July 2

Item

Identifier: B002.01.0097.0188.00004

Staff Only

Abstract

Application for admittance to JCRS filled out by hand for Annie Cohen and is dated Jul 2, 1909. Information on the form includes her age, birth place, US Citizen, occupation, residence, marital status, children's ages, nearest relatives, and signed Yiddish signature. 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. 1149 (written over) 2049, Case #791, Application of (stamped in blue ink) emergency, Annie Cohen, Address 3429 Larimer, Received July 2 1909, Accepted July 3 1909, Rejected 190, Discharged 190, Left 190, Died July 20 1909, Remarks."

Dates

1909 July 2

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.