The annual report of the Department for the Insane of the Pennsylvania Hospital : for the year ending fourth month 22d, 1889 presented to the 138th annual meeting of the managers of the Pennsylvania Hospital.
- Pennsylvania Hospital for the Insane
- Date:
- 1889
Licence: Public Domain Mark
Credit: The annual report of the Department for the Insane of the Pennsylvania Hospital : for the year ending fourth month 22d, 1889 presented to the 138th annual meeting of the managers of the Pennsylvania Hospital. Source: Wellcome Collection.
47/54 page 41
![CERTIFICATE OF MAGISTRATE OR JUDICIAL OFFICER.* ’ “ ol-county, of the State of Pennsylvania, do certify that the foregoing certificate was u y tc* befoie me, by the above named_„_=n=>=ri a'ld~ on this-day of - 188—, that the signatures thereto are genuine, and that the signers are physicians of good standing and repute. ——-—- [L. s.] OBLIGATION, f In consideration of being admitted as a patient into the “Pennsylvania Hospital for the Insane!' established and maintained by “The Contributors to the Pennsylvania Hos¬ pital, we do jointly and severally promise to pay to the Steward of the said Hospital, or to his order, quarterly, in advance,__ - - dollars —-cents per week, for board, and to provide or pay for all requisite clothing and other things deemed necessary or proper for the health or comfort of said patient; to pay for all glass or furniture broken or destroyed by said patient; to remove when discharged ; and if taken away uncured, against the advice and consent of the Superintending Physician, before the expiration of three calendar months, to pay board for thirteen weeks, or if removed, or discharged, within four weeks, with his approbation, to pay board for four weeks.J Certificate of a Notary Public will not be accepted. f I his obligation is to be signed by a responsible person. The surety ^ to be a resident of the city of Philadelphia. | If the patient recovers before the expiration of the period paid for, r and leaves with the full approbation of the physician, the excess is refunded, K unless that time should be less than four weeks, for which period board is ij always required. I](https://iiif.wellcomecollection.org/image/b30318440_0047.jp2/full/800%2C/0/default.jpg)


