Heywood & Massey's lunacy practice / by N. Arthur Heywood, Arnold S. Massey and Ralph C. Romer.

  • Heywood, N. Arthur (Nathaniel Arthur)
Date:
1907
Catalogue details

Licence: In copyright

Credit: Heywood & Massey's lunacy practice / by N. Arthur Heywood, Arnold S. Massey and Ralph C. Romer. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    for ], upon t/ie petition of John Jones, of {^) , in the matter of Thomas Jones, a lunatic {^), accompanied by the medical certificates of and , hereto annexed, and upon the imdertahing of the said John Jones to visit the said Thomas Jones personally, or by someone specially appointed by the said John Jones, once at least in every six months while under care and treatment under this order, hereby authorise you to receive the said Thomas Jones as a p)atie'nt into your asylum (^), and I declare that I have [or have nof] personally seen the said Thomas Jones before maldng this order. Bated [Signed) A Justice for , appointed under the above- mentioned Act [or The Judge of the County Court of or A Stipendiary Magistrate']. To{^) Form of Urgency Order for the Reception of a Private Patient. I, the tmdersigned, being a p)crson twenty-one years of age, hereby authorise you to receive as a patient into your house (*) Thomas Jones as a lunatic i^), whom I last saiv at on the (') day of 19.7 am not related to or connected toith the person signing the certificate which accompanies this order in any of the ways mentioned in the margin (®). Sub- (') Address and description. (') Or an idiot or person of tmsound mind. Or hospital, or house, or as a single patient. {*) To be addressed to the medical superintendent of the asylum or hospital o)' to tht resident licensee of the house in which the patient is to be placed. (') Or hospital, or asylum, or as a single pat ient. (') Or an idiot or a person of unsound mind. C) Some day within two days before the date of the order. (8) Husband, wife, father, father-in-law, mother, mother-in-law, son, son-in-law, daughter, daughter-in-law, brother, brother-in-law, sister, sister-in-law, partner or assistant.
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