Can you afford to be ill : hospital service plan
1945 1945 1940s 15 pages : illustrations CONFIDENTIAL. THE LONDON ASSOCIATION FOR HOSPITAL SERVICES LTD. SPONSORED BY KING EDWARD'S HOSPITAL FUND FOR LONDON Registered Office: 10 Old Jewry, London, E.C.2. Telephones: CLErkenwell) 7261/2 MONarch 2394 Secretary: Mr. T. W Place THE HOSPIT...
| Institution: | MCR - The Modern Records Centre, University of Warwick |
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| Language: | English English |
| Published: |
London : The London Association for Hospital Services Limited
1945, 1946
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| Online Access: | http://hdl.handle.net/10796/22CD272B-788D-4EAB-BBA9-6F7F20BB8B59 http://hdl.handle.net/10796/EA76F56A-0ABA-4D3D-912B-5100CAB3D7A6 |
| Summary: | 1945
1945
1940s
15 pages : illustrations
CONFIDENTIAL. THE LONDON ASSOCIATION FOR HOSPITAL SERVICES LTD. SPONSORED BY KING EDWARD'S HOSPITAL FUND FOR LONDON Registered Office: 10 Old Jewry, London, E.C.2. Telephones: CLErkenwell) 7261/2 MONarch 2394 Secretary: Mr. T. W Place THE HOSPITAL SERVICE PLAN APPLICATION FORM FOR OFFICIAL USE ONLY I desire to register as a Subscriber to the Association, and if accepted I undertake to abide by the Rules and Regulations as laid down by the Council. Received .../.../... (PLEASE USE BLOCK LETTERS) Approved .../.../... Title Notified .../.../... (a) Surname of Applicant M... Group Christian Names (b) Address.............. Reg. No. (c) Profession or Occupation (d) Business Address Subscription £ : : (e) Date of Birth (f) Tel. No. Receipt 2 Particulars of dependent relatives included in this application: (One adult dependant under 60 ; children under 18 years of age) Surname Christian Names Relationship Date of Birth 1 2 3 4 5 3 (a) Are you aware of any condition of health which even though not giving trouble now may render an operation or hospital or nursing home treatment necessary in the future. Yourself? Your dependants? (b) Kindly state the name and address of your family doctor 4 Are you in good health at the present time ? Are the above stated dependants in good health at the present time? (See overleaf)
292/842/2/63 |
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| Physical Description: | TEXT |