The life insurance examiner : a practical treatise upon medical examinations for life insurance / by Charles F. Stillman.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The life insurance examiner : a practical treatise upon medical examinations for life insurance / by Charles F. Stillman. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    PART I. LIFE INSURANCE FORMALITIES. As the Medical Examiner should make himself familiar with all the questions put to the insurance candidate, we insert the following list, classified from the forms used by six of the prominent insurance companies. MEDICAL EXAMINER'S REPORT. Identification. Signature.—(Sign in the presence of the Medical Examiner.) Signa- ture of the person examined in full. Did the applicant sign the above in your presence? Signature of the party or parties for whose benefit the in- surance is to be effected (write in full). Residence.—Country, State. County. Town. Place of business. P. O. Address. Former residence. Is the risk affected by the place of residence? Where has the party resided (during summer and winter) dur- ing the last ten years ? Identification.—(The examining physician is requested to satisfy himself in all cases as to the identity of the party being examined.) Do you know the applicant to be the person described in the application ? Is he known to you? How long? How well? Mention some mark of identification. Place of birth. Date ol birth. Environment. Occupation.—Is there anything seriously unsanitary in the occupa- tion, or in the residence or place of business? Does the person contem plate a change of residence? If so, when, to what place, and why? (That is, whether for purposes of business, health or pleasure.) Has he had yel- low fever? If not, does yellow fever ever prevail where applicant re- sides? State how long he has lived in present locality; how long and when, in other localities similarly exposed ? Is he thoroughly acclimatized. Is the risk affected by anything in his residence or occupation ? (State definitely; if more than one occupation, state all of them. If on railroad, say how employed.) Former occupation, if recently changed. Is applicant in anj waj/engaged in the sale of malt or alcoholic liquors? Is there any intention of changing residence or occupation? If so, state intention. Has change of climate ever been sought or advised for the benefit of