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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    your health? Have you ever resided out of the United States .f If so^ where and for what period '' Was it on account of ill health ? In giving the occupation of the party, it is not sufficient to state (for example) that he is a merchant, mechanic or clerk, but the particular branch of business or trade must be specified, and full particulars given where the occupation is in any way hazardous. Does the party agree not to reside or travel within the tropics, and not to engage in blasting, mining, sub-marine operations, aeronautic ascensions, or in service upon any railroad train, or in switching or coupling cars, or upon any steam or other vessel, during the next two years following the date of any policy issued hereon, without first obtaining the written permission of this company ? Has the applicant ever changed his residence or traveled on account of his health, or has his health been affected by any Southern or foreign resi- dence ? Is applicant married or single ? Physique. Age? Temperament? Race or nationality? Complexion? Weight (coat and vest off)? Height (in shoes)? Girth of chest, under vest, forced expiration ? Same, forced inspiration ? Girth of abdomen, at waist- band of trousers? If under or over-weight, is this feature an individual or family trait? Any deformity? Any injury or loss of limb? (If of lower extremity, state whether thigh or leg amputation.) Any rupture ? If so, is truss worn? State the kind of hernia? Figure? Color of hair and eyes ? Has the weight recently increased or diminished—and from what cause ? Which parent does he resemble most in general temperament and constitution ? Can you answer from personal knowledge ? Does his appearance indicate health and vigor ? Hereditary Influences. Inquire of applicant, and set down below, as particularly as you can, the vital statistics of the family. Family Record of Applicant. Living. Dead. Age? Health ? Age? Specific Cause of Death ? How Long Sick ? Father's mother Mother's father ... Mother's mother...