8. The forms of application for the admission of all patients to such institutions shall be such as are prescribed by the State Board of Charities.

9. Whenever any patient in such institution shall become so violent in conduct as to become uncontrollable without the aid of mechanical restraint or permanent seclusion, it shall be the duty of the superintendent thereof to notify forthwith the State Board of Charities of the condition of such patient by means of a certifi cate signed by him and the resident physician, and pending the action of said Board upon such notice, it shall not be lawful to discharge or transfer said patient to any other custody.

RULES AND REGULATIONS IN ACCORDANCE WITH WHICH DISPENSARIES SHALL FURNISH MEDICAL OR SURGICAL RELIEF, ADVICE OR TREATMENT, MEDICINE OR APPARATUS; ADOPTED OCTOBER 11, 1899, PURSUANT TO THE PROVISIONS OF CHAPTER 368, LAWS OF 1899, AS AMENDED OCTOBER 10, 1900.

I. POSTING A PUBLIC NOTICE.

There shall be posted and permanently maintained in a conspicuous place in the reception room for applicants a notice as follows:

This dispensary has been licensed under the laws of the State of New York by the State Board of Charities, to furnish medical or surgical relief, advice or treatment, medicine or apparatus to the sick poor who are unable to pay for the same. The law provides as follows:

(Section 25, chapter 368, Laws of 1899.)

"Any person who obtains medical or surgical treatment on false representations from any dispensary licensed under the provision of this act shall be guilty of a misdemeanor, and on conviction thereof shall be punished by a fine of not less than ten dollars and not more than two hundred and fifty dollars."

(Imprisonment until fine be paid may be imposed. Code Crim. Pro., § 718.)

II. THE REGISTRAR.

(As amended October 10, 1900.)

There shall be an officer to be known as "The Registrar," whose duties shall be to supervise the work of the dispensary, and either personally, or by a competent deputy selected by him for that purpose, to make and preserve all records, receive all applicants, and see that all rules and regulations are enforced.

III. THE ADMISSION OF APPLICANTS.

(48 amended October 10, 1900.)

1. It shall be the duty of the registrar to examine all applicants to determine the question of their admission, and the following rules shall guide his actions: (a) All emergency cases shall be admitted and receive prompt treatment and care. (b) Every applicant who is, in the opinion of the registrar, after examination and personal inquiry, poor and needy, shall be admitted. (c) Every applicant, either personally or by the parent or guardian of such applicant, in regard to whose ability to pay for medical or surgical relief, advice or treatment, medicine or apparatus, or either, in whole or in part, the registrar is in doubt, shall be admitted to a first treatment on signing a card containing the "representation" or statement of the applicant, but the registrar shall forthwith cause an investigation of his or her ability to pay either personally, or by parent or guardian; the results of such investigation shall be filed among the permanent records of the dispensary. Any such applicant who declines to sign the required "representation " or statement shall be refused admission.

2. Such "representation" or statement shall be in the following form:

Card of Admission on "Representation" or Statement of Patient.

This is my

Income...

Date..
No. in family

Address...

Woman.

Rent..

application to this Dispensary in the year

I have been an applicant to no other Dispensary in the year

(or to the following Dispensaries:

3. The registrar shall issue to every applicant who is admitted for treatment pass card, on one side of which shall be printed the usual information in regard to attendance upon the class to which he or she is assigned, and on the other side the card shall be in the following form:

Penalty for False Representations.

Section 25, Chapter 368, Laws of 1899.

"Any person who obtains medical or surgical treatment on false representations from any dispensary licensed under the provisions of this act shall be guilty of a misdemeanor, and on conviction thereof shall be punished by a fine of not less than ten dollars and not more than two hundred and fifty dollars."

(Imprisonment until fine be paid may be imposed. Code Crim. Pro., § 718.)

IV. THE MATRON.

There shall be a matron whose duty it shall be, under the direction of the registrar, to preserve cleanliness and good order in all parts of the dispensary, and be present during gyuæcological examinations and operations; no such examination shall be made of, or operation performed on, any female patient except in the presence of the matron or of a woman detailed for such duty.

V. CONTAGIOUS DISEASES EXCLUDED.

The following contagious diseases shall not be treated in any dispensary not devoted to the treatment of contagious diseases, viz.: smallpox, scarlet fever, measles, diphtheria. When a person suffering from any one of these diseases shall apply for treatment to any dispensary, the registrar shall take immediate measures to prevent the exposure of other persons in the dispensary, and shall forthwith report the case to the proper health authority.

VI. INSTRUCTIONS IN DISPENSARIES.

Managers may make needful rules and regulations for clinical, secular and religious instruction in their respective dispensaries, but in no instance shall any applicant be required to attend such instruction as a condition on which he or she may receive medical or surgical relief at the dispensary. No applicant shall be

required to submit to an examination, oral or physical, for other purposes than his or her proper medical or surgical treatment without his or her full and free consent; in the case of an infant, the consent of the father, mother or guardians must be obtained for the purpose above mentioned.

VII. THE APOTHECARY.

The apothecary must be licensed under the laws of this State or be a graduate of a regularly incorporated medical college. If employed in public service the apothecary must be appointed under Civil Service rules.

VIII. SANITARY INSPECTIONS.

(As amended October 10, 1900.)

The managers of dispensaries shall comply with the ordinances and orders of the local Board of Health, and shall annually make a minute showing compliance therewith, upon their official records on or before September 30th in each and every year.

IX. ARRANGEMENTS AND EQUIPMENT.

Each dispensary shall provide: 1. Seats for all applicants. 2. Arrangements for the separation of the sexes in both waiting and treatment rooms, except in cases of family groups or of infants. 3. Such equipment in the matter of rooms and supplies as will secure the best results of treatment.

RULES FOR DISTRICT COMMITTEES.

Adopted May 11, 1899.

For administration purposes the State shall be divided into two inspection districts, to be known as the Eastern District and the Western District. The Eastern District shall embrace the first, second, third and fourth judicial districts of the State. The Western District shall embrace the fifth, sixth, seventh and eighth judicial districts of the State.

The Committee in the Eastern District shall consist of the members of the Board resident therein. The work in the East

ern District may be carried on by a sub-committee of three of its members, to be appointed by the President.

The Committee in the Western District shall consist of the members of the Board resident therein. The work in the Western District may be carried on by a sub-committee of two of its members, to be appointed by the President. The President shall designate the Chairman of the said Committees.

With the exception of the months of July and August, each of the Committees shall hold meetings at their respective district offices at least once a month, as the Committee may decide. Three members shall constitute a quorum in the Eastern District and two in the Western District. Special meetings may be called by the Chairman as often as he may deem the same necessary. The District Committees may, when in their judgment the work of inspection requires it, hold joint meetings.

The Committees may in their respective districts designate from time to time one of their members to supervise and direct the daily conduct of the work of the District.

The district offices shall be open for business from 9 A. M. to 5 P. M. on every week day, not a legal holiday, except on Saturdays, when they shall be open from 9 A. M. to 12 M.

In each district there shall be a Superintendent, to be appointed by the Board upon the nomination of the District Committee, who shall be subject to the said Committees, and shall have the immediate direction of the Inspectors in the said districts.

It shall be the duty of the Superintendent to see that the instructions of the District Committees are duly carried out and that the details of business of their offices receive prompt and suitable attention. The district offices shall be in their charge and they shall act as Secretary of their respective District Committees and keep a record of the Committee's proceedings.

They shall have the custody of the records of their respective offices and be responsible for the safe preservation of all papers, books, letters and documents.

In each district there shall be such number of inspectors and other employes as the Board may see proper to employ.

The inspectors may, as far as practicable, be classified as "auditing inspectors," sanitary inspectors" and and "general

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