RULES OF THE STATE BOARD OF CHARITIES GOVERNING THE MANAGEMENT OF HOMES, RETREATS AND ASYLUMS FOR THE CARE AND MAINTENANCE OF AGED, DECREPIT AND MENTALLY ENFEEBLED PERSONS WHO ARE NOT INSANE.

1. Such institution shall be devoted to the sole purpose of keeping and caring for such persons.

2. The superintendent thereof shall transmit to the office of this Board, within three days after the reception of a patient, a certified copy of the application of said patient, or his or her relative, friend or guardian, as the case may be, together with copies of the affidavits of the physicians supporting said application.

3. Whenever any patient by him or his friends or lega! guardians shall make application to the State Board of Charities to be discharged from such home, retreat or asylum, the superintendent thereof shall forthwith forward such application to the office of this Board, together with such recommendations in regard to the further care of the patient as he may deem useful and

necessary.

4. Said institution shall have, in regular attendance upon its patients, a reputable physician, resident of the vicinity, duly qualified by law to practice his profession in this State, and whose appointment is approved by the State Board of Charities.

5. No form of injury to the person, or deprivation of the necessaries of life shall be allowed in such institution for the purpose of punishment or discipline.

6. All the provisions of the laws of the State relative to the sanitary care of public institutions and the preservation and promotion of the health of the inmates shall be rigidly complied with.

7. Said institution shall make to this Board the quarterly reports required of hospitals and the annual reports required of all charitable institutions.

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 certificate 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.

(As 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 opion 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:

This is my

........

application to this Dispensary in the year

I have been 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 a 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.

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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 gynæcological 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 medi

or surgical relief at the dispensary. No applicant shall be ired 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