THE 
CHARTER 
AND 
BY-LAWS 
OP THE 
gtnv-fjodi llisimtsum. 
INSTITUTED 1790. 
“1 WAS SICK AND YE VISITED ME.” 
$hfo-f|ork : 
JOHN W. AMERMAN, PRINTER, 
No. 47 Cedar Street. 
1869. THE 
CHARTER 
AND 
BY-LAWS 
OP THE 
IJnr-fJfltli Hijgpingfttg. 
INSTITUTED 1790. 
“I WAS SICK AND YE VISITED ME.” 
$cfo-gork : 
JOHN W. A MERMAN, PRINTER, 
No. 47 Cedar, Street. 
1869. A.HST A.CT 
TO INCORPORATE THE 
Contvibutovs to the Hisspniftmt, 
PASSED THE EIGHTH OF APRIL, 1795. 
Whereas it is represented to the Legislature, that John 
Rodgers, John Henry Livingston, Abraham Beach, John 
Watts, Matthew Clarkson, Jacob Morton, Moses Rogers, John 
Charleton, Samuel Osgood, Lawrence Embree, John Cozine, 
John Broome, and James Watson, and their associates, inhab- 
itants of the City of New-York, have become contributors to 
a Dispensary, for the purpose of relieving such sick, poor and 
indigent persons, as are unable to procure medical aid: And 
whereas it is further represented, that the said contributors 
will, by being incorporated, be enabled to carry their benevo- 
lent intentions into more extensive effect: Therefore, 
He it enacted by the People of the State of New- York, rep- 
resented in Senate and Assembly, That the said John 
John Henry Livingston, Abraham Beach, John Watts, Mat- 
thew Clarkson, Jacob Morton, Moses Rogers, John Charleton, 
Samuel Osgood, Lawrence Embree, John Cozine, John Broome 
and James Watson, together with their associates, being 
contributors to the said Dispensary, and such other persons 
as shall hereafter become members of the corporation thereby 
ei’ected, shall be, and are hereby ordained, constituted and 4 
ORIGINAL CHARTER. 
declared to be one body corporate and politic, in fact and in 
name, by the name of “ The Trustees of the New-York 
Dispensary and that by that name, they and their succes- 
sors, for ever hereafter, shall and may have succession, and 
may, by the said name, be persons capable in the law to sue 
and be sued, implead and be impleaded, answer and be an- 
swered unto, defend and be defended, in all courts and places 
whatsoever; and that they and their successors may have a 
common seal, and may change and alter the same at their 
pleasure; and that they and their successors, by their said 
name, shall for ever hereafter be persons capable in the law 
to purchase, take, hold, receive and enjoy to them and their 
successors, any real estate whatsoever, and all other heredita- 
ments, of whatsoever nature, kind, or quality they be, in fee 
simple, for term of life or lives, or in any other manner how- 
soever ; and also any goods, chattels and personal estate what- 
soever. Provided always, the yearly income of the said real 
and personal estate, and hereditaments, doth not at any time 
exceed the sum of twelve hundred pounds, current money of 
New-York. And that they and their successors, by the same 
name, shall have full power and authority to lease the said 
real estate and hereditaments, on such terms as they shall 
judge most beneficial; and also to dispose of all such personal 
estate at their will and pleasure, as they shall judge most 
beneficial and advantageous to promote the humane purposes 
of the said corporation. 
And be it farther enacted, That there shall be for ever here- 
after thirteen Trustees of the said corporation, who shall con- 
duct and manage the affairs of the said corporation; that the 
said Trustees shall be contributors to the said Dispensary, ac- 
tually resident in the said City of New-York; and the first 
Trustees of the said corporation shall be John Rodgers, John 
Henry Livingston, Abraham Beach, John Watts, Matthew 
Clarkson, Jacob Morton, Moses Rogers, John Charleton, Sam- 
uel Osgood, Lawrence Embree, John Cozine, John Broome, 
and James Watson, who shall hold their said offices until 
the second Monday in January next ensuing: and for keep- 
ing up the succession in the said offices. 
Be it farther enacted, That on the said second Monday in ORIGINAL CHARTER. 
5 
January next ensuing, and yearly and every year for ever 
thereafter, on the second Monday in January in every year, 
the members of the said corporation shall meet at some con- 
venient place in the City of New-York, to be fixed by the 
by-laws of the said corporation, and thereby the majority of 
such of them as shall so meet, shall by ballot elect thirteen 
of their members to be Trustees of the said corporation for 
the year ensuing, who shall immediately enter upon the said 
offices, and hold the same from the time of such election, for 
and during the space of one year, and until others shall be 
elected in their stead ; and in case any of the said persons 
elected to be Trustees of the said corporation, or who shall 
thereafter be elected thereto, shall die, or remove out of the 
City of New-York, before the time of their appointed service 
shall expire, or shall refuse or neglect to act in, and execute 
the said office; then, and in every such case, the remaining 
Trustees of the said corporation shall, within thirty days 
thereafter, by ballot, elect another or others of the members 
of the said corporation in the stead of him or them so dying 
or removing, refusing or neglecting to act; and that such 
person or persons as shall have the greatest number of votes 
at every such election, shall hold their said offices from the 
time of such election, until the second Monday in January 
then next ensuing, and until other or others shall be chosen in 
his or their stead. 
And be it further enacted, That the Trustees of the said cor- 
poration shall regularly meet on the third Monday in every 
month, and at such other times as they may judge expedient; 
and that any seven or more of the said Trustees, being so con- 
vened together, shall, for ever hereafter, be a legal meeting of 
the said corporation ; and that at any and every such legal 
meeting of any seven or more of the Trustees of the said cor- 
poration, it shall be lawful for them, or a majority of them, 
to make such by-laws, rules and regulations, for the manage- 
ment and disposal of the property and estate of the said cor- 
poration, and the government of the said Dispensary, and the 
same or any part of them to alter, amend, or repeal from time 
to time, as they, or a major part of them so met, shall think 
proper; Provided, such by-laws, rules and regulations be not 6 
repugnant to the constitution and laws of the United States, 
or of this State; and that at any such legal meeting of any 
seven or more of the said Trustees of the said corporation, it 
shall and may be lawful for them, or the majority of them, so 
met as aforesaid, to nominate and appoint one of the said 
Trustees of the said coloration to be their President, and 
one other to be Treasurer, and any other competent person to 
be Secretary of the said corporation, and also to appoint so 
many physicians, surgeons, apothecaries, officers and servants, 
and with such compensations, as to them shall seem meet ; 
and, whenever they shall think proper, to discharge them or 
any of them, and to appoint other or others in their stead. 
And be it farther enacted, That any male adult person, who 
shall contribute for the benefit of this corporation the sum of 
five dollars, shall, by virtue of such contribution, become a 
member thereof, and continue so to be, for the space of one 
year, from and after the time of his making such contribu- 
tion ; and any like person who shall contribute ten dollars for 
the like purpose, shall be a member thereof two years; and 
any like person who shall contribute any greater number of 
sums, of five dollars each, not exceeding nine, as shall be 
equal to the number of sums of five dollai*s each, so by him 
contributed ; and any like person, who shall contribute fifty 
dollars for the like purpose, shall be a member of said corpo- 
ration for life ; and every contributor of the value of five dol- 
lars or upwards, shall be entitled to have such number of 
patients (being proper objects of this institution) on the Dis- 
pensary list, and for such term of time as shall be prescribed 
by the by-laws of the corporation. 
And be it further enacted, That it shall be the duty of the 
Trustees of the corporation hereby created, to exhibit annu- 
ally, between the first and last days of May, in each year, to 
the Chancellor of this State, a full and particular account of all 
the estate, both real and personal, then vested in the said cor- 
poration, and of tlje rent or income thereof, attested by the 
oath of the Treasurer thereof, that the same is a true and per- 
fect account, together with a particular and detailed account 
of all the moneys expended by the said corporation in the pre- 
ceding year, specifying the several purjDoses to which it has 
ORIGINAL CHARTER. ORIGINAL CHARTER. 
7 
been applied; and if it shall appear to the said Chancellor, that 
the amount of the said property, or the disposal of the same, 
is not agreeable to the true intent and meaning of this act, he 
shall report the same to the legislature at their next ensuing 
session. 
And be it further enacted, That this act shall be, and is here- 
by declared to be a public act, and shall be construed benignly 
and favorably, for every beneficial purpose herein intended. 1M* 
TO AMEND AN ACT, ENTITLED “ AN ACT TO INCORPORATE THE 
CONTRIBUTORS TO THE NEW-YORK DISPENSARY,” PASSED 
APRIL EIGHTH, SEVENTEEN HUNDRED AND NINETY-FIVE. 
PASSED MAY 5, 1869. 
The People of the State of New-York, represented in Sen- 
ate and Assembly, do enact as follows : 
Section 1.—The corporation created hy an act, entitled 
“ An Act to incorporate the contributors of the New*York 
Dispensary,” passed April eighth, seventeen hundred and 
ninety-five, shall be hereafter designated and known by the 
name of the “ New-York Dispensary,” and by that name 
shall continue to hold and enjoy all the estate and property 
now belonging to said corporation, in possession, reversion, 
remainder, expectancy, trust or otherwise; and the said cor- 
poration may take and hold any property which may have 
been, or hereafter may be devised or bequeathed, given or 
granted to it, in trust, for the uses and purposes of said cor- 
poration, or otherwise, subject, however, to all the existing 
provisions of law relating to devises and bequests by last will 
and testament, whether by the former or present name or 
style of their corporation, and shall have all the rights, privi- 
leges and powers enjoyed by the said corporation under the 
first mentioned name ; provided, that the yearly income of the 
real estate of the said corporation shall not exceed the sum of 
thirty-thousand dollars. AMENDED CHARTER. 
9 
Sec. 2.—The present number of Trustees of said corpora* 
tion shall be increased to twenty-one, with the further power 
in the Board of Trustees to increase that number to thirty, 
when, in the opinion of a majority of the Avhole number of 
Trustees, now increased to twenty-one, it shall be deemed the 
interest of the institution to make such additional increase; 
which new Trustees, now and hereby created, or hereafter to 
be created as aforesaid, shall be contributors to the said Dis- 
pensary for at least twrelve months next preceding any elec- 
tion, actually resident in the City of New-York, as required 
by the second section of the act hereby amended. The num- 
ber of eight additional Trustees by this act created shall be 
elected at a special election by the said contributors qualified 
as aforesaid, within thirty days after the passage of this act, 
upon due notice previously given; and immediately after such 
election, the whole number of twenty-one Trustees shall be 
divided into three classes of seven each, by lot, one of which 
classes shall hold office for one year, another for tw7o years, 
and the third for three years, from the second Monday of Jan- 
uary, A. D. eighteen hundred and seventy. At each subse- 
quent annual election thereafter, seven Trustees shall be cho- 
sen, who shall hold their offices for three years. The Board 
of Trustees so constituted shall have power to fill vacancies 
that may occur by the death, resignation, or removal from the 
City of New7-York, of any of its members, during the period 
for w hich they shall have been elected. The same rule of 
division, classification and allotment, as to the additional nine 
Trustees hereafter to be created, by said Board of Trustees 
increasing their number to thirty, shall be observed. It shall 
be lawful for said Board of Trustees to establish one or more 
of its branches in the City of New-York, whenever in their 
opinion the increase and the necessities of its population shall 
require it, under such rules and regulations as they may deem 
proper. 
Sec. 3.—In the fifth paragraph of said act,the word “male” 
before “ adult,” in the first line thereof, is hereby stricken out, 
so that the said paragraph will read as follows: And be it 
further enacted, That any adult person wrho shall contribute, 
for the benefit of this corporation, the sum of five dollars, 10 
AMENDED CHARTER. 
shall, by virtue of such contribution, become a member thereof, 
and continue so to be, for the space of one year from and 
after the time of making such contribution ; and any like per- 
son who shall contribute ten dollars for the like purpose, shall 
be a member thereof two years; and any like person who 
shall contribute any greater number of sums, of live dollars 
each, not exceeding nine, shall be a member of said corpora- 
tion such number of years, not exceeding nine, as shall be 
equal to the number of sums, of live dollars each, so by him 
contributed ; and any like person, who shall contribute fifty 
dollars for the like purpose, shall be a member of the said 
corporation for life; and every contributor, of the value of 
five dollars or upwards, shall be entitled to have such number 
of patients [being proper objects of this institution] on the 
Dispensary list, and for such term of time as shall be pre- 
scribed by the by-laws of the corporation. 
Sec. 4.—All provisions in the act hereby amended, incon- 
sistent with this act, are hereby repealed. 
Sec. 5.—The said corporation shall possess the general 
powei’S and privileges, and be subject to the general re- 
strictions and liabilities prescribed in the third title of the 
eighteenth chapter of the first part of the Revised Statutes, 
and by the several acts amendatory thereof. 
Sec. 6.—This act shall take effect immediately. BY-LAWS. 
Be it ordained by the Trustees of the New-York Dispen- 
sary, and it is hereby ordained by authority of the same, that 
the following Rules and Regulations be, and they are hereby 
established, as laws and ordinances of the said corporation; 
and that all other By-Laws, rules and regulations heretofore 
made, be, and the same are hereby repealed. 
CHAPTER I. 
OF THE ANNUAL ELECTION. 
Article I.—The annual election of the class of Trustees 
whose term shall then expire, shall he held on the second 
Monday in January, in every year, at the Dispensary Build- 
ing, and shall begin at four and close at five o’clock, p. m. 
The Secretary shall give public notice of every such election 
in two of the daily newspapers, designating the time and 
place. 
Art. II.—The election shall be by ballot, and under the 
direction of three of the Trustees, to be appointed by the 
Board as Inspectors, and who, or a majority of them, shall 
preside at and conduct the election, and keep, a poll-list, in 
which they shall enter the names of the voters. Should no 
two of the Inspectors attend, the vacancies may be filled by 
the Trustees present. 
Art. III.—As soon as the poll is closed, the Inspectors shall 
examine the ballots, and execute a certificate under their hands 
and seals, declaring who are the seven persons having a ma- 
jority of the whole number of votes; and they shall report 12 
DUTIES OF THE OFFICERS AND TRUSTEES. 
the same at the next stated meeting of the Board, to be en- 
tered on the records of the Society. 
The Secretary shall give notice, without delay, to the per- 
sons so elected. 
Art. IV.—At the first stated meeting of the Trustees after 
every annual election, they shall, by ballot, elect one of their 
number as President, one as Vice-President, one as Treasurer, 
and one other as Secretary. 
CHAPTER II. 
DUTIES OF THE OFFICERS AND TRUSTEES. 
Article I.—The stated meetings of the Board of Trustees 
shall he held in the Dispensary Building, corner of Centre 
and White streets, on the third Monday of every month, at 
half-past three o’clock, p. m. 
Special meetings may be held at any time, on the requisi- 
tion of the President, or of any two Trustees. 
Art. II.—Seven Trustees, including the President or Vice- 
President, or Chairman for the time being, shall be a quorum 
for transacting all business, except the election of officers, or 
the alienating or mortgaging any of the real estate of the 
corporation; for which purpose, the consent of a majority of 
all the Trustees shall be held necessary. 
Art. III.—The President, or in his absence the Vice-Presi- 
dent, and in case of the absence of both of these officers, one 
of the Trustees to be chosen President pro tern., shall preside 
at the meetings of the Board, and regulate the proceedings. 
In case of an equal division of the Trustees on any question, 
he shall have an additional and casting vote. He shall ap- 
point all Committees, unless otherwise directed by the Board. 
It shall be the further duty of the President to visit the Dis- 
pensary at least once in every month, to inspect the general 
state of the Institution, and to report his observations thereon 
in the Book of Minutes of the Visiting Committee. 13 
Art. IV.—When the office of President shall be vacant, or 
when the President shall be absent, the Vice-President shall 
succeed to all his rights and duties. 
Art. V.—The Treasurer shall have the custody of all bonds, 
title-deeds, and other papers and documents relating to the 
property of the corporation. He shall open an account with 
one of the banks in the city, in the name of the corporation, 
in which he shall deposit all moneys, immediately on his re- 
ceiving them. He shall have authority to let such part of the 
building as the Trustees may direct to be hired out, and to 
collect and receive all moneys which may be due to the Insti- 
tution, and may employ a collector to collect rents, to solicit 
subscriptions and donations, and to receive, in his name, the 
sums due from annual subscribers, and may allow a commis- 
sion therefor. 
The Treasurer shall keep an account of all moneys received 
and paid by him, and once a year, in the month of January, 
or oftener, if required by the Board, he shall render a state- 
ment of the same to the Trustees, who shall appoint two of 
their number to audit his accounts. 
Art. VI.—The Secretary shall be the custodian of the seal, 
and shall give special notice to each Trustee of all meetings 
of the Board, and shall attend the same, and keep accurate 
minutes of all the proceedings, and transcribe them in a book 
kept for that purpose. He shall also give notice to the Trus- 
tees of their appointment on Committees, and also to the 
Physicians, of their appointment under Article IX. 
Art. VII.—It shall also be the duty of each of the Trus- 
tees to visit the Dispensary at least once in every month; and 
the time of such visit, with any remark they may think proper, 
shall be entered on the book of the Visiting Committee ; and 
whenever so inclined, they may visit patients, either in com- 
pany with the Physician, or not. 
Art. VIII.—At the meeting of the Trustees in January of 
each year, there shall be appointed the following Standing 
Committees; 
DUTIES OF THE OFFICERS AND TRUSTEES. 14 
DUTIES OF THE OFFICERS AND TRUSTEES. 
1. A Visiting Committee, to consist of three Trustees, 
whose term of office shall be one month. The appointment 
and arrangement of this Committee shall be made for the 
year; and it shall be the duty of any Trustee so appointed 
to provide the attendance of another Trustee, in case of his 
inability to attend. 
It shall be the duty of this Committee to visit the Dispen- 
sary on every Tuesday morning; and each member of the 
Committee, at least once more during the same week, at such 
time as he may choose, to examine into all the detail of the 
operations, and to see that the duties of the Physicians, 
Apothecary, &c., are faithfully performed. 
If complaints be made of neglect or misconduct on the part 
of any Physician, or of the Apothecary, it shall be the duty 
of the Committee to investigate the same, and, if necessary, 
report the facts to the Board. They shall keep a minute-book, 
in which they shall enter the time of each visit at the office, 
and any transactions or remarks they may think proper; 
which book shall be produced and read at every stated meet- 
ing of the Board. 
2. A Committee of Supplies, consisting of two Trustees, 
whose duty shall be to purchase, on the most advantageous 
terms, all articles wanted for the use of the Institution. 
3. A Committee of Conference, consisting of two Trustees, 
whose duty it shall be to confer with like Committees from 
the other Dispensaries on all subjects of interest to the Dis- 
pensaries in general, especially with regard to appropriations 
or donations from the Legislature or Corporation. 
4. A Committee of Repairs, to consist of the President and 
tAVO Trustees, Avho shall have a general care of the building 
and premises, and keep them in repair. 
5. A Committee, consisting of three Trustees, to whom 
shall be referred all applications for Medical appointments. 
Said Committee to examine and report upon the same to the 
Board for their action. 
Art. IX.—Annually, in the month of May, the Trustees 
shall appoint one House Physician and Assistant House Phy- 
sician, four District and twenty-six Attending Physicians, six GENERAL REGULATIONS. 
15 
Consulting Physicians and Surgeons, an Apothecary, an 
Assistant Apothecary, and one or more Druggists, from whom 
the supplies of medicine shall be obtained. 
These officers shall be removable at any time by the Trus- 
tees, for sufficient cause. 
The Physicians must be nominated at a meeting previous to 
their election. 
Article X.—Candidates for appointment as Physicians to 
the Dispensary shall address a written application to the 
Trustees to that effect, and accompany it with a certificate of 
recommendation for the office, signed by at least three Consult- 
ing Physicians or Surgeons. 
Art. XL—Immediately after the annual appointment of 
Physicians, the names of those elected shall be published by 
the Secretary, in one or more daily newspapers. 
Art. XII.—A report on the state of the Institution shall be 
prepared and published annually, in the month of January, 
copies of which shall be presented to the Legislature and 
Common Council. 
Art. XIII.—The Secretary and House Physician shall con- 
stitute a Standing Committee, with power to publish such 
portions of the monthly reports of the Physicians as they 
may judge expedient. 
CHAPTER III. 
GENERAL REGULATIONS. 
Article I.—The Dispensary Territory, (comprising all that 
portion of the city within the following named boundaries, to 
wit: beginning at the foot of Spring-street, North River; along 
Spring-street to Broadway; up Broadway to Fourteenth-street; 
along Fourteenth-street to First Avenue; down First Avenue, 
Alien-street, Division-street and Pike-street to the East River; 
thence down the East River, around the Battery and up the 
North River to the point of beginning, and including both 
sides of the boundary streets, except Spring-street,) shall be 
divided into four districts, namely : 16 
GENERAL REGULATIONS. 
First District.—This shall comprise all that portion of the 
city below a line from the North River; through Chambers- 
street to the East River; including both sides of the boundary 
streets. 
Second District.—This shall be bounded on the south by 
Chambers-street; on the Avest by the North River; on the 
north by Spring-street, and on the east by Marion and Centre 
streets; including both sides of the boundary streets, except 
Chambers-street, and that portion of Spring-street lying west 
of Broadway. 
Third District.—This shall be bounded on the south by 
Chambers-street; on the Avest by Centre-street; on the north 
by Canal, Allen and Pike streets, and on the east by the East 
River; including both sides of the boundary streets, except 
Chambers and Centre streets. 
Fourth District.—This shall be bounded on the south by 
Canal-street; on the Avest by Centre and Marion streets, and 
Broadway; on the north by Fourteenth-street, and on the 
east by First AATenue and Alien-street. 
Art. II.—The office of the Dispensary shall be kept open 
daily, except on Sundays and Holidays, from nine o’clock in 
the morning until six o’clock in the evening. On Sundays 
and Holidays, the office hours shall be from nine to ten, a. m., 
for the dispensing of medicines. 
The Fourth of July, Thanksgiving, Christmas, and NeAV 
Year’s day, are to be considered as Holidays. 
Art. III.—The two sexes shall be kept separate in the 
reception room, and patients, Avhen prescribed for and fur- 
nished Avith medicines, shall retire without delay. 
Art. IY.—All applicants for medical advice, Avith the ex- 
ception of lying-in AA'ornen, shall be deemed objects of this 
charity; and no Physician shall receive any compensation 
from Dispensary patients for services rendered. HOUSE PHYSICIAN. 
17 
Lying-in women, not being proper objects of this charity, 
should be recommended to the Lying-in Asylum. 
Art. V.—Medical Students shall have the privilege of at- 
tending at the Dispensary, but are in no case whatever permit- 
ted to rwescribe for or operate on any patient. 
Their attendance may be interdicted at any time, for suffi- 
cient cause, by the Visiting Committee. 
Art. VI.—No smoking of tobacco shall be allowed in any 
of the rooms occupied by the Dispensary. 
Art. YII.—Unless by unanimous consent, no alteration 
shall be made in the By-Laws or Regulations, \intil they are 
reduced to writing, and notice given at a previous meeting of 
the Board. 
CHAPTER IV. 
Article I.—The House Physician, besides his duties speci- 
fied in the following articles, shall be charged with the general 
supervision of the business of the Dispensary, embracing the 
duties of the Attending and District Physicians, and also those 
of the Apothecary and his Assistant. He shall attend daily at 
the Dispensary, (Sundays and Holidays excepted,) during the 
business hours of the Institution. 
Art. II.—lie shall have a general care of the Dispensary ; 
shall see that the offices and rooms are kept clean and in good 
order; shall keep an inventory of all surgical instruments; be 
accountable for the same, and shall see that they are kept in 
serviceable condition. For these purposes he shall, with the 
consent of the Visiting Committee, incur such current expenses 
as the good of the Institution may require; reporting to the 
Trustees at the next stated meeting the objects of the outlay, 
its amount, and the persons employed. 
Art. III.—He shall facilitate, as much as possible, the busi- 
ness of the Physicians, and in the absence of any Attending 
HOUSE PHYSICIAN. 18 
HOUSE PHYSICIAN. 
Physician, shall prescribe for the patients of his hour, until a 
substitute is provided ; shall see that the books are neatly and 
regularly kept, and that the entries are made accurately, and 
without inconvenience to the patients. 
Art. IV.—lie shall at all times have access to the Apothe- 
cary’s Shop, and supervision over this department. He shall 
sign all orders for articles for the Apothecary’s Shop in the 
“ Order-Hook,” when satisfied of their propriety and necessity, 
and shall keep in his possession the Apothecary’s Pass-Book. 
Art. V.—He shall perform vaccination, and as far as pos- 
sible ascertain, in all cases of vaccination, that the disease has 
properly taken. He shall therefore be authorized to require 
from all vaccinated a deposit of 25 cents, as a guaranty of 
their return to the Dispensary on the 7th day after the opera- 
tion is performed, when the above sum shall be refunded. If 
the persons vaccinated should not return, this sum shall be 
forfeited to the Dispensary. 
The House Physician is also authorized to receive, in behalf 
of the Dispensary, any fee that patients may be inclined to 
give for vaccination or any medical or surgical treatment de- 
rived from the Dispensary. 
Art. VI.—The House Physician shall enter, in a book kept 
for the purpose, all sums received, and account for the same 
to the Trustees monthly. 
Art. VII.—He shall obtain, and as far as possible keep on 
hand at the office, a full supply of vaccine virus for the use 
of the Dispensary, for subscribing Physicians, and for sale. 
He shall keep a Vaccination Register, in which shall be en- 
tered, in separate columns, the names and j>articulars of each 
case, whether in or out door, and by whom vaccinated. 
He shall also keep a Vaccine Account-Book, in which he 
shall enter the quantity of virus sold and given away, and 
the names of the persons to whom it is delivered. 
Art. Vni.—The House Physician shall make a written 
Monthly Report to the Trustees upon the general condition ATTENDING PHYSICIANS. 
19 
of the Dispensary, specifying the number of persons vaccinated 
at the Dispensary and at their houses, the quantity of virus 
sold or given away, and containing such other matters as they 
may require. 
He shall prepare and present to the Board, in January, an 
Annual Report, which shall be a summary of the Monthly 
Reports, and shall also embrace the whole number of patients 
under treatment during the year; the number affected by each 
disease; the results, especially the deaths, with the disease, so 
resulting; the number cured, relieved, &c., whether attended 
at the Dispensary or in the Districts. He shall also state any 
facts of general interest connected with the practice of the 
Dispensary, such as the prevalence at any part of the year of 
peculiar diseases, the state of the weather at such time, or any 
other cause which may have given rise to such diseases, &c. 
In preparing the Annual Report, the Physicians shall give 
the House Physician any assistance he may call for. 
The Annual Report shall be subject to the inspection of the 
other Physicians before it is submitted to the Board of Trustees. 
Art. IX.—The Assistant House Physician shall perform 
the operations of bleeding, dentistry and cupping, and shall 
aid the House Physician in his duties when required, and sup- 
ply his place in his absence. He shall also attend to the proper 
placing of the applicants for Dispensaiy aid. 
CHAPTER V. 
CONSULTING PHYSICIANS AND SURGEONS. 
Article I.—Consulting Physicians and Surgeons are ex- 
pected to give counsel in difficult cases, when solicited to that 
effect by the Physicians of the Dispensary, and also to be 
present and aid in any important surgical operation to be 
performed on any patient of the Institution. 
ATTENDING PHYSICIANS. 
Article I.—It shall be the duty of the Attending Physicians 
to attend regularly at the Dispensary, on the days and during 20 
DISTRICT PHYSICIANS. 
the hours assigned them for duty, and to prescribe for all 
patients coming under their charge. 
Art. II.—They shall enter, in a Register-Book provided for 
the purpose, the number, name, age, residence, disease, &c., of 
every patient for whom they shall prescribe, and also the pre- 
scription given to every patient. 
Art. IIJ.—They shall furnish every patient prescribed for 
with a card and prescription paper, such as are provided for 
the purpose, and shall accompany the same with plain and 
explicit directions how to take their medicines. 
Art. IV.—In case of vacancy among the District Physi- 
cians, they shall be eligible to fill such vacancy. 
Art. V.—The allotment of the hours of attendance at the 
Dispensary shall be made by the House Physician, under the 
direction of the Committee on Medical Appointments. 
DISTRICT PHYSICIANS. 
Article I.—Each of the four Dispensary Districts shall be 
under the charge of a District Physician, who shall visit 
the patients at their residences, who are unable to attend at 
the Dispensary, as often as their cases require. They shall 
enter, in a separate Register for District Patients, the number, 
name, age, sex, residence, disease, &c., of all patients visited 
by them, and any prescriptions given them; they shall also 
furnish each of their patients with a card and prescription 
paper. 
Art. II.—They shall call daily at the Dispensary, between 
the hours of twelve and two o’clock, to take from the Register 
the names, &c., of new applicants in their several districts, and 
shall take special care to complete the entries made in their 
absence by the House Physician or his Assistant, not omitting 
to state the result in each case. 
Art. III.—If District Patients apply at the Dispensary after 
the hours of the daily visit of the Physician, the House Phy- ' DISTRICT PHYSICIANS. 
21 
sician or Apothecary shall, if the case seems urgent, give the 
applicant a written direction to the Physician of the District, 
and it shall be his duty to visit said patient without delay. 
Art. IV.—Each District Physician shall prepare a written 
Monthly Report to the Trustees of the number of patients at- 
tended during the month, and such other particulars as are 
prescribed in the printed forms used for the purpose. Said 
report shall be made out and ready in season to be submitted 
by the House Physician at the monthly meeting of the 
Trustees. 
Art. V.—It shall be their duty to aid and facilitate the 
performance of vaccination in their respective districts, In co- 
operation with the House Physician. 
Art. VI.—They shall have the choice of districts, according 
to the order of their appointment. 
Art. VII.—In cases of absence from duty on account of 
sickness or other reasonable cause, a Physician shall engage, 
without delay, the services of some other Physician of the 
Institution, and report the same to the House Physician. 
Such a substitution must be, however, only for a short time, 
unless sanctioned by the Visiting Committee. 
Art. VIII.—In cases of emergency, where the Physician of 
the district to which the case belongs cannot* be found, it 
shall be the duty of any Physician of the Dispensary, who 
may be first met with, to attend without delay to the Case in 
question. 
Art. IX.—Every Physician, on accepfing appointment in 
the Dispensary, shall, before entering upon its duties, subscribe 
an obligation in the following form: 
OBLIGATION. 
The undersigned, in accepting the office conferred upon him 
by'the Trustees of the Dispensary, hereby engages 
faithfully to perform, according to his ability, the duties of his 22 
DUTIES OF THE APOTHECARY, ETC. 
office, and to conform to the By-Laws of the Institution; also 
to give one month’s notice tp the Trustees of his intended 
resignation. 
CHAPTER VI. 
DUTIES OE THE APOTHECARY, ETC. 
Art. I.—The Apothecary and his Assistant shall attend in 
the office during the hours specified for its being kept open in 
Art. II., Chapter III., except one hour to each, separately, for 
dinner; that of the Apothecary not until after two o’clock. 
Art. II.—He shall carefully observe economy in all things 
pertaining to his department, and be accurate in the delivery 
of medicines. In no case is he to change or alter the pre- 
scriptions of the Physicians, or substitute one medicine for 
another, without their knowledge and consent. 
He is to permit no one but the House Physicians and Trus- 
tees to enter or remain unnecessarily in the office. 
Art. III.—He shall prepare and compound the medicines 
prescribed by the Physicians; but no medicine shall be dis- 
pensed to patients without written directions from the Physi- 
cians, entered upon appropriate papei*. 
Art. IV.—He shall in January take an inventory of all 
the medicines and other property belonging to his Depart- 
ment, and submit the same to the Board at its next stated 
meeting. 
Art. V.—He shall not be allowed to pursue any private 
medical practice. 
Art. VI.—All medicines shall, so far as may be practica- 
ble, be purchased in their simple state, and be compounded 
by him. 
Art. VH.—He shall cause all articles purchased on credit 
for his department to be immediately entered by the persons, DUTIES OF TUE APOTHECARY, ETC. 
23 
of whom they are bought, in a Pass-book, designating date, 
quantity, kind and price. The Pass-book shall be placed in 
the custody of the House Physician. 
Art. VIIL—He shall keep an Order-book, and shall enter 
therein all articles required from time to time, for the supply 
of the Apothecary’s Shoj). The signatures of the President 
or Vice-President, and of the House Physician to each order 
in the book, shall be requisite to render the same valid. 
Art. IX.—He shall report monthly to the Trustees upon 
the general condition of his department, and shall confide 
this report to the custody of the House Physician. 
Art. X.—The Assistant Apothecary shall perform all ser- 
vices connected with the operations of the Dispensary, which 
may be required of him by the Apothecary.