Mineral Point tribune. (Mineral Point, Wis.) 1869-1938, 1871-04-20
S If children. how many, and age of the young

Tested, and wha. were theyf
8. Is this the first attack Ifnot, when did 9TH
ers occur, and what were their duration!
g. What IL the cause OF this attack!
10. Is the disease increasing or staionaryf
IL Are there rational Intervals ESQ, how Of
ten. and what lie the durationf
IL. Have any changes occurred in the condition
of mind or body since the attack!
49, On what subject, or in what way,is derange-
ment now manifested Are there any permanent
Authorizations.
a. Has the patient shown any disposition to in.
jure otherss and If SO, was 1t from sudden passion
or generalization
ed II go, in what way, Il the propensity now
aotivet
49, Has the patient any disposition to destroy
clothing or other property?
II Is there any disposition 10 filthy habitss
49, What treatment was pursued for the relief
of the patients Mention particulars and effects
49, What Is the Rhyueal cona hesn
ployedY II so, what kind and how long!
81. Did the patient manifest any peculiarlties
of temper, habits, disposition or pursuits before
sions, religious Impressions &c!
~ Was the patient ever addicted to the intern
perate use OF intoxicating drinks opium or sobac-
CO, or any improper habits!
g. Has the patient ever had an injury o. the
head, paralysis, epileptic or other ftss Any he
reditary disease, suppressed erupions, discharges
"a. What relatives including grand parents and
cousins, have been insane!
IS Were the parents blood relationsg
%. whom and where should letters be ad-
dressed in case of death need of clothing, &c.f
81. State any Other matter supposed to have q
bearing on the case. II epileptic, state duration
and frequency Of paroxysm.
Sec b. Patients may be admitted into the hos
pital by the superintendent on the written request
of relations, friends guardians of such patients
and upon the written certificate of two ply sicans
and also certificate of the county Judge o. the
county where such patient resides, with the seal
OF the said county court thereto attached certify.
ing that such patients (naming them), upon due
examination held before him, have been found to
be insane, and authorizing said superintendent to
receive maintain and furnish them with suitable
clothing at the expense of said county and when
ever the relations, friends or guardians on whose
request any patient admitted INTO the said hosplt-
al shall neglect refuse to make suitable provis-
ions for the maintenance and clothing OF said pa.
tent the superintendent shall notify the clerk of
the board of supervisors of the county from which
such patient was brought to the hospital, of such
neglect or REFUSAL and after the issuing of such no.
tice the expense for maintenance and clothing
for such patient shall be charged TO aid county as
provided in sections eleven and twenty-three OF
this act.
see H. The trustees shall from time to time
fix the sum to be voluntarily paid per week for the
board and care OF patients who are maintained in
the hospital byther relations friends or guardians,
and the weekly sum so fixed, which shall not ex
coed the average annual cost ior the support OF pa
tients in the hospital, shall be the sum the said
hospital shall be entitled to demand for the main
tenance OF any patient.
Sec u.s. The county judge of any county, upon
information being filed before him that there are
insane persons within the county needing care and
attention. shall give his warrant, directed to the
sheriff OF said county, authorizing him to summon
two oh ysicians OF acknowledged skill and ability
in the medical profession to be named in the war
rant who are residents of this state, who shall
without delay proceed to examine the person
charged with insanity, and II after such examna-
ton the physicians shall certify TO the countyu
that the person or persons charged in the informa
ton are found to be insane If he so finds, the
Judge shall then make out warrant and place 1t
in the hands OF the sheriff OF said county, who
shall receive the persons therein named, and con-
vey them to the hospital proDtded, before making
such order 1t shall be the duty OF the county Judge
ton of sncn patents in the hospital. Such war
rant may be In form, the following:
State of Wisconsin, - county.
To the superintendent OF the Wisconsin Hospi-
A b, having been, upon examination
found to be insane, you are therefore required to
receive him into the hospital, and keep him there
In witness whereof l have hereuntc set my
hand, and affixed the seal of said county, this -
day of -, A. D. 1S-.
Upon receiving the patient and the certificate pro-
vided in section -, the superintendent shall en-
dorse upon said warrant receipt, substantially as
follows:
Wisconsin Hospital for the Insane.-, A. D. 1s-.
Received this day of -, the patient named
In the within document
A b, Superintendent
The sheriff shall make return of the warrant to
the county Judge, who shall preserve the same In
his office.
Sec 49, The sheriff shall be allowed the follow
ing fees: For arresting and bringing person
charged with insanity before the county judge and
sub2Gnaing witnesses, the same fees as now allow
ed in other cases. For taking an insane person 90
the hospital, or removing one thereirom, mileage,
It the rate of five cents per mile going and return
ing and one dollar and fifty cents day for the
support of each patient on his journey to and from
the hospital and to each assistant, five cents per
mile. Witnesses subp9naed before the county
Judge, the same fees as allowed by law in other
cases. Said fees and charges to be paid out OF
the county treasury.
Sec H. The relatives of any person charged
with insanity, or who shall be found to be insane,
under sections thirteen and fifteen of this act, (dnd
shall, in all cases have the right to take charge of
and keep such insane person or person If they
shall desire so to do. But the comfy Judge may
require bond OF such relatives, conditioned for
Il proper and safe keeping of such person per
sons. And If the relatives or friends ofany patient
kept in the hospital shall ask the discharge of such
patient the sup nintendent may, in his discretion,
require bond to be issued to the state Of Wiscon
sin, in such sum and such suretes as he may deem
proper conditioned for the safe keeping of such
patient: prOptded, that no patient who may be
under the charge OF or conviction of homicide,
shall be discharged without the consent of the SUI
porntendent and board of trustees. Other patients
may be discharged from the hospital upon applica
ton to the superintendent, or by order OF the trus
tees provided in section eight in this act. Incura
BILE andharme less patients shall be discharged when.
ever ~ If ueCCcsHIl W H1dht rum lcCtHt VI
more hopeful cases as ordered by the trustees
Sec. IS. Whenever an order is made for the re-
moyal of patent from the hospital the superin-
teudent shall Immediately give notice thereof I'M
der the seal of the hospital to the county Judge OF
the county from which said patient was sent, and
thereupon the county judge shall issue his warrant
to the sheriff of said county, which shall be sub
stantially ~ follows:
State of Wisconsin, county.
Whereas, The proper authority has decided that
-, a patient in the Wisconsin State Hospital
for the Insane, from this county be removed from
the hospital; you are therefore commanded forth
with to remove such patient, and return hin 70
county house or jail, in the county whence he
was taken TO he hospital.
Witness my hand and seal Of sad county. this
- day of -, A, ID. IS.
-, County Judge
Immed lately upon receiving such warrant, il
shall be the duty Of the sheriff forthwith TO exc.
cute the same and return it To the county Judge BY
whom it was issued; and il any county Judge,
upon receiving such notice, shall refuse or neg ect
for the space of Ave days to issue such warrant and
place it In the hands of the sheriff il the sheriff
shall refuse to receive the same, neglect for the
spsce OF twenty days after receiving the warrant
70 demand such patient, the superintendent may
appoint some suitable person 10 remove such
patient At the expense of the county in which the
patti resided before being brorg ht to the hospi
tal propided. hoperer, that II shall IL case be
necessary for the superintendent to give such no.
tice TO tho county Judge, when tho friends of such
discharged patient are ready and willing to remove
him, but such patient may at once be ia:rusted TO