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ter as soon as ascertained, and in every case where an error has been made in a diagnosis certified or reported the error will be immediately corrected by letter.
TRANSPORTATION OF SICK SEAMEN.
ART. 278. In each case where a sick or disabled seaman is furnished transportation to a marine hospital for treatment, three relief certificates, respectively indorsed on the briefed fold "original," "duplicate," and "triplicate," shall be made out and signed at the station where transportation is furnished. The original will be mailed to the officer in command of the marine hospital where the patient is to be admitted, the duplicate will be given to the patient in a sealed envelope, with instructions to present it to the commanding officer of the hospital, and the triplicate will be forwarded to the Bureau.
ART. 279. In the absence of specific instructions from the Department as to the transportation routes and the rates to be paid, the current rates charged the public at the time will be allowed for the transportation of seamen sent to marine hospitals under the provisions of article 278.
ART. 280. When the transfer of a patient from a contract station to a marine hospital has been authorized, bills for railroad or steamboat fare may be rendered (Form 1938) by the transportation companies furnishing same and certified by the officer receiving the tickets or transportation order.
ART. 281. When patients are transferred to a marine hospital for continued treatment, the officer under whose charge the patient has been treated will send to the receiving officer a clinical history of each case and the results of the treatment adopted.
ART. 282. Officers and others, when furnishing transportation to seamen shall inform the receiving officer, by mail or telegraph, when the patients may be expected to arrive.
ART. 283. Insane seamen entitled to the benefits of the Marine-Hospital Service may be admitted to the Government Hospital for the Insane, Washington, D. C., upon the order of the Secretary of the Treasury.
ART. 284. Officers to whom applications are made in behalf of insane seamen shall exercise special care in these cases to exclude fraudulent persons, alien paupers,
and others not entitled to relief, as the chronic nature of such cases makes them permanent beneficiaries of the Service.
ART. 285. When application is made in behalf of a seaman who is suffering from insanity, the usual requirements of service must be strictly investigated and the patient's eligibility for treatment fully established by satisfactory evidence before issuing a permit for relief. Pending permanent arrangements, the patient shall be admitted to the hospitals of the Service, if necessary, and the case reported by elegraph or letter to the Supervising Surgeon-General with the recommendations as to transfer to the Government Hospital for the Insane, Washington, D. C., giving the number of attendants absolutely required for conducting him in safety.
ART. 286. When insane seamen are transferred the officer charged with the case shall transmit to the Supervising Surgeon-General a personal and clinical history of the patient, stating, as far as possible, the name, nativity, and age of the patient, the date of commencement of insanity, the form of the disease, its cause, as nearly as may be ascertained, its progress, the present condition of the patient, the prognosis of the case, the length of time the patient has been a seaman on American vessels, and the name and post-office address of his nearest known relative.
ART. 287. After the authority of the Department has been given for the transfer of insane seamen as patients of the Service to local asylums for the treatment of the insane, officers will carefully observe the municipal laws governing the commitment of such cases to these institutions, and conform thereto strictly. These patients, except those transferred to the Government Hospital for the Insane, shall be carried upon the registers of the station whence they were transferred so long as they remain under treatment, and shall be reported in the regular reports with other cases each month.
ART. 288. When application is made in behalf of an insane seaman at a relief station on the Pacific coast, the officer of the Service or customs officer shall report the facts in the case at once to the Supervising SurgeonGeneral by telegraph, with recommendations for the transfer of the patient to the nearest local asylum for the care of the insane, giving rates to be charged for maintenance and treatment.
ART. 289. On the death of a patient while under the charge of the Marine-Hospital Service, notice to receive his effects shall be given by letter or otherwise to his nearest known relative, and when said effects are delivered to the latter a receipt shall be taken therefor and filed.
ART. 290. The necessary expenses of a plain burial for deceased patients of the Service will be paid, but no part of the expenses of the burial of any deceased seaman will be paid for at the expense of the Marine-Hospital Service unless said seaman was at the time of his death a patient of the Service. When friends or relatives of a deceased seaman claim the body and assume charge of the funeral arrangements, no part of the expenses of the same will be paid by the Marine-Hospital Service.
SEAMEN OF THE GOVERNMENT SERVICES AND FOREIGN
UNITED STATES NAVY AND COAST SURVEY.
ART. 291. Officers and seaman employed on vessels of the United States Navy and officers and enlisted men of the Coast Survey may be admitted for care and treatment as patients of the Marine-Hospital Service only upon the written request of their respective commanding officers. Every such admission shall be immediately reported to the Supervising Surgeon-General by the officer in charge of the station, on a daily report (Form 1942) or relief certificate (Form 1915), accompanied by a copy of the request upon which such officer or seaman was admitted. They shall be furnished treatment at stations of the first, second, and third class only. The rate of charge to be made for the care and treatment of the said officers and seamen will be fixed by the Department at the beginning of each fiscal year, and will be announced to officers and others in the annual circular entitled "Contracts for care of seamen." The above class of patients are not subject to the provisions requiring transportation to marine hospitals.
ART. 292. The accommodations provided for the care and treatment of the patients of the Marine-Hospital Service are also available to foreign seamen at relief stations of the first, second, and third class upon the application of the consular officer of the nation under whose
flag they are sailing; or upon the application of the masters of the vessels upon which said seamen serve, provided satisfactory written security is given for the payment of the expenses of such care and treatment, at rates fixed annually by the Secretary of the Treasury. When treatment is furnished a foreign seaman the fact will be immediately reported to the Supervising Surgeon-General, on a daily report (Form 1942) or relief certificate (Form 1915), accompanied by a copy of the application upon which he was admitted.
ART. 293. A bill (Form 1926) in duplicate must be rendered by the officer of the Marine-Hospital Service in command for the care of each foreign seaman or other seaman admitted (not entitled to treatment free), said bill to be rendered upon the termination of treatment in each case. One copy of this bill shall be delivered to the collector of customs, who shall at once collect the amount; the other copy shall be forwarded by the officer rendering the bill to the Supervising Surgeon-General.
ART. 294. Customs officers acting as agents of the Marine-Hospital Service shall collect all bills for the care and treatment of seamen of the classes enumerated in articles 291 and 292 when rendered by the proper MarineHospital officer, and will render monthly accounts for all moneys collected on account of the care and treatment of such seamen; said accounts to be accompanied by abstracts giving the name and nationality of the patient, date of admission and date of discharge, period of treatment, and amount collected in each case.
ART. 295. Collectors of customs will notify the commanding officer of the vessel of the class enumerated in articles 291 and 292, upon whose request the seaman was admitted, of the amount of the bill, and when paid will give a receipt therefor. The money will be deposited as a repayment to the Marine-Hospital fund in the manner provided for moneys received for the care of foreign sea
ART. 296. The rate of charge to be made for the care and treatment of foreign seamen will be fixed by the Department at the beginning of each fiscal year, and will be announced to officers and others in the annual circular entitled "Contracts for care of seamen."
THE REVENUE-CUTTER SERVICE.
ART 297. The officers and crews of the Revenue-Cutter Service will receive hospital or out-patient treatment, as
hereinafter provided, on certificate signed by the commanding officer or executive officer of a revenue cutter, without regard to length of service. The certificate shall contain a description of the applicant for relief. Officers on leave or waiting orders may sign their own certificate. ART. 298. Any such officer or seaman whose condition absolutely requires treatment in hospital will be admitted to hospitals at stations of the first class and to all contract hospitals enumerated in the annual circular entitled "Contracts for care of seamen," subject to the provisions of the said circular with regard to the transfer of patients from a contract to the nearest marine hospital. No admission to hospital will be granted at any port not mentioned in said circular. At all ports mentioned in the circular, where no specific arrangements for treatment in hospital are made, the regulations governing admission. at fourth-class (emergency) stations will be enforced.
ART. 299. Out-patient treatment will be furnished at all stations where an officer of the Marine-Hospital Service is on duty. At all other stations out-patient relief will be granted only in case of emergency and under the provisions of the regulations relative to fourth-class (emergency) stations. No out-patient relief will be granted at any station not mentioned in the annual circular entitled "Contracts for care of seamen," and in all other respects the regulations of the Marine-Hospital Service must be complied with.
THE MISSISSIPPI RIVER COMMISSION.
ART. 300. Masters, officers, and crews of vessels in the service of the Mississippi River Commission shall be entitled to the benefits of the Marine-Hospital Service (except at stations of the fourth class), under the same regulations as govern the admission of seamen on documented vessels. No charge shall be made for their care and treatment.
THE ENGINEER CORPS, UNITED STATES ARMY.
ART. 301. Seamen employed on vessels under the charge of the Engineer Corps of the United States Army shall be admitted to the benefits of the Marine-Hospital Service without charge at stations of the first, second, and third class upon the written request of the commanding officers of said vessels.