Ferguson, Samuel

To be filled in by a Practitioner not holding a Commission
REGISTRATION FORM
MEDICAL RECRUITING SCHEME - 1916

Reference Number: 
SMC/3/4/1/4 2:3
Name of Practitioner (Surname): 
Ferguson
(Christian Names in Full): 
Samuel
Qualifications: 
MB Edin CM
Address: 
Lylestone House
City/Town: 
Alloa
Present Work: 

General Practitioner with Panel Practice, Medical Examiner of recruits at Alloa, Recruiting Office since outbreak of the War. Have acted as Medical officer of Arnsbrae Red Cross Auxiliary Hospital (50 Beds) for last 4 months. My term of service there has just expired - my panel patients number over 750 but cannot be sure. I have been in practice here 25 years one of the medical superintendents of county hospital, Alloa, (24 Beds) am taking my share of the practices of two of the Alloa's doctors at present on war service.

Age as at 1st January 1916: 
50
Group B (45 to 55) Lieut., R.A.M.C. (home service): 
X Circled in Red
Group B (45 to 55) Part-time home military work: 
X
Group B (45 to 55) Part-time home civil work: 
X
At the call of the local War Committee for my area, as instructed by the Scottish Medical Service Emergency Committee, I am prepared to render the service or services marked above. This offer is subject to the condition that, in the event of such service requiring me to leave my present work, I am enabled to make arrangements for having it carried in during my absence.
Additional Information: 
P.S Some time ago I offered to take 12 months service anywhere with the troops. The local committee however seeing that two general practitioners from alloa are already serving did not see their way to grant me permission. I am willing to do whatever is asked of me.
Date Form Signed: 
24/12/1915

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.