MacKenzie, Ivy[?]

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

Reference Number: 
SMC/3/4/1/9 4:10
Name of Practitioner (Surname): 
MacKenzie
(Christian Names in Full): 
Ivy[?]
Qualifications: 
MD Glasgow
Address: 
10 Woodside Terrace
City/Town: 
Glasgow
Present Work: 

Consultant Physician, 1. Visiting Physician at Victoria Infirmary Glasgow, 2. Visiting Physician at Bellahouston Red Cross Hospital, 3. Certifying Physician to the Glasgow Board of control.

Age as at 1st January 1916: 
38
Group A (Under 45) Lieut., R.A.M.C. (general service): 
Red circle
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.
Date Form Signed: 
22/02/1916

To be returned to

The Secretary,

Scottish Medical Service Emergency Committee,

Royal College of Physicians,

Edinburgh.