Item
Bibliographic Resource
1924 Sterilization Form
- Title of the Document
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1924 Sterilization Form
- One Line Summary
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This consent form contains the requirements to be sterilized in the 1920s. This specific document was used for inmates, however, the qualifications to be sterilized can be applied to the general public. Ultimately, this document highlights the weight of “low IQ” in eugenics, as the options are “insane, idiotic, imbecile, feebleminded, and epileptic”.
- Author
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Virginia State Hospital Board
- Date Created
- 1924
- Location
- Virginia
- Type of Document
- Legal Document
- Transcription
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Hospital Form No. 111
VIRGINIA:
BEFORE THE STATE HOSPITAL AT
________________________________
(Institution)
In re
_______________________ Register No. ___________________ } Order for sexual sterilization
Upon the petition of ____________________________________________________________
Superintendent of ______________________________________________________________
and upon consideration of the evidence introduced at the hearing of this matter, the board finds the said inmate is
{Insane
Idiotic
Imbecile and by the laws of heredity is the probable parent of potentially
Feeble-minded
Epileptic}
inadequate offsprings likewise afflicted; that said inmate may be sexually sterilized without detriment to his or her general health, and that the welfare of the inmate and of society will be promoted by such sterilization.
Therefore, it appearing that all proper parties have been duly served with proper notice of these proceedings, and have been heard and given the opportunity to be heard, it is ordered that
__________________________________{ perform/ have performed
(superintendent)
by Dr. ______________________, on the said inmate the operation of {vasectomy/salpingectomy}
after not less than (30) days from the date hereof.
______________________________
(Designated Master of the Board)
Dated ____________________________
- Provenance
- “Virginia Eugenics Consent Form, 1924,” University of Virginia Eugenics Exhibit, University of Virginia, box 2: folder 9.