Medical Record

BSA Annual Health and Medical Record

BSA uses a FOUR (4) part Annual Health and Medical Record form which is required to be used by all scout units.

In short, Parts A & B must be filled out by EVERY participant in any Scouting event, this includes, but is not limited to, Scouts, Scouters, Parents/Guardians, siblings and any other persons participating in a Scouting event.

Part C is the physical exam that is required for participants in any event that exceeds 72 consecutive hours, for all high-adventure base participants, or when the nature of the activity is strenuous and demanding. The BSA defines strenuous and demanding as any activity that exceeds that which the person might normally do at home or school.

Part D is required to be reviewed by all participants of a high-adventure program at one of the national high-adventure bases and shared with the examining health-care provider before completing Part C.

Before any activity, it is the responsibility of the Scoutmaster in Charge to check these medical forms to make sure s/he is familiar with any ailment and/or issues which may affect the over-all outcome of the activity or safety of the individuals participating in the activity.

Part B requires parents to designate at least one person and phone number who is authorized to take their youth to and from events, which may include themselves. It also allows them to designate people expressly forbidden to take their youth to and from events. This may cause problems when trying to arrange rides to and from camping trips. We would suggest the parents/guardians list themselves and then list, "Any adult leaders, committee members, merit badge counselors, or adult members of Troop 110 with YPT.”

So what does this mean to YOU? (Parents)

• Please complete 3 copies of Parts A and B for all scouts (one for the Troop master binder, one for Patrol binder to go on outings, and one for Summer Camp). KEEP THE ORIGINAL FOR YOUR RECORDS. Please complete only 2 copies for all scouters (registered adults) in your family. (Dads going to summer camp, please provide 3 copies.) Include a copy of insurance cards with each.

• Take Part C to your doctor at your next physical appointment. KEEP THE SIGNED ORIGINAL FOR YOUR RECORDS. Turn in three copies! Part C is for events longer than 72 hours, like summer camp.

• Most members only need parts A, B, and C. Part D is only for those going to Sea Base/Philmont/Northern Tier/Bechtel Summit Reserve/National Jamboree.

• Hate filling these out by hand? Fill them in electronically! Download and save a copy of the file from the link at the top or bottom of this page. SAVE AS with a name it for each member of your family, then you can open your new files and type right into the form! Any time you need an extra copy, just print one out. You can download the forms from the bottom of this page or at these links:

Direct Links to Annual Medical Forms A, B & C:

Parts A and B only

Parts A, B, And C

It is YOUR responsibility to be aware of expiration dates for Medical forms. Scouts with out of date medical forms will not be able to participate in outings.

Summer Camp Medical Forms

All BSA summer camps require a copy of Parts A, B, and C of the BSA Medical form (that's why we ask for 3 copies from you) in addition to its own medical form and its own Medication Administration form. Copies of those forms can be found on the Summer Camp page.

Remember, Parts A, B, C, and D of the latest BSA Med Form can be found here:

http://www.scouting.org/scoutsource/HealthandSafety/ahmr.aspx

Optional Forms

A copy of our Scout Medication Log and Over the Counter (OTC) Release Form can be found below. These are optional. If your son takes RX medication and you would like the leaders in charge to keep the medication and administer it, please fill one of these out for each outing. The reverse side contains a release to administer over the counter medications to a scout, and is recommended for all families to have a completed copy on file.