2011 Annual BSA Health & Medical Record

Annual Health and Medical Form

Parts A & B

are to be completed at least annually by participants in all Scouting events. This health history, parental/guardian informed consent and hold harmless/release agreement, and talent release statement is to be completed by the participant and parents/guardians.

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. Service projects or work weekends may fit this description. Part C is to be completed and signed by a certified and licensed heath-care provider—physician (MD or DO), nurse practitioner, or physician assistant. It is important to note that the height/weight limits must be strictly adhered to when the event will take the unit more than 30 minutes away from an emergency vehicle–accessible roadway, or when the program requires it, such as backpacking trips, high-adventure activities, and conservation projects in remote areas.

What this means for you:

Health form (parts A and B) are needed for ALL participants (adults and youth) for ALL council events that are under 72 hours. (i.e. Day Camps, Cub Scout Resident Camps, etc.)

In addition, Part C – the Physical Examination, will be needed for any event (i.e. Boy Scout Summer Camp, NYLT, etc.) that exceeds 72 consecutive hours.

  • Annual Health and Medical Form

    For High Adventure activities, see the Annual Health and Medical Record pages on the National website.



    We recommend that you make a copy for yourself and a copy for your Scout Leader each year.

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