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Troop 676 - Medical Forms


It is very important that we maintain current medical information on our Scouts. Many of our activities will not have parent participation or may involved activities that require boys to be boys. Per the current Boy Scout of America rules:

Parts A and C are to be completed annually by all BSA unit members. Both parts are required for all events
that do not exceed 72 consecutive hours, where the level of activity is similar to that normally expended at home
or at school, such as day camp, day hikes, swimming parties, or an overnight camp, and where medical care is
readily available. Medical information required includes a current health history and list of medications. Part C
also includes the parental informed consent and hold harmless/release agreement (with an area for notarization if
required by your state) as well as a talent release statement. Adult unit leaders should review participants’ health
histories and become knowledgeable about the medical needs of the youth members in their unit. This form is to
be filled out by participants and parents or guardians and kept on file for easy reference.

Part B is required annually with parts A and C for any event that exceeds 72 consecutive hours, a resident camp
setting, or when the nature of the activity is strenuous and demanding, such as service projects, work
weekends, or high-adventure treks. It is to be completed and signed by a certified and licensed health-care
provider—physician (MD, DO), nurse practitioner, or physician’s assistant as appropriate for your state.
The
level of activity ranges from what is normally expended at home or at school to strenuous activity such as
hiking and backpacking. Other examples include tour camping, jamborees, and Wood Badge training courses.
It is important to note that the height/weight chart must be strictly adhered to if the event will take the unit
beyond a radius wherein emergency evacuation is more than 30 minutes by ground transportation, such as
backpacking trips, high-adventure activities, and conservation projects in remote areas.

Download the BSA Medical Form here. (pdf)

Q. Can I still use my son’s Class 2 medical form through 2009? It was supposed to be good for 36 months. (From B.S.A. National)
A.
Yes, if it is still current, unless your council, district, or unit states otherwise. However, remember the Annual Health and Medical Record is required for national Scouting events, including the National Order of the Arrow Conference and the 2010 National Scout Jamboree, and needs to be in place for activities after January 1, 2010.

Additional information about the Medical Forms can be found at http://www.scouting.org/HealthandSafety/Resources/MedicalFormFAQs.aspx.

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B.S.A.Troop 676 - 13541 Stoney Creek Rd, San Diego, CA, 92129-2099 | Terms of Use | Privacy Policy | Page Updated January 31, 2010