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Forms > Medical Form FAQ
Medical
Form Basics
In order to provide better care for its members and to assist them in better
understanding their own physical capabilities, the Boy Scouts of America
recommends that everyone who participates in a Scouting event have an annual
medical evaluation by a certified and licensed health-care provider—a
physician (MD or DO), nurse practitioner, or physician assistant. Providing your
medical information on this four-part
form 
will help ensure you meet the minimum standards for participation in various
activities. Note that unit leaders must always protect the privacy of unit
participants by protecting their medical information.
Parts
A and 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.
New 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.
Annual
Health and Medical Form
(Print pages 2, 3, and 4)
Individual (and parent, if a minor) signatures go on page1 and 2.
Licensed health-care provider signature goes on page 3. Please
attach a copy of both sides of your family's health care ID card. |
.
