Boy Scouts of America

Troop 282

Blue Elk District • Heart of America Council, BSA

A Chartered Organization of Trinity Episcopal Church

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February 2nd, 2011

New BSA Annual Health and Medical Record Forms

These are the Annual Health and Medical forms you will need for Summer Camp

The 2011 update to the Annual Health and Medical Record consolidates all records from the National Council and the national high-adventure bases, enabling a single form to be used for all BSA activities.

Annual Physicals
The new medical form requires an annual physical for persons participating in certain activities regardless of age. The new medical form no longer allows attaching another physical exam (ie: sports physical) to the BSA medical form. The physician’s signature must be on the BSA form to be valid.

Components of the new form
Part A: General Information. Required for all events.
Part B: Parental release and information. Required for all events.
Part C: Physical Exam & Doctor’s Signature. Required for events exceeding 72 hours.
Part D: For National High Adventure Bases only. This part NOT REQUIRED for summer camps or unit activities.

Download > Parts A, B, and C of the BSA Medical Form. (This is what you will need for Summer Camp)

Download the whole form > Parts A, B, C, and D of the BSA Medical Form.

Please view the Annual Health and Medical Record web page for information about the medical form.

Please view the National BSA Frequently Asked Questions web page for questions about the medical form.

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