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.
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 are to be
completed by the participant and parents/guardians. This form is required each year at charter renewal in November. It is also required for each parent who attends any camp (family camp, day camp, or resident camp).
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. See the FAQs for when this does not apply.
You can fill out this form online with Adobe Acrobat Reader and save them to your computer. Each year, you will then only need to update any changes and re-print with the current date.