Medical Forms
Health and Medical Records for Scouting Activities
The Scouting adventure, camping trips, high-adventure excursions, and having fun are important to everyone in Scouting—and so are your safety and well-being. Completing the Annual Health and Medical Record is the first step in making sure you have a great Scouting experience.
What’s Required?
BSA requires that all youth and adult registered members provide a current BSA Medical Form Part A, Part B1, Part B2, and a copy of their medical insurance card to the member’s unit annually. All necessary health and personal information must be provided on this form accurately. It is the responsibility of the adult member or the Scout’s parent/legal guardian to notify the unit of any changes in the participant’s medical condition, including any medications or restrictions that may be added or deleted from the participant’s treatment by their medical provider.
Part A, Part B1, and Part B2
Required for all youth and adult registered members in Troop 44.
Filled out by the adult member or the Scout’s parent/legal guardian.
Part C Pre-Participation Physical
Required for all participants in activities lasting longer than 72 hours.
Filled out by a physician, nurse practitioner, or physician assistant.
Insurance Card
Front and back of insurance card.
Required for all youth and adult registered members.
Military members: For proof of insurance, please visit https://www.tricare.mil/Plans/Eligibility/DEERS/milConnect/Proof. There, you may download a PDF file to use for proof of insurance.
It is very important that each the adult member or the Scout’s parent/legal guardian provide accurate information about any medical conditions, medications, cognitive impairment, or developmental/learning disabilities that are known and may become apparent during Scouting activities. An issue that has abated or may seem minor in the home may become exacerbated when the Scout is out of his/her comfort zone or faced with the stresses of the camping environment. It is often tempting to omit or not record a condition that may be embarrassing, but these issues can become much more severe when the Scout is away from home or out of his/her comfort zone. Leaders can make arrangements or adjustments to minimize or prevent a problem for the Scout if leadership knows of an existing condition prior to the activity.
Obviously, the most important reason for providing accurate and up to date information about a participant’s medical status is so that in the event of an injury or illness accurate information can be provided to medical personnel. All submitted medical and personal information shall be kept with the utmost care given to privacy and confidentiality and shall be kept in a safe and secure manner. Information contained in these records shall be used only in the event of emergency or when the information is important to the safety and well-being of the participant as deemed necessary by the activity leader.
We STRONGLY recommend that you save a copy of the blank form on your computer and use ONLY Adobe Reader (free) application to fill in the form’s fields. Use “N/A” for fields that are not applicable. Our Outdoor Activities Chair Edna Kubula is the POC for health forms. Please provide her with a copy of the required documents and keep a copy at home.
The forms will be reviewed for completeness. Forms will not be accepted that are not complete or are not properly filled out. Please use the following links below to download the current medical forms.
Parts A and B for all Scouting activities less than 72 hours in duration.
Parts A and B (3 pages total) must be filled out completely. Please include a copy of your immunization record and your health insurance card. Scouts will not be allowed to attend an outing without a current medical form. Update this form at least annually. Part A is an informed consent, release agreement, and authorization that needs to be signed by every participant (or a parent and/or legal guardian for all youth under 18). Part B is general information and a health history.
Parts A, B and C for all Scouting activities of 72 hours or longer
Parts A, B, and C (4 pages total) are required. Please include a copy of your immunization record and your health insurance card. No Scout will be allowed to remain in camp without a health history that includes a parental signature giving permission to treat in an emergency.
Part C must be completed, signed, and dated by a certified and licensed physician (MD, DO), a nurse practitioner, or a physician’s assistant.
Carefully follow the instructions below when filling out the forms.
Important Health Form Tips:
Families should keep a copy of their health forms so they have it for Scouting events attended outside of troop.
Health Forms expire annually. They are good through the end of the month they are dated.
Please make sure troop gets two new copies when you renew it.
FAQ
Q: Can I use another medical exam, such as a school sports exam, and attach it to the Annual Health and Medical Record?
A: NO. Scouts BSA has designed the AHMR to address the risks in Scouting. We would encourage participants who need both types of exams to complete them at the same time.
Q: Who needs to complete an Annual Health and Medical Record?
A: For any and all Scouting activities, all participants must compete Part A and Part B (both pages). “All participants” includes parents, guardians, siblings, youth, staff, and unit leaders. Though Part C is only required for participation in events lasting longer than 72 hours, all Boy Scouts of America participants are encouraged to complete this pre-participation physical during an annual exam performed by a licensed health-care provider.
Q: What should I do if the participant’s health status changes between the time he/she has the physical exam and the activity occurs?
A: The medical form is a snapshot of your health at the time of the physical. Don’t put yourself and others at risk by failing to recognize and disclose changes in your health status. New medicines, surgery, illness, and changes in disease process are all reasons to ask your provider to reassess your health status and fitness to participate.
Q: Where can I get a brief explanation of the Annual Health and Medical Record and how to review it?
A: Safety moments on the AHMR itself and how to review the AHMR can be found at: https://www.scouting.org/health-and-safety/safety-moments/