BSA Annual Health & Medical Record
The below forms are writable PDFs. Select the one you need for your purpose as indicated in the description.
For Troop Activities/Overnight Camping:
- Parts A & B: to be completed at least annually by participants in all Scouting events. This health history, parental/guardian informed consent and release agreement, and talent release statement are to be completed by the participant and parents/guardians.
For Summer Camp:
- Parts A, B & C: contains the additional physical exam that is required for participants in any event that exceeds 72 consecutive hours or is particularly strenuous. Part C is to be completed and signed by a certified and licensed health-care provider—physician (MD or DO), nurse practitioner, or physician assistant. Camp Aquehonga/TMR participants also must submit the Meningitis Response Form and should read about Meningococcal Disease.
For Specific High-Adventure Trips:
- Northern Tier: for wilderness canoe treks, and OKPIK winter adventures participants and staff.