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Health Records

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: use this complete medical form with OTC form instead of one above.

For Specific High-Adventure Trips:
  • Northern Tier: for wilderness canoe treks, and OKPIK winter adventures participants and staff.