Annual Health and Medical Record

(Valid for 12 calendar months)

Policy on Use of the Annual Health and Medical Record

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 form will help ensure you meet the minimum standards for participation in various activities. Note that unit leaders must always protect the privacy of unit participants by protecting their medical information.

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 is to be completed by the participant and parents/guardians.

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.

Part D is required to be reviewed by all participants of a high-adventure program at one of the national high-adventure bases and shared with the examining health-care provider before completing Part C. This does noy apply to Yawgoog Summer Camp.

 

 

Yawgoog Health Form Policy for 2011

Scouts and Leaders attending Camp Yawgoog during the summer of 2011 must use the new BSA Medical form. The new Medical form is mandatory for 2011. If you have any questions, please email the Reservation Director.

All scouts (and adults who attend events) need to have a NEW 2011 edition of a health form on file.  The form is also now a requirement for attending Yawgoog.  It does requires a doctor's signature, so by telling you about it now, so you have two months to get it in!  If you have already had your physical, you can always mail or drop off a copy at the doctor's office so he can sign it without an appointment.

To print a copy of the form, CLICK HERE.  If you check the box on the top right labeled "Highlight fields", you can type the info into the form and save it on your computer.  This makes it more readable and come next year if they don't change the form, you can reuse all the info that you typed in. If you would like to view thw 14 page version with instructions, CLICK HERE.

 

Common mistakes include:

• Missing emergency contact information (Part A)
• Incomplete medication information (Part A)
• Missing medical insurance card (Part A)
• Missing parent/guardian signature (Part A& B)
• Missing physician signature (Part A & C)
• Physical exam more than 12 months ago (Part C)

 

Submitting your medical form

Scouts attending camp with their troop should submit their medical forms to the unit leader. Unit leaders.

Scouts attending camp in the provisional troop should bring their form with them to check-in on Sunday. If you have attended camp with your troop earlier in the summerwe can transfer your medical form.

MEDICAL FORMS ARE NOT RETURNED AT THE END OF CAMP. Always submit a COPY of your medical form. Keep the original for use at other Scouting activities.

PART A

PART B

PART C