Instructions for Completing the Medical Form

Updated: December 10, 2017

Youth: 2014 BSA Medical Form Complete parts A, B, and C.
Adults: 2014 BSA Medical Form Complete parts A, B and C. If staying less than 72 hours, complete parts A and B.

Carefully read the instructions below.
  1. Please read this information carefully so your registration will go smoothly.
  2. Youth (under the age of 18) must receive a physical and complete the 2014 BSA Medical Form, parts A, B, and C.
  3. Adults staying 72 hours or more must receive a physical and complete the 2014 BSA Medical Form, parts A, B, and C.
  4. Adults staying less than 72 hours, must complete the 2014 BSA Medical Form, parts A and B only.
  5. Scouts' medical forms must be signed by a parent or guardian. Part C requires a medical evaluation (physical) within the past 12 months and must be signed by a licensed health-care practitioner.
  6. Be sure the form you are using says "2014 Printing" on the bottom of all pages. The 2014 Printing is the only acceptable form. This form must be used by all camp participants. The form contains interactive fields, so it can be completed online then printed.
  7. Enter the year or actual dates immunizations were received.
  8. Health Insurance information is necessary for hospital treatment billing and pre-certification for treatments in some cases. Part B of the 2014 BSA Medical form asks for a photocopy of the front and back sides of the individual's health insurance card.
  9. The earliest valid date of a physical is July 5, 2019.
  10. Be sure parent/guardian completes and signs the Allergies/Medications section in Part B.
  11. Keep the original medical form in the troop records and submit a copy to the camp.
  12. During medical check-in, we will meet with each Scout and leader to review the medical information and collect medications. When all forms are complete the Scout or leader will be given a wristband which will identify them as cleared for camp and allow them to take the swim check. Wristbands are to remain on throughout the week.

Incomplete or incorrectly filled in medical forms cause problems at check-in time. Please take the time to collect and inspect all your unit's medical forms well before your arrival at camp to avoid these unnecessary problems. The Staff member who does the medical recheck will look for the following items:

  1. Is there a physician's signature?
  2. Is the Physician's evaluation and advice section filled in?
  3. Has the physical examination been done on or after July 5, 2019?
  4. Is the name, address and emergency contact information completely accurate?
  5. Is the form signed by the parent/guardian of anyone under the age of 18?
  6. Are all the immunization lines filled in with dates of shots clearly indicated?
  7. Are all the communicable disease lines filled in?
  8. Has the parent or applicant filled in the health history section, with serious health conditions noted?
  9. Are all current medications listed in Part B?

Please inform parents of these criteria, check the medicals of your Scouts and resolve any questions before leaving for camp.

Forms for Religious Exemption from Medical Care and Treatment are available for youth and adults.