Medical Forms
¨ posted 02/01/09: BSA has
just released a new
Annual Health and Medical Record form. This form is to be used
for youth and adults of all ages for monthly campout/outings, summer camp, and
high-adventure activities such as Lenhok’sin.
The National BSA high-adventure camps Philmont, Sea Base, and Northern
Tier will still have their own unique medical forms.
Click here for the new form:
http://www.scouting.org/filestore/pdf/34605_Letter.pdf
Those going to
Philmont attendees will need to use the Philmont-specific medical
form. http://www.t255.com/090808_Philmont_Class_III_Health_Form_2009.pdf
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PAST YEARS ARCHIVE:
Adults 40 and over – you need the Seabase Medical Form, if going to Seabase, and Medical
Form Class 3 below for all other summer events.
These require a medical exam within 1 year of camp date. Note: The Seabase Med Form can also be used
for Lenhok’sin and
Youth attending Seabase – You need the Seabase Medical Form below. This requires a medical exam within 1 year of
camp date. (This will also be valid for Lenhok’sin and
Youth attending Lenhok’sin – You need the Medical Form Class 3 below. This requires a medical exam within 1 year of
camp date. (Seabase Medical Form can also be used.)
Youth attending only
¨ Medical Form Class 1 & 2 - For persons under
age 40 attending regular summer camp and not engaging in High-Adventure
activities. Note: If the Scoutmaster or you have a medical form
from a previous year, for which a medical professional has signed based on a
health examination within 3 years of camp date, then the parent only needs to
complete and sign the first part of the new form (the Class 1 part, which is
the first page and the top of the second page). Check with the Scoutmaster.
¨ Medical Form Class 3 - For persons age 40 and over
attending regular summer camp or any person engaged in High-Adventure
activities.
¨ Seabase Medical Form - Special form for
those attending Seabase.
¨ 2007 Heritage Camp Freedom – See discussion
included under Events for Heritage at http://www.t255.com/Events.htm
¨ 2007 Grand Teton High-Adventure Trek – Contact Mr.
Pierce for instructions.
¨ Northern Tier Medical Form
- Special form for those attending Northern Tier Canoeing.