Health and Medical Forms
In the Longs Peak Council there are several health and medical forms, and each has a different use:
Longs Peak Council (Colorado Approved) Health and Medical Record Form (Fillable PDF)
This form has been approved by the state of Colorado for use at the Ben Delatour Scout Ranch and the Elkhorn High Adventure Base for both youth and adults. It is to be used in place of the BSA Annual Health and Medical Record (BSA Form 680-001). It should also be accepted at other BSA camps in the state of Colorado. This form may be used at Camp Laramie Peak.
Jack Nicol Cub Camp Form
New for 2012 - Both youth and adults now use the Annual BSA Health and
Medical Record, Part A and B form.
The use of this form does not require a medical examination.
BSA Annual Health and Medical Form
The Boy Scouts of America recommends that all youth and adult members have annual medical evaluations
by a certified and licensed health-care provider. In an effort to provide better care to those who may become
ill or injured and to provide youth members and adult leaders a better understanding of their own physical
capabilities, the Boy Scouts of America has established minimum standards for providing medical information
prior to participating in various activities. Those standards are offered below in one three-part medical form.
Note that unit leaders must always protect the privacy of unit participants by protecting their medical information.
Parts A and B
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
Part C is required with parts A and B for any event that exceeds 72 consecutive hours, or when the nature of the activity is strenuous and demanding, such as a high-adventure trek.For more detailed information, please see the Annual Health and Medical Record page of the BSA's Scouting Safely web site.
According to the Colorado Department of Human Services and the Colorado Department of Public Health and Environment, this form is NOT acceptable at camps in the state of Colorado (see above).
Part D
Part D is required to be reviewed by all participants of a high-adventure program at one of the BSA's National High Adventure Bases and shared with the examining health-care provider before completing Part C.For more detailed information, please see the Annual Health and Medical Record page of the BSA's Scouting Safely web site.
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Last Updated Thursday, 19-Jan-2012 21:12:13 MST