New ‘Annual Health and Medical Record’ to Replace Class 1, 2, & 3 Health Forms

Posted on 19 December 2008 by Dan


The Boy Scouts of America has released a new Annual Health and Medical Record, a new one stop medical record for your use. This new form will replace the former Class 1, 2, and 3 forms, which will be phased out during 2009. The new form, No. 34605, will be required effective January 1, 2010, and for the 2010 National Scout Jamboree.

Links to download the new form are below.

The form consists of three parts:
Parts A and C are to be completed annually by all BSA unit members. Both parts are required for all events that do not exceed 72 consecutive hours, where the level of activity is similar to that normally expended at home or at school, such as day camp, day hikes, swimming parties, or an overnight camp, and where medical care is readily available. Medical information required includes a current health history and list of medications. Part C also includes the parental informed consent and hold harmless/release agreement (with an area for notarization if required by your state) as well as a talent release statement. Adult unit leaders should review participants’ health histories and become knowledgeable about the medical needs of the youth members in their unit. This form is to
be filled out by participants and parents or guardians and kept on file for easy reference.

Part B is required with parts A and C for any event that exceeds 72 consecutive hours, a resident camp setting, or when the nature of the activity is strenuous and demanding, such as service projects, work weekends, or high-adventure treks. It is to be completed and signed by a certified and licensed health-care provider—physician (MD, DO), nurse practitioner, or physician’s assistant as appropriate for your state. The level of activity ranges from what is normally expended at home or at school to strenuous activity such as hiking and backpacking. Other examples include tour camping, jamborees, and Wood Badge training courses. It is important to note that the height/weight chart must be strictly adhered to if the event will take the unit beyond a radius wherein emergency evacuation is more than 30 minutes by ground transportation, such as backpacking trips, high-adventure activities, and conservation projects in remote areas.

The new pdf version of the form can be filled out on your computer and saved for future updates. It comes with warnings against units emailing or saving electronically the forms.

A few snippets from the Frequently Asked Questions (FAQs):

Q. What are the major changes?
A. A health history is still sufficient for typical activities lasting less than 72 hours (Parts A and C of the new form—similar to the old Class 1 form). For activities lasting longer than 72 hours, a medical evaluation by a health-care provider is now required annually (Part B). For high-adventure activities for which medical care may be delayed, restrictions based on standardized height/weight ratios are now mandatory.

Q. When does the Annual Health and Medical Record go into effect?
A. Everyone should begin using the Annual Health and Medical Record immediately. The existing stock of Class 1, 2, and 3 forms can continue to be used while supplies last in 2009. The only supported form effective January 1, 2010, is the Annual Health and Medical Record. Its use will be mandatory for the 2010 National Scout Jamboree.

Q. How often will I need to renew/update my Annual Health and Medical Record?
A. This form will need to be updated annually, just as many schools or sporting leagues require an annual update. Many changes can happen throughout a year, including changes in disease processes, medication, address, and insurance.

Q. Why do I need to put my child’s or my own social security number on the record?
A. It is your choice as to whether you fill in this number; however, in many states, medical care cannot be rendered without it.

Read the rest of the Frequently Asked Questions (FAQs).

The new forms come in two printing styles:
Annual Health and Medical Record (Prints on four 8.5 x 11 sheets)
Annual Health and Medical Record spread (Prints on two 8.5 x 11 sheets)

The new Annual Health and Medical Record cites two additional forms:
– Immunization Exemption Request – Request for exemption from tetanus immunization requirement.
– Medical Care Exemption Request – Request for exemption from medical care.

Both of which, according to the Scouting Safely section of the National Council website, will be coming soon.

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13 Comments For This Post

  1. Dissatisfied Says:

    You know just keep adding more and more barriers to the scouting program… I WONDER WHY the number of scouts is on the decrease… Just keep it up and there may not be scouts in a lot of areas around the US… i thought scouting was about helping people stay healthy, not suspending them to limited things because there a little heavy… I am telling you just keep adding the ole barriers to the program and you wont have any more new scouts to the program… I thought scouts was for everyone… Not with these limits in place that for sure!!

  2. Dissatisfied Says:

    Anyone who’s scoutlike should write a letter to National Council saying that there discriminating against our scouts and leaders who may be a little on the heavy side… There should be no weight limits in scouting… I thought scouting was for everyone…. Looks like National threw that rule out the door with these forms!! I hope this causes a big uproar for change!!

  3. Dan Says:

    The goal was to manage risk and make sure folks know their limits. I can see the requirements being used on high adventure activities or in locations where “help” is not available near by.

    Will it be adapted for everyday Scouting activities- I highly doubt it.

  4. Dissatisfied Says:

    The barriers that the BSA is creating for adult volunteers to help Scouts enjoy the Scouting program are becoming ridiculous.

    I have lead three 10 day trips to National High Adventure bases and was and am 25 lbs over the weight requirements but exercise regularly. I walk 4 miles a day 5 days a week and have never felt challenged or my health threatened by Scouting high adventure activities. I had planned on leading trips to High Adventure Bases in the future but am guessing that I am no longer eligible to do so.

    We do not have other parents willing to take on the task of leading High Adventure Activities in our troop so I guess the boys in our program are out of luck. Strick adherence to these weight requirements will only further limit the availablility of the High Adventure programs to Scouts.

    I have been an adult volunteer for the last 8 years for the BSA. I guess National is just trying to run off the older folks (who generally are less physically fit) helping with the program . In some ways this is age discrimination- even the US Military adjusts their weight charts based on age….

  5. TKofKC Says:

    I don’t see a problem with the height weight requirements. I’m over the weight requirements and have reduced my wright twice in order to go to Philmont. If Scouting requires I keep my weight in check to participate I’m for it. Face it there are some huge Scouters and if they were to keep their weight in check in order to remain that would be in their best interest.

    I’ll be slimming down.

  6. Kathleen Stevens Says:

    This is a form of discrimination against heavier people. I’m outraged that the Boy Scouts of America is willing to lose so many strong & successfull leaders and role models. How many troops & staff members will you willing to lose before you revoke this? All troops rely on volunteers and leadership to keep this going. WEIGHT SHOULDN’T MATTER!!!!!!!!!! This also means Boy Scouts are going singled out, because of their weight. Because of this Boy Scout Camps will lose out on money and good scouts. I’ ve a leader for 9 years and assisant scoutmaster for 4 & a half. Many years, the boys wouldn’t be able to go to half the activities that they do. The other parents will not able to maintain the troop activites.

  7. Dan Says:

    HT & WT compliance is not required by National for Troop Meetings, Weekend Outings, and Resident Camps. It is required for High Adventure. In reality it shouldn’t have an affect on most units.

    A lot of folks are still concerned about the 30 minute rule which the Health and Safety Team is trying to explain in different terms. It sounds like their intent is 30 minutes from where the individual will be to the nearest road for ground transport.

    The Health & Safety Team Leader is active on the Scouting Community and almost always responds to constructive criticism.

  8. RON Says:

    I have been in scouting for about 40 years. It does seem to get harder and harder to attract and maintain boys and a troop. I agree that we should try to get and keep our youth healthy but….
    This is adding to the administration of a troop and it is also adding greatly to the cost of being a member of the Boy Scouts. It is very expensive to be a member of the BSA today.–uniforms, insurance, equipment, etc., now this.
    Do any of you guys at national know how much a complete physical cost these days? When is the last time any of you actually worked at the
    “boy level”.
    Please do something to help us, not hinder us.
    THANK YOU FOR LISTENING.
    ‘DISSAPOINTED SCOUTMASTER’

  9. Dan Says:

    I am not from National however I have talked with the the Health & Safety Team Lead through http://community.scouting.org.

    The group that came up with the new policy included Unit Leaders from the “Boy Level” as well as National and medical personnel. They understand the concerns and are encouraging Councils to find ways to help by organizing opportunities for those that can’t afford physicals.

    Check with your Council’s Health and Safety Committee to see if they can organize something in your area. A lot of Councils have Doctors who sit on the Board or are active on the program who can set up free physicals.

    If you want to give constructive feedback to national I’d encourage you to participate at community.scouting.org as the Health & Safety Team does use it to communicate and listens to feedback.

  10. Bill Hoover Says:

    I agree with the height/weight requirements on a few levels. The first and formost should be to set an example for the scouts, that’s what leadership is about. I think people who are overweight can contribute on many levels but hiking, biking, and canoeing miles from help should not be part of it unless a doctor says so. Anyone who has tried to evacuate a 300 pound adult from the woods who may be having a cardiac incident, has come to the same realization I have, it can’t be done by scouts or normal sized adults. I think we all want participation but most men, myself included, forget that we are not 19 anymore.

  11. Disappointed at Philmont Says:

    We just got back from Philmont and I was extremely disappointed to be told that because of my weight I was NOT allowed to hike anywhere at Philmont, including the flat trails in and around the training center, despite the fact that we has just come down in elevation by more than 3000′ in altitude and had been hiking as a family the entire week before. I understand not wanting to evacuate someone from the back country but by not even allowing us to participate in Woodbadge or regular hikes, BSA has taken these guidelines waaaay too far.
    My husband is 6′ tall, wears a 32″ waist / 34″ inseam pant and is BARELY 5 pounds within the guidelines and he is a rail. My co-leader is certainly height/weight proportional but he does not meet the new guidelines either. I understand requiring a physician to sign off on the forms annually but, other than having weight restrictions for backcountry, I think BSA is being unrealistic. Add to that the high starch, high fat diet that you get at the Philmont Training Center (with NO healthy alternatives) and you are really adding insult to injury.

  12. Scare of National Says:

    I agree about National putting up barriers. The only way to absolutely keep anyone from being injured while Scouting is to prevent them from Scouting.

    As I learn more about the policies of the National leadership, I am convinced that it will be the National headquarters that will eventually put Scouting out of business.

  13. Kevin Says:

    The new health form says “Enforcing the height/weight limit is strongly encouraged for all other events.” So unless I misunderstand “enforcing”, “strongly encouraged” and “all other events” the boy scouts of america are most definitely trying to exclude overweight people.

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