New Health Forms - Revised February 2011

 
Annual Health and Medical Summary
 
Please note that these forms can be edited and saved prior to printing.
 
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 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.
 
These 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.
 
This 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. 
 
This 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.
 
MyScouting.org. May 2011

Scout Shops (where to buy uniforms & official accessories)

Greater Cleveland Council Headquarters
2241 Woodland Avenue
Cleveland, Ohio 44115
General Phone: 216-861-6060
Scout Shop (store) Phone: 216-274-0814
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Kamper City
5549 Akron-Cleveland Road
Peninsula, Ohio 44264
Phone: 330-650-1491
Hours: M-F 9:00 AM – 6:00 PM, Sat. 9:00 AM – 4:00 PM, Sun – closed
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