Three Fires Council

The Annual Health and Medical Record was released in December 2008. This latest 2011 update to the record consolidates all records from the National Council and the three national high-adventure base forms, enabling a single medical form to be used across all BSA activities. The new form, # 680-001, supersedes the previous, # 34605; this new item should be phased in immediately as it renders the old forms obsolete. The Annual Health and Medical Record is required for participation in all Scouting events, including day and resident camps and high-adventure bases. It should be updated no less than annually. Please begin using this new form immediately, as your 2010 forms expire.

Health & Medical Record - This form can be downloaded in sections or as a whole & filled out on the computer & saved.

Highlights/changes with the 2011 update: The record now lives on an interactive web page on Scouting Safely. Scouts, Scouters, parents and staff can download, fill in, and print it on standard paper, and can save an electronic copy for their personal files. Parts A and B-the health history and release statement-will be utilized the most. Part C is the physical exam. Part D is a review piece for participants attending any of the national high-adventure bases.