BSA Medical, program Consent and Release Form
BSA Consent and Release Form and Medical Forms Download and Information Page
Parts A, B and C - Direct Link <-- IMPORTANT: Medical Forms Must Be Delivered In Person. BSA Does Not Allow Them to Be Sent Electronically
SAMPLE Form Showing Common Items Missed on the form
Colorado Immunization Card < Required for summer camps located in Colorado
Troop 171 Medical Information "Yellow" Card - See Barb A. for a hard copy of this form
Medical Forms Status and Completion Date Spreadsheet [Login and password required]
There are always questions surrounding the BSA medical forms and troop 171 requirements. Please follow the links below for specific information and forms.
All Scouts Need:
BSA Parts A and B to attend meetings and trips. Must be signed within the last 12 months.
Part A Informed Consent, Release Agreement, and Authorization (completed by parents)
Part B General Information/Health History (completed by parents - also requires a medical provider signature on page B2)
BSA Part C to attend campouts, summer camp and other events. See below for details.
Part C Pre-Participation Physical (completed and signed by medical provider)
Copy of Health Insurance Card [include with medical forms]
Troop 171 Medical Information "Yellow" Card to attend meetings and trips. Hard copy available from Barb Allan
IMPORTANT: Medical Forms Must Be Delivered In Person. BSA Does Not Allow Them to Be Sent Electronically
Adult Medical and Release Forms:
Adults attending a Scout event over 72 hours:
BSA Parts A, B and C with medical provider signature
Adults attending a Troop 171 campout
BSA Parts A, B and C signed within the previous 12 months are required EACH year for all Scouts and adults who attend meetings and trips.
Other Important Information:
All adults must be registered in BSA to attend campouts and to be covered by BSA insurance.