Requirements

Scouts and Scoutmasters:  Parts A & B are required to participate in Troop 4. 

Adults: Parts A & B are required to attend any trip.

Scouts that join the Troop mid-year must submit a medical form when they join. Updated copies are due in September on the Troop schedule.

Two (2) hardcopies of Parts A, B1, and B2 and two (2) copies of the insurance card are required.

Only submit copies of your medical form. Keep the original for other Scouting activities.

Delivery Options

• Bring the copies to a Troop meeting.

• Drop off at 86 Old Town Rd. There is a box for Troop 4 Medical Forms on the porch.

• Mail the copies to Peggy Harvey, 86 Old Town Rd., Hopkinton, MA 01748.

Electronic copies are not accepted. DO NOT EMAIL YOUR FORM.

Medical Form Instructions

Part A

• Part A contains important risk advisory, informed consent, and release. Please read this advisory carefully.

• Parents of minors must sign to acknowledge agreement with the information on this page. The page also includes space to list adults who are authorized or prohibited to take the Scout to events.

Part B

• Part B1 contains contact and insurance information and general health history.

• Part B2 contains information about allergies, medication, and immunizations. BSA requires a current Tetanus shot within the past 10 years.

• Complete these sections carefully and accurately. Parents must sign to authorize all medication, including non-prescription medication.

Part C

Part C is required for Scouts and Adults for any overnight trips over 72 hours, including High Adventure trips and Summer Camp. Part C must be completed and signed by a doctor. Part C is not due in September.

Common Mistakes

• Missing restrictions (Part A)

• Missing signature (Part A)

• Missing emergency contact information (Part B1)

• Boxes not checked and incomplete medication and allergy information (Part B2)

• Missing signature for prescription and non-prescription medication (Part B2)

• Incomplete immunization record that does not include a current Tetanus shot (Part B2)

• Missing insurance card

• Illegible writing or faint photocopies

• Only including one copy