Medical Record

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The Boy Scouts of America recommends that Cub Scouts, Boy Scouts, Venturers, Sea Scouts and adult leaders have an annual medical evaluation by a certified and licensed health-care provider using the Annual Health and Medical Record. Also see the BSA Medical Form FAQ.

Annual Health and Medical Record (AMHR)

Also know as the: Physical, Medical Exam, Physical Exam, Informed Consent, Hold Harmless, etc.


  • Part A: Informed Consent, Release Agreement, and Authorization
  • Part B: General Information/Health History
  • Part C: Pre-Participation Physical
  • High-Adventure Risk Advisory to Health-Care Providers and Parents

The Annual Health and Medical Record (Form No. 680-001) is the one health and medical record for your use. It replaces Form No. 34605, which began to be phased out in 2014 and became obsolete in April 2015. Form No. 34605 replaced the former Class 1, 2, and 3 forms, which were phased out in 2009. - FAQs for Annual Health and Medical Record

The following text is from the Annual Health and Medical Record Instruction document unless noted otherwise.

The AHMR serves many purposes. Completing a health history promotes health awareness, collects necessary data, and provides medical professionals critical information needed to treat a patient in the event of an illness or injury. It also provides emergency contact information.

Poor health and/or lack of awareness of risk factors have led to disabling injuries, illnesses, and even fatalities. Because we care about our participants’ health and safety, the Boy Scouts of America has produced and required the use of standardized health and medical information since at least the 1930s.

The medical record is used to prepare for high-adventure activities and increased physical activity. In some cases, it is used to review participants’ readiness for gatherings like the national Scout jamboree and other specialized activities.

Because many states regulate the camping industry, this Annual Health and Medical Record also serves as a tool that enables councils to operate day and resident camps and adhere to state and BSA requirements. The Boy Scouts of America Annual Health and Medical Record provides a standardized mechanism that can be used by members in all 50 states.

All Scouting Events.

All participants in all Scouting activities complete Part A and Part B. Give the completed forms to your unit leader. This applies to all activities, day camps, local tours, and weekend camping trips less than 72 hours. Update at least annually.

Part A is an informed consent, release agreement, and authorization that needs to be signed by every participant (or a parent and/or legal guardian for all youth under 18).

Part B is general information and a health history.

Going to Camp?

A pre-participation physical is needed for resident, tour, or trek camps or for a Scouting event of more than 72 hours, such as Wood Badge and NYLT. The exam needs to be completed by a certified and licensed physician (MD, DO), nurse practitioner, or physician assistant. If your camp has provided you with any supplemental risk information, or if your plans include attending one of the four national high-adventure bases, share the venue’s risk advisory with your medical provider when you are having your physical exam.

Part C is your pre-participation physical certification.

Planning a High-Adventure Trip?

Each of the four national high-adventure bases has provided a supplemental risk advisory that explains in greater detail some of the risks inherent in that program. All high-adventure participants must read and share this information with their medical providers during their pre-participation physicals. Additional information regarding high adventure activities may be obtained directly from the venue or your local council.

High-Adventure Risk Advisory to Health-Care Providers and Parents:

Prescription Medication.

Taking prescription medication is the responsibility of the individual taking the medication and/or that individual’s parent or guardian. A leader, after obtaining all the necessary information, can agree to accept the responsibility of making sure a youth takes the necessary medication at the appropriate time, but the BSA does not mandate or necessarily encourage the leader to do so. Standards and policies regarding administration of medication may be in place at BSA camps. If state laws are more limiting than camp policies, they must be followed. The AHMR also allows for a parent or guardian to authorize the administration of nonprescription medication to a youth by a camp health officer or unit leader, including any noted exceptions.

Risk Factors

Based on the vast experience of the medical community, the BSA has identified that the following risk factors may define your participation in various outdoor adventures.

  • Excessive body weight (obesity)
  • Cardiac or cardiovascular disease
  • Hypertension (high blood pressure)
  • Diabetes mellitus
  • Seizures
  • Asthma
  • Sleep apnea
  • Allergies or anaphylaxsis
  • Musculoskeletal injuries
  • Psychological and emotional difficulties

For more information on risk factors, visit the Medical Risk Factors for Your Participation in Scouting page.

See also

First Aid Links
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