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What to Update This Year — Medical Form Checklist

A short annual reminder for Parts A & B of the BSA Annual Health and Medical Record. Part C (the physician exam) is a separate, in-person visit and isn't covered by this checklist.

Opens your browser print dialog — choose “Save as PDF” to download.

Scout name:

Last year's form date:

Today's date:

Parts A & B only. These cover consent, general health history, insurance, and contacts, and must be renewed every year. Part C is the physician's physical exam — it's typically valid longer and requires an actual doctor visit, so it isn't something you can update from a checklist like this one.

Review & update before re-signing

Insurance information

Current provider, policy/group number, and customer service phone number.

Emergency contacts

Names, relationship to scout, and current phone numbers — confirm none have changed.

Authorized pickup adults

Update the list of adults allowed to pick up the scout from an event or camp.

Medication list

Add or remove medications, and confirm dosages and schedules are current.

Allergy list

Food, medication, and environmental allergies — update severity and treatment notes.

Physician contact information

Current doctor's name, phone number, and practice — update if the scout has changed providers.

Re-sign and date Parts A & B

A new signature and date are required every year, even if nothing else changed.

Get the official form

This page is a reminder checklist only — it doesn’t replace or reproduce the actual form. Download the current BSA Annual Health and Medical Record (Parts A, B & C) directly from filestore.scouting.org.

Save time next year: that official PDF is already a fillable form, not just a scan — Preview (Mac) or Adobe Acrobat can type directly into its fields and save your answers. Fill it out once, then use File → Save As to keep your own copy instead of overwriting the blank original. Next year, open your saved copy, update just the fields that changed — dates, a new medication in the next empty row — and print a fresh one. No need to retype the whole form from scratch.

A note on privacy:this checklist doesn’t store, collect, or transmit any health information — it’s just a printable reminder of what to review. Fill out the actual medical form on your own device and keep it with your troop, not with us.

Independent resource — not affiliated with or endorsed by Scouting America. Always verify current BSA advancement requirements at scouting.org or with your local council. Requirements are updated periodically.