Medical Consent/Release Authorizations

 
From: "Rachel Haralson racheljharalson@PROTECTED [Troop 363 Mailing List]" <troop363@PROTECTED>
Date: June 1st 2020
Troop 363:
All previous medical consent/authorization forms will be expiring soon. All Scouts will need to complete a form ASAP. **Summer Campers - we need your forms updated immediately.** Mr. Helton will be providing information soon regarding physicals to take place on Saturday, June 6th. (Part C is required for Summer Camp.) Please see additional information below regarding parts A, B1, B2 and C of the consent/medical authorization form.
A pdf is attached to this post for your convenience, please print and complete. Please turn in completed forms to Ms. Christina Chavez.
  • 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.
  • Part C is your pre-participation physical exam completed by a certified and licensed health care provider.

WHICH PART MUST BE COMPLETED?

  • For all Scouting events: Part A and B. Give the completed forms to your unit leader. This applies to all participants for all activities, day camps, local tours and weekend camping trips less than 72 hours.
  • For events or camps: Part A, B and C. 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 (M.D. or D.O.), 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.

Thank you.
Rachel

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