SVMBC BSA Medical Forms – Kaiser

The Scouting adventure, camping trips, high-adventure excursions, and having fun are important to everyone in Scouting—and so is your safety and well-being. Completing the Annual Health and Medical Record is the first step in making sure you have a great Scouting experience. 

The three page form has a Part C that needs to be filled out and signed by a physician. There needs to be a current set of vital signs (i.e. blood pressure, heart and respiratory rate, body temperature, etc.) Part C is only required for participation in events lasting longer than 72 hours, all Boy Scouts of America participants are encouraged to complete this pre-participation to the activity.

Kaiser Permanente is a local medical group that provides medical care for approximately 74% of all attendees to Camp Hi-Sierra. Kaiser changed its policy last year so that all youth groups get the same, generic form for Part C. The Council Risk Management Committee determined that these Kaiser forms are acceptable as long as they have a current set of vitals.


Please note this Kaiser form is acceptable to go to Camp Hi-Sierra,  but is not accepted for any of the High Adventure Bases or Jamborees.  If you are attending a summer camp other than Camp Hi-Sierra, please check with that Council to determine whether or not they will accept the Kaiser form.  

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