Annual Health and Medical Record – 680-001

Camping, Hiking, Cycling, or participating in an event LESS THAN 72 hours? Use this form:

Form 680-001_AB applies to ALL participants in basic Scouting activities such as local tours and weekend camping trips less than 72 hours in duration.

Form 680-001_AB –

Camping, Hiking, Cycling, or participating in an event MORE THAN 72 hours? Use this form:

Form 680-001_ABC applies to ALL participants for events more than 72 hours in duration.

Form 680-001_ABC –

Important FAQS!

There are two FAQs that are highlighted by Troop 3 and Troop 1003. Please read them in their entirety. For a full list of questions, please visit this URL:

Q. Who needs to complete an Annual Health and Medical Record?

A. For any and all Scouting activities, all participants must complete Part A and Part B (both pages). “All participants” includes parents, guardians, siblings, youth, staff, and unit leaders. Though 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 physical during an annual exam performed by a licensed health-care provider.

Q. What do adult leaders do with the Annual Health and Medical Records they collect?

A. In all cases, the information gathered is for use in conducting a safe Scouting program. Information in the AHMR must be maintained and shared in a confidential and discreet manner. Some conditions may require communication to ensure the safety of participants. This information should only be shared on a “need-to-know” basis.

1) Leaders are encouraged to maintain the original AHMR forms in a safe location in a binder or file that protects the documents entrusted to the adult unit leader. [Troop note: The Troop should consider keeping medical records in a clearly marked RED binder.]

2) AHMR forms should be taken on all activities, including travel to and from events.

3) Records are NOT to be digitized, scanned, sent by email, or stored electronically by unit leaders.

Due to regulatory compliance restrictions, medical records shall not be stored on this website or any electronic repository maintained by the troop.