Health Forms
Every Scout and adult attending Yawgoog must have a BSA health form. Health forms and troop rosters must be furnished upon check-in on Sunday afternoon - or they will not be allowed to stay on the Reservation.
The health form must be filled out completely, including the following, listed below:
a. Parental Signature - For those under 18 years of age, this gives us the approval for emergency treatment or surgery in the case of an accident or serious illness.
b. Doctor’s Signature - Each Scout and adult must have a medical exam given within 12 months of going to camp. No examinations will be given at camp. Many health care offices will only provide a printout from their office rather than fill out part C of the BSA health form.
This form must include a Doctor's Signature.
This form must certify all information of part C on the health from.
Following the criteria listed, this form is acceptable as a substitute for the Doctor filling out that potion of the health form.
This can be stapled to the BSA form.
c. Health and Restriction Information - Include all information relating to the individual’s health, including medications, restrictions, allergies and other pertinent information.
d. Health Insurance Information - Be sure to include the insurance carrier and policy number on the health form.
e. Vaccination Information - A current (within 10 years) tetanus shot is necessary and MUST be noted on the health form.
f. If a Scout or leader has an examination form from another source, we will accept it as the examination portion only. Fill out a standard health form completely, with the exception of the physician’s portion, and attach to the bottom of the other form. This allows the treatment record to be the back page.
The health form must be filled out completely, including the following, listed below:
a. Parental Signature - For those under 18 years of age, this gives us the approval for emergency treatment or surgery in the case of an accident or serious illness.
b. Doctor’s Signature - Each Scout and adult must have a medical exam given within 12 months of going to camp. No examinations will be given at camp. Many health care offices will only provide a printout from their office rather than fill out part C of the BSA health form.
This form must include a Doctor's Signature.
This form must certify all information of part C on the health from.
Following the criteria listed, this form is acceptable as a substitute for the Doctor filling out that potion of the health form.
This can be stapled to the BSA form.
c. Health and Restriction Information - Include all information relating to the individual’s health, including medications, restrictions, allergies and other pertinent information.
d. Health Insurance Information - Be sure to include the insurance carrier and policy number on the health form.
e. Vaccination Information - A current (within 10 years) tetanus shot is necessary and MUST be noted on the health form.
f. If a Scout or leader has an examination form from another source, we will accept it as the examination portion only. Fill out a standard health form completely, with the exception of the physician’s portion, and attach to the bottom of the other form. This allows the treatment record to be the back page.
Week of Attendance |
Physicians Authorization (Part C) Must Be Signed On Or After |
Week 1 (June 26 - July 3) |
July 1st, 2021 |
Week 2 (July 3 - July 10) |
July 1st, 2021 |
Week 3 (July 10 - July 17) |
July 1st, 2021 |
Week 4 (July 17 - July 24) |
July 1st, 2021 |
Week 5 (July 24 - July 31) |
July 1st, 2021 |
Week 6 (July 31 - August 7) |
August 1st, 2021 |
Week 7 (August 7 - August 14) |
August 1st, 2021 |
Week 8 (August 14 - August 21) |
August 1st, 2021 |
If you are unable to get a physical within 12 months of camp...
Your local MinuteClinic® located in a CVS can provide Camp Physicals to your Scouts. Patients have the convenience of visiting MinuteClinic at a time that works best for them.
- MinuteClinic is open every day, including evenings
- The typical cost for a camp physical is $69 – seasonally discounted rate of $44 may be available from late Jun to mid Sep (Note: physicals are a self-pay service)
- Outside of physicals, most services are billable to insurance, and we accept most insurances
- If the scout is under 18 years old, please inform them to come with their legal guardian or parent
- Patients can go online to make an appointment at https://www.cvs.com/minuteclinic/services/camp-physicals or just scan the QR code below
