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Medical Forms




FYI only. Past information.

Medical Information for Goshen 2017

Dear Troop 1128 Parents,

Along with the 2017 re-chartering forms, medical forms for 2017 are also due for all scouts. This applies even if your son recently joined the troop and you filled out 2016 forms.

The forms are the same as last year’s forms with an additional new form the physician will need to fill out at the time of the physical. The new form is listed as item 5 below:

  1. Authorization to Monitor Medications
  2. Part A (1 page)
  3. Part B (2 pages)
  4. Part C (physical)
  5. Health Advisory Form


Note that we also require a copy (front side and back side) of your health insurance card. It is stated on the BSA scout form part B.

At this time we require that you provide items 1-3 as soon as possible. Items 4 and 5, Part C (the physical exam) and the Health Advisory Form are due prior to the Goshen summer camp, although we will gladly accept the form whenever the physical exam is performed. Please make sure to bring the new Health Advisory Form and Part C when you go to your physician for your son’s physical.

The forms are available at the links above. You can either send your scout’s forms electronically or bring a hard copy to the meeting. Note that we also require health forms for any adult who attends an overnight outing. For adults, item 1,  Authorization to Monitor Medications is not required.

If you have questions feel free to contact Troop 1128 Medical Records Coordinators.


© 2018 Troop 1128 – Vienna, VA - Boy Scouts of America | WordPress Admin
© 2018 Troop 1128 – Vienna, VA - Boy Scouts of America
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