A. The Annual Health and Medical Record (AHMR) serves many purposes. Completing a health history promotes health and awareness, communicates health status, and provides medical professionals critical information needed to treat a patient in the event of an illness or injury. It also provides emergency contact information.
Poor health and/or lack of awareness of risk factors has led to disabling injuries, illnesses, and even fatalities. Because we care about our participants’ health and safety, the Boy Scouts of America has produced and required use of standardized annual health and medical information since at least the 1930s.
The medical record is used to prepare for high-adventure activities and increased physical activity. In some cases, it is used to review participants’ readiness for gatherings like the national Scout jamboree and other specialized activities.
Because many states regulate the camping industry, the AHMR also serves as a tool that enables councils to operate day and resident camps and adhere to Boy Scouts of America and state requirements. The Boy Scouts of America’s AHMR provides a standardized mechanism that can be used by members in all 50 states.
A. Over the last five years we have compiled and reviewed your comments, as well as those of camp health officers, council health supervisors, and the medical community. Updates to the AHMR form include a new user-friendly format and minor changes to the medical questions.
A. The only way to assure you have the proper documents is to access them from this website: www.scouting.org/health-and-safety/ahmr. This is the only source for the Boy Scouts of America’s AHMR.
A. No! There is only one Boy Scouts of America AHMR. It is not valid if modified or altered. This includes deleting or crossing out sections.
A. No. We have designed the AHMR to address the risks in Scouting. We would encourage participants who need both types of exams to complete them at the same time.
A. Yes, the course is more than 72 hours in duration, even if split into multiple weekends. Contact your course director to see if the course will be conducted in a backcountry location that will require adherence to the height/weight chart.
A. For any and all Scouting activities, all participants must compete 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.
A. An AHMR is valid through the end of the 12th month from the date it was administered by your medical provider. For example, a physical administered December 3, 2019, would be valid until December 31, 2020.
A. The medical form is a snapshot of your health at the time of the physical. Don’t put yourself and others at risk by failing to recognize and disclose changes in your health status. New medicines, surgery, illness, and changes in disease process are all reasons to ask your provider to reassess your health status and fitness to participate.
A. Update the information and be sure that your prescribing physician verifies that the new medication does not alter your health status and ability to participate.
A. While response time for basic or advanced life support should be a consideration for a camp’s emergency action plan, it is not the record’s intent. If your travels by foot, bicycle, horseback, afloat, or any other mode of transportation take you more than 30 minutes off an accessible roadway where an emergency vehicle can reach you, you will be required to meet the height/ weight requirements.
A. For the majority of our participants, the parents or legal guardians will release youth to and retrieve them from a Scouting event. You may change this information or add someone authorized to pick up your child early from an event or to transport your child to and from the Scouting event.
Parents and legal guardians are encouraged to review this information with adult leaders to make sure they understand any out-of-the-ordinary requests or unusual circumstances such as who should not pick up a youth.
Health and Weight Information
A. The height/weight chart will apply in the following known adventure activities:
- Backcountry activities. When your travels take you more than 30 minutes off an accessible roadway, fire lane, camp road, etc., or where you float, walk, hike, bike, or otherwise go into the backcountry. Depending on the terrain and local conditions, this might be a few hundred yards or a few miles into the backcountry. Most Boy Scouts of America high- adventure camps include a backcountry component (ask them about their requirements before you go). For example, Philmont Scout Ranch has this standard in place.
- When your lodge, unit, district, or council requires it as part of a program.
The height/weight chart generally would not apply in the following situations (unless specific instructions are issued as an exception):
- Most resident camps. The majority of the Boy Scouts of America resident camps and most local council Cub Scout/Scouts BSA resident camps have drive-up campsites and don’t require packing in or out. Check with the camp beforehand to be sure.
- Cub Scout programs. (Backcountry and high-adventure activities are not age-appropriate for Cub Scouting.)
- Most Wood Badge courses in a typical resident camp setting, though courses held at a national high-adventure base such as Philmont Scout Ranch will enforce the limit.
A. Yes, body fat percentage may be used if your weight is 295 pounds or less. However, please call the camp to determine if any specific testing is required. (Acceptable body fat percentage for women is 20 percent or less. Acceptable body fat percentage for men is 15 percent or less. Verification by a physician is required.) As an example, Philmont Scout Ranch requires a hydrostatic weighing or DXA test to determine percentage of body fat.
A. Yes, if they are cleared by their health-care provider as stated on the record. Confirm with the camp or high-adventure base about the specific program they will be attending as some have different requirements. Based on our experience, excessive body weight is a much higher risk for most activities.
If their high-adventure activity includes backpacking, make sure their backpack weighs no more than 20 to 25 percent of their body weight as recommended by Philmont Scout Ranch and the Health Lodge Task Force.
A. Subtract 6 pounds for every inch you are shorter than 60 inches to come up with a maximum acceptable weight for your height. (Example: 58 inches, maximum would be 166 pounds–2 (inches less than 60) x 6 pounds = 154 pounds.)
A. In addition to health issues that may be experienced due to obesity or being overweight, some rescue equipment (e.g., litters) and/or boating equipment (e.g., ladders) have maximum weight limits.
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.
Following are some of the best practices for using and storing the records.
- The AHMR is secured to maintain the confidentiality of the information, yet at the same time, the forms should be accessible by adult leaders in an emergency. The following guidance will assist leaders in achieving this goal:
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.
AHMR forms should be taken on all activities, including travel to and from events.
Designate an adult leader to keep the files containing the AHMR up-to-date. This may include reminding participants to update the AHMR annually or as needed.
Designate an adult leader as the point of contact with event or camp health officers. If needed, the leader should arrange to have the AHMR returned to him or her at the end of the event, if allowed by the state/local laws.
The unit leader (or his or her designee) is responsible for destroying or returning the AHMR documents to the participant (or parent/guardians) when the participant leaves the unit and when the documents become outdated.
- Records are NOT to be digitized, scanned, sent by email, or stored electronically by unit leaders.
- To streamline camp check-in, records of all participants are reviewed to make sure they are up-to-date, completed, and signed before leaving for camp. Be sure to check with the camp or the council health supervisor for any additional information that may be needed. For example, specific immunizations may be required by state/local laws.
Prepared leaders use the AHMR in the following ways:
- Review each participant’s health history. This aids the leader in becoming knowledgeable about the medical conditions of adults and youth members in the unit.
- Review any treatment plans with participants and parents/ guardians. Examples might include plans for asthma, food or other allergies, anaphylaxis treatment, diabetes including insulin pumps, seizure treatment, behavior, hypertension, and other health risks and medical issues that may require additional support. As an example, knowledge of a participant’s use of any medication, especially inhalers or epinephrine auto injectors, would allow the leader to prompt the youth to bring needed items on an overnight camping trip.
- Be knowledgeable of a participant’s restrictions. This may allow the leader to find ways to extend the Scouting program to those with restrictions while also protecting others and providing a positive and safe experience for everyone. For example, an adult leader may be able to plan alternate activities (within Youth Protection guidelines) for those youth members who are unable to participate in a long hike or a swimming event due to a medical issue.
A. No. Please do not digitize! Districts and councils are discouraged from keeping any medical records, whether digital or paper, unless required by local or state ordinances. However, the electronic version of the AHMR is intended to be filled out and saved by individual participants. The electronic version should not be transmitted via email or stored electronically by units, districts, or councils. Units are encouraged to keep paper copies of their participants’ AHMRs in a confidential medical file for quick access in an emergency and in preparation for all adventures.
A. We are examining possible solutions and proof of concepts. Select events (like jamboree) may have an online system developed specifically for that event and may accept online health records.
A. Prescribed medications that may be needed in an emergency or on an urgent basis should be available at all times and not past their expiration date.
In some cases, arrival at a camp, event, or high-adventure base with expired or inadequate quantities of medication may result in unexpected expenses or prohibition from participation until fresh supplies can be obtained. In all cases, the use of any emergency medications should be reported to an adult leader and/or the camp health officer.
A. As hard as it may be to share these aspects about yourself or your child, this information is needed to keep participants safe and is critically important in the event emergency care is needed and parents/guardians are unreachable. Please be thorough and honest. A Scouting activity is not the place to change or stop medications. This information, like all other health-related information, should be maintained with privacy and respect.
A. No. The Health Insurance Portability and Accountability Act (HIPAA) was enacted to regulate how personal health information is shared with health care and health care insurance entities.
Neither the Boy Scouts of America nor the AHMR are subject to HIPAA. A Scout is trustworthy: Records and sensitive information should be maintained in a private manner.
A. No. We would suggest engaging local resources if assistance is needed.
Based on the recommendations of the CDC, the following are required immunizations by BSA:
- Tetanus, Diphtheria, Pertussis (DTaP or Tdap).
- Measles, Mumps, Rubella (MMR) (if born in 1957 or later).
- Varicella (VAR) (chickenpox) (if born in 1980 or later), and
- Polio (IPV).
Today, there is an unprecedented need for proper immunizations to protect those among us who cannot tolerate a vaccine for a medical reason. While measles and COVID-19 are top of mind now, this policy reflects the BSA’s commitment to the health and safety of our members.
June 1, 2022.
All participants in all Scouting activities. The exact requirement we have for the annual health and medical record.
An updated AHMR reflecting the changes to immunization requirements will be available in December 2021. A valid existing AHMR Part C can continue to be used after 6/1/2022 until it expires, or if you are claiming a medical exemption to immunization.
Documented medical conditions that prevent safe administration of immunizations will be the only exemption to this policy. Using Part C of the AHMR available December 2021, individuals must have their medical professional record and sign their medical exemption during the pre-participation exam. A valid Part C will be required if claiming a medical exemption even for events under 72 hours.
Discuss with your healthcare provider to answer your questions and concerns.
We understand that adults may have difficulty in finding old medical records. Recording of vaccinations has been an integral part of the AHMR for over a decade. In the absence of medical records, it is expected that you should discuss your level of immunity with your current health care provider to help you decide the best course of action.
No. However, we recommend that all eligible individuals receive the COVID-19 vaccine in consultation with their health care provider.
In some cases, infections of Measles, Mumps, Rubella (German Measles), or Varicella (Chicken Pox) provide lifetime immunity, and you do not need the vaccination if you have had the disease. You should write the date you had the disease in the “had disease” column on the AHMR. For all the others, Tetanus (lockjaw), Diphtheria, Pertussis (whooping cough), and Polio, there is no long-standing immunity after you have had the disease, and you will need to get the immunizations and boosters on the schedule that your health care provider recommends.
Your health care provider may do a test (to determine “titers”) to determine if you have immunity to the disease.
Supplemental Risk Advisory
A. Each of the high-adventure bases has developed a risk advisory for you to review in preparation for your pre-participation physical exam and your trek. This information is designed to give participants, parents/guardians, and your health-care provider an idea of the environment you will be experiencing so you will be prepared for the trek. We are also encouraging local councils, as a best practice, to develop and publish risk advisories for their camps and high-adventure activities.
Review the information before your exam and share it with your health-care provider during your pre-participation physical exam. Contact the camp directly if there are questions about health risks for your participation.
Adults or youth who arrive at a Boy Scouts of America high- adventure base that are not prepared physically or mentally to meet the physical demands of their chosen activity may not be allowed to participate and may be sent home.
Reviewing the AHMR
A. Safety moments on the AHMR itself and how to review the AHMR can be found at: https://www.scouting.org/health-and-safety/safety-moments/
A. They would complete Parts A and B (both pages) of the AHMR. They would also need to fill out the Medical Care Exemption Request to waive the pre-participation physical exam. Please note that there may be camp/state/local requirements in addition to this, and the camp health officer will conduct a wellness screening on arrival to check if communicable disease symptoms are present.