Troop 324 - Boy Scouts of America
Date ______________
NAME:
__________________________________
Address:
__________________________________
__________________________________
Home Telephone:
(____) _____ - ______
Alternate Telephone:
(____) _____ - ______
DOCTOR’S NAME & TELEPHONE:
__________________________________
__________________________________
(____) _____ - ______
MEDICAL INSURANCE GROUP #:
__________________________________
__________________________________
ALLERGIC REACTION(S):
__________________________________
__________________________________
MEDICATION TAKEN REGULARLY
__________________________________
__________________________________
PARENT / GUARDIAN
__________________________________
__________________________________
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Scout
medical information sheet
Complete
the information on the sheet at left.
Cut it out and put it in your personal first aid kit.
If
something happens to YOU then you may not be
able tell anyone else the important information that
could save your life. This sheet lets anyone who is trying
to help YOU get all the right information.
Personal
First-Aid Kit
( ) Aspirin/Tylenol or other family approved painkiller
( ) allergy medicine if taken
( ) Scout medical information sheet
( ) Tums or other family approved antacid
( ) mole skin -- 1 sheet
( ) 1 pair latex gloves
( ) 6 adhesive bandages (various sizes)
( ) 2, 3x3-inch sterile gauze pads
( ) small roll of adhesive tape
( ) small pair scissors (cut tape/bandage material)
( ) small tube or packets of Neosporin, Betadine
cream or other family approved antibiotic ointment
( ) $1.00 and 1 Euro in quarters and dimes (for phone)
( ) Imodium or other family approved anti-diarrhea
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