Troop 324 – Boy Scouts of America Date ______________ NAME: __________________________________ Address: __________________________________ __________________________________ Home Telephone: (____) _____ – ______ Alternate Telephone: (____) _____ – ______ DOCTORS NAME & TELEPHONE: __________________________________ __________________________________ (____) _____ – ______ MEDICAL INSURANCE GROUP #: __________________________________ __________________________________ ALLERGIC REACTION(S): __________________________________ __________________________________ MEDICATION TAKEN REGULARLY __________________________________ __________________________________ PARENT / GUARDIAN __________________________________ __________________________________
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, 3×3-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