BSA Pre-Event Medical Screening Checklist

This is a tool to help leaders identify potentially communicable diseases in advance of event participation. The intent of this

checklist is to review with each participant their current health status both before departure and upon arrival at the event.*

Do not participate if you have any of the following symptoms in the past 24 hours:

❏ Fever (100.4° F or greater)

❏ Vomiting

❏ Diarrhea

❏ New cough

Do not participate if you or anyone you live with has recently tested positive for COVID-19 or does not have test results back.

If you have a positive COVID-19 test, follow the CDC guidance for isolation and your personal health care provider’s

treatment recommendations.

Be responsible for your health and that of others. Isolate if you are sick. Do not attend any activity/meeting/event if you,

anyone you live with or anyone you have recently been around feel unwell. Symptoms might include:

❏ Unexplained extreme fatigue

❏ Unexplained muscle aches

❏ New rash

❏ Sore throat

❏ Open sore

Participants who are symptomatic or ill should not attend or return to an activity

until cleared by their health care provider.

*Councils are encouraged to customize this checklist with the engagement of local health authorities and their Council Health Supervisor.

680-102

2022 Revision

Name: _________________________________ Date/Event: ____________________________________

Unit: ___________________________________ Campsite: _____________________________________