2024 Health Forms
Dear Scouts and Parents,
Please first print out the instructions and please follow them carefully.
Open it and print a copy, it will be 4 pages.
Please read these brief, important instructions before you see your physician:
Deadline: June 24, 2024. No exceptions.
Important to note: The Scout will NOT be able to participate in any Troop functions after June 24th if their Health Form is not submitted!
I recognize that this might be within the one year timeframe with insurance and getting a new physical exam.
If so, please ask your doctor to fill out the forms and sign them without an exam.
My physician does this for me.
Of course, the more information you can pre-fill out, the more likely they will help you.
Please let me know if you have any questions.
773-218-9619
Thank you.
Pete Stolarski
Troop Committee Chairman
Please first print out the instructions and please follow them carefully.
Open it and print a copy, it will be 4 pages.
Please read these brief, important instructions before you see your physician:
- All 3 parts need to be completed, Part A, B and C
- Copies of the insurance cards (both sides) need to be submitted.
- 3 copies of the completed forms and insurance cards to be returned.
- Parents only should bring them to Troop Meetings or bring them to my home: 6949 North Osceola, Chicago, IL 60631
- They will be reviewed before you leave to make certain that they are completed correctly and entirely
Deadline: June 24, 2024. No exceptions.
Important to note: The Scout will NOT be able to participate in any Troop functions after June 24th if their Health Form is not submitted!
I recognize that this might be within the one year timeframe with insurance and getting a new physical exam.
If so, please ask your doctor to fill out the forms and sign them without an exam.
My physician does this for me.
Of course, the more information you can pre-fill out, the more likely they will help you.
Please let me know if you have any questions.
773-218-9619
Thank you.
Pete Stolarski
Troop Committee Chairman