ParentcontactinformationdocumentedInterventionprovidedClinic notesigned withname andcredentialsChiefcomplaintrecordedSubjectiveobservationsrecordedAssessmentfindingsMedicationadministrationdetailsClinicVisitOutcomeIndividualHealth careplanreferencedor requestedTime of studentarrival/departureClear postvisitinstructionsStudent'sResponsetoTreatmentTreatmentauthorizationverifiedStudent'verbaldescriptionrecordedEmergencycontactattempttimes Parent nameand phonenumberdocumentedPrevioushealthhistoryreferencedObjectiveobservationsnotedvital signswhenappropriatePainassessmentCollaborationof other teammembersincludingname and titleClinicnote withcurrentdateFollow upplandocumentedHealthcareproviderordersParentcontactinformationdocumentedInterventionprovidedClinic notesigned withname andcredentialsChiefcomplaintrecordedSubjectiveobservationsrecordedAssessmentfindingsMedicationadministrationdetailsClinicVisitOutcomeIndividualHealth careplanreferencedor requestedTime of studentarrival/departureClear postvisitinstructionsStudent'sResponsetoTreatmentTreatmentauthorizationverifiedStudent'verbaldescriptionrecordedEmergencycontactattempttimes Parent nameand phonenumberdocumentedPrevioushealthhistoryreferencedObjectiveobservationsnotedvital signswhenappropriatePainassessmentCollaborationof other teammembersincludingname and titleClinicnote withcurrentdateFollow upplandocumentedHealthcareproviderorders

DOCUMENTATION BINGO - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Parent contact information documented
  2. Intervention provided
  3. Clinic note signed with name and credentials
  4. Chief complaint recorded
  5. Subjective observations recorded
  6. Assessment findings
  7. Medication administration details
  8. Clinic Visit Outcome
  9. Individual Health care plan referenced or requested
  10. Time of student arrival/departure
  11. Clear post visit instructions
  12. Student's Response to Treatment
  13. Treatment authorization verified
  14. Student' verbal description recorded
  15. Emergency contact attempt times
  16. Parent name and phone number documented
  17. Previous health history referenced
  18. Objective observations noted
  19. vital signs when appropriate
  20. Pain assessment
  21. Collaboration of other team members including name and title
  22. Clinic note with current date
  23. Follow up plan documented
  24. Health care provider orders