ClinicVisitOutcomeClinicnote withcurrentdateAssessmentfindingsMedicationadministrationdetailsPainassessmentParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedStudent'verbaldescriptionrecordedInterventionprovidedSubjectiveobservationsrecordedObjectiveobservationsnotedChiefcomplaintrecordedTime of studentarrival/departureClinic notesigned withname andcredentialsTreatmentauthorizationverifiedParent nameand phonenumberdocumentedStudent'sResponsetoTreatmentvital signswhenappropriateClear postvisitinstructionsCollaborationof other teammembersincludingname and titleHealthcareproviderordersEmergencycontactattempttimes Follow upplandocumentedPrevioushealthhistoryreferencedClinicVisitOutcomeClinicnote withcurrentdateAssessmentfindingsMedicationadministrationdetailsPainassessmentParentcontactinformationdocumentedIndividualHealth careplanreferencedor requestedStudent'verbaldescriptionrecordedInterventionprovidedSubjectiveobservationsrecordedObjectiveobservationsnotedChiefcomplaintrecordedTime of studentarrival/departureClinic notesigned withname andcredentialsTreatmentauthorizationverifiedParent nameand phonenumberdocumentedStudent'sResponsetoTreatmentvital signswhenappropriateClear postvisitinstructionsCollaborationof other teammembersincludingname and titleHealthcareproviderordersEmergencycontactattempttimes Follow upplandocumentedPrevioushealthhistoryreferenced

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