Filling Out Medical Forms - 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.

1. negative
2. name
3. surgical history
4. policy number
5. address
6. socioeconomics
7. parent or guardian
8. health insurance card
9. mailing address
10. Race
11. allergies
12. address
13. symptoms
14. age
15. patient
16. phone number
17. consent for treatment
18. insurance company
19. relationship
20. family medical history
21. male / female
22. immunizations
23. income information
24. social history
25. patient registration form
26. SS#
27. personal medical history
28. proof of residency
29. medications
30. expiration date
31. positive
32. tobacco use
33. date of birth
34. proof of identity
35. emergency contact information
36. health screening tests
37. spouse