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