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