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