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