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