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