Health and caregiver logs · Adults

Printable Medication List

A blank medication list to print and fill in by hand, with 14 rows and columns for medicine, what it is for, amount, when to take, prescribed by, started. Every box is left empty for you or your care team to fill in. Bring it to appointments so everyone sees the same record.

Not medical advice. Follow your care team.

1 page · prints on US Letter or A4Customize this sheet

Health · MedicinesFor adults · Caregivers

Medication List

Keep one list of every medicine, vitamin and supplement. Update it after every change.

NameDate updatedAllergiesPharmacy phone

MedicineWhat it is forAmountWhen to takePrescribed byStarted

Not medical advice. Follow your care team.More free worksheets: handeware.com/learn

How to use it

1. Print a few copies and keep them with a pen where the readings or medicines are.
2. Fill in one line each time, with the date and time.
3. Bring the log to every appointment.
4. Need bigger boxes? Open it in the builder and choose Extra large print.

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