Health and caregiver logs · Adults

Printable Vital Signs Log

A blank vital signs log to print and fill in by hand, with 20 rows and columns for date, time, temperature, pulse, blood pressure, breathing rate, oxygen (%), notes. 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 · Vital signsFor adults · Caregivers

Vital Signs Log

Write each reading with the date and time. Leave a box empty if it was not taken.

DateTimeTemperaturePulseBlood pressureBreathing rateOxygen (%)Notes

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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