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Free Medication Tracker Worksheet

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Keep track of your medications on paper. This free printable has a monthly log with a row for each medicine. You check off each day and write the date and time you last took it.

What’s included (2 pages, US Letter, landscape):

  • Monthly log with days 1–31, space for 14 medications, and a “Last taken” column
  • Fields for your name, doctor and pharmacy phone, and allergies
  • Boxes for refills due and for side effects or questions to ask your doctor
  • A medication list with dose, how often, what it’s for, who prescribed it, and the refill date
  • An as-needed log, so you know when you last took a medicine you don’t take on a schedule

Print as many copies as you like. It’s a tracking aid, not medical advice, so always follow your doctor’s and pharmacist’s directions.

From Moore Practical Living. Want this kept for you with your full health record? Try the Medical Planner.

You will get a PDF (115KB) file