Tracking Your Medications: Worksheet
You may be taking many different medicines as well as numerous vitamins and over-the-counter drugs. It can be confusing to keep track of everything! This form can help. Because your medication regimen may change over time, make a copy of the blank form (PDF, 57K) so you will always have a clean copy to use. Try to bring a completed and updated copy of this form to every doctor appointment.
|Name of Drug||What It's For||Date Started||Doctor||Color/Shape||Dose and Instructions|
Content reviewed: May 19, 2017