Free blank template — no account needed

Printable Medication List Template

Print this and fill it in at the medicine cabinet, bottle by bottle. Bring it to every appointment and to the pharmacy.

Medication List

Blank — fill in by hand

Patient

Full name

Date of birth

List updated on

Prescription medications

Medication	Dose	When taken	Prescriber	What it's for

Over-the-counter and supplements

Item	Dose	When taken

Allergies and past reactions

Allergy	Severity	Reaction

Pharmacy and prescribers

Preferred pharmacy / phone

Primary physician / phone

Specialist / phone

Notes for the next visit

Filling this in by hand once is fine. Twice is the problem.

Medications change, a hospital stay happens, and the page on the fridge is wrong. MyKinFolder keeps the same information in a private workspace your family shares, so you reprint the page instead of rewriting it.

Create my workspace See a filled-in sample