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Carissa Spisak holds a doctorate in speech-language pathology.

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Large-Print Medication List and Log

Large print medication list and daily medication log, printable: a 10-page PDF of blank forms with fill-in fields, for writing down every medication in one place. A current list with name, strength, dose, when to take it, what it is for, who prescribed it, pharmacy and start date; a stopped medications page; vitamins and supplements; a daily log to tick, Monday or Sunday start; and folding wallet cards.

$2.99printable PDF

Buy on Etsy
  • Instant download
  • 10 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

You buy it in our Etsy shop and download the files right after checkout.

  • Cover: the Large-Print Medication List and Log, with the medication list filled in with four example medications in front of the daily log and the wallet cards.
  • The seven form pages in the file: the medication list, the list continued, stopped medications, vitamins and supplements, the daily log from Monday and from Sunday, and the wallet cards.
  • The medication list filled in with example medications (strength, dose, when, what it is for, prescriber, pharmacy, start date), next to the continuation page for lines 8 to 14.
  • The stopped medications page and the vitamins and supplements page, each with 15 numbered lines.
  • Two daily medication logs: one with five example lines and the first days ticked, and the blank Sunday to Saturday version.
  • Close-up of two folding wallet cards filled in with a name, an allergy, an emergency contact with a 555 phone number and four example medications with invented names.
  • Four steps: download, type or write, print at home, tick each dose. A digital file with blank forms; no physical item is shipped.

7 pictures: swipe to see them all, tap one to zoom.

What’s inside

10 pages in each PDF

  1. Start here: what's inside and how to print it1 page
  2. Medication list, lines 1 to 7, with name, date of birth, allergies and the date it was updated at the top1 page
  3. Medication list, continued: lines 8 to 141 page
  4. Stopped medications: name, strength, date stopped and why, 15 lines1 page
  5. Vitamins and supplements, and medicines bought without a prescription, 15 lines1 page
  6. Daily medication log for one week, Monday to Sunday: 12 lines with a box for each day1 page
  7. Daily medication log, Sunday to Saturday1 page
  8. Wallet cards, bank-card size, that fold in half: two copies of a card with name, allergies, an emergency contact and 5 medications, and a card with 10 more lines1 page
  9. Personal-use license and a note about the pages2 pages

$2.99printable PDF

Buy on Etsy
  • Instant download
  • 10 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

Who it is for

Anyone who keeps track of several medications, and the family caregivers who help them.

How it works

  1. Type before you print: the name and allergies fill in on every page they are on, wallet cards included, and long names shrink to fit.
  2. Or print the pages and write by hand.
  3. Copy each medication's details from the pharmacy label.
  4. On the daily log, write a medication once for each time of day it is taken, then tick its box each day.
  5. Print the wallet cards at actual size, then cut, fold and laminate them.

Sizes and format

  • 2 PDF files: US Letter (8.5 x 11 in) and A4
  • Large print on every page except the wallet cards; list rows about 1/2 inch (13 mm) tall
  • The fill-in fields need the free Adobe Acrobat Reader
  • Blank forms, text and lines only: no pictures, no drug information, no doses, no advice
  • Instant download. No physical item is shipped.

The files

  • US LetterPDF, 10 pages, 320 KB
  • A4PDF, 10 pages, 320 KB

Your license

For personal use in one household: print as many copies as you need, and please don't share or resell the file.

A closer look

  • The seven form pages in the file: the medication list, the list continued, stopped medications, vitamins and supplements, the daily log from Monday and from Sunday, and the wallet cards.
  • The medication list filled in with example medications (strength, dose, when, what it is for, prescriber, pharmacy, start date), next to the continuation page for lines 8 to 14.
  • The stopped medications page and the vitamins and supplements page, each with 15 numbered lines.
  • Two daily medication logs: one with five example lines and the first days ticked, and the blank Sunday to Saturday version.
  • Close-up of two folding wallet cards filled in with a name, an allergy, an emergency contact with a 555 phone number and four example medications with invented names.
  • Four steps: download, type or write, print at home, tick each dose. A digital file with blank forms; no physical item is shipped.

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Doctor Carissa is the shop of Carissa Spisak, who holds a doctorate in speech-language pathology.

An educational support tool. Not a substitute for evaluation or treatment by a licensed speech-language pathologist or physician. Read the full disclaimer.

All printables in the shop

Buy on Etsy, $2.99