Fill it in here, then print (or “Save as PDF”) — or print it blank and write by hand. Keep one copy in a wallet, one on the fridge, and a photo on your phone. Update it the day anything changes.

Medication List

Bring this to every doctor and emergency-room visit.

Allergies & past bad reactions
Medical conditions
Preferred pharmacy & phone
Emergency contact (name / relationship / phone)

Prescription medications

Medication (brand / generic) Strength Dose & schedule What it's for Prescriber

Over-the-counter, vitamins & supplements

Product Dose & schedule What it's for
Free medication-list template from GriswoldLabs. Tired of re-typing it after every change? RxLog keeps your list current and lets a caregiver see doses from a one-time QR scan — no account for your parent. griswoldlabs.com/rxlog
This template is general information for organizing medications, not medical advice. Questions about doses, interactions, or changes belong with the doctor and pharmacist.