Free printable · PDF

Free printable medication list

One page that holds everything someone currently takes: the prescriptions, and also the vitamins, the supplements, and the over-the-counter things people forget to mention. Fill it in, note the day you checked it, and bring it along to appointments. Print it or save it as a PDF from your browser.

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Current Medications

List everything taken regularly: prescriptions, over-the-counter medicines, vitamins, and supplements. Bring it to every appointment and keep it where you'd grab it on the way to the ER.

Name
Date of birth
Pharmacy & phone
Drug allergies
MedicationDoseWhen / how oftenReasonPrescriber

Keep this with you: wallet, glove box, or by the door. Made with KeptWell · keptwell.org

Published June 21, 2026

What is on the sheet

Eighteen rows, five columns: Medication, Dose, When and how often, Reason, and Prescriber. Across the top there is space for a name, a date of birth, the pharmacy and its phone number, and drug allergies.

Reason and Prescriber earn their columns. A pharmacist reconciling a list needs to know whose office to call when an instruction does not match the label, and a new specialist reads the reason column to see whether a medicine is still doing a job worth doing. Without those two, the page is a column of names and numbers with nothing to check them against.

It prints on one letter page straight from the browser. Choose Print, or pick Save as PDF in the same dialog to keep a copy on your phone as well as one in the bag.

How to make a list of your medications

Hardly anyone can produce a complete list from memory, and you do not have to. Four sources hold most of the answer, and each catches something the others miss.

Start with the patient portal. MyChart and portals like it keep a list of active medications you can read on a phone in a couple of minutes. If you want the underlying record too, here is how to download medical records from MyChart.

Then ask the pharmacy for a printout of everything filled in the last 12 months. This is the step most people skip and the one that earns its keep. A dispensing history catches prescriptions written by an office that never talked to the others.

Next, pull the most recent after-visit summary or discharge paperwork. Whatever changed at that visit is written there in the wording the care team used, which is the wording you want on the page.

Last, go through the bottles at home. Open the cabinet, then the nightstand drawer. Over-the-counter medicines, vitamins, supplements, eye drops, inhalers, and patches belong on the list, and most appear in none of the first three sources.

Then reconcile. Copy the label wording rather than what anyone remembers being told. Where two sources disagree, and on a long list they usually do somewhere, write both versions down and mark the row so it stands out. Nothing on this page changes a dose. It makes the disagreement visible to the pharmacist or the prescribing office, who are the people who can settle it.

Gather the details before you fill it in

Work from the sources, not from memory. The pharmacy labels, the after-visit summary, the discharge instructions, and the patient portal all carry the current wording. For each medicine, copy across the name, the dose, when it is taken, and who prescribed it.

If the label, the portal, and the discharge sheet disagree, do not pick one and move on. Write down the disagreement and ask the prescriber or the pharmacist which instruction to follow. This sheet records what is being taken. It does not decide a dose, and it never tells anyone to stop a medicine.

Write down each of these, even the ones that feel too small to mention:

  • Prescription medicines: the name, the dose, and how often it is taken
  • Over-the-counter medicines taken regularly, such as pain relievers, antacids, allergy pills, and sleep aids
  • Vitamins, supplements, and herbal products, which interact with prescriptions more often than people expect
  • Inhalers, eye drops, patches, and creams, easy to overlook because they are not pills
  • The reason each one is taken, and the prescriber, wherever you know it

Make it obvious which copy is current

Put the date at the top and note who checked the details. A list with no date makes everyone guess, and in a hurry people guess wrong.

When the care team confirms a change, update the sheet and reprint it. Mark the old page as replaced, or get rid of it, so nobody hands a clinician last month’s doses.

Where something is still uncertain, let the uncertainty show. A blank space, or a short note saying it needs confirmation, tells a clinician far more than a number someone guessed at.

A list and a schedule are two different things

A medication list says what someone takes. A schedule arranges confirmed instructions by time of day, so whoever is helping knows what happens at breakfast and what happens at bedtime. They answer different questions, and one does not stand in for the other.

If you need that second view, the medication schedule tool will build it, and it is worth checking what it produces against the instructions the care team actually gave you.

Neither page records that a dose was taken. That needs a separate administration log, filled in at the time of the dose rather than afterwards.

Keep it with the rest of the appointment packet

The list works hardest when it travels with everything else the clinic asks for: the medical history form, your written questions, and any reports they requested. Download the records starter pack (PDF) for a short summary page and appointment notes, with a place to write down where the current medication list lives.

For the wider filing system, and for deciding what to keep and what to let go of, see how to organize medical records. Between visits, give the whole packet one home in a medical records binder you can pick up on the way out the door.

The version that keeps itself up to date

A paper sheet is a good start. The trouble is keeping it current — every new prescription, every changed dose, every appointment. KeptWell does the same job without the re-copying: upload a photo of a document and it reads the page, pulls out the details, and keeps one living record the whole family can see.

Common questions about keeping a medication list

Do vitamins and supplements really belong on the list?
Yes, and they are some of the most useful entries on it. Fish oil, vitamin K, and St. John’s wort all change how prescription medicines behave, and a clinician can only account for what they can see. If it goes into the body regularly, write it down.
What if I cannot confirm a dose?
Write the name and how often it is taken, leave the dose blank, and note that it needs confirmation. Then call the pharmacy listed at the top of the sheet. A pharmacist can usually read the current instructions back to you over the phone.
What do I do when two sources disagree?
Record both, then ask. A pharmacy label, a portal entry, and a discharge sheet fall out of step with each other more often than you would think, and the prescriber or the pharmacist is the one who settles it. Nobody should change a dose based on this sheet.
How often should I update it?
The day anything changes, once the care team has confirmed the change. Reprint it and get rid of the old copy so there is only ever one current page. Reading it top to bottom before each appointment is a good habit too.
Is this the same as a medication schedule?
No. This list says what is being taken. A schedule arranges those confirmed instructions by time of day. And neither one records that a dose was actually given, which takes a separate log kept at the moment of the dose.
Can I use this for a parent I help care for?
That is one of the most common uses. Fill it out together if you can, keep the current copy with their other paperwork, and bring it to their appointments. It is usually the fastest way to bring a new specialist up to speed on everything they take.
Is there a Word or Excel version?
No Word or Excel file. This sheet prints straight from your browser, and the same print dialog will save it as a PDF. If you would rather type it than write it in, the medication schedule tool takes each medicine, dose, and reason and prints back both a typed list and a daily schedule. No account either way.

Or let the list keep itself current

A paper sheet is a fine place to start. It just falls quietly out of date the moment a dose changes and nobody reprints it. KeptWell reads the documents you upload, the after-visit summaries and discharge papers and prescription records, and pulls medications and dose changes into one living list the whole family can see.

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