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Free Printable Medication Log

Your child's medicines, copied as the doctor gave them, a box for each time you give one this week, and what you notice.

What you type stays on your phone.

How to use it
  1. At the top, copy each medicine exactly as your child's doctor or the pharmacy label says.
  2. Each day, tick the box when you give it. If more than one person gives medicine, everyone uses the same sheet.
  3. Write anything you notice, and bring the page to the next doctor visit. Always follow your child's doctor.

An example, filled in

Example child Filled in for Auren, an example child. Your copy starts blank.
Medication LogCopy each medicine exactly as your child's doctor gave it. Always follow your child's doctor.CHILDAurenWEEK OFOct 19ALLERGIESPenicillinMedicinesMEDICINEAMOUNTWHENWHAT IT'S FORDOCTORSTARTEDVitamin D1 chewableBreakfastVitaminDr. LopezSep 1This weekTick when givenMorningMiddayEveningBedtimeWHAT I NOTICEDMondayFineTuesdayTook it with juiceWednesdayThursdayFridaySaturdaySundayQUESTIONS FOR THE DOCTORAsk Dr. Lopez if it can go with lunch at school instead.Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.Made with Bloom Autism Support · bloomautismsupport.com/freetools
Why it helps

With school, grandparents and busy mornings, it is easy to wonder "did they get it?" One sheet answers that, and a week of notes helps you tell the doctor what you are seeing at home.

Version

Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.

Made by autism parents with 10 years in special education and ABA.

Keep everything about your child in one place. Bloom Autism Support remembers it all, so you never start from scratch.

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