Prescription Medication Checklist Template

Managing medications — whether for chronic conditions, short-term treatment, or multiple prescriptions — can be overwhelming. This Prescription Medication Checklist Template gives you a simple, structured way to track all your prescriptions, doses, schedules, side effects, refills, and important notes in one easy-to-use checklist format.

What This Checklist Is For

The Prescription Medication Checklist is designed to help you:

• Track medication names, dosages, and frequency
• Record daily intake times (morning, afternoon, evening, night)
• Monitor side effects and missed doses
• Note refill reminders and prescription details
• Communicate medication history with caregivers or doctors

Whether you’re managing your own health or caring for a loved one, this printable checklist brings order and peace of mind to medication routines.

What’s Included

This download contains a fully editable checklist template with the following features:

• Patient information section (name, doctor, pharmacy, allergies)
• Medication schedule table with checkboxes
• Daily intake tracking (morning/afternoon/evening/night)
• Refill & prescription management section
• Side effects and missed dose logs
• Helpful reminders and notes section

The layout is clean, easy to read, and designed for printing or use on a digital device.

• File Size 1.60 MB