Medication Record and Repeat List
What you are taking now, in the words printed on the label.
Health and medical records · HM-209 · Tracker
Free printable repeat prescription tracker — item, last ordered, collected, the next order date you set and any charge paid. PDF, Excel and browser versions.
One page. The A4 and US Letter files are laid out identically, so neither is shrunk to fit.
Print it and write on it
Fillable PDF type and save
Spreadsheet formulas included
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
The same sheet, on screen. Totals and figures are worked out as you type, rows can be added or removed, and you can print it or download the completed version as a PDF. Everything stays in your browser — your entries are kept in this browser's own storage on this device, nothing is uploaded, and there is no account.
A tracker for repeat prescriptions and the ordering round they need. Each row follows one item: when it was last ordered, how and where, when it was collected, the date you have decided to order again and what it cost you, if anything.
Anyone on several repeats, people ordering on behalf of a parent or partner, and households where a box running out on a Friday afternoon is a familiar problem.
The printable is laid out inside a box that fits both A4 and US Letter, so the two files are identical and neither one is scaled. The fillable PDF has real form fields. The workbook uses plain formulas only — SUM, IF, COUNTIF and the like — so it opens in Excel, LibreOffice and Google Sheets without anything breaking, and every calculated cell is grey so you can see which figures it worked out.
Download the A4 or US Letter file to match the paper in your printer, open it in a PDF reader and print at 100% — not "fit to page", which shrinks the writing space. Both files leave a 14 mm margin, which clears the unprintable edge on home printers. To print the online version with your entries in it, use the Print this sheet button, which prints only the sheet and none of the page around it. More on printing.
No. The next order date is yours to enter, based on what you have and what you were told. The sheet only counts the days between today and the date you typed in.
Because the same item ordered through an app, a paper slip and a phone call can take very different lengths of time. A few months of rows makes that obvious, and the conversation with the practice easier.
Whatever you actually paid, where you pay anything. Charges differ from country to country and person to person, so the sheet supplies no figure and simply totals what you enter.
The medication record is the list of what you take, with the labels copied out. This tracker is the ordering round over months — what was ordered when, what was collected and what it cost.
What you are taking now, in the words printed on the label.
Every appointment in date order, with who was seen and where.
What was paid, when and to whom, with the receipt ticked off.
Printable sheets, workbooks and tools on the same subject.
Insurance, licences, tests, memberships, passports and everything else that quietly expires — counted down from today and sorted by what lapses first.
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