A free, printable template
Medication list template for an aging parent
One clear, current medication list is the single most useful thing you can bring to a doctor’s visit, an ER, or a new pharmacy. Print this template and fill it in, keep it on the fridge, and bring it to every appointment. Update it whenever a medication changes.
Parent & pharmacy details
Current medications
| Medication | Dose / strength | When taken | What it’s for | Prescribing doctor | Refill due / pharmacy | Notes (with food? side effects?) |
|---|---|---|---|---|---|---|
Also include over-the-counter medicines, vitamins, supplements, eye drops, inhalers, and creams — they can interact too.
Recent changes
Note what changed and when — “stopped,” “new,” or “dose changed” — so the next doctor sees the history at a glance.
Tips for keeping it accurate
- Keep one master list and make sure the whole family uses the same one.
- Update it the day a medication changes — not later, when the details get fuzzy.
- Snap a photo of each pill bottle label as a backup.
- Bring the list to every appointment and ask, “Does anything here interact?”
- Note the reason for each medication — it helps every new doctor understand the whole picture.
Tired of reprinting this every time something changes?
WithUs keeps this medication list live and shareable, so when a dose changes, everyone in the family sees the current list — and you can pull it up on your phone at the pharmacy or the ER without digging through texts.
Create your family’s Care Circle — freeWithUs is not a medical provider and does not sell your family’s care information. This template is for organization and does not replace medical advice. Always follow your doctor’s and pharmacist’s instructions.