Lighthouse by Dragonfly™ is now available on the App Store

All free caregiver tools

Free caregiver printable

Medication & Allergy List

Keep prescriptions, as-needed medicines, supplements, allergies, and recent changes together for appointments and pharmacy visits.

2 pages · US Letter · Print in color or grayscale · Fill in by hand

Preview of the Lighthouse Medication and Allergy List

Keep a current medication list ready to find

A medicine list is most useful when it reflects what the person is actually taking now. This printable gives family caregivers one place for prescription medicines, as-needed instructions, supplements, allergies, reactions, prescribers, and recently stopped medicines.

Bring an updated copy to appointments and pharmacy visits. When a medicine changes, confirm the exact name, dose, schedule, and instructions with the prescriber or pharmacist before updating the list.

How to keep the list useful

  1. Copy information from current labels and instructions rather than relying on memory.
  2. Record the reaction caused by each allergy when that information is known.
  3. Review the list after appointments, hospital visits, pharmacy calls, and medicine changes.

This worksheet organizes information; it does not tell you what to take or when. Follow current instructions from qualified health professionals and contact them with medication questions.