A5 Medication Tracker Inserts: Pill Log, Symptom Diary and Refill Planner

A5 medication tracker pages that take the guesswork out of daily doses, symptoms, appointments and refills. The 14 undated inserts are laid out as two-page spreads for A5 or Half Letter ring binders and discbound planners, and print-and-cut A4 and Letter versions come in the same download. It's an instant PDF download.

It's a quiet relief to have the whole health picture in one place when you sit down with your doctor.

How the A5 medication tracker keeps your health records together

Fill in your doctors, your pharmacy, any allergies and the medications you take just once, and those details travel with you to every appointment.

On the monthly spread, up to 8 medications get morning and evening tick boxes for a full 31 days. The month is divided across two pages, so the boxes stay large enough to mark on a small page. Daily and weekly spreads let you record each dose, score symptoms from 1 to 10 and follow mood, energy, sleep and pain, which makes it easier to see patterns and possible triggers. With appointment notes, a refill tracker and a log of medication changes, everything is ready to share with your doctor.

Who these medication inserts help

• Anyone using an A5 six-ring binder, a Half Letter binder or a junior discbound planner who'd like their health records in that same planner
• People on several daily medications who want an easy way to see each dose they've taken
• Those living with a chronic illness who follow symptoms, triggers and pain between visits
• Caregivers keeping on top of a loved one's medications, refills and doctor appointments

Design and binder fit

• Elegant and minimal: white pages with soft blush pink details that use very little ink
• Generous margins on every page, so home printing doesn't cut anything off
• Portrait A5 at 148 x 210 mm and Half Letter at 5.5 x 8.5 in, plus print-and-cut sheets for A4 or US Letter
• Undated, so you can begin in any month and reprint the trackers whenever you need
• Mirrored margins: 14 mm for binding on the left of odd pages and the right of even ones, 8 mm along the outside
• Lines spaced 6.5 mm or more and text at 8.5 pt or larger, comfortable to read and write on
• A dashed line down the middle of each print-and-cut sheet, with small ticks, lets one cut turn it into two pages
• Use in a binder or on a clipboard, or ask a print shop to spiral bind it

Inside the A5 medication tracker: 14 pages

1. 1Cover listing every spread, with your name and start date
2. 2My health info, a section about me (name, date of birth, phone, health ID or insurance number), an emergency contact, a 4-row table of doctors and their phone numbers and my pharmacy
3. 3My medication list, allergies and sensitivities, an 11-row table for each medicine with its strength, timing and purpose, my conditions and health history, and a brief please note
4. 4Monthly medication tracker for days 1 to 16, space for 8 medications with a strength line and morning and evening tick boxes, plus missed doses and the reasons
5. 5Monthly medication tracker for days 17 to 31, the same 8 medications, plus this month's changes and notes for my doctor
6. 6Daily medication log, weekday circles and date, a 1 to 10 score for how the day went overall, how long and how well I slept, 8 water circles and 13 rows to list each dose by time, medicine and strength with a taken box
7. 7Daily symptom log, 10 rows to note the time, the symptom and how severe it felt on a 1 to 10 scale, with a notes column for relief, meals, activity and likely triggers, plus points to raise with my doctor
8. 8Weekly symptom tracker, 14 symptom rows scored 0 to 10 for each day from Monday to Sunday, plus possible triggers
9. 9Weekly table for mood, energy, hours of sleep, stress, pain and whether all meds were taken each day, then what helped and the patterns I noticed
10. 10Appointment notes, the date and time, who I'm seeing, where and why, a checklist of what to bring and 8 numbered questions for my doctor
11. 11Appointment notes, part two, what the doctor said, 4 next steps with checkboxes and the date of the next visit
12. 12Refill tracker, 16 rows for medicine, pharmacy, refills remaining, next due date and ordered, plus pharmacy reminders
13. 13Medication changes log, 16 rows for the date, the medicine, what changed and why or who decided, plus side effects to look out for
14. 14Notes for my doctor, a lined page with a date line

What you download

• A5 PDF of the Medication Tracker A5 & Half Letter Inserts, 14 pages at 148 x 210 mm
• Half Letter PDF of the same inserts, 14 pages at 5.5 x 8.5 in
• A4 print-and-cut PDF, 7 landscape sheets with two A5 pages each
• US Letter print-and-cut PDF, 7 landscape sheets with two half letter pages each
• Read Me First (PDF), a guide to printing, cutting and hole punching, with a page finder

How to download and print

• Check out with PayPal, a debit or credit card, Apple Pay or Google Pay. Your download page opens as soon as the payment goes through.
• We email the same private download links to you, so you can download your files again later.
• Open the PDF in a free reader such as Adobe Acrobat Reader and print at 100% or Actual size.
• Print the A5 or Half Letter file on small paper, or print a print-and-cut file on A4 or US Letter paper and cut each sheet in half.
• Print only the pages you need, as often as you like, for your own personal use.

Good to know, plus a health note

• These are PDFs for printing, not a hyperlinked digital planner. You can still import the file into most note taking apps and write on it.
• It's a digital download, and no physical item is shipped.
• Printed colors may differ slightly from your screen.
• For personal use only. Please don't share, resell or redistribute the files.
• Digital files can't be returned, but if a file won't open or print properly, email us and we'll help right away.
• Ring spacing varies between brands, so no punch marks are printed. Use your own A5 6-hole, junior or disc punch on the wide inner margin.
• This is a personal record for keeping track and sharing with your doctor. It is not medical advice, it doesn't diagnose or treat anything and it doesn't replace your doctor or pharmacist. Always follow the instructions your doctor or pharmacist gives you.

How this was made

Designed and written by PetiteDiary. AI tools helped draft parts of the text, and some background scenes in the preview images were created with AI. Every page was designed, reviewed and checked before release.

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