Medicine Schedule Template
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1MEDICINE SCHEDULE
Keep medicine and vitamins up and away and out of sight.
When measuring liquid medicine, use the dosing device that comes
with the medicine.
If you are depending on someone else to give your child medicine,
write clear instructions about what to give, how much to give and
when to give it.
Check the “Medicine Given” box after the child has taken the
medicine as scheduled.
Child’s
Medicine
Medicine
Date
Time
Amount
Name
(Active Ingredient)
Given?
Children’s Tylenol
Jack
Mon. 3/15
7:00
AM
5 mL
(Acetaminophen)
Use this tool to make sure children get the right dose
of the right medicine at the right time.
PUT THE POISON CONTROL CENTER NUMBER
Supporting Partner
1-800-222-1222
INTO YOUR PHONE:
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