Print out this chart. Fill in the names of your medicines, when to take them, and how much to take. If you take your medicine with a meal, write down the name of the meal. Draw hands on the clocks to show when to take your medicines.

	Name of medicine: __________________ Time: ________ Meal: _______________ How much: ________________________
	Name of medicine: __________________ Time: ________ Meal: _______________ How much: ________________________
	Name of medicine: __________________ Time: ________ Meal: _______________ How much: ________________________
	Name of medicine: __________________ Time: ________ Meal: _______________ How much: ________________________