Setup Schedule
Times:
MY EYE DROPS
Use this schedule to track your daily medications.
Date Printed
Instructions
- Wash your hands before applying drops.
- Wait 5 minutes between different drops.
- Shake bottle before use if instructed by your pharmacist.
Medication
Morning
Noon
Evening
Bedtime
No drops added yet.
Use the form above to add medications.
Next Appointment: __________________________
Doctor's Signature: __________________________