Free to print

Weekly injection tracker

A weekly injection is easy to lose track of: was it this Monday or last? Write one line a week, with the site, and a year fits on two pages.

How to use it

Write the medicine and its strength at the top, from the pen or the box.
Each week, write the date, the dose from your prescription, and where it went: left or right, and the area, such as abdomen, thigh or upper arm.
Use Notes for anything worth telling your doctor or nurse, such as a reaction at the site.

Which sites to use and how far apart is for your doctor, nurse or the medicine's leaflet. For a body chart with each area, print the injection site log.

Weeks 1 to 26

Medicine: ______________ · Name: ______________
Week	Date	Dose	Site	Notes
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Weeks 27 to 52

Medicine: ______________ · Name: ______________
Week	Date	Dose	Site	Notes
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52

This page helps you keep track; it isn't medical advice. Ask your doctor or pharmacist about your own medicines. Reviewed 5 November 2026.