Free Medication Administration Record (MAR) Template
A medication administration record, or MAR, is a monthly chart that shows every dose given, day by day. Each box gets the initials of the person who gave the dose. It is used by family caregivers, home health aides and care homes.
- 31-day grid, landscape
- Initials, codes and signatures
- PDF, Word & Excel
Make your MAR
Add each medicine and its times. Each time becomes a row with a box for every day of the month.
2Choose a layout
About the person (optional)
Printed at the top of the list. Leave a box empty to write it in by hand.
Write your initials in the box for each dose given. Use a code if a dose was not given.
| Medicine | Time | 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 | 27 | 28 | 29 | 30 | 31 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lisinopril10 mg · 1 tabletWhite round | Morning | |||||||||||||||||||||||||||||||
| Metformin500 mg · 1 tabletWhite oval | Morning | |||||||||||||||||||||||||||||||
| Metformin500 mg · 1 tabletWhite oval | Evening | |||||||||||||||||||||||||||||||
| Atorvastatin20 mg · 1 tabletPink oval | Bedtime | |||||||||||||||||||||||||||||||
| Vitamin D1,000 IU · 1 capsuleYellow capsule | Morning |
Codes: R = refused · H = held · S = sleeping · N = not available · O = other (explain in notes)
3Print or download
Your list is saved only in this browser. We never see it unless you add it to a Family Care account.
What goes on a medication administration record
Month and year
One MAR covers one month. Start a new sheet on the first of each month.
Medicine, dose and instructions
Copied from the pharmacy label, including notes like "with food" or "do not crush".
Time rows
One row for each time of day the medicine is given, with space to write the exact hour.
Daily boxes
Write your initials after giving the dose, or a code if it was not given.
Codes
R refused, H held, S sleeping, N not available, O other. Explain codes in the notes.
Initials and signatures
Each person who gives medicines signs once, so every set of initials can be matched to a name.
How to use it
- 1
Add each medicine with its dose, times and instructions.
- 2
Print the MAR in landscape, or download it as PDF, Word or Excel.
- 3
After each dose, write your initials in that day's box. Use a code if a dose was not given.
Questions people ask
Short, plain answers. Still unsure? Ask your pharmacist.
Related templates
Every template uses the same list, so you only type your medicines once.
Sources
Written by the Medication List Template team
Last updated October 28, 2026
How we write and check health contentMedication List Template helps you organize your medicines. It is not medical advice. Always follow your doctor's or pharmacist's instructions.