Free to print. Yours to keep.
Free printable GLP-1 injection log
A simple paper record for Ozempic, Wegovy, Mounjaro or Zepbound injections. Bring it to appointments to help explain your routine and questions.
Choose Print or Save as PDF in your browser. Use portrait A4 or US Letter, default margins and turn off browser headers and footers. No email or account needed.
Fill it in on paper. This page has no fields for entering your health information. On a small screen, scroll the sheet sideways to preview every column.
JellyPal · Personal record
My injection log
Record one injection per row after taking it as prescribed. Include the dose and unit exactly as shown on your prescription. Leave anything you do not want to record blank.
| Entry | Date / time | Medication | Prescribed dose / unit | Injection site | Notes / questions |
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For record keeping only. Follow your prescription and device instructions. This sheet does not recommend a dose, injection site or timing. Ask your prescriber or pharmacist about missed doses or changes; do not use this log to decide treatment.
Keep completed sheets private. Free blank copies: jellypal.app/glp-1-injection-log
Make the record useful to you
Write down questions as they come up, then take the sheet to your next appointment. Do not wait for an appointment if you need urgent medical help.
Explore the injection site rotation guide or return to free resources. You can share this page to give someone a blank copy; keep your completed log private.
Pair it with the appointment checklist, or see our sharing and linking guide for resource lists.
Keep your routine in JellyPal
Use the app for dose tracking and reminders, and keep records for conversations with your care team.
