Basic Checklist — $28
A personalized daily medication checklist created from your intake form.
Includes:
Easy‑to‑read daily schedule
Medication names, doses, and times
Special instructions (plain‑language wording)
Senior‑friendly layout
Premium Checklist + Personal Health Summary — $49
Everything in Basic plus:
Personal Health Summary
Allergies and health conditions
Primary care provider and specialists
Pharmacy information
Emergency-contact information
Additional health and medication notes
Printed Copy — $5
If you want a physical copy mailed to you, I can print and ship it for just $5.
Corrections & Updates
Free for 30 days: If you typed something wrong on the intake form, I fix it at no charge.
Medication‑change updates:
First update: Free
Additional updates: $10 each
How to Order
Click Start Intake Form below or on the home page. Completeyour medication information first, then pay at the end.