Printable gout log

One page to bring to your next appointment: your uric acid results, how your daily medication has gone, your flares, and the questions you want answered. Free, with no sign-up and nothing to install.

Or print this page: only the sheet below is printed. Want it kept for you instead? The Gout Journal app records the same things on your iPhone and turns them into a report you can share.

My gout record

From to

Uric acid results

DateResult and unitLab or home test

Daily medication

Tick each day you took it.

Medication and strength

Month12345678910111213141516171819202122232425262728293031

Medication and strength

Month12345678910111213141516171819202122232425262728293031

Flares

Date it startedJointDays it lastedWhat you took for it

Questions for my appointment

  1. What was my last uric acid result, and when was it taken?
  2. What number are we aiming for?
  3. If I am not at that number yet, what is the plan?