For each laboratory visit
- Date of blood draw
- Laboratory or clinic
- Ordering healthcare professional
- Thyroid medication and prescribed dose at the time of the test
- Test conditions or instructions noted, if any
Free printable PDF
Thyroid Lab Results Tracker
Copy results from your laboratory reports into an organized record without interpreting what they mean.
Preview PDF opens the complete file in a new browser tab.
What it helps organize
Laboratory record
Keep selected laboratory information together
This printable provides space for two laboratory visits. It keeps each copied result beside its units and the reference range shown by the laboratory.
It does not mark values as normal or abnormal, establish target ranges or explain what a result means.
What is included
Two-page lab record
Inside the printable
For each result
- Test name
- Result
- Units
- Laboratory reference range
Notes and questions
The printable also includes space for notes or questions for a healthcare professional.
How to use it
Copy results from your laboratory report
Write each test name, result, unit and reference range exactly as shown on the report. Reference ranges and units may differ between reports and laboratories, so keep them beside the relevant result.
Use the notes area for information you want to remember or questions you want to discuss with an appropriate healthcare professional.
Online tool available
Use the Thyroid Lab Results TrackerPrefer to enter laboratory results in your browser?
Use the matching online tool to add repeatable laboratory visits and test results. The tool stores what you enter without interpreting the values.
Frequently asked questions
Lab tracker questions
Which tests should I record?
Record whichever tests you choose from your own laboratory report. The printable does not prescribe a test list or tell you which tests you need.
Will the printable tell me if a result is normal?
No. It only records the information you write. Discuss interpretation with an appropriate healthcare professional.
Why should I include the units and reference range?
Units and reference ranges can differ between reports and laboratories. Recording them preserves the context shown on your report.
What if I have more than two laboratory visits?
Print another blank copy or use the matching online tool to add more visits.
Printing tips
Before you print
Printing your worksheet
- Select US Letter paper.
- Print at 100% or Actual Size unless your printer requires a different setting.
- Use portrait orientation.
- Check the print preview before printing.
- Print another blank copy whenever you need one.
- Store completed pages somewhere you are comfortable keeping personal health information.
Personal use
Free for your own records
Free for personal, non-commercial use. Please do not resell or redistribute the files.
Privacy note
Keep completed copies where you choose
This printable may contain personal health information after you complete it. Store printed copies where you are comfortable keeping them and share them only with people you choose.
Community
Learn moreWant to learn from other people’s experiences?
Join the Hypothyroidism Advice & Support Group, an active Facebook community with more than 11k members.
Lifestyle
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For personal organization only. This worksheet is not medical advice, a diagnostic tool or a substitute for care from a qualified healthcare professional.