Tip: print several copies. On a phone, use Share → Print, or Print → Save as PDF.

Weekly dialysis log

Fill in by hand. Write only the numbers you measure and the limit your care team gave you.

Name:

Week of:

Daily fluid limit from your care team:

Day / date	Session?	Weight before	Weight after	BP before	BP after	Fluid removed (UF)	Drinks today (tally or total)	Notes
Mon	Y / N
Tue	Y / N
Wed	Y / N
Thu	Y / N
Fri	Y / N
Sat	Y / N
Sun	Y / N

Dialysis Log – Free app, no account, works offline:
pocketappstudio.github.io/dialysis
Not medical advice. This sheet only records the numbers you write. Always follow your care team.