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Fungal Infection Monitoring Log

Daily Tracking Sheet for Skin Fungal Conditions

Dermatology

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Last updated: Mar 24, 2025

Patient Information

Name: _________________________ Date Started: //___ Diagnosis: ______________________ Provider: _________________

Daily Tracking Sheet

Instructions

  1. Complete this form daily
  2. Rate symptoms on a scale of 0-5 (0 = none, 5 = severe)
  3. Take photos of affected areas weekly if advised by your provider

Symptom Tracker

Date Itching Redness Scaling Medication Used Notes

Treatment Details

Medication Name: _________________ Application Schedule: _____________ Special Instructions: _____________

Warning Signs

Contact your healthcare provider if you experience:

  • Severe pain or swelling
  • Spreading beyond initial area
  • Fever or chills
  • Blistering or oozing

Follow-up Schedule

Next Appointment: //___ Provider Phone: ________________

Weekly Progress Photos

Date: //___ Location: __________ □ Photo taken Date: //___ Location: __________ □ Photo taken

Keep this log for your healthcare provider's review at follow-up appointments.

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