Reconstitution & Dosing Card

Coleman & Co.

Peptide & Aesthetic Care

Safety Reference · One Row Per Vial

Client name

Sheet last updated

Syringe type / units

Fill out each time you reconstitute a new vial. Verify concentration and draw volume with your clinician before injecting. Keep with your supplies or print a fresh copy when doses change.

Vial 1

Compound name

Total on label (mg or mcg)

Bac. water added (mL)

Concentration after mix

Prescribed dose per injection

Units to draw on syringe

Date & time mixed

Discard or use-by

Storage

Vial 2

Compound name

Total on label (mg or mcg)

Bac. water added (mL)

Concentration after mix

Prescribed dose per injection

Units to draw on syringe

Date & time mixed

Discard or use-by

Storage

Vial 3

Compound name

Total on label (mg or mcg)

Bac. water added (mL)

Concentration after mix

Prescribed dose per injection

Units to draw on syringe

Date & time mixed

Discard or use-by

Storage

Vial 4

Compound name

Total on label (mg or mcg)

Bac. water added (mL)

Concentration after mix

Prescribed dose per injection

Units to draw on syringe

Date & time mixed

Discard or use-by

Storage

Injection sites, timing & notes