Free download, by Gluten Hero

A whole year of celiac costs on one page your preparer can read

A fillable, one-page PDF that gathers your gluten-free premium, medical visits, testing, prescriptions, supplements, and mileage into a single summary. Type your totals, tick the documentation boxes, print or save, and hand it to your CPA or tax professional. No spreadsheet skills required.

What this is

The handoff sheet, so nothing gets lost between you and your preparer.

Celiac expenses arrive in pieces across a whole year. A premium on the grocery run, a follow up with the gastroenterologist, an antibody panel, a bottle of prescribed supplements, the miles driven to the only store that stocks safe bread. By the time taxes come around, the pieces are scattered across receipts, card statements, and memory.

This one-page summary is where you bring them back together. It has a line for every category that commonly applies to celiac disease, a place to total them, a short documentation checklist, and a notes box for anything your preparer should know. You fill it in once a year, and it becomes the single sheet you hand across the desk.

It is a real fillable PDF. The amount fields, the document on file boxes, the checklist, and the notes area all accept typing in any standard PDF reader. Prefer pen and paper? Print it blank and write it in.

Free download

Annual Celiac Medical Expense Summary

One page, fillable on screen or by hand. Subtitled "For Your CPA or Tax Professional" so the purpose is clear the moment it lands on their desk.

PDF
Annual_Celiac_Medical_Expense_Summary.pdf
Fillable, single page, US Letter
How it works

Four sections, top to bottom, then you are done.

The page is built to be filled in order. Start at your name, end at the notes box.

1
Your details
Name, tax year, filing status, and optionally your approximate AGI and who prepared the summary.
2
Enter the totals
Fill the amount for each category that applies, mark whether you have the documentation on file, then total it.
3
Check the boxes
Tick the documentation checklist so you and your preparer both know what backup exists.
4
Hand it off
Add any notes, print or save, and bring it to your CPA or tax professional with your receipts.
What it captures

Every line a celiac household tends to forget.

Section 2 of the form lists each category with an amount field, a document on file box, and a notes column.

  • Gluten-free food premium, grocery
  • Gluten-free food premium, dining out
  • Medical appointments, celiac related
  • Diagnostic testing and lab work
  • Prescription medications
  • Supplements with a Letter of Medical Necessity
  • Medical equipment and supplies
  • Medical mileage, miles times the IRS rate
  • Other, described in the notes
Make it easy on your preparer

A few habits that make this sheet do its job.

Keep the backup with it

The "Doc on File" column is a promise to yourself. If you mark Y, make sure the receipt or statement is actually filed somewhere you can find it if asked.

Track mileage as you go

Medical mileage is miles driven for celiac care times the IRS medical rate for the year. A running log beats a guess. Multiply at the end and drop the total on the mileage line.

Note the diagnosis date

The notes box is the place to record the date of diagnosis, the year you began tracking, and any unusual expense. Context here saves a phone call later.

Only the premium counts for food

For gluten-free groceries and dining, the figure is the incremental cost over the conventional equivalent, not the full price of the food. Enter the difference, not the whole bill.

Where this comes from

Built around primary IRS guidance.

The categories follow the framework the IRS sets out for medical expenses and for the incremental cost of a medically necessary gluten-free diet.

Friendly reminder. This summary is a general educational worksheet, not personalized medical, tax, or legal advice. It organizes what you spent; it does not decide what is claimable. The total medical expense deduction is subject to rules and thresholds that depend on your income, your filing status, and the year you file, and the gluten-free premium applies only to household members formally diagnosed with celiac disease. Expenses reimbursed through an HSA or FSA cannot also count toward the same medical total. Always review the finished summary, and your underlying receipts, with your CPA or tax professional before filing.

The rest of the system

Skip the year-end scramble. Let Gluten Hero fill the summary for you.

Log expenses through the year from your phone, and Gluten Hero produces the same category totals and documentation, ready for your CPA or tax professional, without a single cell of typing.

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