Infant Feeding Schedule printable pdf download

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Child’s Name __________________________________________

Infant Feeding Schedule

Date of Birth _____________________________________

Formula Instructions/Preferences

I feed my child:

____ I wish my provider to prepare formula for my child.

______ Human Milk

They need to mix ________ (amount of water) with _________ (amount of formula).

______ Formula

______ Other

_______ I will provide bottled water to mix. OR

_______ The provider can use tap water.

____ I do not wish my provider to mix formula. I will provide a daily supply of formula.

IME OF

YPE OF FOOD AND AMOUNT

DDITIONAL

OMMENTS

Please include any special feeding instructions for during or after feeding. (i.e. positioning, burping, discarding/sending

home, etc.) ________________________________________________________________________________

_________________________________________________________________________________________

REMEMBER:

NYS OCFS regulations prohibit the use of a microwave oven when heating an infant’s bottle or food. All bottles and jar food will be warmed in a bottle

warmer or must be sent in a thermos.

Unused portions of food, which the child has been spoon-fed, must be discarded after each feeding or returned to the parent at the end of the day.

Any milk, formula, or human milk that is served, but not completely consumed will be discarded after one hour.

A provider may not reheat or reuse the same bottle or jar of food the child has already been fed from.

All bottles and food sent from home must be labeled with first and last name.

Milk, formula, and human milk cannot be stored in the classroom refrigerator for more than 48 hours.

Cereal and other solid foods will not be added to bottles, unless written instructions and a medical reason for this practice is provided by the

pediatrician.

Providers will not offer solid foods or juices to infants younger than 6 months old unless that practice is recommended in writing by the pediatrician.

___________________________________________________

_________________________

(Parent Signature)

(Date)

It is the responsibility of the parent to update the infant feeding instructions and schedule as needed when

feeding routines change and new foods are introduced.