Infant Feeding Schedule
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1DCD-AN
FORM 2C
Infant Feeding Schedule
A. Name of Child ________________________________ Today’s Date ____________________
B.
_________________
Date of Birth
General Instructions
1. Bottles/Food/ Brought Today:
Formula _______
Milk _______
Juice _______
(Quantity)
Food(s) __________________________________________
2. Instructions for Feeding:
A. Bottle(s)
Formula ____________________________________________________
B.
Milk _______________________________________________________
C.
Juice _______________________________________________________
D. Food(s)
Cereal ______________________________________________________
Baby Food __________________________________________________
Table/Finger Foods ___________________________________________
_______________________________________________
Parent's Signature
Changes in Schedule (Must be recorded as eating habits change)
Introduce:
Date
New Instructions
Parent or
Staff Signature
Juice
Cereal
Baby Foods
Milk
Table Foods
Finger Foods
*Must be completed and posted for all children less than 15 months old
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