Infant Feeding Instructions - From Time 2 Time
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2INFANT FEEDING INSTRUCTIONS
Child’s name:______________________________________ Date of birth:____________________________
Feeding:
Type of Milk or Formula:_____________________________
Bottle: Yes ___ No ___
Allergies: Yes __No ___
Explain: ________________________________________________________________________________
_______________________________________________________________________________________
Foods Introduced:________________________________________________________________________
See Attached List.
Consistency: Puree _________ Junior _____________ Table _____________________________________
Food Likes:_____________________________________________________________________________
Food Dislikes:___________________________________________________________________________
Method of Feeding:_______________________________________________________________________
Utensils used: Cup: ________ Fork: ________ Spoon:________ Other:_____________________________
Explain:________________________________________________________________________________
Feeding schedule and updates:
Date
Time
Foods
Amount
Time
Foods
Amount
Comments:_______________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Date: ____________________
Parent’s signature:________________________________
Update as new foods are introduced or changes occur
Post in kitchen and activity area
Retain for 3 months
G:FormsCDCINFANT FEEDING INSTRUCTIONS.doc(06/03) CCL form - 252
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Parent category: Life