Fillable Printable Infant Feeding Schedule Chart

Infant Feeding Schedule Chart

DCD-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