Infant Feeding Plan
Child’s Name__________________________________________Birthday_______________
Does the child take a bottle?             Yes  ___    No ___
Is the bottle warmed?                         Yes  ___    No ___
Does the child hold own bottle?       Yes  ___    No ___
Can the child feed self?                       Yes  ___    No ___ 
Does the child eat:       Strained  Foods    ________        Whole Milk    ________                                                                               vvvvvvvvvvvvvvvv         Baby Foods           ________         Table Foods   ________          uuuuuuuuuuuuuuu      Formula                 ________         Other             ________
What type of formula used? ________________________________________________
Amount of formula to be given? _____________________________________________
Updated amounts of formula  _________________________________Date_________
Does the child take a pacifier?          Yes___    No___
When?_____________________________________________________________________
Food likes_____________________________  Food dislikes __________________________
Allergies (which includes any premixed formula)?______________________________________
Child’s Schedule
Breakfast________________          ____________________________________          mmmmm           mApproximate Time                           Types and  approximate amounts of food
Lunch     _________________          ____________________________ mmmmm                    m                            Approximate Time                           Types and  approximate amounts of food
Dinner   _________________           __________________________________ mmmmm           mApproximate Time                            Types and  approximate amounts of food
Morning Nap________________      Afternoon Nap___________________ mmmmm           m            Approximate Time                                                  mmm          mm     mApproximate Time  
Instructions for the introduction of solid foods___________________________________
Any updated instructions regarding adding new foods or other dietary changes please list as needed___________________________________________________________________      
 Signature: _________________________________________Date:_________________