Infant Feeding Plan INFANT FEDDING PLAN Child’s full name: Birth Date: Does child take 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: Check all that apply Strained foods Whole milk Baby foods Formula Breast milk Table food Other What type of formula used? Amount of formula/breast milk to be given? Updated amounts of formula /breast milk Amount Date Does the child take a pacifier? Yes ( ) No ( ) If yes, When ? Allergies? (Include any premixed formula) FORMULA / BREAST MILK Time Amount Type Time Amount Type FOOD Time Amount Type Time Amount Type Instructions for the introduction of solid foods Any updated instructions regarding adding new foods or other dietary changes, please list as needed Send Now Admissions team looks forward to learning about you and your family.
