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
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