"Infant Feeding Plan Form" - Georgia (United States)

Infant Feeding Plan Form is a legal document that was released by the Georgia Department of Early Care and Learning - a government authority operating within Georgia (United States).

Form Details:

  • The latest edition currently provided by the Georgia Department of Early Care and Learning;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Early Care and Learning.

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Download "Infant Feeding Plan Form" - Georgia (United States)

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INFANT FEEDING PLAN
Child’s full name
Date
Date of birth
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
[
]
Table foods [
]
Formula
[
]
Other
[
]
Breast Milk
[
]
What type of formula used?
Amount of formula/breast milk to be given?
Updated amounts of formula/breast milk:
Date:
Amount:
Date:
Amount:
Date:
Amount:
Date:
Amount:
Date:
Does the child take a pacifier? Yes [
]
No [
] If yes, when?
Food likes
Dislikes
Allergies? (Include any premixed formula)
FORMULA/ BREAST MILK
FOOD
TIME
AMOUNT
TYPE
TIME
AMOUNT
TYPE
100
80
Instructions for the introduction of solid foods
60
East
40
West
20
North
Any updated instructions regarding adding new foods or other dietary changes, please list as needed.
0
1st
2nd
3rd
4th
Qtr
Qtr
Qtr
Qtr
PARENTS’ SIGNATURE:
Date:
INFANT FEEDING PLAN
Child’s full name
Date
Date of birth
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
[
]
Table foods [
]
Formula
[
]
Other
[
]
Breast Milk
[
]
What type of formula used?
Amount of formula/breast milk to be given?
Updated amounts of formula/breast milk:
Date:
Amount:
Date:
Amount:
Date:
Amount:
Date:
Amount:
Date:
Does the child take a pacifier? Yes [
]
No [
] If yes, when?
Food likes
Dislikes
Allergies? (Include any premixed formula)
FORMULA/ BREAST MILK
FOOD
TIME
AMOUNT
TYPE
TIME
AMOUNT
TYPE
100
80
Instructions for the introduction of solid foods
60
East
40
West
20
North
Any updated instructions regarding adding new foods or other dietary changes, please list as needed.
0
1st
2nd
3rd
4th
Qtr
Qtr
Qtr
Qtr
PARENTS’ SIGNATURE:
Date: