Infant Plan

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Infant Plan

INFANT PLAN

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: (check all that apply)

Strained Foods Baby Foods Formula Whole Milk Table Food Other

UPDATED AMOUNTS OF FORMULA/BREAST MILK TO BE GIVEN

Date	Time	Amount	Type

Does the child take a pacifier?

Yes No

INTRODUCTION OF SOLID FOODS

The introduction of age-appropriate solid foods should preferably occur at six months of age, but no sooner than four months.

Has the parent discussed with the child’s primary caregiver that the child has met appropriate developmental skills for the introduction of solid foods?

Yes No

The child has reached the following developmental skills:

Can hold his/her head steady

Yes No

Opens mouth/leans forward in anticipation of food offered

Yes No

Closes lips around a spoon

Yes No

Transfers food from front of the tongue to the back and swallows

Yes No

UPDATED AMOUNTS/TYPE OF FOOD TO BE GIVEN

Time	Amount	Type

Infant Plan

INFANT PLAN

UPDATED AMOUNTS OF FORMULA/BREAST MILK TO BE GIVEN

INTRODUCTION OF SOLID FOODS

The child has reached the following developmental skills:

UPDATED AMOUNTS/TYPE OF FOOD TO BE GIVEN

Parent Signature

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