Infant Care/Feeding Instructions Sheet
(Must be updated every 30 days until infant is eating table food)
Child's First and Last Name
Child's Date of Birth
Name of Formula and Type
Bottle warmed for feeding?
Does your child drink juice?
Does your child drink water?
Types of baby foods consumed:
Serving instructions. Please include when and how much to feed
Any known allergies?
If yes, please describe allergy and symptoms
Does your child use a pacifier?
Type option 3
Type option 4
Any special instructions regarding pacifier and use? (Pacifiers will not be left in cribs during naps)
Any other information that our staff may find helpful in taking care of your child?
Parents or Guardians Signature
Should be Empty: