Get Nsu Feeding Disorders Clinic Intake Packet 2016-2025
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How to fill out the NSU Feeding Disorders Clinic Intake Packet online
Completing the NSU Feeding Disorders Clinic Intake Packet online is an important step in preparing for your child's evaluation. This guide will help you navigate each section of the form, ensuring you provide all necessary information clearly and efficiently.
Follow the steps to fill out the form accurately and effectively.
- Click ‘Get Form’ button to access the NSU Feeding Disorders Clinic Intake Packet and open it for completion.
- Begin by entering the name of the individual completing the form and today's date. This ensures that the information is properly attributed and organized.
- In the 'Primary reason for referral' section, check all boxes that apply to describe your child's condition. Provide any additional details in the space provided to offer context.
- Proceed to 'SECTION I: CHILD AND CAREGIVER INFORMATION' and fill in the required personal information. This includes the child's name, date of birth, gender, and caregiver names.
- Next, indicate your marital status and provide information about the child's legal guardian, along with contact details such as phone numbers, address, and email.
- In 'SECTION II: REFERRAL INFORMATION', specify who referred your child to the program. Include contact details for the referring physician if applicable.
- Move to 'SECTION III: MEDICAL HISTORY' and provide your child's current weight, height, and any relevant medical concerns. Include information on medications, allergies, and past surgeries.
- Continue with 'SECTION IV: BIRTH INFORMATION', detailing the child's birth and any complications, if applicable.
- In 'SECTION V: DEVELOPMENTAL INFORMATION', indicate any developmental or behavioral diagnoses and the child's developmental milestones.
- Complete 'SECTION VI: FEEDING HISTORY' by documenting feeding practices, foods accepted, and challenges faced during mealtime.
- In 'SECTION VII: BEHAVIORS AND FEEDING DIFFICULTY', mark any concerning behaviors and oral motor issues that your child experiences.
- Fill out the 'THREE DAY FOOD DIARY' at the end of the packet by accurately recording all food and liquids consumed over three days, noting preparation methods and amounts.
- After completing all sections, review the entire packet for accuracy. You can then save your changes, download the document, print it for physical submission, or share it as needed.
Ensure your child's evaluation at the NSU Feeding Disorders Clinic is conducted smoothly by completing the intake packet online today.
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The steps of feeding typically include selecting appropriate foods, creating a calm eating environment, and encouraging your child to explore food gradually. It's important to be patient and allow your child to progress at their own pace while offering positive reinforcement. Utilizing strategies from the NSU Feeding Disorders Clinic can enhance this process and support your child's development.
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