Get Feeding Day Treatment Program Parent Interview Form - Urmc Rochester

Completing the Feeding Day Treatment Program Parent Interview Form is an important step in understanding your child's feeding needs. This guide will provide clear instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin with the demographics section. Fill in your child's name, date of birth, and your contact details. This information helps establish an accurate profile for your child.
3. Next, address the feeding/eating concerns and family goals for your child’s feeding. Be specific about any issues you observe and what you hope to achieve.
4. In the medical history section, check the relevant issues that apply to your child, such as reflux, feeding tube dependence, or any infections. Provide additional detail where prompted to give a comprehensive overview.
5. Continue with the feeding history. Answer questions regarding your child's feeding methods (bottle or breastfed), introduction of food types, and any previous assistance received for feeding problems.
6. Complete the current feeding practices section by indicating where your child eats, meal duration, and appetite levels. Note down your child's typical food and drink intake, including any tube feeding details if applicable.
7. Discuss food preferences and behaviors. Provide insights about your child's eating habits, responses to non-preferred foods, and any strategies you have tried to encourage eating.
8. In the oral motor and self-feeding skills section, outline any difficulties your child has with chewing or swallowing, along with their self-feeding abilities.
9. Fill in the current therapies section to detail any therapeutic support your child is receiving related to feeding.
10. Review the food preference checklist. Indicate allergies and restrictions, and circle all foods your child eats, specifying preferences where applicable.
11. Lastly, complete the brief assessment of mealtime behaviors by rating your child's behaviors and indicating any concerns.
12. After filling out all sections, review the form for accuracy, then proceed to save changes, download, print, or share the completed form as necessary.

Take the next step in supporting your child's feeding needs by completing the Feeding Day Treatment Program Parent Interview Form online.