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North Carolina Department of Health and Human Services Division of Child and Family WellBeing, Community Nutrition Services Section Child and Adult Care Food ProgramInfant Feeding Consent FormInstitution/Facility

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How to fill out infant feeding consent form

01

Obtain the infant feeding consent form from the relevant healthcare provider or facility.

02

Fill in the name of the infant and their parent or guardian.

03

Provide information about the feeding schedule and preferences of the infant.

04

Sign and date the form to indicate consent for the specified feeding instructions.

05

Return the completed form to the healthcare provider or facility for processing.

Who needs infant feeding consent form?

01

Parents or guardians of infants who are receiving care from a healthcare provider may need to fill out an infant feeding consent form.

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What is infant feeding consent form?

The infant feeding consent form is a document that parents or guardians complete to provide consent for specific feeding practices and methods for their child, ensuring that they are informed and have agreed to the feeding plan.

Who is required to file infant feeding consent form?

Parents or guardians of infants who are receiving specific feeding practices, such as the introduction of solid foods or formula feeding, are required to file the infant feeding consent form.

How to fill out infant feeding consent form?

To fill out the infant feeding consent form, parents or guardians need to provide their child's details, specify the feeding preferences, sign the form, and date it to confirm consent.

What is the purpose of infant feeding consent form?

The purpose of the infant feeding consent form is to ensure that parents or guardians acknowledge and agree to the feeding practices proposed by healthcare providers, thus promoting informed decision-making regarding their child's nutrition.

What information must be reported on infant feeding consent form?

The infant feeding consent form must include the child’s name, age, feeding preferences, any allergies or medical conditions, and the signatures of the parent or guardian to indicate consent.

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