Please click on the age-appropriate Food Record form and print out three copies.
These forms will assist in determining your child’s current nutritional intake. Since eating patterns typically change during the weekend, PEDS Inc. recommends three consecutive days of food record keeping to include a weekend day, (i.e., Thursday, Friday, Saturday or Sunday, Monday, Tuesday). Please fill out the forms according to the directions.
Return these completed food record sheets by mail or FAX them to our office at 636-227-7330 prior to your appointment.