Guides
Printable parent worksheets
These worksheets are designed to prepare for care, not to diagnose a child or calculate whether a diet is adequate. Print or copy only what is useful. Do not place identifying child information in a public repository.
Appointment preparation
Date prepared: ____________________ Appointment: ____________________
Main concern in one sentence:
What changed, and when?
What the child reliably eats and drinks:
What happens around meals:
Symptoms or safety observations:
☐ pain ☐ nausea ☐ constipation ☐ vomiting ☐ gagging ☐ coughing/choking ☐ fatigue ☐ fear/distress ☐ sleep change
Questions for the care team:
Short observation log
| Date / setting | Offered or expected | What I observed | What helped or worsened it | Question for clinician |
|---|---|---|---|---|
Record observations, not labels. Avoid calorie scoring or forced intake unless a clinician has given individualized instructions. This approach is consistent with feeding/swallowing guidance, ADHD care that gathers information across settings, and clinician-led evaluation of symptoms such as constipation.[1][2][3]
School communication sheet
What the school should know about access, meals, attention, or transitions:
Supports to discuss:
☐ predictable transition ☐ safe food access ☐ hydration plan ☐ quieter setting ☐ extra time ☐ neutral prompt ☐ communication method ☐ nurse/caregiver contact plan
What should prompt contacting the family or clinician?
Consent and privacy reminder: Share only the information needed for the school plan and follow local consent and privacy rules.
Provider-fit checklist
☐ pediatric experience for this age
☐ ARFID or restricted-eating experience
☐ pediatric feeding/swallowing competence where relevant
☐ explains role boundaries and referrals
☐ coordinates with primary care, school, and other clinicians
☐ explains cost, insurance, referral, waitlist, language, telehealth, and location limits
☐ protects safe foods, hydration, dignity, and the child’s ability to pause
Sources
[1] ASHA: Pediatric Feeding and Swallowing — observation, safety, and team-care context.
[2] CDC: Clinical Care of ADHD — information from home, school, and care settings.
[3] NIDDK: Constipation in Children — symptom-tracking and clinician discussion context.