Pediatric Feeding Therapy Assessment & Feedback Form

Streamline Pediatric Feeding Therapy with Paperform

When you're a speech-language pathologist working with children who have feeding difficulties, thorough documentation is essential—but it shouldn't slow you down. This Pediatric Feeding Therapy Assessment & Feedback Form is designed specifically for SLPs, occupational therapists, and feeding specialists who need to capture detailed clinical observations, track progress toward therapeutic goals, and support families through challenging mealtime transitions.

Built for the realities of feeding therapy

Pediatric feeding therapy requires balancing clinical precision with family-centered care. This template helps you document:

• Aspiration risk factors and safe swallowing indicators across textures and liquids
• Oral motor development milestones, from sucking patterns to chewing maturity
• Sensory tolerance profiles, tracking acceptance of new textures, temperatures, and food groups
• Parent and caregiver stress levels around mealtimes, so you can address the whole family system

Whether you're conducting initial evaluations, progress checks, or discharge assessments, this form gives you a structured way to gather consistent data while still allowing space for clinical narrative and individualized observations.

Why Paperform works for pediatric healthcare providers

Unlike clunky PDFs or generic survey tools, Paperform lets you create forms that feel professional and are easy to use on any device—whether you're completing them during a therapy session on a tablet or sending them to parents to fill out at home. Conditional logic ensures families only see questions relevant to their child's age and feeding stage, making the experience less overwhelming.

Once a form is submitted, you can route responses directly into your EMR, case management system, or Google Sheets via Stepper workflows—automating follow-up emails, flagging high-risk cases for review, or generating parent-friendly progress summaries without manual data entry.

Need signatures on consent forms, treatment plans, or home program agreements? Use Papersign to turn any submission into a legally binding eSignature request, keeping everything connected and audit-ready.

Perfect for solo practitioners and clinic teams

This template is ideal for:

• Speech-language pathologists specializing in pediatric dysphagia and feeding disorders
• Occupational therapists working on sensory integration and self-feeding skills
• Feeding therapy clinics managing multiple therapists and care plans
• Early intervention programs tracking developmental feeding milestones
• Hospitals and outpatient rehab centers standardizing pediatric feeding assessments

Paperform is SOC 2 Type II compliant and GDPR-ready, so you can collect sensitive health information with confidence. While Paperform is not HIPAA-compliant, it offers the security and flexibility needed by many allied health practices to streamline intake, assessment, and family communication in one trusted platform.