Feeding Evaluation + Report Bundle
Single-clinician license · Not for mass distribution
This digital resource is licensed to one clinician. You may print it, use it with your own clients and give parent and home program pages to their families. Please don't share, email, upload, post or resell the files, or use them in group trainings. Need it for your team? Ask about a group license.
© 2026 NTX Feeding & Myofunctional Therapy Institute. All rights reserved. License terms · Refund policy
Collect the evidence, then write the report.
This bundle pairs the two resources built to be used together, with matching section numbers from history to plan of care.
- Comprehensive Pediatric Feeding Evaluation Template: 21-page fillable evaluation, birth to 18, with 5 referral decision guides, a three-part goal table and fields for tube feeding, breastfeeding, telehealth and interpreters ($15 on its own).
- Gold Standard Pediatric Feeding Evaluation Report Guide: 74-page section-by-section guide with 3 annotated sample reports, medical necessity, Feeding Flock score wording, WHY + HOW + WHAT goal writing, a coding cheat sheet, plan of care and prior authorization kit, 8 appeal letters, and special situations like tube feeding and telehealth ($47 on its own).
Add measurable goals with the Complete Feeding Documentation Set ($85), which also includes the 303-goal Pediatric Feeding & Myofunctional Goal Bank as a PDF and a filterable spreadsheet.
More from NTX: tethered oral tissues
For tethered oral tissues, NTX also offers specialized evaluations and protocols. Browse every resource on the Therapist Resources page.
Myofunctional (ages 2 and up)
- Pediatric Myofunctional Evaluation Template ($19): fillable tethered oral tissue evaluation for ages 2 and up: speech, feeding and airway.
- Myofunctional Therapy Protocol for Tethered Oral Tissues (3 Editions) ($97): pre-release to discharge, 14 exercises, in 3 kid-friendly editions.
- Myofunctional Evaluation + Protocol Bundle ($105): the myofunctional evaluation template and the 3-edition protocol.
- Complete Myofunctional Set ($135): myofunctional evaluation template, 3-edition protocol and goal bank.
Oral motor (birth to about 2)
- Pediatric Oral Motor Evaluation Template ($19): fillable tethered oral tissue evaluation for birth to about 2: feeding, airway and pre-speech.
- Tiny Tongues Infant Oral Motor Protocol ($97): therapist-provided oral motor protocol for infants and young toddlers, with a parent home routine.
- Oral Motor Evaluation + Protocol Bundle ($105): the oral motor evaluation template and the Tiny Tongues protocol.
- Complete Oral Motor Set ($135): oral motor evaluation template, Tiny Tongues protocol and goal bank.
Both PDFs download instantly after checkout. Single-clinician license.