• the child and caregiver meet with a speech language pathologist who specializes in the area of pediatric feeding and swallowing.
• the child is seen in an office type setting and observed during a trial feeding.
• food is brought from home and supplied by the clinician.
• the child's oral motor skills, developmental feeding skills and swallowing are evaluated.
• speech and language skills are screened.

After the assessment is complete, recommendations are given to the family on the safest and most appropriate diet level for their child.