Pediatric Feeding and Swallowing Service


Optimum, health and safety for children and youth with nutrition, feeding and/or swallowing concerns.


The Pediatric Feeding and Swallowing Service is an interdisciplinary team working in collaboration with families and community partners to:

  • support best practice in assessment and treatment of children and youth with feeding, swallowing and nutrition concerns
  • provide education for families and partners
  • contribute to current knowledge in order to support optimum, safe nutritional health for clients

Population Served:

Birth to 19 years of age

Services are provided for children and youth with:
•  significant feeding/mealtime and oral motor challenges
• chronic upper respiratory problems
• poor weight gain and/or failure to thrive
• needs related to their transition from tube to oral feeding


Children using this service may be registered with the Early Intervention Program or School Age Program at QACCH. Families/ direct team may be looking for support with:
• oral motor development for successful feeding/mealtime experiences
• sensory preferences that affect eating
• transitioning from tube to oral feeding
• mealtime and feeding difficulties associated with medical conditions such as GERD

Infants, children and youth referred to this service, generally do not require consultation with the Pediatrician/Medical Advisor or a Videofluoroscopy Swallow Study (VFSS).
Team may consist of:
• Registered Dietitian
• Registered Speech-Language Pathologist
• Registered Nurse
• Occupational Therapist
Services provided include:
• Assessment of feeding/mealtime and swallowing difficulties
• Support with transitioning from tube to oral feeding
• Consultation or mentoring with families, caregivers and community professionals 
• Educational resources for families and community professionals

If you are coming for a swallow study with Queen Alexandra Centre, please watch this video for an overview of what to expect. You’ll get to see the machines we use, some of the people you will meet, and the places you will visit.

Regions Served:

Vancouver Island and the Gulf Islands

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Contact Information

Referrals are accepted from health care professionals, families, physicians, community agencies and / or therapists.

To Refer a Child to the Pediatric Feeding and Swallowing Service (PFSS)

PFSS Referral form

or contact CYFH-RS Intake:

Queen Alexandra Centre for
Children’s Health
Child and Family Rehab Services
2400 Arbutus Road
Victoria, BC V8N 1V7

Phone: (250)519-6763 or (250)519-6967
Fax: (250) 519-6918