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Food Modification Medical Forms Available Here!

Posted On: Friday, July 27, 2018

School menu modifications are made for students with food allergies / intolerance.  The Doctor Evaluation for Dietary Needs form may be downloaded below or accessed on the Food Services page {Departments > Food Services}.   Please have your doctor complete this form when substitutions or alterations to the menu are required to meet your child’s health condition. The completed form must be returned to Food Services.  USDA regulations require that the Food Services office have the form fully completed and signed by a licensed physician in order to comply with any special diet requests or needs. Notes on a prescription stating that a child cannot have a certain food or requires other alterations in their diet can no longer be accepted. Parents/guardians are encouraged to update this form each year due to changes in dietary needs. Cafeteria managers must follow the most recent form on file from the doctor.

Doctor Evaluation for Dietary Needs

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