Special Dietary Modification Request Procedure:

Parent/Guardian must return the completed and signed form back to the school nurse. Incomplete and unsigned forms will not be accepted. It is a requirement to obtain all necessary information for the school to make any meal accommodations. Section A must be completed by a medical authority to qualify as a medical condition (ex: food allergies).  Dietary forms do not have to be renewed each year unless there is a change or request to discontinue dietary request. The dietitian will evaluate the request for appropriate meal accommodations.

Note: If necessary, Parents/Guardians are encouraged to temporarily provide the student with meals from home while the special dietary modification request is being processed for food accommodation and equipment needs.

Special Dietary Modification Request Procedure: Parent/Guardian must return the completed and signed form back to the school