USDA Child Nutrition Programs support access to healthy meals to all children, including children with disabilities who have special dietary needs. A disability is defined as an impairment that substantially limits a major life activity. This can include allergies and digestive conditions. However, it does not include personal diet preferences. In order for Nutrition Services to properly accommodate your student's special dietary needs in the National School Lunch and Breakfast Program, we must have one of the following forms on file. If you are visiting your physician, please provide them with this form to complete. We cannot accept incomplete doctor's notes, allergy testing forms, diet orders, etc. If a child's IHP plan includes the information required in the medical statement, it is not necessary to submit a separate medical statement. If an IHP contains insufficient allergy information, additional information may be requested to properly accommodate the student. If your student has a life threatening allergy, please contact your school to create an individualized health plan.

 

 

 

Please fill out the Special Dietary Accommodations form signed by the recognized medical authority and turn it into your student's school.