Fillable Medical Statement Form - Civil Rights (CA Dept of Education). Medical Statement to request special meals andor accommodations for the Child Nutrition Programs. - usd385

Medical Statement to Request School Meal Modification Important! Select the applicable meal modification category from the three listed below. Then carefully read and follow the procedures for that category. The school will return incomplete Medical Statements to the parent/guardian. If you have questions about this form, the school contact named in Part A below will assist you. 1. Modification due to a...
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