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This form is to be filled out by the parent or guardian to provide information about a child's food allergies and dietary restrictions for safety during programming.
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How to fill out food allergydietary restrictions

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How to fill out FOOD ALLERGY/DIETARY RESTRICTIONS

01
Identify all food allergies and dietary restrictions relevant to the individual.
02
Gather necessary documentation, such as medical reports or personal statements, that list these allergies or restrictions.
03
Fill out the FOOD ALLERGY/DIETARY RESTRICTIONS form thoughtfully, ensuring that each allergy or restriction is clearly documented.
04
Include specific details for each food item, such as severity of allergy, cross-contamination concerns, and alternative food options.
05
Review the completed form for accuracy and completeness before submission.
06
Keep a copy of the form for personal records.

Who needs FOOD ALLERGY/DIETARY RESTRICTIONS?

01
Individuals with diagnosed food allergies or intolerances.
02
People following specific dietary plans, such as vegetarian, vegan, gluten-free, or ketogenic diets.
03
Parents or guardians filling out forms for their children with dietary needs.
04
Patients in medical settings who require special dietary accommodations.
05
Anyone participating in group meals, events, or settings where food will be provided.
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The most common individual food allergies include those to peanuts, tree nuts (walnuts, pecans etc), fish, shellfish, eggs, milk, soy, corn and wheat. If you are given information a guest has a food allergies to a product make sure you consider all the ingredients used in the meal being served.
Do not eat any foods from the food allergen groups for 6 weeks. Eggs, milk, wheat, seafood (fish and shellfish), soy, peanuts, tree nuts, or any foods or drinks that have traces of these foods. Add 1 food from an allergen group back into your diet at a time. Your dietitian can guide you.
While many different foods can cause allergic reactions, the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA) identified eight foods as major food allergens: milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, and soybeans.
Suggestions for starting an allergen-free diet Stay away from processed foods, especially ones with long and confusing ingredient labels. Avoid foods that are high risk for allergen cross contamination, like items from the deli/prepared food counter, bakery, salad bar or bulk bins.

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Food allergy refers to an adverse immune response to certain foods, while dietary restrictions are rules or guidelines that limit specific food intake for health, ethical, or personal reasons.
Individuals, such as students or patients, who have known food allergies or dietary restrictions are required to provide this information to relevant authorities, such as schools, employers, or healthcare providers.
To fill out food allergy or dietary restrictions forms, individuals should provide accurate details about their allergies or dietary needs, including specific allergens and the severity of their reactions, as well as any dietary practices they follow.
The purpose of documenting food allergies and dietary restrictions is to ensure safety and prevent accidental exposure to allergens, as well as to accommodate individual dietary needs in settings such as schools and workplaces.
The information that must be reported typically includes the specific food allergens, the nature of the dietary restriction (e.g., vegetarian, vegan), severity of allergic reactions, and any other relevant dietary preferences.
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