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Humble ISD Child Nutrition Shirley Parker, MA, RUN, LD Asst. Director (281)6418467 (phone) Shirley. Parker humble.k12.TX.us PAGE 1 OF 2 CAFETERIA COMPLETE ONLY IF YOUR CHILD NEEDS DIET MODIFICATION
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How to fill out 14-15 diet mod for

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How to fill out 14-15 diet mod form:

01
Begin by carefully reading the instructions provided on the form. Familiarize yourself with the purpose and requirements of the diet modification.
02
Gather all the necessary information and documentation required for the form. This may include medical records, dietary recommendations, and any supporting documentation from healthcare professionals.
03
Start filling out the form by providing your personal details such as your name, address, and contact information. Ensure that all the information is accurate and up to date.
04
Proceed to the section where you will need to provide information about your current diet. This may include details about your daily meals, food allergies or intolerances, and any specific dietary restrictions that you adhere to.
05
If applicable, provide medical information such as any diagnosed conditions or diseases relating to your dietary needs. This could include allergies, diabetes, or any other medical conditions that require a modified diet.
06
Follow the instructions given for documenting any additional information that may be requested on the form. This could include any specific recommendations from healthcare professionals or dietary guidelines that need to be followed.
07
Review the completed form thoroughly to ensure that all sections have been filled out accurately and completely. Verify that all the information provided is correct and matches the supporting documentation.
08
Sign and date the form as required. Make sure to indicate your consent for the information provided and that you understand the implications of the diet modification.
09
Keep a copy of the completed form for your records before submitting it to the appropriate authority or healthcare professional.

Who needs 14-15 diet mod form:

01
Individuals with specific medical conditions or dietary requirements may need to fill out the 14-15 diet mod form. This form allows them to request modifications to their diet that are necessary for their health and well-being.
02
People with allergies or intolerances to certain foods may require a diet modification to avoid potential adverse reactions. The 14-15 diet mod form helps them communicate their dietary needs to ensure that they receive appropriate meals or accommodations.
03
Individuals with medical conditions such as diabetes, high blood pressure, or gastrointestinal disorders may require a modified diet to manage their condition effectively. The 14-15 diet mod form enables them to communicate their dietary requirements to healthcare professionals and relevant authorities.
04
In some cases, athletes or individuals with specific fitness goals may require a modified diet to support their training or performance. The 14-15 diet mod form allows them to request appropriate dietary adjustments to meet their nutritional needs.
05
The 14-15 diet mod form can also be used by healthcare professionals or dietitians to assess and prescribe dietary modifications for their patients. This form ensures that accurate and detailed information is provided, helping professionals make informed decisions regarding the individual's diet and nutrition plan.
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14-15 diet mod is for individuals who need special dietary modifications due to medical conditions or allergies.
Individuals who require special dietary modifications for medical reasons are required to file 14-15 diet mod.
To fill out 14-15 diet mod, individuals must provide information about their medical condition, dietary requirements, and any allergies.
The purpose of 14-15 diet mod is to ensure that individuals with medical conditions or allergies receive the necessary dietary modifications in institutional settings.
Information such as the medical condition, dietary requirements, and allergies must be reported on 14-15 diet mod.
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