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Get the free Medical Statement to Request Special Meals and/or Accommodations

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This document is used to request special meals and accommodations for students with disabilities or medical conditions requiring dietary restrictions.
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How to fill out medical statement to request

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How to fill out Medical Statement to Request Special Meals and/or Accommodations

01
Obtain the Medical Statement form from the relevant authority or website.
02
Fill in the child's personal information, including name, age, and grade.
03
Provide detailed information about the child's medical condition or dietary restriction.
04
Specify the type of special meals or accommodations needed.
05
Attach any relevant medical documentation or notes from a healthcare provider.
06
Review the completed form for accuracy and completeness.
07
Submit the form to the appropriate school or institution office.

Who needs Medical Statement to Request Special Meals and/or Accommodations?

01
Students with diagnosed medical conditions that require dietary modifications.
02
Children with food allergies that necessitate special meal accommodations.
03
Individuals who require special meal preparations due to disabilities.
04
Families seeking to ensure their child's dietary needs are met in school settings.
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What are the common special dietary requirements? Gluten free and coeliac. Dairy free and lactose free. Vegetarian. Vegan. Paleo. FODMAP. Tree nut and peanut allergies. Fish and shellfish allergies.
The licensed medical practitioner's statement must identify: • an explanation of how the child's physical or mental impairment restricts the child's diet; • the food(s) to be avoided; and • the food or choice of foods that must be substituted.
A therapeutic diet is a meal plan that controls the intake of certain foods or nutrients. It is part of the treatment of a medical condition and are normally prescribed by a physician and planned by a dietician. A therapeutic diet is usually a modification of a regular diet.
The licensed medical practitioner's statement must identify: • an explanation of how the child's physical or mental impairment restricts the child's diet; • the food(s) to be avoided; and • the food or choice of foods that must be substituted.
These foods are intended for the exclusive or partial feeding of people whose nutritional requirements cannot be met by normal foods. The Directive 1999/21/EC lays down essential requirements on their composition and gives guidance for the minimum and maximum levels of vitamins and minerals.

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A Medical Statement to Request Special Meals and/or Accommodations is an official document that individuals submit to request dietary modifications or special food accommodations based on medical needs.
Individuals with specific medical conditions, disabilities, or dietary restrictions that necessitate special meals or accommodations are required to file this statement.
To fill out the Medical Statement, provide personal information, describe your medical condition, specify the type of dietary accommodations needed, and ensure the statement is signed by a qualified medical professional.
The purpose of the Medical Statement is to formally communicate the need for dietary modifications to institutions such as schools or workplaces, ensuring individuals receive appropriate meals that support their health.
The information that must be reported includes the individual's name, medical condition, specific dietary requirements, and the signature of a licensed healthcare provider confirming the need for accommodations.
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