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This document serves as a medical statement to request special meals or accommodations for participants with medical conditions or disabilities, detailing the necessary information for compliance.
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How to fill out medical statement to request
How to fill out Medical Statement to Request Special Meals and/or Accommodations
01
Obtain the Medical Statement form from the appropriate school or district office.
02
Fill out the student's personal information, including name, date of birth, and grade.
03
Provide details regarding the medical condition or disability that necessitates special meals or accommodations.
04
Have a licensed medical professional, such as a doctor or registered dietitian, complete the certification section of the form.
05
Review the completed form for accuracy and ensure all required signatures are included.
06
Submit the Medical Statement to the designated school official or nutrition services department.
Who needs Medical Statement to Request Special Meals and/or Accommodations?
01
Students with documented medical conditions or disabilities that require dietary modifications.
02
Students who have specific food allergies or intolerances that the school meals cannot accommodate.
03
Students who require special meal preparations due to health-related issues.
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People Also Ask about
What do you write in dietary requirements?
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.
What is the medical statement for special dietary needs?
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.
What is the medical term for special diet?
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.
What is a medical statement for special dietary needs?
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.
What is special food for medical purposes?
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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What is Medical Statement to Request Special Meals and/or Accommodations?
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.
Who is required to file Medical Statement to Request Special Meals and/or Accommodations?
Individuals with specific medical conditions, disabilities, or dietary restrictions that necessitate special meals or accommodations are required to file this statement.
How to fill out Medical Statement to Request Special Meals and/or Accommodations?
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.
What is the purpose of Medical Statement to Request Special Meals and/or Accommodations?
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.
What information must be reported on Medical Statement to Request Special Meals and/or Accommodations?
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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