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This document is used to gather information about a student's nutritional needs and dietary restrictions, particularly for students with disabilities or special nutritional needs, to ensure appropriate
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How to fill out medical statement for students
How to fill out Medical Statement for Students with Special Nutritional Needs for School Meals
01
Obtain the Medical Statement for Students with Special Nutritional Needs form from the school or school district.
02
Fill in the student's name and date of birth at the top of the form.
03
Provide the parent's or guardian's contact information.
04
Specify any medical conditions, allergies, or dietary restrictions the student has.
05
Indicate the specific foods that must be omitted from the student's diet.
06
List any required substitutions or special dietary needs.
07
Have a licensed medical professional (e.g., doctor, registered dietitian) complete and sign the medical statement.
08
Submit the completed form to the school’s nutrition services or designated school official.
Who needs Medical Statement for Students with Special Nutritional Needs for School Meals?
01
Students who have been diagnosed with medical conditions such as allergies, intolerances, or other special dietary needs.
02
Students requiring specific nutritional accommodations to ensure their health and safety while participating in school meal programs.
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What is Medical Statement for Students with Special Nutritional Needs for School Meals?
It is a formal document that verifies a student's special nutritional needs due to medical conditions, allowing for appropriate modifications to school meal options.
Who is required to file Medical Statement for Students with Special Nutritional Needs for School Meals?
Parents or guardians of students with specific dietary restrictions due to medical diagnoses are required to file this statement.
How to fill out Medical Statement for Students with Special Nutritional Needs for School Meals?
The form must be completed by a licensed medical professional and should include details about the student's condition, specific dietary needs, and any required meal modifications.
What is the purpose of Medical Statement for Students with Special Nutritional Needs for School Meals?
The purpose is to ensure that schools provide appropriate meals that meet the special dietary requirements of students with medical conditions.
What information must be reported on Medical Statement for Students with Special Nutritional Needs for School Meals?
The statement must report the student's medical condition, dietary restrictions, specific food allergies, and any required substitutions or modifications to their meals.
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