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School Nutrition and Fitness Food Allergy/Disability Substitution Request 2018-2025 free printable template

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Magnolia ISD Child Nutrition Programs Food Allergy/Disability Substitution Request 20182019 This form may be (1) used by a licensed medical authority to provide a medical statement for a students
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School Nutrition and Fitness Food Allergy/Disability Substitution Request Form Versions

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How to fill out School Nutrition and Fitness Food Allergy/Disability Substitution

01
Obtain the School Nutrition and Fitness Food Allergy/Disability Substitution form from your school’s nutrition program.
02
Fill out your child's name, grade, and school information at the top of the form.
03
Provide detailed information about your child's specific food allergies or disabilities.
04
Include the medical documentation from a licensed healthcare provider that specifies the food allergy or disability.
05
List the foods that need to be substituted along with appropriate alternatives.
06
Sign and date the form to verify the information provided.
07
Submit the completed form to the school nutrition office for processing.

Who needs School Nutrition and Fitness Food Allergy/Disability Substitution?

01
Students with documented food allergies.
02
Students with disabilities that affect their dietary needs.
03
Parents or guardians of children enrolled in School Nutrition programs requiring special dietary substitutions.
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7 different types of allergies to be aware of Drug/medication allergy. Some medications cause an adverse reaction, such as an allergic reaction, as a side effect. Food allergy. Latex allergy. Pollen allergy. Pet allergy. Insect and pest allergy. Mold allergy.
Major Food Allergens Congress passed the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA). This law identified eight foods as major food allergens: milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, and soybeans.
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ICD-10 code Z91. 01 for Food allergy status is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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School Nutrition and Fitness Food Allergy/Disability Substitution refers to the process and guidelines that schools follow to accommodate students with food allergies or disabilities by providing safe and suitable meal options that meet their dietary needs.
Schools and food service programs that participate in federal nutrition programs, and have students with identified food allergies or disabilities, are required to file School Nutrition and Fitness Food Allergy/Disability Substitution.
To fill out the School Nutrition and Fitness Food Allergy/Disability Substitution form, one must provide specific details such as the student’s name, the specific food allergy or disability, the recommended substitutions for meals, and any additional notes from a medical professional if necessary.
The purpose of School Nutrition and Fitness Food Allergy/Disability Substitution is to ensure the health and safety of students by providing them with appropriate food options that do not trigger allergic reactions or worsen their disabilities.
The information that must be reported includes the student's name, the specific food allergy or disability, the recommended meal substitutions, the signature of a licensed healthcare provider, and any special dietary instructions.
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