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Colorado Springs School District 11 Food and Nutrition Services 5260 Geiger Blvd., Colorado Springs, CO 80915 Phone: 7195202923 Fax: 7195202935 http://www.d11.org/Page/2074 Special Dietary Needs 20172018
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How to fill out 2-medical statement for dietary

01
Obtain the 2-medical statement for dietary form from the appropriate healthcare provider.
02
Fill out the patient's personal information such as name, date of birth, and contact information.
03
Provide details about the patient's medical condition and specific dietary requirements.
04
Make sure to include any relevant medical history and current medication information.
05
Have the healthcare provider review and sign the form before submitting it to the necessary parties.

Who needs 2-medical statement for dietary?

01
Individuals who have specific medical conditions that require dietary restrictions or modifications.
02
Patients who are undergoing treatment or therapy that affects their dietary needs.
03
People with chronic illnesses or diseases that impact their nutritional requirements.
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2-medical statement for dietary is a form that provides information about a student's dietary restrictions or medical needs.
Students with dietary restrictions or medical needs are required to file the 2-medical statement for dietary.
To fill out the 2-medical statement for dietary, students need to provide details about their dietary restrictions or medical needs and have it signed by a healthcare provider.
The purpose of 2-medical statement for dietary is to ensure that students with dietary restrictions or medical needs receive appropriate meals and accommodations.
The 2-medical statement for dietary must include information about the student's dietary restrictions, allergies, medical conditions, and any special accommodations needed.
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