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Child Nutrition DepartmentDietary Request Form FS160 (Revised June 2021)Students Legal Name: Student ID:Date of Birth: School Attending:___ Grade:To Be Completed by Authorized Medical Authority Reason
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How to fill out dietary request form

01
Obtain a dietary request form from the appropriate department or organization.
02
Fill in your personal information such as name, contact information, and any relevant ID numbers.
03
Specify your dietary restrictions or preferences in detail, including any allergies or intolerances.
04
Indicate any specific meals or food items you require accommodations for.
05
Check the form for accuracy and completeness before submitting it to the designated party.

Who needs dietary request form?

01
Individuals with dietary restrictions or preferences requiring special accommodations.
02
Patients in healthcare facilities.
03
Students in schools or universities.
04
Employees at workplaces with communal dining options.
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The dietary request form is a document used to inform a facility or event organizer of any specific dietary requirements or restrictions an individual may have.
Anyone with dietary restrictions or requirements is required to file a dietary request form.
To fill out a dietary request form, one must provide their personal details, specify their dietary restrictions or requirements, and any additional information that may be relevant.
The purpose of the dietary request form is to ensure that individuals with specific dietary needs are accommodated appropriately.
The dietary request form must include personal details, dietary restrictions or requirements, and any other relevant information such as allergies.
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