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Get the free Medical Statement for Student Requiring Special Meals Due to Disability

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This document serves as a medical statement for students with disabilities that require special meal modifications in schools. It includes sections for student and guardian details, disability identification,
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How to fill out medical statement for student

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How to fill out Medical Statement for Student Requiring Special Meals Due to Disability

01
Obtain the Medical Statement form from your school or district's website.
02
Complete the student's information section, including their name, age, and school.
03
Fill out the section describing the specific disability and how it affects the student's dietary needs.
04
Consult with a licensed healthcare provider to review the medical needs and complete the appropriate section.
05
Ensure the healthcare provider includes their contact information and signs the form.
06
Submit the completed Medical Statement to the school's food service department.

Who needs Medical Statement for Student Requiring Special Meals Due to Disability?

01
Students with diagnosed disabilities that affect their ability to consume standard school meals.
02
Parents or guardians of students who require special meals due to medical or dietary restrictions.
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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.
Young children need protein and iron to grow and develop. Beans, pulses, fish, eggs, foods made from pulses (such as tofu, hummus and soya mince) and meat are excellent sources of protein and iron.
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.
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.
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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The Medical Statement for Student Requiring Special Meals Due to Disability is a formal document that verifies a student's need for special dietary accommodations due to a disability.
Parents or guardians of students who require special meals due to a documented disability must file the Medical Statement.
To fill out the Medical Statement, medical professionals must provide details about the student's condition, specify the dietary restrictions, and possibly recommend alternative meal options.
The purpose of the Medical Statement is to ensure that students with disabilities receive appropriate meals that meet their health needs and comply with dietary restrictions.
The Medical Statement must include the student's diagnosis, specific dietary needs, any pertinent allergies, and a signature from a qualified medical professional.
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