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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

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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What is a medical statement for special dietary needs?
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.
What are the special dietary needs for children?
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.
What is a medical statement for children with special dietary needs?
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.
What is the medical term for special diet?
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.
What is special food for medical purposes?
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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What is Medical Statement for Student Requiring Special Meals Due to Disability?
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.
Who is required to file Medical Statement for Student Requiring Special Meals Due to Disability?
Parents or guardians of students who require special meals due to a documented disability must file the Medical Statement.
How to fill out Medical Statement for Student Requiring Special Meals Due to Disability?
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.
What is the purpose of Medical Statement for Student Requiring Special Meals Due to Disability?
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.
What information must be reported on Medical Statement for Student Requiring Special Meals Due to Disability?
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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