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ALLERGY/INTOLERANCE AND TEXTURE MODIFIED DIET REFERRAL FORM *ONLY TO BE COMPLETED FOR CHILDREN WITH AN ALLERGY OR INTOLERANCE×Important Notes & Guidance Eden Food service strives to provide menus
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Identify the specific nutritional problem that needs to be addressed
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Who needs nutritional problems related to?

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Nutritional problems are related to issues regarding the intake of nutrients and how they affect one's health.
Nutritional problems can be reported by individuals, healthcare professionals, or nutritionists.
Nutritional problems can be filled out by providing information on dietary habits, symptoms, and medical history.
The purpose of reporting nutritional problems is to assess and address any deficiencies or imbalances in one's diet.
Information such as daily food intake, allergies, chronic conditions, and supplements must be reported on nutritional problems.
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