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Medical Statement for Food Substitutions & Modifications School Year 202021 This form is to be used when requesting food substitutions or modifications. USDA Regulation 7 CFR Part 15b requires substitutions
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How to fill out medical statement for food
How to fill out medical statement for food
01
Obtain the medical statement form from the appropriate authority or institution
02
Fill out your personal information such as name, date of birth, and contact details
03
Provide information about your medical condition or dietary restrictions
04
Include any specific requirements or accommodations needed for food consumption
05
Sign and date the form to confirm its accuracy and validity
Who needs medical statement for food?
01
Individuals with specific medical conditions such as allergies, intolerances, or dietary restrictions
02
People who require special accommodations for food consumption in certain settings such as schools, workplaces, or events
03
Travelers who may need to communicate their dietary needs to airlines, hotels, or restaurants
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What is medical statement for food?
Medical statement for food is a document that outlines dietary restrictions or requirements due to medical conditions or allergies.
Who is required to file medical statement for food?
Individuals with medical conditions or allergies that require special dietary accommodations are required to file a medical statement for food.
How to fill out medical statement for food?
To fill out a medical statement for food, individuals must provide their medical information, dietary restrictions, and any necessary accommodations needed.
What is the purpose of medical statement for food?
The purpose of a medical statement for food is to ensure that individuals with medical conditions or allergies receive proper dietary accommodations to avoid adverse health reactions.
What information must be reported on medical statement for food?
Medical information, dietary restrictions, and necessary accommodations must be reported on a medical statement for food.
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