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MEDICAL STATEMENT Parent/Guardian: You have requested a meal accommodation for your child that cannot be achieved within the federal meal pattern requirements for school meals (SP 592016). Therefore,
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Fill in your personal information such as name, contact details, and date of birth.
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Individuals who have a medical condition that requires a special diet prescribed by their healthcare provider.
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ns-special-diet-medical-request-nslppdf is a form for requesting special diet or medical accommodations in the NSLP program.
Parents or guardians of students who require special diet or medical accommodations in the NSLP program are required to file ns-special-diet-medical-request-nslppdf.
To fill out ns-special-diet-medical-request-nslppdf, parents or guardians must provide information about the student's dietary or medical needs and submit the form to the school or relevant authorities.
The purpose of ns-special-diet-medical-request-nslppdf is to ensure that students with special dietary or medical needs receive appropriate accommodations in the NSLP program.
Information such as the student's medical condition, dietary restrictions, required accommodations, and any supporting documentation must be reported on ns-special-diet-medical-request-nslppdf.
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