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Return to School Nurse and Fax to Dietitian at 2816441815
KATY ISD PHYSICIAN DIET MODIFICATIONSECTION A To be completed by Parent/Legal Guardian
Students Name (Last, First)
School
Parent/Guardian
Parent/Guardian
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How to fill out 22-23 diet modification form
How to fill out 22-23 diet modification form
01
Consult with a registered dietitian or healthcare provider for guidance on filling out the 22-23 diet modification form.
02
Provide accurate information about the student's dietary needs and restrictions.
03
Specify the type of modifications needed for the student's diet, such as allergies, intolerances, or medical conditions.
04
Include any recommendations or instructions from the healthcare provider regarding the student's diet.
Who needs 22-23 diet modification form?
01
Students who require special dietary accommodations due to medical conditions, allergies, intolerances, or other dietary restrictions.
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What is 22-23 diet modification form?
The 22-23 diet modification form is a form used to request modifications to a student's school meal plan based on dietary restrictions or medical needs.
Who is required to file 22-23 diet modification form?
Parents or guardians of students who require special dietary accommodations are required to file the 22-23 diet modification form.
How to fill out 22-23 diet modification form?
To fill out the 22-23 diet modification form, parents or guardians must provide information about the student's dietary needs, medical condition, and any necessary supporting documentation.
What is the purpose of 22-23 diet modification form?
The purpose of the 22-23 diet modification form is to ensure that students with dietary restrictions or medical needs receive appropriate meal accommodations at school.
What information must be reported on 22-23 diet modification form?
The 22-23 diet modification form must include the student's name, dietary restrictions, medical condition, and any specific meal modifications required.
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