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School Year: DIET PRESCRIPTION FORM *Indicates required field/must be completed. *Student s Name: DOB: *School: GRADE: *Parent/Guardian Name: *Phone: Email: I give Health Services/Nursing/Nutrition
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How to fill out school year diet prescription

How to fill out a school year diet prescription:
01
Consult with a healthcare professional or nutritionist to determine if a diet prescription is necessary for the school year.
02
Obtain a copy of the school's dietary guidelines or restrictions, if applicable.
03
Assess the individual's dietary needs and identify any specific goals or concerns.
04
Consider any allergies, intolerances, or medical conditions that may impact the diet prescription.
05
Create a meal plan that incorporates a balance of nutrients, including carbohydrates, proteins, and fats.
06
Determine the appropriate portion sizes and servings for each meal and snack.
07
Plan for a variety of food groups to ensure a well-rounded diet.
08
Consider any cultural or personal preferences when designing the meal plan.
09
Include options for breakfast, lunch, dinner, and snacks throughout the school day.
10
Consider the accessibility and availability of the recommended foods within the school environment.
11
Collaborate with the school administration and staff to ensure compliance and support in implementing the diet prescription.
Who needs a school year diet prescription?
01
Students with medical conditions or dietary restrictions that need to follow a specific diet for their health and wellbeing.
02
Students who require special dietary considerations due to allergies, intolerances, or sensitivities.
03
Athletes or students involved in physically demanding activities that may require specific nutritional needs.
04
Students with chronic illnesses or conditions that may benefit from a specific diet, such as diabetes or obesity.
05
Students with certain cultural or religious dietary practices that need to be accommodated in the school environment.
06
Students who are struggling with weight management or have specific weight gain or weight loss goals.
07
Students with behavioral or mental health conditions that may require dietary interventions.
08
Students with nutritional deficiencies or specific nutrient requirements.
Note: It is important to consult with a healthcare professional or nutritionist to determine if a school year diet prescription is necessary and to create an appropriate plan based on individual needs and circumstances.
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What is school year diet prescription?
School year diet prescription is a document that outlines the dietary restrictions or requirements for a student during the school year.
Who is required to file school year diet prescription?
Parents or guardians of students who have dietary restrictions or requirements are required to file school year diet prescription.
How to fill out school year diet prescription?
School year diet prescription can be filled out by providing the student's information, dietary needs, and any other relevant details on the prescribed form.
What is the purpose of school year diet prescription?
The purpose of school year diet prescription is to ensure that students with dietary restrictions or requirements receive appropriate meals and accommodations during the school year.
What information must be reported on school year diet prescription?
The school year diet prescription must include the student's name, dietary restrictions, required accommodations, and any relevant medical information.
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