SFSP link:

Special Dietary Needs Statement

Suggested Dietary Needs Statement:

The district makes accommodations for children who are unable to eat the school meals because of a disability that restricts their diet. In order to make modifications or substitutions to the school meal, the district must have a written Medical Statement on file that is signed by a State recognized medical authority (licensed physician, physician assistant, certified registered nurse practitioner, or dentist).

The statement must identify:

  • The child's disability
  • An explanation of why the disability restricts the child's diet
  • The major life activity affected by the disability
  • The food(s) to be omitted from the child's diet
  • The food or choice of foods that must be provided as the substitute