Special Dietary Needs
SPECIAL DIETARY NEEDS An individual who is unable to consume a particular food because of a medical or other special dietary condition is considered to have a special dietary need. The individual's special dietary need and the needed substitution(s) must be supported by a medical statement from a licensed medical authority or other appropriate health professional as designated by the State. A person with special dietary needs may have a food allergy or intolerance (for example, lactose intolerance) but does not have life-threatening (anaphylactic) reactions when exposed to food(s) to which he/she is allergic.
This form should be completed by a parent and signed by a physician, or other recognized medical authority. Please click here for Special Dietary needs form.
Please complete this form if your child has any special dietary needs (allergies, medically necessary diet, intolerances, etc.) or special feeding needs. Please return the form to the school. If you have any questions, you can contact the school nurse, Kathy Barnes, at firstname.lastname@example.org or 706.777.2200.