Meal substitutions for Medical or Special Dietary Reasons USDA regulations 7 CFR Part 15b require substitutions or modifications in school meals for children whose disabilities restrict their diets. A child with a disability must be provided substitutions in foods when that need is supported by a statement signed by a licensed physician.
The physician’s 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 or foods to be omitted from the child’s diet, and the food or choice of food that must be substituted
If your student has a life-threatening allergy or a disability that requires a substitution or modification, please complete the following form:
Allergies that are not life-threatening are considered special dietary needs, but not disabilities. School nutrition programs are not required to make food substitutions for students with special dietary needs that are not a disability. However, if the licensed physician determines that a child’s food allergy may result in severe, life-threatening (anaphylactic) reactions, the child’s condition would meet the definition of a “disability” and substitutions prescribed by the licensed physician must be made.
*If we do not receive a medical statement from a licensed physician, your child may receive a regular meal. Medical statements completed by parents or guardians will NOT be accepted
*School staff should not make dietary changes without the approved forms. The approved meal modifications are noted on student accounts in our Point of Sale system