Dietary Accommodations

To ensure your child receives the recommended diet:

Step 1: Provide Documentation of the Request

• The parent / legal guardian must complete applicable sections of the Physician's Request for Special Dietary Accommodations form found below. 

Step 2: Ensure all required fields are completed.

• Complete section A (Student’s name, date of birth and school attended, parent / guardian signature)
• Complete section B (check the box indicating the meal accommodation request is due to religious or cultural practices and provide explanation of the circumstances). 
• Complete section C (Foods to be omitted) 
• A physician's signature can be included, but is not required. 

Step 3: Submit the form to your school nurse for processing.

• Please allow several days for Nutrition Services to review and process your request. Any necessary menu accommodations will be communicated via email or letter to the parent/guardian.

Note: It is recommended to send a meal from home until accommodations are in place.

The Physician’s Request for Special Dietary Accommodations form MUST be submitted annually to the school nurse for meal accommodation requests due to religious or cultural practices.