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Child Nutrition - Links and Forms » Medical Statement for Students with Special Nutritional Needs

Medical Statement for Students with Special Nutritional Needs

The Medical Statement for Students with Special Nutritional Needs is a form required each year for students with unique mealtime needs. This form is available in English and Spanish using the links below. Links in PDF format are web accessible and will open in a new window. Links in Word format will download automatically.
 
Special Diet Form: Medical Statement for Students (Revised June 2017)
 
Special Diet Form: Medical Statement for Students (Revised June 2017)
Embedded web accessible PDF