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Guidelines for Students with Special Diets

If your child has been identified as having a disability and has special dietary needs, changes can be made to  your child’s school breakfast and/or lunch at no extra change with the proper documentation from a  physician.

Is your child eligible?

Your child is eligible if he or she has been identified as having a disability under Section 504 of the  Rehabilitation Act of 1973, or under Part B of the Individuals with Disabilities Education Act (IDEA) and has special dietary needs. USDA regulations (7 CFR Part 15b) require substitutions or modifications in school meals for children whose disabilities restrict their diets.

Some examples of special dietary needs that are considered disabilities:
• Celiac disease
• Diabetes
• Food allergies that result in severe, life threatening (anaphylactic) reaction
• PKU

Section 504 of the Rehabilitation Act of 1973
Under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990, a “person  with a disability” means any person who has a physical or mental impairment which substantially limits one or more  major life activities, has a record of such impairment, or is regarded as having such impairment. A major life activity is  defined as caring for one’s self, eating, doing manual tasks, walking, seeing, hearing, speaking, breathing, learning and  working. The term “physical or mental impairment” includes many diseases and conditions.

Part B of the Individuals with Disabilities Education Act (IDEA)
The term child with a “disability” under Part B of the Individuals with Disabilities Education Act (IDEA) means a child  evaluated in accordance with IDEA as having one or more of the recognized disability categories and who, by reason  thereof, needs special education and related services.

For more information on Section 504 of the Rehabilitation Act of 1973, please visit the U.S. Department of Education  Office for Civil Rights website at www.ed.gov and for more information on Part B of the Individuals with Disabilities  Education Act, please visit the U.S. Department of Education IDEA website at http://idea.ed.gov/.

What types of meal modifications can be made?

Possible modifications include but are not limited to:

  • Food restrictions (milk and milk products, gluten, eggs, etc.)
  • Increased calories
  • Texture changes (pureed, ground, chopped, thickened liquids, etc.)
  • Tube feeding
  • Weight management (calorie-controlled)

What documentation is needed?

SFE Special Diet Form will need to be completed for special dietary requests. This form can be requested from your school food service director, or by emailing HNSupport@sfellc.org.
OR
Submit a physician’s statement signed by a licensed physician (MD or OD).

The SFE Special Diet Form or 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(s) to be omitted from the child’s diet and the food or choice of foods that must be substituted;

What the school food service department will provide

The school foodservice department will accommodate all substitutions or modifications as identified by a licensed physician in the SFE Special Diet Form or a physician’s statement. The following are examples of what the school will provide:

  • Dietary supplements (tube feeding formulas & other nutritional formulas).
  • Substitution foods (gluten free, low protein, etc.).
  • Food service staff will be trained on optimum handling of special diet modifications.
  • Communication between food service department, school nurse, registered dietitian, physician and parent or guardian regarding your child’s school meals.

What if my child has special dietary needs, but not a disability?

Schools are not required to make modifications to meals for students with special dietary needs that are not considered a disability. This includes modifications based on food choices of a family or child regarding a healthful diet. This provision covers those children who have food intolerances or allergies but do not have life threatening reactions (anaphylactic reactions) when exposed to the food(s) to which they are allergic.

Children without disabilities, but with special dietary needs requiring food substitutions or modifications, may request that the school food service meet their special nutrition needs. However, it is up to the individual school and/or school district as to whether requests are accommodated.

Have more questions on special dietary needs?

Contact SFE’s Health & Nutrition Department to speak with a Registered Dietitian:
Email: HNSupport@sfellc.org | Phone: (480) 551-6550


Special Diet Form

[PDF PRINT VERSION]

 New  Change/Modify  Temporary – End Date:

STUDENT INFORMATION
First Name:
Last Name:
Today’s Date:
Student ID Number:
Age:
Male / Female
Date of Birth:
School:
Grade:
Teacher:
Parent/Guardian Name:
Phone/Email:

MEDICAL INFORMATION
Per the United States Department of Agriculture, a person with a disability is any such person who has an impairment that substantially limits one or more life activities. By definition this includes but is not limited to diabetes, PKU, celiac disease, food anaphylaxis, learning disabilities, and etc.

THIS SECTION MUST BE COMPLETED BY A LICENSED PHYSICIAN ONLY.

Patient Diagnosis/Medical Condition: ___________________________________________________________________
Is patient diagnosis considered a disability? YES NO (DR. INITIAL ONLY)
If yes, please describe major life activities affected in relation to dietary modification: ____________________________
___________________________________________________________________________________________________
Texture Modification: Ground / Chopped / Pureed  / Other (please be specific): ___________________________
Tube Feeding: Formula Name: _____________________ Instructions: ____________________ Oral? _____YES _____NO
Nutrient Modification: Increase Calories __________ Decrease Calories __________ Nutrient Restriction ____________
Omit Foods: ________________________________________ Substitute with: ____________________________________
Does patient have a life threatening food allergy? YES NO (DR. INITIAL ONLY)
Food Allergies (circle all that apply):
 Fluid Milk  All Dairy Products  Soy  Eggs  All Products With Eggs
 Wheat  Gluten  Corn  All Corn Additives  Seafood
 Peanuts  All Nuts  All Foods Produced in Facility With Nut Products
Can patient consume allergen as an ingredient in food product? YES NO (DR. INITIAL ONLY)

Administration of Medication at School For Treatment of Allergic Reactions
Allergic Symptoms:
Medication:
Dosage & Route:
Self Carry (DR. INITIAL ONLY):

Physician Name:
Phone:
Physician Signature:
Date:

Any change of treatment must be requested in writing on this form. Once form is submitted, please allow up to five days for processing. Send completed form to food service department.

By signing below, I understand that it is my responsibility to renew this form anytime my child’s medical or health needs change.

Parent Signature: Date:

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