Medical Statement for Children with Special Dietary Needs

According to USDA Regulation 7 CFR Part 15b, recipients who provide food services shall serve special meals, at no extra charge, to persons whose handicap restricts their diet. Recipients may require disabled persons to provide medical certification that special meals are needed because of their handicap.

Each special dietary request must be supported by a statement explaining the requested food substitution and must be signed by a recognized medical authority. The Medical Statement must include:

  • An identification of the medical or other exceptional dietary condition that restricts the child’s diet;

  • The food or foods to be omitted from the child’s diet and

  • The food or choice of foods to be substituted.

Your child will receive a regular lunch tray if we do not receive a medical statement from a recognized medical authority. Medical statements completed by parents or guardians will not be accepted.

Generally, children with food allergies or intolerances do not have a disability as defined under either Section 504 of the Rehabilitation Act or Part B of IDEA, and the school food service may make food substitutions for them but is not required to. However, when in the licensed physician’s assessment, food allergies may result in severe, life-threatening (anaphylactic) reactions, the child’s condition would meet the definition of “disability,” and the substitutions prescribed by the licensed physician must be made.

School food service may make food substitutions, at their discretion, for individual children who do not have a disability but who are medically certified as having a particular medical or dietary need. Such determinations are only made on a case-by-case basis. This provision covers children with food intolerances or allergies who do not have life-threatening reactions (anaphylactic reactions) when exposed to the food(s) they have problems with.

Meal Accommodations and Allergies

Milk substitution Vs Dairy Allergy

There is a difference between the student requiring a milk substitute form and if the student is genuinely allergic to dairy products. If your student needs a milk substitution, please click to view and fill out the Milk Substitution form (accessible PDF) and submit the form to Nutrition Services Secretary at nutrition_secretary@eusd.org and LVN at the school site. The milk substitution form signifies an alert to kitchen staff to serve Lactaid to the student. The milk Substitution form can be signed by a parent or guardian.

Why Lactaid? USDA does not recognize any other milk substitution other than Lactaid. The nondairy beverage(s) must provide the nutrients

  • Calcium- 276 mg

  • Protein- 8 gm

  • Vitamin A- 500 IU

  • Vitamin D- 100 IU

  • Magnesium- 24 mg

  • Phosphorus- 222 mg

  • Potassium- 349 mg

  • Riboflavin- 0.44 mg

  • Vitamin B-12- 1.1 mcg

If the student has a dairy allergy, a Meal Accommodation form (PDF is required. This form must be signed by a Doctor or Physician Assistant to ensure that the necessary meal accommodations are provided.

Additional forms

Meal accommodation form

If your student has a food allergy, please click to view and fill out the Meal Accommodation form (PDF). It's crucial to remember that a licensed physician's signature on the meal accommodation form is a vital part of ensuring your student's safety. At our school, we take your child's dietary needs seriously and are committed to providing a safe environment. Meal accommodations are changes to a menu to meet the special dietary needs of an individual. They can include substitutions or other modifications.

  • A Doctor or Physician Assistant must sign meal accommodation.

  • 4 Allergens that require a Meal accommodation Form:  Lactose intolerance, soy, eggs (if baked eggs are not ok), or gluten-free.

Waiver form

Parents, please be aware that if an allergy alert was placed on your student's file at any time from Tk-8th grade, it will remain on file until a waiver form (PDF) is submitted to the Nutrition Services department. This form is a necessary step to remove the allergy alert from your student's file.

If your student no longer requires a meal accommodation form or a milk substitution form to be on file, we've made submitting a waiver form as easy as possible. Click the waiver form (PDF) to view and submit the form to Nutrition Services Secretary at nutrition_secretary@eusd.org and LVN at school site. This straightforward process ensures that your child's dietary needs are met without any unnecessary delays.

Top Food Allergies

The nine leading causes of food allergies identified in the US are

  • Milk

  • Eggs

  • Fish

  • Shellfish

  • Tree nuts

  • Peanuts

  • Wheat

  • Soybeans

  • Sesame