Special Diet Forms
Special Meals Prescription Form:
This form is used for all medically based diets. This form is to be completed by the Health Care Provider and signed by the parent/guardian. It is used for diets such as food allergies, intolerances, children requiring pediasure/extra calories, etc.
Philosophical/Religious Diet Modification Form:
This form is for all philosophical or religious based diets and only needs to be completed by the parent/guardian. Examples of diets when this form is to be used are vegetarian, vegan, kosher, no pork &/or no beef, etc.