USDA regulation 7 CFR Part 15b requires substitutions or modifications in school meals for children whose disabilities restrict their diets. This includes students who have 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). This also covers students that have been identified as having a disability that restricts their diet by their licensed physician (MD or DO), Physician Assistant (PA), or Advanced Practice Nurse (APN) with prescriptive authority (RXN) but not through Section 504 or IDEA.
The district will accommodate the special dietary needs of students who have been identified as having a disability as noted above. There is a very wide range of conditions considered disabling so that is to be determined by the licensed physician, PA or APN with RXN. Generally, this would include food anaphylaxis, metabolic diseases, renal conditions, heart conditions, and brain injury among others.
A “Medical Statement for Children with Disabilities” (CDE form SD1) completed by the MD or DO, PA or APN with RXN is required before substitutions can be made. This 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 or foods to be omitted from the child’s diet and the food or foods to be substituted.
The completed form SD1 should be returned to the 504 coordinator, school nurse and/or school foodservice manager. It will be forwarded to the district’s Registered Dietitian (RD) who will put together a menu/food plan for the student, within 10 days of receiving the SD1 form. This will be shared with the foodservice manager at the student’s school with directions for providing the special diet. It will also be on record with the 504 coordinator, school nurse and Area Supervisor of the school.
Food service staff is trained in food safety and in preventing cross contact but cannot make dietary changes without approval from the RD that created the menu/food plan.
If a completed medical statement is not received by the district RD, the student will receive a regular meal. Medical statements completed by parents or guardians will not be accepted. Good communication between all involved parties is vital to meeting the student’s needs.
Though not required by USDA regulation 7 CFR, Part 15b, the district may accommodate special dietary needs that do not rise to the level of a disability, such as non-life threatening allergies that can be managed by avoidance of the allergen. This will be determined on a case by case basis by the district’s RD. A “Medical Statement to Request School Meal Modification” (CDE form SD2) completed by a medical authority (MD, DO, PA, or APN) is required before any substitutions can be made.
No substitutions will be made for fluid milk/lactose intolerance. Students are not required to take milk and may bring milk substitutes from home. Water is available in all cafeterias.
A letter to parents describing the special diet policy will be available on the DPS Food and Nutrition Services website. To discontinue any meal modifications, CDE form SD3 must be completed. All forms will be available on the website.
DOCUMENTS & FORMS
CDE Medical Statement Requirements
2015 – 2016 Carb Count List 1 | 2015 – 2016 Carb Count List 2
Letter To Parents | Letter To Parents (Spanish)
Medical Statement for Dietary Disability | Medical Statement for Dietary Disability (Spanish)
Statement to Request School Meal Modification | Statement to Request School Meal Modification (Spanish)
Discontinuation of School Meal Modification | Discontinuation of School Meal Modification (Spanish)