Special Dietary Need Forms

Special Dietary Need Forms

Special Dietary Forms

Special Diet Forms 
Form SD1 – Dietary Preference FormClick Here
Form SD2 – Medical Dietary FormClick Here
Form SD3 – Discontinuation of School Meal ModificationClick Here

Rehabilitation Act of 1973 and the Americans with Disabilities Act
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 an
impairment, or is regarded as having such an impairment.
The term “physical or mental impairment” includes many diseases and
conditions, a few of which may be:
• orthopedic, visual, speech, and hearing impairments;
• cerebral palsy;
• epilepsy;
• muscular dystrophy;
• multiple sclerosis;
• cancer;
• heart disease;
• metabolic diseases, such as diabetes or phenylketonuria (PKU);
• food anaphylaxis (severe food allergy);
• mental retardation;
• emotional illness;
• drug addiction and alcoholism;
• specific learning disabilities;
• HIV disease; and
• tuberculosis.
Please refer to the Acts noted above for a more detailed explanation.
Major life activities covered by this definition include caring for one’s self,
eating, performing manual tasks, walking, seeing, hearing, speaking,
breathing, learning, and working.
Individuals with Disabilities Education Act
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 thirteen disability
categories and who, by reason thereof, needs special education and related
IDEA recognizes thirteen disability categories which establish a child’s
need for special education and related services. These disabilities include:
• autism;
• deaf-blindness;
• deafness or other hearing impairments;
• mental retardation;
• orthopedic impairments;
• other health impairments due to chronic or acute health problems, such
as asthma, diabetes, nephritis, sickle cell anemia, a heart condition,
epilepsy, rheumatic fever, hemophilia, leukemia, lead poisoning,
• emotional disturbance;
• specific learning disabilities;
• speech or language impairment;
• traumatic brain injury; and
• visual impairment; including blindness which adversely affects a
child’s educational performance, and
• multiple disabilities.
Attention deficit disorder or attention deficit hyperactivity disorder may
fall under one of the thirteen categories. Classification depends upon the
particular characteristics associated with the disorder and how the
condition manifests itself in the student, which will determine the
The Individualized Education Program or IEP means a written statement
for a child with a disability that is developed, reviewed, and revised in
accordance with the IDEA and its implementing regulations. The IEP is
the cornerstone of the student’s educational program that contains the
program of special education and related services to be provided to a child
with a disability covered under the IDEA.

NOTE: Some states supplement the IEP with a written statement
specifically designed to address a student’s nutritional needs. Other states
employ a “Health Care Plan” to address the nutritional needs of their
students. For ease of reference, the term “IEP” is used to reflect the IEP
as well as any written statement designating the required nutrition
When nutrition services are required under a child’s IEP, school officials
need to make sure that school food service staff are involved early on in
decisions regarding special meals.

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