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Nutrition Services Division

To: School Nutrition Program Sponsors

Number: 03-107

Attention: Food Service Director

Date: April 2003

Subject: Accommodating Children with Special Needs in Schools

Reference: FNS Instruction 783-2, Meal Substitutions for Medical or Other Special Dietary Reasons

Supersedes: Accommodating Children with Special Dietary Needs in the School Nutrition Programs

This Management Bulletin provides the United States Department of Agriculture’s (USDA) 2001 revised manual, Accommodating Children with Special Dietary Needs in the School Nutrition Programs (Attachment 1). The 2001 manual includes minor clarifications and information, and supersedes the May 1995 version.

The Nutrition Services Division (NSD) previously disseminated a sample form, Medical Statement to Request Special Meals and/or Accommodations, for sponsors to use in documenting a child’s special dietary needs. NSD revised the form and it is included with this Management Bulletin (Attachment 2). Sponsors must have a completed medical statement on file when a child’s disability, or other accommodation, prevents serving the child a reimbursable meal. NSD also strongly encourages sponsors to use the medical statement when modifications to the texture of food are necessary.

Attachments
  1. The manual and corresponding PowerPoint presentation is located on USDA’s Web site at:
    www.fns.usda.gov/cnd/guidance/ (Outside Source)
  2. The medical statement form is available for download from NSD’s Web site at:
    www.cde.ca.gov/ls/nu/cr/
Questions:   Nutrition Services Division | 800-952-5609
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This institution is an equal opportunity provider.
Esta institución es un proveedor igual de la opportunidad.