Medical Statements for Students with Special Dietary Needs

For a Disabling or Non-Disabling Medical Condition or Life-Threatening Food Allergy: Click here.

For Milk Substitution: Click here.


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 special dietary condition which 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.

  Medical statements completed by parents or guardians will not be accepted. If you have questions, please visit our F.A.Q. for Special Dietary Needs.