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504 Dietary Plan

Section 504 of the Rehabilitation Act of 1973 assures handicapped students access to school meal service, even if special meals are needed because of their handicap.

"Handicapped student" means any student who has physical or mental impairment which substantially limits one or more major life acivities, has a record of such an impairment, or is regraded as having such as impairment.

If special meals are needed and requested, certification from a medical doctor must (1) verify that special meals are needed because of the handicap, and (2) prescribe the alternate foods and forms needed.

Completion of the following by a students doctor/dietitian will provide the necessary certification:

Name of student for whom special meals are requested: ___________________________

Meal Plan Prescribed: _______________________________________________________

Form allowed (e.g., fresh, baked, ground, blended, etc.): ___________________________

Meat and Meat Alternates:

Milk and Milk Products:

Bread and Cereal:

Fruits and Vegetables:

Other Dietary Information and Directions:
_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

I certify that the above named student is in need of special school meals prepared from the above indicated foods and forms because of a handicap.

____________________________________________________	_____________
Physician/Dietitian Signature	Date

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Wednesday November 26, 2003 09:44:12
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