Special Meal Medical Forms

If your student is planning on eating school meals, and you would like to request meal accommodations because of medical restrictions, please print and submit our special diet request form. You can email this form to This email address is being protected from spambots. You need JavaScript enabled to view it. or take it to the cafeteria manager. The form must be completely filled out and signed by a medical professional. It may take up to 2 weeks to accommodate your request.  

Medical Statement Special Meal (PDF)

Medical Statement Special Meal SPANISH (PDF)

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