Early County School System

• REQUEST ACCOMMODATIONS FOR ALLERGIES  (and other disabilities) IN THE SCHOOL MEAL PROGRAMS (English)  Return this form to the School Nutrition Office.
• DECLARACIÓN MÉDICA PARA SOLICITAR ADAPTACIONES PARA DISCAPACIDADES EN LOS PROGRAMAS DE ALIMENTOS ESCOLARES (Spanish)  
  Devuelva este formulario a la Oficina de Nutrición Escolar.
• ECSS Student Health Information Form  
  Return this form to the school nurse.

For students with non-disabling special dietary needs which restrict their intake of fluid milk, the following applies.
 

• Parents/guardians or a recognized medical authority (physician, physician assistant, or nurse practitioner) may request a fluid milk substitute for a student with a non-disabling medical dietary need, such as milk intolerance, or due to cultural, religious or ethnic beliefs. The request must be made in writing.
• The written request from a parent/ guardian or medical authority must identify the student’s medical or special dietary need that prevents them from consuming cow’s milk. Specifically referring to milk substitutions, a “special dietary need” can refer to cultural, ethnic, or religious needs, as well as medical needs.
• Juice and water cannot be substituted for fluid milk as part of the reimbursable meal even when requested by a physician. Fruit and/or vegetable juices cannot be offered in place of milk, but only as a fruit or vegetable choice for all students. All juice must be 100% full strength.
• Bottled water will be offered to these students as a beverage but not a substitute for fluid milk in a reimbursable meal.

Early County School System participates in federal Child Nutrition Programs and is  required to make accommodations for children who are unable to eat the school meals because of a disability that restricts their diet. In order to make modifications or substitutions to the school meal, we must have a written Medical Statement on file that is signed by a State licensed healthcare professional.

The statement must identify:

•  Include a description of the child’s physical or mental impairment
•  An explanation of how this restricts the child’s diet
•  The food(s) to be omitted from the child’s diet
•  The food or choice of foods that must be provided as the substitute

Early County School System may, at our discretion, make substitutions for students who have a special dietary need, but do not meet the definition of disability. Examples include food intolerances or allergies that do not cause life-threatening reactions. The decision to accommodate a student’s special dietary need can be determined on a case-by-case basis, however, we will remain consistent with accommodating special dietary needs. In order to make modifications or substitutions to the school meal, we must have a written Medical Statement signed by a recognized medical authority identifying the following:
 

•  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
•  The food or choice of foods to be substituted
   

In Georgia, a recognized medical authority includes a physician, physician assistant, and nurse practitioner.

• Notify the school of any food allergy, disability or special dietary need.
•  Provide Medical Statement completed by a physician (disability), a recognized medical authority (non- disabling special dietary need), or the parent (non-disabling special dietary needs for milk only).
•  Participate in any meetings or discussions regarding the student’s meal plan. Maintain a healthy line of communication with the school.
•  Notify the school of any changes relating to the special dietary need (a new Medical Statement is required if the diet changes).

• Provide food substitutions for students according to Medical Statement. The school food service staff may not revise or change a diet prescription or medical order.
• Provide training to cafeteria personnel on how to properly accommodate students with special dietary needs. Maintain documentation of this training.
• Communicate with parents, staff, and medical authorities regarding diet modifications.
• Maintain Medical Statement on each student with a special dietary need. Diet orders are not required to be renewed on a yearly basis, however, the Georgia Department of Education recommends that you confirm, on a yearly basis, the diet order has not changed. If there are any changes to the diet, a new Medical Statement is required.

• Collaborate with School Nutrition Program Director, school staff, parents, and physician to appropriately share pertinent information, obtain a copy of Medical Statement, and accommodate students with special dietary needs.
•  Develop medical plan of care as appropriate (Individualized Healthcare Plan).

Based upon Federal laws that prohibit discrimination and ensure equal access to education, some students may have instructions for accommodating their special need written into a 504 Plan or an Individualized Education Plan (IEP). Typically, a team consisting of the school professionals and the parents collaborate to develop these plans. If the 504 Plan or IEP involves special dietary needs, the school nutrition program director should be involved.