U.S. Department of Agriculture (USDA) nondiscrimination regulation (7 CFR 15 b), as well as regulations governing the National School Lunch and Breakfast Programs, make it clear that substitutions to the regular meal must be made for children who are unable to eat school meals because of their disabilities, when that need is certified by a licensed physician.  Copies of this form are also available at each school campus.

To remove a special dietary request from your student's account, a note signed by the physician stating that the student no longer has the food allergy or intolerance must be submitted to the FISD Child Nutrition Department.  We may not change or revise a prescription or medical order.

Completing the Special Dietary Needs form does not automatically guarantee that an allergen-free meal will be available daily without request.  It is the responsibility of the parent or guardian to review the menus and allergen chart, and assist their child in selecting safe and appropriate menu options.  Our online menus can also be filtered by allergens.  If your child is unable to make menu selections due to their diet restrictions, please contact Crystal Thill at crystal.thill@fairfieldisd.org for further assistance.

Your physician should complete each section of this form and return it to FISD Child Nutrition or your child's campus.
Email: crystal.thill@fairfieldisd.org    |     Fax: (903) 389-7050

Please understand that we do not make accommodations for food or lifestyle preferences.

Check that you agree to continue to the allergen chart. *
The Fairfield Independent School District provides this dietary information as a courtesy. Neither Fairfield ISD nor any providers of these data make warranties of any kind, whether expressed or implied, regarding the information provided. The District specifically disclaims responsibility for the accuracy or quality of information obtained through Internet connections or through its vendors. These data are for general information purposes only and are not intended to constitute professional advice. Acting upon the information is at your own risk. Allergen information is also available on our interactive Nutrislice menus.

Physical impairments, including food allergies, that result in a severe, life-threatening (anaphylactic) reaction, and/or substantially limit one or more major life activities are considered a disability and an appropriate prescribed food substitution will be made with a licensed physician's assessment.

All other food allergies and intolerances not included in the scope of this definition are not identified as a disability under either section 605 of the Rehabilitation Act or Part B of IDEA.  The Child Nutrition Department, at their discretion, may make food substitutions for individual children who do not have a disability, but who are medically certified as having a special medical or dietary need.  The Special Dietary Needs form must be submitted and decisions will be made on a case-by-case basis.


Parents may request a fluid milk substitute be offered in place of regular milk when there is a medical or other dietary need.  This request does not have to be signed by a medical authority.  A milk substitute will not be offered or served unless we have this form on file for your student(s).  The type of substitute is at the district's discretion.