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. We request that this form be updated as necessary and at least once per school year. Copies of this form are also available at each school campus.
Your physician should complete each section of this form and return it to FISD Child Nutrition or your child's campus.
Email: firstname.lastname@example.org | Fax: (903) 389-7050
Please understand that we do not make accommodations for food or lifestyle preferences.
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).