In simple terms, this means that if a student has a documented disability that restricts their diet, the school foodservice department MUST make the substitutions as listed by a licensed physician on a medical statement form.

If, however, a request for food substitutions is made for a student without a documented disability, the school foodservice department MAY make the substitutions listed on the medical statement form signed by a recognized medical authority.

It is the responsibility of the parent/guardian making the request to submit a properly filled out and documented medical statement form.

Two Medical Statement Forms are available for use.

Medical Statements

• Medical Statement for Student with a Disability
• Medical Statement for Student without a Disability 

Guidance

• MDE Accommodating Children with Special Dietary Needs in the School Nutrition Programs
• Summary of the USDA Accommodating Children with Special Dietary Needs
• USDA Accommodating Children with Special Dietary Needs in the School Nutrition Programs
• Meeting Children's Special Food and Nutrition Needs in Child Nutrition Programs

• Q&As: Milk Substitution for Children with Medical or Special Dietary Needs (Non-Disability)