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Confused about when food substitutions must be made for a student when school meals are concerned?

If a student has a documented disability or medical issue that restricts his or her diet, the school foodservice department MUST make the substitutions as listed by a licensed medical professional (MD, DO, NP, PA) on a completed medical statement form.

If, however, a request for food substitutions is made for a student without a documented medical issue, the school foodservice department MAY make the substitutions listed on the medical statement form signed by a recognized medical authority. Any substitution of this kind must fully meet the reimbursable meal pattern.

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