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Special Diet Orders

How to request

All requests for special nutritional needs must be submitted on a DPS Diet Order Form signed by a physician or a Registered Dietitian.  Forms are available online (see below), from your cafeteria manager or at the Child Nutrition Services Central Office.  Requests must be submitted annually at the beginning of the school year or whenever a change in diet is required.  Once the completed form is received the request will be reviewed by the Registered Dietitian.  Any necessary menu accommodations will be communicated by the Registered Dietitian to the cafeteria manager.  Accommodations are considered for those students requiring a change in diet based on medical need, not for personal preferences.

Diet Order Form

PLEASE NOTE:  National School Lunch Program Regulation 210.10

Schools must make substitutions in lunches and afterschool snacks for students who are considered to have a disability under 7 CFR part 15b and whose disability restricts their diet.  Schools may also make substitutions for students who do not have a disability but who cannot consume the regular lunch or afterschool snack because of medical or other special dietary needs.  Substitutions must be made on a case by case basis only when supported by a statement of the need for substitutions that includes recommended alternate foods, unless otherwise exempted by Food & Nutrition Services.  Such statement must, in the case of a student with a disability, be signed by a physician or, in the case of a student who is not disables, by a recognized medical authority.