Your child’s school:
1. Will make meal modifications prescribed by a licensed physician to accommodate a disability.
2. Will not make meal modifications prescribed by a medical authority due to a food allergy/intolerance or other medical condition that does not rise to the level of a disability.
3. Will not make substitutions for fluid cow’s milk due to a food allergy/intolerance or for other reasons that does not rise to the level of a disability.
The Medical Statement for Disability- School Meal Modification (SD-1) and Medical Statement to Request School Meal Modification (SD-2) forms are available at Nutrition Services-930 Colorado Ave-Montrose. On the front of each form there are further instructions and information about the meal modifications that can be requested under federal regulations, and the procedures that apply to either an allergy that rises to the level of a disability (SD-1) or an allergy/intolerance that does not rise to the level of a disability (SD-2). Please read this information carefully before completing the appropriate form. Only the types of meal modifications explained in the first paragraph of this letter are applicable to your child’s school.
To ensure the requested meal modifications can be made on the first day of school, return the completed medical statement by 8/1/2016 to Hannah Grady at 930 Colorado Avenue Montrose, Colorado 81401
If you are submitting a request for meal modification at a time other than the beginning of the school year, it will take approximately 10 school days from the time the request is received until it can be implemented.
IMPORTANT: For a student who does have a recognized disability, the only fluid cow’s milk substitutions allowed by USDA are: (1) lactose-free fluid cow’s milk (1% or skim) or
(2) a non-dairy beverage with a nutrient profile equivalent to fluid cow’s milk as specified in federal regulations.
Questions or need assistance, call Hannah Grady at 970-252-7912 or firstname.lastname@example.org
RE-1J Nutrition Service Director
Non-Discrimination Statement: The U.S. Department of Agriculture ( USDA) prohibits discrimination against its customers, employees and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal and where applicable political beliefs, marital status, familial or parental status, sexual orientation or all or part of an individual’s income is derived from any public assistance program or protected genetic information in employment or in any program or activity conducted or funded the Department.( Not all prohibited bases will apply to all programs and / or employment activities) If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaintfillingcust.html at any USDA office or call or call toll free (866) 632-9992 to request a form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us ny mail at U.S. Department of Agriculture, Director Office of Adjudication 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 by fax (202-690-7442 or e-mail at email@example.com Individuals who are deaf, hard of hearing, or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339; or (800) 845-6136 (Spanish). USDA is an equal opportunity provider and employer."