School Nutrition » Special Diet Needs

Special Diet Needs

School Nutrition Services accommodates any special diet for medical reasons.  All requests for special diets must be submitted on a Special Diet Order Form annually to the cafeteria manager at the school your child attends.  A  Special Diet Order Form with a physician and/or medical authority's signature is required to make substitutions to any meal.  If a student has a Special Diet Order Form which documents a disability and needs dietary accommodations a licensed physician signature is required.  In the case of a disability, Federal guidance requires that “the nature of the child’s disability, the reason the disability prevents the child from eating the regular school meal, and the specific substitutions needed must be specified in a statement signed by a licensed physician.”


Special Diet Order Forms can be requested for the Cafeteria Manager at each school cafeteria or download a form below.   After 30 days of school a revised form will be required for the current school year. 


Special Diet Order Form:


Is your child eligible? 

If your child needs diet changes to do major life activities, he or she is eligible. A major life activity is defined as caring for one's self, doing manual tasks, walking, seeing, hearing, speaking, breathing, learning and working. 

What kind of condition would make your child eligible? 

Here are some examples of developmental disabilities or medical conditions which effect major life activities:


Seizure Disorder 
Spina Bifida 
Severe Obesity 
Cerebral Palsy

Severe Food Allergy 
Down Syndrome 
PKU (Phenylketonuria) 
Metabolic Disorders 
Juvenile Rheumatoid Arthritis

Cystic Fibrosis 
Feeding Difficulties 
Prader Willi Syndrome 
Conditions requiring tube feedings



What kind of meal changes can be made? 

Here are some examples:   

-Texture Changes (pureed, ground, chopped, thickened liquids)
-Increased Calories Weight Management (calorie controlled)
-Tube Feeding
-Food Restriction