Child Nutrition Special Diet Form 2020-2021-2026

1. Click ‘Get Form’ to open the Child Nutrition Special Diet Form 2020-2021 in the editor.
2. Begin by entering your child's First Name, Last Name, Date of Birth (DOB), Student ID, School, and Grade in the designated fields.
3. Parents/Guardians should select one of the dietary accommodation options provided. Ensure you check the appropriate box and provide a signature and date.
4. Fill in your Parent/Guardian Name, Email, Signature, and Phone number to ensure proper communication regarding dietary needs.
5. Indicate which meals your child will consume from the cafeteria by circling Breakfast, Lunch, or both.
6. List any Food Allergies or Intolerances by marking the relevant options under 'Food Allergy/Intolerance'.
7. Complete the section for Texture Modification and Thickened Liquids as applicable to your child's needs.
8. If necessary, have a licensed physician complete and sign the bottom portion of the form for special diet accommodations.
9. Once all sections are filled out accurately, submit the form to your campus nurse or fax it directly to Comal ISD Registered Dietitian-Nutritionist at (830) 221-2008.

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