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Medical statement to request special meals andor accommodations cnp 925 2012 form

Medical statement to request special meals andor accommodations cnp 925 2012 form-2026

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The document is a medical statement form from the California Department of Education's Nutrition Services Division, designed to request special meals and accommodations for participants with disabilities or medical conditions. It outlines the necessary information required, including participant details, medical conditions, dietary needs, and signatures from medical authorities. The form emphasizes compliance with federal nutrition program regulations and non-discrimination policies.

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Click ‘Get Form’ to open the medical statement in the editor.
Begin by entering the School/Agency Name and Site Name, followed by the Site Telephone Number. This information identifies where the meals will be served.
Fill in the Name of Participant, Age or Date of Birth, and details of the Parent or Guardian including their Telephone Number.
Check one box to indicate if the participant has a disability requiring a special meal or if they are requesting accommodations due to food intolerances.
Describe any Disability or Medical Condition that necessitates a special meal in detail, ensuring clarity for proper implementation.
Indicate the required texture of food by checking Regular, Chopped, Ground, or Pureed as applicable.
List specific Foods to be Omitted and provide Suggested Substitutions to ensure dietary needs are met.
Complete the Adaptive Equipment section if necessary, then sign and print your name along with your contact information before submitting.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (60 Votes)
2015	4.1 Satisfied (40 Votes)
2012	4.3 Satisfied (107 Votes)

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What is CNP 925 on child nutrition program?

CNP 925 - This form is used by parents/guardians to have a medical authority prescribe special meals or accommodations during meals. The CNP-925 is located in the Download Forms Section of the Child Nutrition Information and Payment System (CNIPS).

What do you say when asked for dietary requirements?

Politeness: Phrase your question politely, such as, ``Are there any foods you prefer to avoid? or ``Do you have any dietary restrictions I should be aware of? This shows that you care about their needs.

What is a medical statement for special dietary needs?

The licensed medical practitioners statement must identify: an explanation of how the childs physical or mental impairment restricts the childs diet; the food(s) to be avoided; and the food or choice of foods that must be substituted.

What is an example of a special dietary need?

Examples: Offer one type of lactose-free milk to accommodate participants with lactose intolerance. Have a variety of fruits on hand, so participants with an allergy to a particular fruit can be served a different fruit.

What do you write in dietary requirements?

What are the common special dietary requirements? Gluten free and coeliac. Dairy free and lactose free. Vegetarian. Vegan. Paleo. FODMAP. Tree nut and peanut allergies. Fish and shellfish allergies.