Special Meal AccommodationsSpecial Diet image

USDA Regulation 7 CFR Part 15b requires substitutions or modifications in school meals for children whose disabilities restrict their diets. A child with a disability must be provided substitutions in foods when that need is supported by a signed statement from a licensed physician.


In Cases of Food Allergies

Generally, children with food allergies or intolerances do not have a disability as defined under either Section 504 of the Rehabilitation Act or Part B of IDEA, and the school food service may, but is not required to, make food substitutions for them.  However, when in the licensed physician’s assessment, food allergies may result in severe, life-threatening (anaphylactic) reactions, the child’s condition would meet the definition of “disability”, and the substitutions prescribed by the licensed physician must be made.

School food service may make food substitutions, at their discretion, for individual children who do not have a disability, but who are medically certified as having a special medical or dietary need.  Such determinations are only made on a case-by-case basis.  This provision covers those children who have food intolerances or allergies, but do not have life-threatening reactions (anaphylactic reactions) when exposed to the food(s) to which they have problems.


Medical Statement for Children with Special Dietary Needs

Each special dietary request must be supported by a statement detailed on the Food Allergy Evaluation Form explaining the requested food substitution and must be signed by a recognized medical authority. The Medical Statement must include:

  • An identification of the medical or other special dietary condition which restricts the child’s diet;
  • The food or foods to be omitted from the child’s diet; and
  • The food or choice of foods to be substituted.

If we do not receive a medical statement from a recognized medical authority, your child will receive a regular lunch tray.  Medical statements completed by parents or guardians will not be accepted.

At the beginning of each school year, or at the time of enrollment, parents are responsible for communicating any special dietary needs of their child, including food allergies, to the district by completing the Food Allergy Evaluation Form.

Substitutions to regular school meals provided by the district will be made for students who are unable to eat regular meals due to a qualifying dietary need when that need is certified in writing by the student's medical authority. 

The purpose of requiring a written statement is two-fold. First, it ensures that the nutrition integrity of the school meal will not be compromised by the substitution. More importantly, it ensures that decisions about specific food substitutes are made by persons who are highly qualified to prescribe them.


In Cases of Religious Restrictions

If your student requires a restriction due to religious beliefs, please complete the Food Allergy Evaluation Form on the second page. A medical authority signature is not required.


Food Allergy Evaluation Form Submission

Forms that are completed and signed by the appropriate medical authority can be mailed, faxed, emailed, or returned to your school nurse or the Child Nutrition office.

Lakota Child Nutrition

6947 Yankee Road

Liberty Twp. OH 45044

Fax: 513-644-1171


Once forms are completed and processed, an alert will be placed on your students meal account in the cafeteria. When your student types in their student ID#, the alert box will pop up on the account, making the cashier aware of the special diet/food allergy and modifications.

If you have any questions or concerns, please feel free to call the Child Nutrition office at 513-644-1163.



Click below for related documents:

Food Allergy Evaluation Form

 Nutrition & Allergy Information