Child Care Food Program Medical Statement For Meal Modifications

If you have any questions please contact the facility.

Child care food program medical statement for meal modifications. Medical statement for meal modifications in child and adult care food program cacfp child care programs connecticut state department of education revised july 2019 page 1 of 2 this form applies to requests for meal modifications for children participating in the u s. May include diabetes food allergy or intolerance developmental delay or autism. Please return this completed form to the child care center. Medical statement for meal modifications in child and adult care food program cacfp child care programs connecticut state department of education revised july 2019 page 1 of 10 the connecticut state department of education s csde medical statement for meal modifications in.

When substitutions are made and the meal pattern is not met a medical statement is required and must be signed by a physician physician s assistant. When substitutions are made and the meal pattern is not met a medical statement is required and must be signed by a physician physician s. Cacfp daily meal count adult day care centers xlsx 39 kb monthly meal count summary at risk afterschool docx 19 kb monthly meal count summary children docx 104 kb monthly meal count summary sponsoring organizations docx 57 kb medical statement. Microsoft word medical statement i 015 0.

Child care food program medical statement for meal modifications. Child nutrition programs all states this memorandum outlines the requirements for child and adult care food program cacfp institutions and facilities and summer food service program sfsp sponsors program operators to provide reasonable modifications to program meals or the meal service to accommodate children or adults participants with disabilities. Describe any textural modification. Child care food program medical statement for children with disabilities.

If you have questions about this form the school site contact named in part a below will assist you. Carefully read and follow the procedures for requesting a special meal accommodation. Child care providers must make reasonable modifications to meals to accommodate disabilities which restrict a. Please return this completed form to the child care center.

When substitutions are made and the meal pattern is not met a medical statement is required and must be signed by a physician physician s assistant pa or nurse practitioner arnp. Medical statement for meal modification important. Medical statement for meal modifications docx 364 kb. When substitutions are made and the meal pattern is not met a medical statement is required and must be signed by a physician physician s assistant pa or nurse practitioner arnp.