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Teton County School District

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Special Meal Accommodations/Dietary Request Forms

Forms

Procedures

Important! Carefully read and follow the procedures for requesting a special meal accommodation. The school/site will return incomplete forms to the parent/guardian. If you have questions about this form, please contact Teton County School District 1- Nutrition Services at:

Danny Reed

TCSD Food Service Director

Email- dreed@tcsd.org

Office Phone- (307) 732-3757 

Schools and agencies participating in federal child nutrition meal programs MUST comply with requests for special dietary needs and adaptive equipment at no extra charge for children with a documented disability and/or medical need. TCSD 1 will work with the parent or guardian to accommodate all reasonable preference requests.

Section 504 of the Rehabilitation Act, the Americans with Disabilities Act, and Departmental Regulations at 7 CFR Part 15b define a person with a disability as any person who has a physical or mental impairment which substantially limits one or more “major life activities,” has a record of such impairment, or is regarded as having such impairment. (See 29 USC § 705(9)(b); 42 USC § 12101; and 7 CFR 15b.3.) “Major life activities” are broadly defined and include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working. “Major life activities” also include the operation of a major bodily function, including but not limited to, functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine, and reproductive functions. (See 29 USC § 705(9)(b) and 42 USC § 12101.)

A physical or mental impairment does not need to be life threatening to constitute a disability. It is enough that the impairment limits a major life activity. Further, an impairment may be covered as a disability even if medication, or another mitigating measure, may reduce the impact of the impairment.

Requests for accommodations with a documented medical need: A completed Special Dietary Needs Form must be signed by a prescriptive authority, or a healthcare provider that can prescribe medications.

Requests or preferences without a documented medical need: A completed Special Dietary Needs Form may be signed by a parent or guardian if the request does not break the required federal meal pattern. If the request requires the district to serve foods outside of the federal meal pattern, the form must be signed by a prescriptive authority or it will be denied.

Common Scenarios:

  • If fluid milk must be omitted from the diet, TCSD 1 can offers soy milk as a substitution. If soy milk is an acceptable substitution, a parent or guardian may sign the form. If another type of milk substitution is required due to a medical need, such as almond milk, juice, or water, the form must be signed by a prescriptive authority.

  • If pork is requested to be omitted from the diet, a parent or guardian may sign the form. Another meat alternative will be served.

  • If your child is allergic to peanuts the form must be signed by a prescriptive authority, as it is a documented medical need.

  • If your child requires a gluten-free diet, the form must be signed by a prescriptive authority. TCSD 1 will offer gluten-free meals to students with a completed Special Dietary Needs Form.

The meal modifications will continue until a prescriptive authority or parent or guardian requests that the modifications be changed or stopped on the Discontinuation Form, which is available from the school/site. A Special Dietary Needs Form does not need to be filled out annually unless a change occurs in the student’s dietary needs. The school/site will keep it on file until a Discontinuation Form is submitted.

Procedimientos

¡Importante! Lea atentamente y siga los procedimientos para solicitar un alojamiento especial para comidas. La escuela/sitio devolverá los formularios incompletos al padre/tutor. Si tiene preguntas sobre este formulario, póngase en contacto con los Servicios de Nutrición del Distrito (TCSD1) en: 

Danny Reed
Director del Servicio de Alimentación
dreed@tcsd.org
(307)732-3757.

Las escuelas y agencias que participan en programas federales de alimentación infantil DEBEN cumplir con las solicitudes de necesidades dietéticas especiales y equipo de adaptación sin cargo adicional para niños con una discapacidad documentada y/o necesidad médica. TCSD 1 trabajará con el padre o tutor para acomodar todas las solicitudes de preferencias razonables.

La Sección 504 de la Ley de Rehabilitación, la Ley de Estadounidenses con Discapacidades y las Regulaciones Departamentales en 7 CFR Parte 15b definen a una persona con una discapacidad como cualquier persona que tiene un impedimento físico o mental que limita sustancialmente una o más "actividades importantes de la vida", tiene un registro de dicho impedimento, o se considera que tiene tal impedimento. (Ver 29 USC § 705(9)(b); 42 USC § 12101; y 7 CFR 15b.3.) Las “actividades principales de la vida” se definen ampliamente e incluyen, entre otras, el cuidado de uno mismo, la realización de tareas manuales , ver, oír, comer, dormir, caminar, pararse, levantar, agacharse, hablar, respirar, aprender, leer, concentrarse, pensar, comunicarse y trabajar. Las “actividades principales de la vida” también incluyen el funcionamiento de una función corporal importante, incluidas, entre otras, las funciones del sistema inmunitario, el crecimiento celular normal, las funciones digestivas, intestinales, vesicales, neurológicas, cerebrales, respiratorias, circulatorias, endocrinas y reproductivas. . (Ver 29 USC § 705(9)(b) y 42 USC § 12101.)

Un impedimento físico o mental no necesita ser una amenaza para la vida para constituir una discapacidad. Es suficiente que el impedimento limite una actividad importante de la vida. Además, un impedimento puede estar cubierto como una discapacidad incluso si la medicación u otra medida mitigadora puede reducir el impacto del impedimento.

Solicitudes de adaptaciones con una necesidad médica documentada: un formulario de necesidades dietéticas especiales completo debe estar firmado por una autoridad prescriptora o un proveedor de atención médica que pueda recetar medicamentos.

Solicitudes o preferencias sin una necesidad médica documentada: un padre o tutor puede firmar un formulario de necesidades dietéticas especiales completo si la solicitud no rompe el patrón de comidas federal requerido. Si la solicitud requiere que el distrito sirva alimentos fuera del patrón de comidas federal, el formulario debe estar firmado por una autoridad prescriptora o será denegado.

Escenarios comunes:

• Si se debe omitir la leche líquida de la dieta, TCSD1 puede ofrecer leche de soja como sustituto. Si la leche de soya es una sustitución aceptable, un padre o tutor puede firmar el formulario. Si se requiere otro tipo de sustitución de leche por necesidad médica, como leche de almendras, jugo o agua, el formulario debe estar firmado por una autoridad prescriptora.

• Si se solicita omitir la carne de cerdo de la dieta, un padre o tutor puede firmar el formulario. Se servirá otra alternativa de carne.

• Si su hijo es alérgico al maní, el formulario debe estar firmado por una autoridad prescriptora, ya que es una necesidad médica documentada.

• Si su hijo requiere una dieta sin gluten, el formulario debe estar firmado por una autoridad prescriptora. TCSD 1 ofrecerá comidas sin gluten a los estudiantes con un Formulario de Necesidades Dietéticas Especiales completo.

Las modificaciones de las comidas continuarán hasta que una autoridad prescriptiva o un padre o tutor solicite que las modificaciones se cambien o se detengan en el Formulario de interrupción, que está disponible en la escuela / sitio. No es necesario completar un formulario de necesidades dietéticas especiales anualmente a menos que ocurra un cambio en las necesidades dietéticas del estudiante. La escuela / sitio lo mantendrá en el archivo hasta que se envíe un Formulario de interrupción.

Non-Discrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or

fax:
(833) 256-1665 or (202) 690-7442; or

email:
program.intake@usda.gov

This institution is an equal opportunity provider.