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Meal Substitutions for Medical or Special Dietary Reasons

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 Allergy

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 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. Medical statements completed by parents or guardians will not be accepted.

Medical Statement to Request Special Meals And/Or Accommodations

If food is not being cooked immediately, please store in freezer or refrigerator. If under refrigeration discard if not used in 5 days.

ALL ITEMS NEED TO REACH A MINIMUM INTERNAL TEMPERATURE OF 165°F FOR OPTIMAL FOOD SAFETY

Breakfast Menu Items	Oven Instructions	Microwave Instructions
Pancakes / Waffles French Toast Sticks Egg Patty Sausage Patty / Sausage Links Pancake on a Stick Biscuits	Remove from packaging Place on baking sheet or oven-safe shallow pan **Bake at 350°F for 8-12 minutes	Remove from packaging Place on microwave-safe plate Cook for 1-2 minutes
Breakfast Pizza	Remove from packaging Pizza - bake at 350°F for 15-17 minutes	Remove from packaging Place on microwave-safe plate Cook for 1-2 minutes
Lunch Entrée Menu Items	Oven Instructions	Microwave Instructions
Grilled Cheese Sandwich - may be eaten without heating	Place on baking sheet frozen **Bake at 350°F for 18-20 minutes	Remove from packaging Place on microwave-safe plate Cook covered for 1 minute or until heated through and cheese melted
Fajita Chicken / Diced Chicken Hot Dog / Corndog Rib-b-que / Beef Dippers Hamburger / Cheeseburger	Remove from packaging Place on baking sheet **Bake at 350°F for 8-12 minutes If bun frozen, allow to thaw, do not heat bun	Remove from packaging Place on microwave-safe plate Cook covered for 1-2 minutes If bun frozen, allow to thaw, do not heat bun
Chicken Nuggets / Tenders / Popcorn Chicken Sandwiches Pizza / Stuffed Sandwich / Cheesy Breadsticks	Remove from packaging Place on baking sheet **Bake pizza at 350°F for 13-17 minutes Chicken at 375°F for 6-8 min If bun frozen, allow to thaw	Remove from packaging Place on microwave-safe plate Cook for 1-2 minutes If bun frozen, allow to thaw
Nacho Cheese	Remove from packaging Place on oven-safe shallow pan **Bake at 350°F for 8-12 minutes	Remove from packaging Place on microwave-safe plate Cook covered for 1-2 minutes, stirring halfway through
Frozen Packaged Item by manufacturer (Burritos, Cheeseburger Twin, Nada, etc)	Follow instructions on packaging	Follow instructions on packaging
Potato Menu Items	Oven Instructions	Microwave Instructions
French Fries / Tater Tots Potato Wedges Emoji Potatoes Sweet Potato Fries	Remove from packaging Place on baking sheet Bake at 400°F for 10-12 minutes	Remove from packaging Place on microwave-safe plate Cook for 1-2 minutes
Vegetable Menu Items	Oven Instructions	Microwave Instructions
Broccoli Carrots Corn Green Beans Refried Beans / Charro Beans Peas	Remove from packaging Place on baking sheet Bake at 350°F for 10-12 minutes	Remove from packaging Place on microwave-safe plate Cook covered for 1-2 minutes stirring halfway through

• Please discard any food left at room temperature for more than 2 hours due to potential food safety risk.
• **Indicates recommended cooking method for best quality. This institution is an equal opportunity provider.

• Wash hands before consuming meal.
• Cold meal should be consumed immediately or placed under refrigeration at 41°F and consumed within 5 days. Discard after 5 days.
• Hot Meal should be consumed immediately or placed under refrigeration at 41°F. Discard if not eaten same day.
• Refrigerate or consume perishable items immediately, such as milk, yogurt, cheese sticks, sandwiches, fruits and vegetables.
• Milk should be consumed immediately or placed under refrigeration at 41°F. Discard milk when the best-by date has been reached.
• Frozen meals should be placed immediately in freezer or heated right away to internal temperature noted on cooking instruction sheet.
• If frozen entree is thawed, cook immediately or store in refrigerator for up to 5 days. Discard after 5 days or as noted.

Ingredients Report