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Food Services- Special Diet Request Form

Special Diet Request Form 

 

Special Dietary Needs & Meal Accommodations

At A+ Charter Schools, our Child Nutrition team is dedicated to serving safe, nutritious, and delicious meals so every student at A Plus Academy and Inspired Vision Academy can learn, grow, and thrive. We understand that managing food allergies and medical dietary needs requires care and collaboration, and we are committed to making this process as smooth and supportive as possible for your family.

 

How to Request a New Medical Dietary Accommodation

In accordance with the National School Lunch Program (NSLP), USDA regulations (7 CFR Part 15b), and Texas Department of Agriculture (TDA) guidelines, our district provides modified meals for students with documented medical disabilities or life-threatening food allergies.

  • Step 1: Download the Form — Download and complete the official A+ Charter Schools Diet Modification Form provided below. 

  • Step 2: Visit Your Healthcare Provider — Have Sections A and/or B completed and signed by a state-licensed medical authority (MD, DO, PA-C, NP, or RD/RDN). (Note: Section C for lactose intolerance only requires a parent/guardian signature).

  • Step 3: Submit to Your Campus Nurse — Turn in the completed form directly to the school nurse at A Plus Academy or Inspired Vision Academy.

The campus school nurse will review the documentation, update your child’s health profile, and coordinate directly with our Child Nutrition team to safely put the meal modifications into effect.

 

How to Change, Modify, or Discontinue a Request

Dietary needs can change over time. To make updates to an existing request:

  • To Change or Modify existing dietary requests (full or partial):

    • A new Diet Modification Form must be submitted.

    • Sections A & B (Medical Disabilities & Allergies): Require both parent/guardian and medical authority signatures.

    • Section C (Lactose Intolerance): Requires only a parent/guardian signature.

  • To Discontinue an entire request:

    • A new Diet Modification Form must be submitted with the "Discontinue Request" box checked at the top.

    • Only a parent/guardian signature is required for all sections (A, B, and C). A medical authority signature is not required to discontinue a dietary request.

 

Managing Food Preferences & Cultural Choices

While federal law mandates accommodations for documented medical disabilities, USDA and TDA regulations state that schools are not required to modify meals based solely on personal food preferences, voluntary diets, or non-medical restrictions.

To help families manage non-medical food choices, religious practices, or cultural preferences:

  • Our monthly cafeteria menus are posted on our website, allowing you to review upcoming meal options with your child in advance.

  • Our friendly cafeteria staff is always available to help students choose items that align with their preferences using standard "Offer vs. Serve" flexibilities.

 

We Are Here to Help!

If you have any questions or concerns regarding food allergies, menu options, or completing the dietary needs form, please reach out to your School Health Office or the Child Nutrition Department. We are happy to assist you and help ensure your child’s dietary needs are properly addressed.

School Health Office Fax: (214) 275-1290

 

USDA Civil Rights Nondiscrimination Statement

In accordance with Federal 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, age, disability, and reprisal or retaliation for prior civil rights activity. (Not all prohibited bases apply to all programs.)

This institution is an equal opportunity provider.