Modified Diets: Roles of Adults

    • Have a Meal Modification Medical Statement form completed by a recognized medical authority for any student unable to eat regular meals due to a disability (form can be obtained from school Nurse, Child Nutrition, or on-line)
    • Submit a meal modification Medical Statement to the school Nurse
    • Allow the school adequate time to implement the changes (typically 2 weeks)
    • Provide the food substitutions until the modified diet changes are made by the school
    School Nurses
    • Serve as school contact for parents regarding modified diets
    • Provide a copy of the completed Medical Statement form to the cafeteria manager, Child Nutrition dietitian, and, as indicated, the classroom teacher and Exceptional Children's Program Facilitator or 504 Coordinator
    • Develop an Individual Health Plan to address modified dietary needs if there is no IEP or 504 plan that addresses the need

    Child Nutrition Staff
    • Dietitian - Plan for food substitutions
    • Cafeteria staff - Prepare and serve food (preparation to plate)

    All School Staff
    • Read information on use of microwaves and acceptable food in the classroom

    Trained School Staff

    • Assist with feeding as necessary (plate to mouth)
    • Report any feeding concerns to parent/guardian
    • Ensure that students have access to eating in the cafeteria, the Least Restrictive Environment (LRE)
    **Please note that eating in the classroom is not LRE**
    • Assist with oral phase of swallowing (for example: seating and positioning, adaptive equipment, chewing and bolus preparation and oral transit, and staff and parent training as appropriate)
    • Note - Pharyngeal transit and esophageal transit issues are addressed outside of the school setting

    Feeding Team
    Consult on feeding issues and needs

    Please refer to the FAQ sections for questions and issues related to meal preparation in the classrooms, using microwaves, use of appliances, and cleaning requirements.