Special Nutrition Needs
Mounds View Schools Nutrition Services Gluten Safe Menu Procedure:
Mounds View Nutrition Service Department will provide a Monthly Gluten Safe Lunch Menu to a student on a medical authority verified Gluten Free diet with a student who has Celiac Disease.
- In accordance with federal USDA regulations, the Special Diet Statement form to request dietary accommodations must be completed and signed by the parent/guardian as well as the child’s licensed physician before any accommodations are made.
- The Special Diet Statement must be given to the School Health office and the District Nutrition Services Office. Please contact the Nutrition Service department at #651-621-6024 or email email@example.com to discuss the plan for their student.
- Our Gluten Free procedure for ordering meals is HERE.
What is a special diet statement for a participant with a disability that affects the diet?
The special diet statement is a form which provides information about the student, the disability for which the diet must be modified, defines which foods are to be omitted and substituted and is signed by a licensed physician, physician assistant or advanced nurse practioner.
Please be advised that the nutritional and ingredient information is general information and not intended to be used as medical advice. We make every effort to provide accurate information; however, we do not guarantee the accuracy of the nutritional or ingredient information.
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410
(2) fax: (202) 690-7442
(3) email: firstname.lastname@example.org
This institution is an equal opportunity provider.