Special Dietary Needs
Mesa Public Schools Food and Nutrition Department has Registered Dieticians on staff to assist students with special dietary needs.
Medical Statement for Children with Special Dietary Needs
Requests for meal accommodations 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:
Medical diagnosis – clinical diagnosis for the condition that requires dietary modification
The food(s) to be omitted from the child’s diet
The food(s) to be substituted
Items specifically listed on medical referral froms by a physician as a life threatening allergen will be noted in the students record and meal trays will be monitored so not to include identified food allergens. Due to the possiblity of residual or cross contact of allergens and non-allergens in manufacturing plants and the ability of manufacturers to omit small percentage ingredients in ingredient listings it is impossible to guarantee an allergen free environment.
The form that must be completed and submitted to the Food and Nutrition Department for a special dietary needs request is available on this web page, through the school nurse and from the cafeteria manager.