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Student Medical and Allergy Forms

Student Medical Requests

We understand and respect each individual student's nutritional needs. To ensure your child is provided with special meals or accommodations based on medical needs, please complete the following forms––

Medical Statement Request Form

This form is to provide Child Nutrition Services site with special dietary needs and instructions for medical accommodations per Section 504 of the Rehabilitation Act of 1973

Milk Substitution Request Form 

This form is to provide Child Nutrition Services with the need for a milk substitute due to a medical or other special dietary need

Disputes
If you do not agree with the decision or results of verification, you have the right to a fair hearing, which may be requested by calling or writing the hearing official at––
 
Sergio San Martin
350 W. Brookside Ave.
Beaumont, CA 92223
951-845-1631
 
This institution is an equal opportunity provider.