1.
Will make meal modifications prescribed by a licensed physician, advanced practice nurse with prescriptive authority, physician assistant or registered dietitian to accommodate a disability.
2.
Will not make substitutions for dietary preferences, religious preferences, or cultural preferences.
Note: Meal modifications will only be accommodated for one of the reasons listed above. No other meal modifications will be accommodated. Print a
Medical Statement for Meal Modification.pdf here. A completed request form must be signed by a licensed physician (MD or DO), advanced practice nurse (APN) with prescriptive authority (RXN), physician assistant (PA), or registered dietitian (RD).
To ensure safe meal modifications can be made for your child, return the completed
Medical Statement for Meal Modification.pdf before your student eats in the cafeteria to Nutrition Services at 930 Colorado Ave, or mail to Nutrition Services, PO Box 10,000, Montrose, CO 81402.
IMPORTANT: The only fluid cow’s milk substitutions allowed by USDA are: (1) lactose-free fluid cow’s milk (1% or skim) or (2) a non-dairy beverage with a nutrient profile equivalent to fluid cow’s milk as specified in USDA regulation 7 CFR 210.10(d)(3), unless another substitution is noted on the Medical Statement for Meal Modification.
If you have questions or need assistance, please contact Nutrition Services at 970-252-7918.
Sincerely,
RE-1J Nutrition ServicesIn accordance with federal civil rights 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 (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity. Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. To file a program discrimination complaint, a Complainant should complete a Form AD3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-ComplaintForm-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632- 9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted 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; or 2. fax: (833) 256-1665 or (202) 690-7442; or 3. email:
[email protected] This institution is an equal opportunity provider.