911 must be called if Epipen is given!

WE DO REQUIRE A DIET PRESCRIPTION FORM TO BE FILLED OUT BY A PHYSICIAN WITH ANY FOOD ALLERGY:

Dear parent/guardian,

If your child will require a special diet, please complete the Diet Prescription Form. This form is required before we can provide your student with anything other than the standard school meal. Only a licensed physician or physician’s representative may sign the medical statement for students with special dietary needs. Please ensure that detailed diet information is provided on the medical statement stating the level of omission of the food allergen or foods that your child is allergic/intolerant to. This information is necessary to ensure your student be provided with the foods that are appropriate to their specific dietary restrictions. For example, if your student cannot have milk, we need to know if they cannot have milk to drink or if they cannot have any milk or dairy products at all in their diet. To ensure that our kitchen staff are adequately informed and prepared to accommodate your students special diet, please allow a few days to implement your child’s diet into the school meal program. Please complete the Diet Prescription Form and turn it into your schools health office for distribution to appropriate staff. If your child’s diet changes for any reason please make sure that the Diet Prescription Form is updated by the physician and given to the school nurse. It is the procedure of Bedford Schools, to follow any medical orders on file. After receiving the updated form, we can at that time remove any allergies that have been cleared by the physician.