MEAL MODIFICATIONS

Dear Parent or Guardian,

The MSAD #60 School Nutrition Program will provide meal modifications for students with a disabling medical condition which affects their diet. Please have your child’s licensed medical provider (M.D., D.O., PA, NP) complete and sign the Medical Statement form. A complete form includes:

• Information about the child’s physical or mental impairment and how it restricts their diet

• An explanation of what must be done to accommodate the child’s disability, and

• The food(s) to be omitted and recommended alternatives, in the case of a modified meal

For milk substitutions, our district provides lactose-free cow’s milk for student’s with lactose intolerance and nondairy soy milk that meet the USDA nutrition standards.

To ensure that our program has the necessary foods available and that staff are adequately informed of the accommodations, please allow ten school days after the receipt of the completed form for the necessary accommodations to be in place.

The MSAD #60 School Nutrition Program MUST follow the Medical Statement for Special Dietary Needs that is on file. Please submit new documentation should your child’s dietary needs change.

We look forward to working with you and your child.

Sincerely,

Abbey Hubbell, RDN, SNS

abbey.hubbell@msad60.org

School Nutrition Director

Link to: Medical Statement

Substitutions will not be made for food preferences including vegan, vegetarian, religious, personal preferences, etc. Substitutions will be made for equivalent nutritional value such as soymilk/lactaid in place of cow's milk. Almond milk is not nutritional equivalent substitutions unless their is other medical conditions that prohibit the use of soy/lactaid milk.

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 ERE THEY APPLIED FOR BENEFITS. INDIVIDUALS WHO ARE DEAF, HEARD 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 DISCRIMINATION COMPLAINT, COMPLETE THE USDA PROGRAM DISCRIMINATION COMPLAINT FORM, AD-3027, FOUND ONLINE AT HOW TO FILE A PROGRAM DISCRIMINATION COMPLAINT 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; OR (3) EMAIL: PROGRAM.INTAKE@USDA.GOV.