RUSD provides meal accommodations for students who have special dietary needs and are unable to eat regular school meals.
To request a special diet, please fill out the following form completely: CNP-925 Medical Statement Form (Spanish: CNP-925 Medical Statement Form - Spanish)
Please provide all necessary details to ensure the correct accommodations are implemented.
If your child has a food allergy or intolerance, please state ingredients (wheat, cheese, egg, etc.) rather than food items (pizza, sandwiches, cereal, etc.).
This form must be filled out and signed by a licensed healthcare professional.
*If your child has any change to their dietary needs, please update this form immediately.*
To request a substitution for fluid milk, please fill out the following form completely: Fluid Milk Substitution Form (Spanish: Fluid Milk Substitution Form - Spanish)
This form may be signed by a parent/guardian.
Milk alternatives provided can include soy, Lactaid, and Ripple milk.
To discontinue a special diet, please fill out the following form: Discontinue Special Diet Form (Spanish: Discontinue Special Diet Form - Spanish)
Please note, filling out this form indicates that your child no longer requires any meal accommodations at this time.
Please email completed forms to RUSD Nutrition Specialists:
Cynthia De Santiago, RDN - cdesantiago@riversideunified.org & Meghan Efseaff, RDN - mefseaff@riversideunified.org