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 submit an updated form immediately.
Make sure to include all of their current requirements on the new form, as it will replace any previous versions we have on file. *
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