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Our school will make meal modifications prescribed by a licensed medical authority that is authorized by Kansas state law to write medical prescriptions (MD, DO, PA, or APRN) to accommodate a disability. A prototype Medical Statement to Request School Meal Modification is available at the following link and can be used to request a meal modification. Also attached is a Discontinuation Form for the occasion of a child no longer needing meal modification.

To ensure the requested meal modifications can be made on the first day of school, return the completed medical statement by August 15th, 2022 to the school. If you are submitting a request for meal modification at a time other than the beginning of the school year, it will take approximately 5 school days from the time the request is received until it can be implemented.

IMPORTANT: For a student who does not have a documented medical disability, a request for meal modifications can be made and the school MAY choose to make substitutions.  Any modification of this kind must meet the reimbursable meal pattern set forth by the NSLP. 

Medical Statement to Request School Meal Modification 

Discontinuation of Meal Modification