Food Allergy Special Need Diet Information

General Procedures for Special Diet Requests

If your child has a disability or life-threatening food allergy and you would like a substituted menu, you will need to obtain a Diet Order Form and Food Allergy Action Plan by calling the Nurse or Health Associate of the school your child attends, the Nutrition Services Department at 987-2719, or print off the forms below. These forms will need to be signed by a physician licensed by the State and returned to the nurse where your student attends. For questions, please contact the Nutrition Services Department at 987-2719.

General Procedures for Special Diet Requests (PDF)

  • Diet Order Form (PDF)
  • Food Allergy Action Plan (PDF)
  • Dietary Card Consent Form (PDF)

Links

American Dietetic Association
American Heart Association
American Diabetes Association
Federal Government US Dietary Guidelines
Iowa Department of Public Health
Kids Health

560 Southeast University Avenue
Waukee, Iowa 50263
Phone 515.987.5161
Fax 515.987.2701