• Allergens

    For requests for a nutritionally equivalent milk substitution (lactose-free or unflavored soy milk available) due to lactose intolerance and meal modification requests for non-medical reasons, including cultural, religious, lifestyle, or personal preferences, please use the Meal Preference Request Form (English / Spanish). This form does not need to be signed by a medical professional. 

    To request a meal accommodations, including a food substitutions or other modifications, to the planned menu due an individual’s special dietary needs, please use the Special Diet Medical Statement form (English / Spanish). Meal accommodations may include food substitutions or other modifications and must include the participant’s major life activity or major bodily function affected by the physical or mental impairment restricting the diet. This can include food allergies.

    This documentation must be signed by a licensed Physician, Physician’s Assistant, or a Nurse Practitioner. 

    Review the following steps to ensure your request can be processed in a timely manner.

    1. Licensed medical professional diagnoses an allergen or other special dietary need.

      • Please note that Nutrition Services is not required to accommodate special dietary requests that do not constitute a disability, including requests related to religious or moral convictions or personal preference. If these requests are accommodated, all USDA meal pattern and nutrient requirements must be met.

      • According to the ADA Amendments Act, most physical and mental impairments that substantially limit or affect one or more major life activities or bodily functions—including digestive functions, immune system, and neurological functions—will constitute a disability.

    2. Parent/Guardian obtains the Special Diet Medical Statement form. The medical statement must include what food or allergen should be avoided, a brief explanation for how exposure to the food affects the child, and foods to be substituted.

    3. Parent/Guardian completes Participant Information section prior to providing the form for completion by a medical professional. Parent/Guardian may complete Voluntary Authorization section if desired.

    4. Licensed medical professional completes Required Information: Dietary Accommodation, Additional Information, and Signature sections.

    5. Parent ensures the completed form is sent to the School Nutrition office at jordan.haas@hoodriver.k12.or.us

    6. School Nutrition Director reviews the form for completion and contacts parent/guardian, medical professional, and/or school nurse with questions as needed.

    7. School Nutrition Director sends an email to the Kitchen Manager approving the special diet request along with instructions for accommodating the diet.

    8. Kitchen Manager begins ordering food to fulfill the special diet request. It may take up to 5 days to receive special diet orders. Please provide meals or snacks for your student during this initial time period.

    9. Parent/Guardian is responsible for providing a new special diet statement if there are any updates or changes to current dietary forms on file. It is not necessary to provide a new special diet statement every school year if there are no dietary changes.