• Special Dietary Needs and Related Forms

    If your child:

    • has special dietary needs due to food allergies or a disabling condition(s),
    • plans on participating in the school breakfast/lunch program and
    • requires dietary substitutions,

    There are USDA regulations for making food substitutions in the school meals program which require a physician's specific diet prescription and signature.

    When a child has a serious disability (such as food allergies which may result in anaphylaxis), a signed Medical Statement from a physician is needed for disabling conditions.  Your physician is required to answer a series of questions in order for meal substitutions or changes to be honored by the school during the school year. In addition, juice and water are no longer accepted substitutions for milk intolerance or allergy that is not ruled a disability by a physician. Only in the case of a disability are alternative forms of milk substitutions such as water or juice is allowable.

    A MEDICAL PLAN OF CARE FOR SCHOOL FOOD SERVICES form must be completed and signed by a physician, if your child has a disability which required special dietary accommodations or substitutions. We cannot accept a physician's prescription slip in lieu of this from.

    If you have any questions or need further explanations regarding the regulations, please contact the Food Service Director: Jaclyn Walker at 724-842-0501 ext.129 or jwalker@leechburg.k12.pa.us.



     Medical Plan of Care Form