Special Dietary Needs Protocol

  1. Magnolia School District follows all federal and state requirements for accommodating students with special dietary needs; USDA regulations; Section 504 of the Rehabilitation Act of 1973; Individuals with Disabilities Education Act (IDEA); the American with Disabilities Act (ADA)
  2. Schools make modifications to school meals only when families provide the appropriate medical statement completed in its entirety.
  3. For children whose disabilities restrict their diets, schools provide modified meals based on a medical statement signed by a recognized medical authority, i.e., licensed physician.
    • The child’s disability and an explanation of why the disability restricts the child’s diet;
    • The major life activity affected by the disability; and
    • The food or foods to be omitted from the child’s diet and the food or choice of foods that must be substituted.
  4. For nondisabled children with special dietary needs schools provide modified meals on a case by-case basis based on a medical statement signed by a recognized medical authority, i.e. licensed physician, physician assistant, or registered nurse. This statement always includes;
    • An identification of the medical or other special dietary need that restricts the child’s diet; and 
    • The food or foods to be omitted from the child’s diet and the food or choice of food that may be substituted.
  5. Dietary substitutions may be offered for students with philosophical or religious reasons. This form is not intended to accommodate students with taste preferences. It is up to the discretion of the Magnolia School district if they are able to accommodate those requests.
    • Philosophical or religious dietary form may be signed by a parent or legal guardian
Forms are available for download below.
For assistance, you may contact your school's Health Office.
In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:
1. mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; or
2. fax: (833) 256-1665 or (202) 690-7442; or
3. email: [email protected]

This institution is an equal opportunity provider.