Meal Accommodations

10223 Bellegrave Avenue
Jurupa Valley, CA 91752
Phone: 951-360-2766

If your student needs meal accommodations due to food allergies, the Meal Accommodation/Medical Statement form below must be returned to the Nutrition Services office at the address listed above.

Meal accommodations cannot be honored without this completed form, which requires a physician’s signature.

You may also use this form to request meal item omissions for religious reasons. Meal item omissions for religious reasons do not require a physician’s signature.

If you have questions, please contact Nutrition Services at the phone number above.​​​


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