​Meal Accommodations

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 address listed below.  Meal accommodations cannot be honored without this completed form that requires a physician's signature.

You may also use this form to request meal item omissions for religious reasons and for this;​ meal item omissions for religious reasons do not require a physicians signature. 

Meal Accommodation/Medical Statement Form - English

Meal Accommodati​on/Medical Statement Form - Spanish

10223 Belle​grave Avenue
Jurupa Valley, CA  91752​
Phone: ​951-360-2766

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