If your student requires dietary accommodation, please review the below information and complete the appropriate dietary accommodation form.

Before completing a dietary accommodation request from, please note:

• A new form must be completed each school year and each summer.
• Dietary accommodations are tracked at the school level. If your student transfers to another DCPS school, the form must be resubmitted with updated school information included.
• Dietary accommodation forms are to be submitted to the school nurse.
• Forms must be complete before accommodations can be met; including parent/legal guardian signatures and licensed medical provider signatures (when applicable).
• It is the responsibility of the parent/legal guardian to provide current medical/nutritional needs of the student, submitting new forms as needed.
• It can take 3-4 weeks from the time forms are received by Food and Nutrition Services from the school nurse for dietary accommodations to be made in the cafeteria. Please be sure to prepare for other accommodations during this time.

Please select the timeframe for which your student requires dietary accommodation:

School Year 2019-2020