SchoolCenter PictureSpecial Diets Request Form

Thank you for taking the time to help us serve you. Our Registered Dietitian, Dawn Lin, will be happy to work with you to ensure that your child’s nutritional needs are met. Please complete the Special Diet form on this page to get the process started. A representative may contact you if we need further clarification or instructions.

This form must be used for students who require special diets due to disabilities, and should be updated whenever necessary (at least at the start of each school year).  A medical doctor or other authorized, recognized medical authority must complete the applicable areas.


Filter by Type:

Name ▲   Size Date
pdf File 2013-2014_Special_Diet_Request_Form_-_ENGLISH.pdf
 Download Now! 
618.27 Kb 09/17/13
pdf File 2013-2014_Special_Diet_Request_Form_-_SPANISH.pdf
 Download Now! 
506.91 Kb 09/17/13
pdf File Parental_or_Physician_Statement_for_Milk_Substitute_-_ENGLISH.pdf
 Download Now! 
289.97 Kb 09/17/13
pdf File Parental_or_Physician_Statement_for_Milk_Substitute_-_SPANISH.pdf
 Download Now! 
287.59 Kb 09/17/13

 
For questions or comments contact:

Dawn Lin, Registered Dietitian
dlin@irvingisd.net 
Office 972-600-6918
Fax 972-273-6906

DISCLAIMER OF EXPRESSED OR IMPLIED WARRANTIES

 

The Irving Independent School District (“IISD”) has made no affirmation of fact or promise relating to any special diet plan or the special diet itself that is being sold, furnished, or delivered to any recipient of the same.  Further, IISD has made no affirmation of fact or promise relating to the special diet that has created or amounted to an express or implied warranty that the special diet would conform to any such affirmation or promise.

 

DISCLAIMER OF IMPLIED WARRANT OF FITNESS

 

THE IISD DISCLAIMS ANY WARRANTY OF FITNESS FOR ANY PARTICULAR PURPOSES WHATSOEVER WITH RESPECT TO THE SPECIAL DIET BEING SOLD OR DELIVERED.

 

DISCLAIMER OF IMPLIED WARRANTIES

 

THE FOOD AND DRINKS DESCRIBED IN AND SPECIAL DIET PLAN ARE SOLD, FURNISHED OR DELIVERED “AS IS” OR “WITH ALL FAULTS”, AND IISD DISCLAIMS ANY IMPLIED WARRANTIES WITH RESPECT TO THE SPECIAL DIET AND RELATED FOOD OR DRINK PRODUCTS.