CUSD Nutrition Services Department understands the increasing prevalence of life threatening allergies amongst school populations and is committed to the saftey of the students dinign with us.

If your student has a life threatening food allergy, or a disability related to food, please have your student's physician complete this form and submit it to Nutrition Services office. The form MUST be signed by a California state licensed physician, physician assistant or nurser practitioner (no other signatures will be accepted). The form can faxed to the Nutrition Servcies office directly at 891-3206 or emailed to the Nutrition Speciailsit, Sydney Reynoza at sreynoza@chicousd.org. Once the form is received and processed, proper substitutions can be arranged and the risk of accidental exposure to allergens can be eliminated in the school setting.

 

To remove an exisitng medical meal accomendation form on file for your student, a signed note from the physician must be submitted to the Nutrition Services office stating that the student is cleared of all listed allergies.