Get Tx Cfbisd Physician's Diet Modification Form

The TX CFBISD Physician's Diet Modification Form is a crucial document for students who have specific dietary needs due to life-threatening food allergies or disabilities. Understanding how to correctly fill out this form online ensures that your child's dietary requirements are met effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling in the student's name, ID number, and date of birth in the designated fields. Ensure that these details are accurate to prevent any issues with processing the form.
3. Provide the campus name and your name as the parent or guardian along with a contact telephone number. This step is essential for communication purposes.
4. As the parent or guardian, you must provide your signature to give CFBISD permission to contact the physician’s office regarding your child's dietary needs. This section is critical for the processing of the form.
5. The physician will need to complete their section by printing their name and declaring whether the child has a life-threatening food allergy or a disability.
6. If noting a life-threatening food allergy, check the applicable foods that must be omitted from the student’s diet. Be as thorough as possible to ensure safety.
7. If detailing a disabling diagnosis, state the diagnosis and answer whether the student can consume foods that include the allergen. Provide an explanation if applicable.
8. Describe how this disability restricts the diet and identify at least one major life activity affected by the allergy or disability by checking boxes as necessary.
9. List any foods that can be substituted. Ensure this section is filled out; the school cannot honor the form without substitutions stated.
10. Finally, the physician must sign and date the form to validate it. Provide the clinic or facility telephone number for further contact if needed.
11. After completing all fields, make sure to save the changes. You can then download, print, or share the completed form as required.

Ensure your child's dietary needs are met — complete the TX CFBISD Physician's Diet Modification Form online today.