Follow the steps to fill out your special diet statement with ease.

1. Begin by pressing the 'Get Form' button to access the Special Diet Statement form. This will allow you to open the form in a convenient editing mode.
2. Enter the child's name and date of birth in the designated fields at the top of the form. This information is crucial for identifying the participant.
3. Next, provide the sponsor's name, as well as the name and contact information of the health care provider or clergy member responsible for completing the form.
4. In the section where you check boxes, indicate if the participant has a disability or medical condition requiring special meals or if the request is based on religious beliefs. Ensure that a licensed health care provider's signature is obtained for appropriate requests.
5. List the specific foods the participant cannot consume and provide suggestions for authorized substitutions. Be as detailed as possible to ensure accurate food preparation.
6. If there are any additional instructions, such as the use of an in case of allergic reactions, include those in the provided space for clarity.
7. Once the form is fully completed, make sure it is signed and stamped by the health care provider or clergy member, indicating their approval of the dietary needs specified.
8. Finally, review the form for completeness, then proceed to save changes, download, or print the document as needed. You may also share it with your CYS Services program or Parent Central Services.

Complete your Cys Services Special Diet Statement online to ensure proper dietary accommodations for participants.