Get Cacfp Meal Modification Form - Olathewesleyan

This guide will assist you in completing the CACFP Meal Modification Form - Olathewesleyan online. By following these clear steps, you will be able to provide the necessary meal modifications for participants effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Identify the applicable meal modification category from the three listed options: modification due to a disability, modification due to a food allergy/intolerance or other medical condition, and substitution for fluid cow’s milk.
3. Complete Part A, which includes participant information such as the participant’s name, date of birth, parent/guardian’s name, phone numbers for both the parent/guardian and the center/home.
4. Review and follow the instructions in Part B. Have a medical authority complete this section based on the selected modification category. Ensure that the proper details about the food allergy/intolerance, medical condition, or disability are accurately listed.
5. If applicable, specify the affected major life activity for participants with a disability, select the type of special diet, and indicate any required modifications to food texture or liquid thickness.
6. List specific foods to be omitted and substituted. If additional space is needed, sign and attach an extra sheet.
7. Fill in the medical authority’s information, including signature and contact details, to finalize Part B.
8. In Part C, provide your permission as the parent/guardian for the center/home caregiver to follow the prescribed diet order by signing and dating the section.
9. If you are requesting a substitution for fluid cow's milk due to lactose intolerance or other reasons, complete Part D by indicating the desired substitute and signing the section.
10. Review all sections for accuracy and completeness before saving your changes. Download, print, or share the completed form as necessary.

Take the next step and complete your CACFP Meal Modification Form online to ensure the participant receives the appropriate meal accommodations.