Get Cnp 925 Form New

The Cnp 925 Form New is a crucial document used to request special meals and accommodations for participants with specific dietary needs. This guide provides clear step-by-step instructions to help users fill out this form accurately and efficiently online.

Follow the steps to complete the Cnp 925 Form New online.

1. To begin, click the ‘Get Form’ button to obtain the Cnp 925 Form New and open it for editing.
2. In the 'School/Agency' section, enter the name of the school or agency providing this form to the participant's parent or guardian.
3. In the 'Site' field, specify the location where the meals will be served, such as a school site or community center.
4. Provide the 'Site Telephone Number' to ensure communication with the location where meals will be served.
5. In the 'Name of Participant' section, enter the full name of the individual who needs the special meal or accommodation.
6. Specify the 'Age or Date of Birth' for the participant, using the date of birth for infants.
7. Enter the 'Name of Parent or Guardian' who is responsible for submitting this medical statement.
8. Fill in the 'Telephone Number' of the parent or guardian for any follow-up communication.
9. Check the applicable box under 'Check One' to indicate whether the participant has a disability or requires accommodations for other medical reasons.
10. In the 'Disability or Medical Condition' section, describe the medical condition necessitating special meals or accommodations.
11. If applicable, provide a brief description of the major life activities affected by the disability in the specified section.
12. Clearly outline the 'Diet Prescription and/or Accommodation' to ensure the proper implementation of dietary needs.
13. Indicate the required food texture by selecting from the options provided: Regular, Chopped, Ground, or Pureed.
14. List any 'Foods to Be Omitted' and their 'Suggested Substitutions' to tailor the dietary plan accordingly.
15. Describe any 'Adaptive Equipment' that may be necessary to assist the participant during dining.
16. Obtain the 'Signature of Preparer' to verify the form is completed.
17. Write the 'Printed Name' of the preparer to identify who filled out the form.
18. Include the 'Telephone Number' of the preparer for additional inquiries.
19. Record the 'Date' when the preparer signed the form to ensure timely processing.
20. Obtain the 'Signature of Medical Authority' if required, to validate the request.
21. In the 'Printed Name' section, write the name of the medical authority who signed the form.
22. Provide the 'Telephone Number' of the medical authority for any follow-up.
23. Finally, check all entries for accuracy, then save changes, download, print, or share the form as necessary.

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