A medical accommodation form for school is a document that requests and documents a student's medical information and needs for academic support. The form is often completed by a student's health care provider. 

Purpose 

• To request and document a student's medical information and needs for academic support

• To determine reasonable accommodations and/or auxiliary aids and services

What's included 

• Information about the student's medical condition, including diagnosis, prognosis, and recommended accommodations

• Information about the functional impact of the condition on the student's academic life

• Information about the frequency, duration, and severity of the condition

• Information about medication, side effects, and treatment plans

• Information about any required maintenance regimens

Who completes the form

• The student's health care provider completes the form  

• *For this purpose, the CDE only permits the following state licensed healthcare professionals: licensed physicians, physician assistants, or nurse practitioners. *This form is also considered valid with a certified digital signature. The information on this form is required to reflect the current medical and/or nutritional needs of the child

Supporting documentation 

• Additional supporting documentation from the student's health care provider

• A parent or guardian consent form

A parental request for a fluid milk substitution is a written request that a child be served a non-dairy beverage instead of cow's milk. This request can be made for a variety of reasons, including special dietary needs.

How to make a request 

• Complete a Parental Request for a Fluid Milk Substitution form

• Identify the child's medical or dietary need

• Request a non-dairy beverage that meets USDA-approved nutrient standards

What to expect

• The facility may offer an allowable substitute of their choice 

• The parent may provide a non-dairy beverage that meets USDA-approved nutrient standards 

• The facility may not be required to provide the specific substitute requested 

When is juice an acceptable substitute? 

• Juice is only an acceptable substitute if the child has a written medical statement from a licensed healthcare professional

​Who can make the request? 

• A parent, guardian, or adult participant can make the request