If your child requires special dietary modifications from the cafeteria, please read the following to determine which form is required to be submitted:
- Cultural & Religious Food Preferences: Child Nutrition Services is committed to offering a variety of menu items that meet our community's cultural food choices. Vegetarian options are always available for both breakfast and lunch. If you would like an alert message on your student's account to avoid certain foods such as beef, pork, or all meat products, please email Parisa Shukla.
- Lactose Intolerance (Fluid Milk Only): Milk is offered during breakfast and lunch as an optional beverage that students are not required to take. If you would like soy milk or Lactaid to be offered in place of regular milk due to dietary needs, please submit a Parental Request for a Fluid Milk Substitution form.
- All Other Special Dietary Needs (Allergies, Intolerances, Modified Textures): A Medical Statement to Request Special Meals and/or Accommodations form must be submitted. The form must be filled out in English and signed by a U.S. licensed physician, physician’s assistant, or nurse practitioner. An alert message will be added to your student's account and substitutions will be provided based on the guidance of the healthcare provider.
Forms are required to be submitted annually; they do not continue from the previous year. If you need any assistance completing the forms, please contact Child Nutrition Services at (714) 220-6948. If your student changes schools, please notify the Child Nutrition Services office.
Please email all forms to
Parisa Shukla or deliver in person at 9739 Denni Street, Cypress, CA 90630.