Specials Needs Requests

For information on how to make special dietary requests for food allergies and other dietary restrictions, please contact the NV Health Services.  Emergency care plans for students with life threatening health conditions, such as severe allergies to food(s). School nurses are also responsible for close management of diabetic students in the school setting. Food & Nutrition Services will work closely with each building nurse to support your child's dietary needs and provide accommodations as needed. 

NV Schools Health Staff: 360-988-4754

Elizabeth (Liza) Diaz BSN, RN    Liza.Diaz@nv.k12.wa.us

Tammy Ferris, LPN      Tammy.Ferris@nv.k12.wa.us

Meal Accommodations for a student with a disability

Substitutions must be made to the regular meal, including milk for any child with disabilities (i.e. a life-threatening reaction when exposed to the food and/or beverage) when the following two requirements are met:

• A licensed physician’s statement signed, and the licensed physician should be one that may perform student health examinations and is a physician licensed to practice medicine in all of its branches.

• The statement must include the child’s disability, explanation as to how the disability restricts the child’s diet, the major life activity affected by a disability, and food(s)/beverage(s) to be omitted and foods/beverages to be substituted.


Meal Accommodations for a student without a disability

Substitutions may be made to the reimbursable meal for any child who has a food intolerance or allergies that do not rise to the level of a disability when the following two requirements are met:

• A signed statement from a “medical authority” is required. A medical authority would include licensed physicians, chiropractic physicians, physician assistants, and nurse practitioners.

• The statement must include the medical or special dietary reason for the substitution, the food(s)/beverage(s) to be omitted, and food(s)/beverage(s) to be substituted.

• If a non-dairy milk substitute (e.g. soy milk) is served, it must meet the nutritional standards of milk as outlined below.


For a student without a disability requesting fluid milk substitution:

Any fluid milk substitution that meets these requirements may be made by the SFA for non-disabled students when the following requirements are met:

• A signed statement from a medical authority, parent or guardian which includes the medical or other special dietary reason for the need for substitution. Any reasonable request could be accepted (e.g. milk allergy, vegan diet, and religious, cultural or ethical reasons). If a request only states that a child does not like milk, the student can be offered flavored milk instead of a milk substitute.

• The SFA may choose the nondairy beverage to be provided, as long as the substituted beverage includes the following nutrients:


Per Cup


276 mg


8 g

Vitamin A

500 IU

Vitamin D

100 IU


24 mg


222 mg


349 mg


0.44 mg

Vitamin B-12

1.1 mcg



Resources for Special Diets