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Medical Statement for Meal Modifications in Child and Adult Care Food Program (CACFP) Adult Day Care Centers - Connecticut
Medical Statement for Meal Modifications in Child and Adult Day Care Centers is a legal document that was released by the Connecticut State Department of Education - a government authority operating within Connecticut.
FAQ
Q: What is the purpose of the Medical Statement for Meal Modifications?
A: The purpose of the Medical Statement for Meal Modifications is to request changes to a participant's meals in the CACFP Adult Day Care Centers.
Q: Who needs to submit a Medical Statement for Meal Modifications?
A: Participants who require special meal modifications due to medical or dietary needs need to submit a Medical Statement.
Q: What information should be included in the Medical Statement?
A: The Medical Statement should include the participant's name, the specific dietary need or meal modification required, and the signature of a recognized medical authority.
Q: How often should the Medical Statement be updated?
A: The Medical Statement should be updated annually or as needed when there are changes in the participant's dietary needs.
Form Details:
- Released on July 1, 2019;
- The latest edition currently provided by the Connecticut State Department of Education;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Education.
Download Medical Statement for Meal Modifications in Child and Adult Care Food Program (CACFP) Adult Day Care Centers - Connecticut
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