Medical Statement for Meal Modifications in Child and Adult Care Food Program (CACFP) Adult Day Care Centers - Connecticut

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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 provide necessary dietary modifications to accommodate participants with disabilities or special dietary needs.

Q: How does the Medical Statement for Meal Modifications work in the CACFP Adult Day Care Centers in Connecticut?
A: The Medical Statement for Meal Modifications allows a licensed healthcare professional to prescribe specific dietary modifications for participants in the CACFP Adult Day Care Centers in Connecticut.

Q: Who can provide a Medical Statement for Meal Modifications?
A: A licensed healthcare professional, such as a doctor, nurse, or registered dietitian, can provide a Medical Statement for Meal Modifications.

Q: What information should be included in a Medical Statement for Meal Modifications?
A: The Medical Statement for Meal Modifications should include the participant's name, the specific dietary modifications needed, and the licensed healthcare professional's signature and contact information.

Q: How long is a Medical Statement for Meal Modifications valid?
A: A Medical Statement for Meal Modifications is typically valid for one year. However, the licensed healthcare professional may specify a different duration if necessary.

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Form Details:

  • Released on March 1, 2022;
  • 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.

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