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Instructions for Medical Statement for Meal Modifications in Child and Adult Care Food Program (CACFP) Adult Day Care Centers - Connecticut
This document was released by Connecticut State Department of Education and contains official instructions for Medical Statement for Meal Modifications in Child and Adult Day Care Centers . The up-to-date fillable form is available for download through this link.
FAQ
Q: What is a Medical Statement for Meal Modifications?
A: A Medical Statement for Meal Modifications is a document that provides information about the dietary needs and restrictions of an individual in a Child and Adult Care Food Program (CACFP) Adult Day Care Center.
Q: Why is a Medical Statement for Meal Modifications required?
A: A Medical Statement for Meal Modifications is required to ensure that individuals with specific dietary needs and restrictions receive appropriate meals within the CACFP Adult Day Care Center.
Q: Who needs to provide a Medical Statement for Meal Modifications?
A: Individuals with specific dietary needs and restrictions, such as allergies or medical conditions, need to provide a Medical Statement for Meal Modifications.
Q: How can I obtain a Medical Statement for Meal Modifications?
A: You can obtain a Medical Statement for Meal Modifications from a licensed physician, physician assistant, or nurse practitioner.
Q: What information should be included in a Medical Statement for Meal Modifications?
A: A Medical Statement for Meal Modifications should include the individual's name, specific dietary needs or restrictions, and the signature of the healthcare professional providing the statement.
Q: Is a new Medical Statement for Meal Modifications required each year?
A: Yes, a new Medical Statement for Meal Modifications is required each year, or whenever there are changes to the individual's dietary needs or restrictions.
Instruction Details:
- This 10-page document is available for download in PDF;
- Actual and applicable for the current year;
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