Medical Statement Forms

Two forms are available for use when special food substitutions are requested for a student. For a student with a handicap, the “Medical Statement for Student With a Disability” should be used. For a student without a handicap, the “Medical Statement for Student Without a Disability” should be used. Once filled out they should be submitted to the food service department to make sure the student is accommodated as quickly as possible. If you have any questions or concerns please contact Honey Allgood at 734-782-1710

Students without a disability form:

http://www.zps.org/files/2012/11/medical-without-a-disabilityR.pdf

Students with a disability form:

http://www.zps.org/files/2012/11/medical-with-a-disabilityR.pdf
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