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  Chisholm Middle School Clinic

Food allergies

Does your student have a food allergy?

If you have a student with a true food allergy, please  fill out the special meals request form attached here. 

​This electronic form goes directly to Food Services.  They will then be able to actively monitor and control food disbursement from the source to make sure the student is not offered a meal that contains their allergen

Please also make sure to provide an epipen to the school nurse if prescribed.
This form will require a doctor signature. Here is the form to bring in to clinic: 
rrisd_special_meals_request_form__1_.pdf
File Size: 551 kb
File Type: pdf
Download File

fare_english__epi_pen___3_.pdf
File Size: 629 kb
File Type: pdf
Download File

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    • FARE/Allergies
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