Office of the State Superintendent of Education

DC Agency Top Menu

Help us get everyone in our community pre-registered for a vaccination appointment.
Go to vaccinate.dc.gov or call 1-855-363-0333 to pre-register and then help us spread the word. #DCHOPE
Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: April 12

-A +A
Bookmark and Share

Adult Medical Substitution Form

Updated: August 2020

A Medical Substitution Form must be on file for any participant with a special dietary need that cannot be accommodated within the CACFP meal pattern requirements, such a child with dairy and soy allergies who much have rice milk instead of cow's milk. The parent/guardian should have the Form completed by a recognized medical authority, such as a licensed physician (doctor) or nurse. The Form must indicate the food(s) to avoid and the food(s) that should be substituted.

Related Content: Child and Adult Care Food Program (CACFP)