Special Diets & Food Allergies

New Richmond School District will accommodate food allergies as confirmed by a licensed medical practitioner.

"Practitioner" is defined by Wisconsin State Statue 118.29(1)(e): any physician, dentist, optometrist, physician assistant, advanced practice nurse prescriber, or podiatrist licensed in any state. Food allergy documentation must be signed by one of these practitioners.

Medical Practitioner's statement for child must identify:

• The child's disability
• An explanation of why the disability restricts the child's diet
• The major life activity operation of a major bodily function affected by the disability
• The food or foods to be omitted from the child's diet and the food or choice of foods that must be substituted.

To approve your child for food allergy accomodations, please download the form below and return with the medical practitioner's signature. This form can be returned by:

• Mail to Kate Watkins at 701 E 11th St. New Richmond, WI 54017
• Drop off at the District Office or High School
• Scan and email to kwatkins@newrichmond.k12.wi.us
• Fax a copy to 715-888-1551

Special Diet Form (Fillable PDF)

Special Diet Form (Printable)

Milk substitute requests may also be submitted by completing the Milk Substitution Form