Special Diets/Allergy Form Aspens are committed to providing meals for children with special diets for medical and cultural requirements. possible we work closely with our suppliers and aim to be as accurate as possible but it must be noted that we can only be guided by the information the suppliers provide, similar to the process of a parent catering for a special diet. It is essential that all parties concerned work together when providing a safe, special diet and that this is reviewed with every menu change. Therefore, please ensure this form is fully completed. If the parents and Head teacher are happy, we will also display a Allergy Record Sheet’ and a photo of the child ‘Food on the kitchen wall near the server. It is vital that all forms are accompanied with a referral letter from a medical professional (GP/consultant/dietician). It is important the unit manager or supervisor have met the child requiring the special diet to ensure they give the right meal to the right child. This form should be handed into the school and discussed with them in the first instance. Child Details Child’s Name Male Female Date form issued to the school and to whom Diet required or allergy Peanut Milk Crustacean Soybean Fish information (please tick) Celery Nuts Sesame Seeds Mustard Lupin Eggs Molluscs Gluten Sulphites *Other Please state – Cultural requirements School Details Name of School Is the Head teacher/Business Aspens Operation Manager Manager involved/aware name Unit Manager name Production kitchen address (if different) School contact regarding special diets/allergies Parent/Guardian Details Main contact name and relationship Main contact phone number – and email address Second contact name and – relationship Second contact - phone number Other Information Has a photo ID form been Has the Unit If Epipen/ medicine is completed and issued to the Manager needed, who is the kitchen? been contact in school and is it informed? kept on site?
Special Diets/Allergy Form Aspens are committed to providing meals for children with special diets for medical and cultural requirements. possible we work closely with our suppliers and aim to be as accurate as possible but it must be noted that we can only be guided by the information the suppliers provide, similar to the process of a parent catering for a special diet. It is essential that all parties concerned work together when providing a safe, special diet and that this is reviewed with every menu change. Therefore, please ensure this form is fully completed. If the parents and Head teacher are happy, we will also display a ‘Food Allergy Record Sheet’ and a photo of the child on the kitchen wall near the server. It is vital that all forms are accompanied with a referral letter from a medical professional (GP/consultant/dietician). It is important the unit manager or supervisor have met the child requiring the special diet to ensure they give the right meal to the right child. This form should be handed into the school and discussed with them in the first instance. Child Details Child’s Name Male Female Date form issued to the school and to whom Diet required or allergy information (please tick) Peanut Milk Crustacean Soybean Fish Celery Nuts Sesame Seeds Mustard Lupin Eggs Molluscs Gluten Sulphites *Other – Please state Cultural requirements School Details Name of School Is the Head teacher/Business Manager involved/aware Aspens Operation Manager name Unit Manager name Production kitchen address (if different) School contact regarding special diets/allergies Parent/Guardian Details Main contact name and relationship Main contact – phone number and email address Second contact – name and relationship Second contact - phone number Other Information Has a photo ID form been completed and issued to the kitchen? Has the Unit Manager been informed? If Epipen/ medicine is needed, who is the contact in school and is it kept on site?