MEDICAL STATEMENT
REQUEST FOR MEAL ACCOMMODATION DUE TO MEDICAL CONDITION:
A licensed physician, physician assistant, nurse practitioner, naturopathic medical doctor or dentist must sign this form (line 15)
(7)Determination
By completing this form it was determined that the Student/Participant has a medical condition or is disabled and requiresa special meal or accommodation based on the following criteria:
The Americans with Disabilities Act (ADA) Amendments Act of 2008 made important changes to the meaning and interpretation ofthe term “disability.” The changes demonstrated Congress’s intent to restore the broad scope of the ADA by making it easier for anindividual to establish that he or she has a disability. After the passage of the ADA Amendments Act, most physical and mentalimpairments constitute a disability. Therefore, rather than focusing on whether or not a participant has a disability, sponsorsfocus on working collaboratively with parents, guardians or participants to ensure an equal opportunity to participate in the ChildNutrition Programs and receive program benefits.
“Disabled person” Any person who has a physical or mental impairment which substantially limits one or more “major lifeactivities”, has a record of such impairment, or is regarded as having such impairment.
“Physical or mental impairment” means (1) any physiological disorder or condition, cosmetic disfigurement, or anatomical lossaffecting one or more of the following body systems: neurological; musculoskeletal; special sense organs; respiratory (includingspeech) organs; cardiovascular; reproductive; digestive; genitourinary; hemic and lymphatic; skin; and endocrine; or (2) any mentalor psychological disorder, such as intellectual disability, organic brain syndrome, emotional or mental illness, and specific learningdisabilities.
“Major life activities” are broadly defined and include, but are not limited to, caring for oneself, performing manual tasks, seeing,hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking,communicating, and working. “Major life activities” also include the operation of a major bodily function, including but not limited to,functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory,endocrine, and reproductive functions. (See 29 USC § 705(9) (b) and 42 USC § 12101.)
