Special Diet Requests for School MealsSpecial Diet


If your child has special dietary needs, the district requires a Special Diet Statement to be on file to make accommodations. 

Special Diet Statement Form

Roseville Area Schools Nutrition Services will strive to accommodate special diet requests but it is up to the discretion of the district to make food substitutions for individual children who do not have a disability.

Requests for lactose-free milk due to lactose intolerance are the only medical condition that does not require a signed Special Diet Statement. A note signed by a parent will suffice. Please note, juice cannot replace milk because the nutritional content is not the same and is in violation of state and federal rules. 

Individualized Education Programs, Anaphylactic Care Plans, and other documents signed by a licensed physician may act as substitutes for a Special Diet Statement if they contain the following:

  • the child's disability
  • an explanation of why the disability restricts the child's diet
  • the major life activity 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.

Please turn in the Special Diet Statement signed by a licensed physician, physician assistant, or advanced practice registered nurse such as a certified nurse practitioner via:

Roseville Area Schools District Center

1251 County Road B2 W

Roseville, MN  55113


Once the Special Diet Statement is received, you may be contacted to review the requirements and set up a plan to ensure your student’s safe meals at their school. Once on file, the form does not need to be completed annually unless your student’s health condition changes.

For more information, please refer to the Minnesota Department of Education website: http://education.state.mn.us/MDE/dse/FNS/SNP/qual/Spec/

Additional information can be found here: http://www.fns.usda.gov/sites/default/files/special_dietary_needs.pdf

What to know who, where and when your school nurse will be around? 


Ann DePaolis-Jones, RN, PHN, Licensed School Nurse

Roseville Area High School

Phone: 651-635-1682

Fax: 651-635-1693

Email: [email protected]