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Food Allergy & Dietary Restriction Form | Learning Sessions
Food Allergy & Dietary Restriction Form | Learning Sessions
Lauren May

Food Allergy & Dietary Restriction Form | Learning Sessions

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Free Food Allergy & Dietary Restriction Form | Learning Sessions Checklist

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Title Page

  • Name:

Please note: Special diet requests are for food allergies, religious restrictions, and other health-related needs. Request should not be made for food preferences, personal taste, or for “picky eaters.”

Food Allergy/Intolerances

  • Please specify any food allergies:

  • Please specify any food intolerances:

  • Other special allergy needs or restrictions?

Dietary Restrictions

  • Please specify any dietary restrictions:

  • What are your preferred food substitutions, if any?

  • Other special dietary needs or restrictions?

Food Allergy & Dietary Restriction Form | Learning Sessions
Lauren May

Food Allergy & Dietary Restriction Form | Learning Sessions

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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