Special Dietary Needs - Forms and Checklists

The Special Dietary Needs Template is to be used for Educators to keep track of children's dietary needs within their room.

When filled in this can be kept in a folder and referred to, to ensure that all Educators are aware of children with special dietary needs and considerations that need to take place when serving meals to them etc.

*This is not a medical dietary form - this form is a reminder for Educators on a child's special dietary needs.

This template includes:

• Name Of Child
• DOB
• Room 
• Days Of Attendance
• Image
• 6 options for dietary needs
• List of foods/ingredients to avoid
• Alternate foods that can be used
• Symptoms of allergy/intolerance
• Additional Notes/Comments
• 2 Questions On Allergy Action Plan
• Completed by
• Date
• Sign