Information about my child’s special diet.

Please fill in this form in BLOCK CAPITALS and return it to your child’s school.

SECTION A - GENERAL

section b - allergy details

Does your child have food allergies? If YES, fill in this section.  If NO, go to Section C.Please include as much information as possible about your child’s food allergy in the space below.  For example:

• Can they tolerate products that say ‘may contain traces’?


• What types of nuts are they allergic to – or should they avoid all nuts?


• Should they avoid all forms of the allergen - or can they tolerate some forms, for example raw, baked or cooked?

If possible, please provide a copy of any relevant medical assessment or confirmation.

(Sodexo cannot guarantee the absence of any specific allergen. Our staff will be happy to talk to you about what we do in the kitchen to reduce the risks of allergen cross-contamination.)

ALLERGENS