SCHOOL MENU & MEDICAL INFORMATION

**CLICK ON IMAGE TO VIEW A LARGER COPY

*** School menus and product ingredients may change without warning. The information distributed regarding our meals plans is correct and to the best of our knowledge at the time distributed. The intent of the communication is NOT to provide nutrition information for medical use or monitoring. 

For questions regarding diet accommodations for your student, please contact the Main Office at mainoffice@rainierprep.org or (206) 494-5979.

Rainier Prep offers lactose-free milk and plain soy milk, upon request. Students do not need a diet prescription for lactose-free or plain soy milk. Any other food substitution due to an allergy or intolerance will require a current diet prescription, signed by an approved medical authority or provider.

• Diet Prescription for School Meals 

• Summary of Washington State Law for Students with Life Threatening Condition
• 504 Information
• Dietary Needs Reference Sheet
• Medication Authorization Form (MAF) – If your child requires medication that needs to be administered during school hours – both temporarily or long-term – this form must be filled out and signed by a parent/guardian and a healthcare provider. Please note that a form must be filled out for each medication.
• Asthma Action Plan – If your child has asthma and requires an inhaler to be kept at school, please have your healthcare provider fill out this form along with the Medication Authorization Form (MAF).
• Allergy and Anaphylaxis Action Plan – If your child has a severe allergy that requires an EpiPen to be kept at school or any allergy requiring medication to be kept at school such as seasonal allergies, please have your healthcare provider fill out this form along with the Medication Authorization Form (MAF).
• Seizure Action Plan – if your child experiences seizures and require rescue medications to be kept at school, please have your healthcare provider fill out this form along with the Medication Authorization Form (MAF).
• Headache Action Plan – If your child experiences headaches or migraines that require medication to be kept at school, please have your healthcare provider fill out this form along with the Medication Authorization Form (MAF). 
  Completed forms can be turned in to the main office, faxed at (206) 494-5979 or emailed to the nurse at nurse@rainierprep.org. Please have medications labeled with the student’s name (the prescription label is perfect!), unexpired and ideally unopened.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA’s TARGET Center at 202-720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at  800-877-8339.

To file a program discrimination complaint, a Complainant should complete Form AD-3027, USDA Program Discrimination Complaint Form(link is external), from any USDA office, by calling 866-632-9992 or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

1. Mail:
   U.S. Department of Agriculture
   Office of the Assistant Secretary for Civil Rights
   1400 Independence Avenue, SW
   Washington, D.C. 20250-9410; or
2. Fax:833-256-1665 or 202-690-7442; or
3. Email: USDA Program Intake(link is external)

This institution is an equal opportunity provider.