Form PI-6314 Medical Statement for Special Dietary Needs - Wisconsin

Form PI-6314 Medical Statement for Special Dietary Needs - Wisconsin

What Is Form PI-6314?

This is a legal form that was released by the Wisconsin Department of Public Instruction - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form PI-6314?A: Form PI-6314 is the Medical Statement for Special Dietary Needs in Wisconsin.

Q: What is the purpose of Form PI-6314?A: The purpose of Form PI-6314 is to document a student's special dietary needs and provide a medical statement.

Q: Who needs to complete Form PI-6314?A: Form PI-6314 should be completed by a licensed physician or other recognized medical authority.

Q: Why would someone need to complete Form PI-6314?A: Form PI-6314 is necessary for students who require special dietary accommodations at school due to a medical condition.

Q: How can Form PI-6314 be obtained?A: Form PI-6314 can typically be obtained from the school district's food service department or the school's administration office.

Q: Are there any fees associated with Form PI-6314?A: No, there are no fees associated with obtaining or submitting Form PI-6314.

Q: What information is required on Form PI-6314?A: Form PI-6314 requires the student's name, date of birth, medical condition, dietary restrictions, and the signature of the medical authority.

Q: Is Form PI-6314 confidential?A: Yes, the information provided on Form PI-6314 is confidential and should only be shared with relevant school staff involved in providing the necessary accommodations.

Q: How often should Form PI-6314 be updated?A: Form PI-6314 should be updated annually or whenever there are changes to the student's medical condition or dietary needs.

Q: What happens after submitting Form PI-6314?A: After submitting Form PI-6314, the school will review the information and work with the student and their family to provide appropriate dietary accommodations.

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Form Details:

  • Released on June 1, 2022;
  • The latest edition provided by the Wisconsin Department of Public Instruction;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PI-6314 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Public Instruction.

Download Form PI-6314 Medical Statement for Special Dietary Needs - Wisconsin

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