Template

Food Allergy and Dietary Restriction Form

by Lauren May, from the Community

10+

Use this form to collect attendee food allergies, intolerances, and dietary restrictions for learning sessions or events. Capture details on allergens, intolerances, religious or health related requirements, and preferred substitutions so catering teams can plan safe menus. Clarifies that requests are for medical, religious, or health needs rather than personal preferences.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Food Allergy Form
This Food Allergy Form helps schools and childcare providers document dietary needs, allergies, and intolerances for students. Capture allergens such as peanuts, tree nuts, dairy, eggs, soy, wheat, shellfish, sesame, and more, plus intolerances and other dietary restrictions. Record preferred substitutions, types of contact that trigger reactions, and awareness questions. Includes parent or guardian contact details and a signature section. Customize for your setting; this is not a substitute for professional or medical advice.
by Wendy Green, from the Community
Downloads: 10+
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Template
Food Allergy Form for Schools
Use this Food Allergy Form to document a student’s dietary needs, allergies, and intolerances in a school setting. Capture parent or guardian contact details, specific allergens (peanuts, dairy, eggs, shellfish, wheat, and more), intolerances (gluten, lactose, sulfites, histamines, etc.), and preferred substitutions. A short questionnaire records likely reaction triggers and student awareness, followed by signature confirmation. The template is fully customizable to align with school policies and local requirements and is provided as guidance only, not a substitute for professional or medical advice.
by Andrea Morgan, from the Community
Downloads: 0
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Template
Food Allergy Form
A food allergy form is a documentation of a person's special dietary needs. It involves a record of food allergies and intolerance. Use this checklist to ensure proper dietary needs are provided for the participant with food allergy or intolerance. DISCLAIMER: This checklist is created for a school setting, you can customize this checklist according to your nature of use.
by SafetyCulture
Downloads: 500+
Get
Template
Utah Reopening Checklist for Religious Services
Use this Utah reopening checklist to plan and run in-person religious services with health protocols in place. It covers physical distancing, seating and attendance tracking, cleaning and disinfection, face coverings, considerations for high-risk individuals, signage and scheduling, and options for streamed services.
by SafetyCulture
Downloads: 0
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Food Allergy Form

This Food Allergy Form helps schools and childcare providers document dietary needs, allergies, and intolerances for students. Capture allergens such as peanuts, tree nuts, dairy, eggs, soy, wheat, shellfish, sesame, and more, plus intolerances and other dietary restrictions. Record preferred substitutions, types of contact that trigger reactions, and awareness questions. Includes parent or guardian contact details and a signature section. Customize for your setting; this is not a substitute for professional or medical advice.

by Wendy Green, from the Community

10+

Get

Template

Food Allergy Form for Schools

Use this Food Allergy Form to document a student’s dietary needs, allergies, and intolerances in a school setting. Capture parent or guardian contact details, specific allergens (peanuts, dairy, eggs, shellfish, wheat, and more), intolerances (gluten, lactose, sulfites, histamines, etc.), and preferred substitutions. A short questionnaire records likely reaction triggers and student awareness, followed by signature confirmation. The template is fully customizable to align with school policies and local requirements and is provided as guidance only, not a substitute for professional or medical advice.

by Andrea Morgan, from the Community

Get

Template

Food Allergy Form

A food allergy form is a documentation of a person's special dietary needs. It involves a record of food allergies and intolerance. Use this checklist to ensure proper dietary needs are provided for the participant with food allergy or intolerance. DISCLAIMER: This checklist is created for a school setting, you can customize this checklist according to your nature of use.

by SafetyCulture

500+

Get

Template

Utah Reopening Checklist for Religious Services

Use this Utah reopening checklist to plan and run in-person religious services with health protocols in place. It covers physical distancing, seating and attendance tracking, cleaning and disinfection, face coverings, considerations for high-risk individuals, signage and scheduling, and options for streamed services.

by SafetyCulture

Get

Food Allergy and Dietary Restriction Form

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Food Allergy Form

Food Allergy Form for Schools

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Utah Reopening Checklist for Religious Services

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Food Allergy Form

Food Allergy Form for Schools

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