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Food and Nutrition - Medical Statement

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Meal Prices/Charge Policy/Refund Request Form

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Medical Statement

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Medical Statement

A physician or recognized medical authority must sign the Medical Statement form that lists the special diet modification request and identifies appropriate substitutions.  This form needs to be submitted annually to the school secretary.  All medical statements are filed with the individual school and at the Food Services.

Ripon Unified School District 
304 N. Acacia Avenue 
Ripon CA 95366 
(209) 599-2131

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Office Hours (School in Session)

Mon - Fri: 8:00 am to 4 pm

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Summer Hours

Mon - Thu: 8:00 am to 4 pm

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This school district does not accept any form of discrimination harassment, intimidation, or bullying, based on actual or perceived characteristics of race or ethnicity, color, ancestry, nationality, national origin, ethnic group identification, age, religion, political affiliation, marital or parental status, mental or physical disability, sex, sexual orientation, gender, gender identity, gender expression, or genetic information, or any other basis protected by federal, state or local law, ordinance or regulation, in its educational program(s) or employment. No person shall be denied employment solely because of any impairment which is unrelated to the ability to engage in activities involved in the position(s) or program for which application has been made. If you need a reasonable accommodation to participate in the hiring process, Ripon Unified School District will provide you with one upon notice. Direct any complaints to: Dr. Ziggy Robeson at 304 N. Acacia Avenue, Ripon CA, 95366. Phone number is 209-599-2131.

 

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