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Submitted by mktimes5 on February 29, 2016 - 11:41am
Staff Person's Name
Breakfast
Lunch
Dinner
Extra Orders
Dietary Needs

Please indicate the client’s last name and any special needs using the codes from the Special Diet Key and list number of meals.

    SPECIAL DIET KEY
  • DB – Diabetic Diet
  • GF – Gluten Free
  • SM - Soft Mechanical (Chewing Difficulty)
  • HH – Heart Healthy (3 gm sodium, moderate cholesterol level will be used)
  • KS – Kosher
  • VG - Vegetarian
  • PS – Pescatarian (Will eat Fish but no meat)
  • DF – Dairy Free
  • AL – Allergies to specific foods – please name foods
  • OT – Other Specific Diet Need
Special Occasion Orders
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