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504 N. 4th Street  |  Montezuma, IA 50171  |  P: 641.623.5121  |  F: 641.623.5733
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Insert Links If your child has a disability or life-threatening food allergy and you would like a substituted menu, you will need to obtain a Disability/Medical Condition Statement for Foods Served by calling the Nurse or Health Associate of the school your child attends or the Nutrition Services Department at 641-623-5121, or print off the form below. This form will need to be signed by a physician licensed by the State and returned to the nurse where your student attends. Requests for special diets must be submitted annually and updated by a physician annually.

Click below to access form:
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Montezuma Community Schools
504 N. 4th Street
Montezuma, IA 50171
P: 641-623-5121
F: 641-623-5733
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