Thank you for reaching out to learn more about how USF Dining accommodates students and their dietary requirements. This form will be sent to our Registered Dietitian and will be used as a request for a consultation. During the consultation, all dietary restrictions and preferences will be discussed, current resources will be provided.

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* 1. Student Name:

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* 2. Student Phone Number:

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* 3. Student UID Number:

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* 4. Student Email (ex: RockyDBull@usf.edu):

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* 5. Year Status:

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* 6. Which meal plan do you have?

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* 7. What campus do you attend?

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* 8. Do you live on campus?

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* 9. Do you have a food allergy or intolerance? If so, please specify:

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* 10. Do you have any other dietary restrictions? If so, please specify:

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* 11. Are you under the care of a physician related to your dietary restrictions?

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* 12. What questions would you like answered during your consultation?

Thank you for your responses. Please expect a reply within 24 to 48 hours via email or phone call. If you have any questions or need more information, please email dining@usf.edu.

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