Free Printable Dietary Restrictions List Template
Printable Dietary Restrictions List
Prepared by: [YOUR NAME]
Purpose: This list is designed to assist with meal preparation at home, ensuring that all meals accommodate specific dietary restrictions. Please review the following dietary needs and restrictions carefully to avoid any issues.
Dietary Restrictions List
Allergies and Intolerances
|
Food Item |
Avoid |
Substitute |
Notes |
|---|---|---|---|
|
Dairy |
Milk, Cheese, Yogurt |
Almond Milk, Soy Milk |
Lactose Intolerance |
|
Gluten |
Wheat, Barley, Rye |
Gluten-Free Flour |
Celiac Disease |
|
Nuts |
Peanuts, Tree Nuts |
Sunflower Seeds |
Nut Allergy |
|
Soy |
Soy Sauce, Tofu |
Coconut Aminos |
Soy Allergy |
|
Eggs |
Eggs, Egg Whites |
Applesauce, Mashed Banana |
Egg Allergy |
|
Shellfish |
Shrimp, Crab, Lobster |
Chicken, Tofu |
Shellfish Allergy |
Dietary Preferences and Restrictions
|
Food Item |
Avoid |
Substitute |
Notes |
|---|---|---|---|
|
Pork |
Pork Products |
Beef, Chicken |
Religious Preference |
|
Sugar |
Granulated Sugar |
Stevia, Honey |
Diabetes |
|
Artificial Sweeteners |
Aspartame, Sucralose |
Natural Sweeteners |
Sensitivity |
Reminders
-
Always double-check ingredient labels to ensure they meet dietary restrictions.
-
Communicate any changes or updates to this list to all relevant parties involved in meal preparation.
-
Store this list in a convenient location for easy access when planning meals.
Prepared by: [YOUR NAME]
Date: August 14, 2050
Contact Email: [YOUR EMAIL]
