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IEP goals for students with food allergies

By the IEP Atlas editorial teamLast updated

Short answer

Food allergy IEP goals teach a student their part in staying safe: naming their allergen, declining food not on their safe list, checking labels, telling a new adult and an adult right away about symptoms, and keeping their emergency kit close. The allergy action plan from the doctor, family and nurse sets every medical step; the goal measures the student's own actions.

Every student with a serious food allergy should have an allergy or emergency action plan from their health care provider, carried out by the school nurse and trained staff.[4] That plan says what to avoid, which symptoms matter and what adults do in a reaction. Supports such as allergen-safe tables, staff training and where the medicine is kept are often written into a 504 plan or the IEP's accommodations.[2]

IEP goals are for the skills the student needs to learn. A 6-year-old who takes a cookie from any friend needs to learn to say "no thank you, I check first." A 16-year-old heading to a job site needs to ask about ingredients and carry the kit without reminders. This page gives 20 goals with illustrative baselines. Families: these are skills you can practice at home with the same words the school uses. The life skills IEP goals pillar covers the other health goals.

Before writing a goal

  • Get the current allergy action plan from the nurse. Goals must match it: the same allergen words, the same safe list, the same "tell an adult" rule.
  • Ask the family what the student does now and what they want next.
  • Decide who collects data. Lunch staff, the teacher and the nurse often share it.
  • Keep practice safe. Use empty packages, pictures and role-play, never the real allergen.

Choosing a food allergy goal

Student profileSub-skillMeasureData sheet
Cannot name own allergyKnowing the allergenCorrect answers out of probesAccuracy data sheet
Takes food offered by othersDeclining unsafe foodCorrect refusals out of offersOpportunity data sheet
Reads, but never checks labelsLabel readingCorrect label checks out of itemsAccuracy data sheet
Does not tell anyone about the allergy or symptomsTelling adultsReports out of opportunitiesOpportunity data sheet
Older student, community and work settingsKit, ordering and advocacySteps independent, or rubric scoreTask analysis data sheet

Knowing the allergen

GoalBaseline (illustrative)MeasureTemplate
1. When asked "What are you allergic to?", the student will name or show (speech, AAC or card) their allergen on 5 of 5 probes across 2 weeks.1 of 5AccuracyTemplate
2. Given 15 pictures of foods, the student will sort "has my allergen" from "safe" using the safe list from their plan with 15 of 15 correct on 3 probes.8 of 15AccuracyTemplate
3. Given 8 hidden-allergen examples (a sauce, a baked good, a granola bar), the student will say "I need to check" on 8 of 8 items.Says "safe" on 5 of 8AccuracyTemplate
4. Given the allergen words used on labels (for example, the plain name and other names the nurse lists), the student will read and match each to their allergen with 100% accuracy on 3 probes.2 of 6 wordsAccuracyTemplate

Weak: "The student will understand their food allergy."

Measurable: "When asked 'What are you allergic to?', the student will name or show their allergen on 5 of 5 probes across 2 weeks, measured by accuracy."

Declining unsafe food

GoalBaseline (illustrative)MeasureTemplate
5. When offered food not on their safe list in a role-play, the student will say "No thank you, I have an allergy" on 5 of 5 trials.Accepts on 4 of 5OpportunitiesTemplate
6. At class parties and celebrations, the student will eat only food from their safe box or food the nurse or family approved on 4 of 4 events.Takes party food on 2 of 4OpportunitiesTemplate
7. At lunch, the student will not trade or share food with peers on 10 of 10 observed lunches.Trades on 3 of 10OpportunitiesTemplate
8. When unsure whether a food is safe, the student will ask an adult before eating on 5 of 5 opportunities.Eats without asking on 3 of 5OpportunitiesTemplate

Weak: "The student will avoid unsafe foods."

Measurable: "When offered food not on their safe list in a role-play, the student will say 'No thank you, I have an allergy' on 5 of 5 trials, measured on an opportunity data sheet."

Label reading

GoalBaseline (illustrative)MeasureTemplate
9. Given 10 empty food packages, the student will find the ingredient list and the allergen statement and say "safe" or "not safe" for their allergen with 10 of 10 correct on 3 probes.6 of 10AccuracyTemplate
10. Given packages with "may contain" or shared-equipment statements, the student will follow the rule in their plan for those foods on 5 of 5 items.Treats them as safeAccuracyTemplate
11. Before buying a snack at the school store or a convenience store, the student will check the label for their allergen on 5 of 5 purchases.1 of 5OpportunitiesTemplate
12. When a familiar food has new packaging, the student will read the label again before eating on 3 of 3 occasions.Assumes it is the sameOpportunitiesTemplate

Weak: "The student will read food labels."

Measurable: "Given 10 empty food packages, the student will find the ingredient list and allergen statement and say 'safe' or 'not safe' with 10 of 10 correct on 3 probes, measured by accuracy."

Telling adults

GoalBaseline (illustrative)MeasureTemplate
13. When meeting a new adult who will supervise food (substitute, coach, lunch aide), the student will tell or show their allergy card on 4 of 4 opportunities.Does not tellOpportunitiesTemplate
14. In practice scenarios, the student will name the symptoms on their plan that mean "tell an adult right away" with 100% accuracy on 3 probes.3 of 6AccuracyTemplate
15. When the student feels any symptom on their plan's list, the student will tell the nearest adult immediately, in a role-play, on 5 of 5 trials.Waits or hidesOpportunitiesTemplate
16. When asked by a new adult, the student will say where their emergency medicine is kept on 5 of 5 probes.Does not knowAccuracyTemplate

What adults do when a student reports symptoms is set by the action plan and carried out by trained staff. The goal teaches the student to report fast.

Weak: "The student will tell someone if they have a reaction."

Measurable: "When the student feels any symptom on their plan's list, the student will tell the nearest adult immediately, in a role-play, on 5 of 5 trials, measured on an opportunity data sheet."

Kit, ordering and self-advocacy

GoalBaseline (illustrative)MeasureTemplate
17. Before every field trip or outing, the student will check that their emergency kit is packed and with the assigned adult or on their person, as the plan states, on 5 of 5 outings.Adult checks every timeOpportunitiesTemplate
18. When ordering at a restaurant or cafeteria, the student will tell the server about the allergy and ask about ingredients on 4 of 4 orders.Orders without askingOpportunitiesTemplate
19. The student will explain their allergy, what to avoid and what to do if they feel symptoms to a new teacher or coworker, scored on a 3-point rubric, averaging 2.5 or higher on 3 probes.Average 1.0RubricTemplate
20. The student will carry or wear medical ID and show it when asked on 5 of 5 checks.Not carriedOpportunitiesTemplate

Eating out also has its own page: restaurant IEP goals. Grocery trips are a good place to practice label checks; see grocery shopping goals.

Weak: "The student will self-advocate about food allergies."

Measurable: "When ordering at a restaurant or cafeteria, the student will tell the server about the allergy and ask about ingredients on 4 of 4 orders, measured on an opportunity data sheet."

How to measure food allergy goals

Use percent accuracy for knowledge and label goals, with empty packages and new items on each probe. Use the opportunities method for real choices: each offer, party, purchase or new adult is one opportunity. Use rubric scoring for explaining the allergy.

Probe knowledge weekly and real opportunities as they come. Role-play offers once a week until the criterion is met, then monthly.

Adapting by age and support level

StudentFocusCriterion example
Preschool and K-2Name the allergen, "no thank you," ask an adult5 of 5 role-play refusals
Grades 3 to 5Safe list, no trading, telling a substitute10 of 10 lunches without trading
Middle schoolLabels, school store purchases, symptom list10 of 10 label checks
High school and transitionKit, restaurants, work, explaining needs4 of 4 restaurant orders with ingredient questions

More templates are on the health self management goals and school nurse role pages. Related guides: nutrition goals, diabetes goals and teaching cooking in a life skills classroom. Check each draft in the goal checker.

School health and nurse services are related services when a student needs them to benefit from special education.[1] Section 504 also requires a free appropriate public education for qualified students with disabilities, which can include a student with a serious food allergy.[3]

Frequently asked questions

Does a student with a food allergy need an IEP?

Not always. Many students with food allergies have a 504 plan and an allergy action plan. IEP goals apply when the student already has an IEP or needs specially designed instruction to learn safety skills.

How can my child practice food allergy skills at home?

Use the same words the school uses. Practice saying no thank you, reading empty packages, and telling a new adult about the allergy. Role-play a birthday party or a restaurant order, using safe foods only.

Who decides what my child does during a reaction?

Your child's doctor writes the allergy action plan with you, and the school nurse and trained staff follow it. IEP goals do not change those steps. They teach your child to avoid the allergen and tell an adult fast.

Use it in IEP Atlas

Sources

  1. 34 CFR §300.34: Related services, Legal Information Institute, Cornell Law School
  2. Parent and Educator Resource Guide to Section 504 in Public Elementary and Secondary Schools (2016), U.S. Department of Education, Office for Civil Rights
  3. 34 CFR §104.33: Free appropriate public education, eCFR (National Archives)
  4. Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs (2013), Centers for Disease Control and Prevention, via CDC Stacks

Written and checked by the IEP Atlas editorial team under our editorial policy. This guide describes general practice and federal rules. It is not legal advice; your state may add requirements, and the IEP team makes the decisions for each student.

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