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Hi!

I put together this card to use in restaurants.  I could not find a
restaurant card that covered both gluten and dairy.  Just thought
someone else may be able to use it.  I laminated it for easier travel
and use.  Let me know if anyone has any
suggestions/comments/improvements.  Thanks.

Cindy (Washington, DC)
GLUTEN AND DAIRY INTOLERANCE CARD
I have celiac disease and I am allergic to dairy.

Gluten Restrictions:

I cannot eat any food, product, chemical additive, or stabilizer containing
even a trace of wheat, rye, oats, barley, buckwheat, millet, triticale,
grain vinegar, malt or any derivatives of these grains.

Common forms of these grains include: bread, crackers, cookies, pasta,
breaded items, soy sauce, worchestershire sauce, barbecue sauce, etc. I
cannot eat anything breaded, coated, or stuffed with flour. Oil used for
frying must be "clean" (not used to fry any other food item - especially
breaded, etc.) or it is considered contaminated.

I can eat corn, rice, potatoes, vegetables, fish, and meats (those which are
broiled, pan fired, grilled, etc.).

Dairy Restrictions:

I cannot eat any food, product, chemical additive, or stabilizer containing
even a trace of dairy products or any derivatives.

Common forms of dairy products include: milk (all percentages), caesin,
whey, butter/margarine, cheese (all forms), sodium/potassium/calcium
casinate, cream, sour cream, milk fat, etc.

I can eat soymilk, rice milk, and various oils.

~~~~~~~~~~~~~~~

If you have any questions or doubts about food preparation for me, please do
not hesitate to ask.

Thank you very much for your help and consideration.


Cindy Schlueter
Legal Secretary
[log in to unmask]
202/654-1755