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  1. University of Arkansas for Medical Sciences
  2. Culinary Medicine
  3. Resources
  4. Food Allergy Disclaimer Form

Food Allergy Disclaimer Form

Please be aware that our food may contain or come into contact with common allergens, such as dairy, eggs, wheat, soybeans, tree nuts, peanuts, fish, shellfish or wheat. While we take steps to minimize risk and safely handle the foods that contain potential allergens, please be advised that cross contamination may occur, as factors beyond our reasonable control may alter the formulations of the food we serve, or manufacturers may change their formulations without our knowledge.

Please fill out the electronic form below at least one week prior to your UAMS Culinary Medicine class date. If you have any questions, please contact Alyssa Frisby, M.S., RD, LD, at amfrisby@uams.edu prior to program or class enrollment. The culinary medicine team requests to be notified of a food allergy at least one week prior to program start date to discuss accommodations. 

"*" indicates required fields

I have read the above food allergy disclaimer form and understand the language of the above request.
Participant Name * Required
Today's Date * Required
Date of UAMS Culinary Class/Event * Required
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Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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