NUTRITIONAL Services
Sample Menus: Breakfast Lunch Dinner
Lunch
Please Circle All items Desired.
Portion Size S M L
Soup of the Day
Chicken Noodle
Crackers: Salted / Unsalted
Cottage Entree
Roast Turkey / Gravy
| Potatoes and Vegetables |
| Mashed Potato |
Mixed Vegetable |
| Tossed Salad |
| Sandwich Options |
| Lean Ham* |
American Cheese* |
Grilled Tom & Cheese* |
| Turkey |
Swiss* |
Peanut Butter & Jelly |
| Tuna Salad |
Lite Cheddar |
BLT* |
| Chicken Salad |
Grilled Cheese* |
| Breads: |
| White Wheat Rye Oatmeal |
| Extras: |
| Lettuce Tomato Mayo Mustard Margarine
Potato Chips Pretzels Pickles |
| Fruits and Desserts |
Sugar Free |
| Homemade Cookies* |
Fruit Cocktail |
Sorbet |
| Fig Newtons |
Sliced Peaches |
Ice Cream |
| Ice Cream* |
Applesauce |
Vanilla Pudding |
| Vanilla Pudding |
Fresh Fruit |
Chocolate Pudding |
| Chocolate Pudding |
Jello |
Jello |
| Beverages |
| Hot: |
Cold: |
| Coffee |
Skim Milk |
Prune Juice |
| Tea |
Whole Milk* |
Apple Juice |
| Decaf Coffee |
2% Milk |
Gingerale |
| Decaf Tea |
Iced Tea |
Diet Gingerale |
| Hot Chocolate |
Orange Juice |
Creamers |
| Sugar Free Hot Choc. |
Cranberry Juice |
Lemon |
| Supplement:______________________ |
Name:___________________________ |
Rm :___________ |
| Diet: House WK 1 D1 |
Date:___________ |
| *LIMIT TO REDUCE SODIUM AND/OR SATURATED
FAT INTAKE |
|
