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Dietitians & Nutritionists

Applications and Forms

Initial License Applications

  • Application for Dietitian License, #08-4400, Revised 12/10/15. Must also provide verification of registration from the Commission on Dietitian Registration.
  • Application for Nutritionist License, #08-4399, Revised 12/10/15. Must also provide verification of registration from the Certification Board for Nutritional Specialists or provide proof of a masters degree in human nutrition and 900 hours of experience in the field

Miscellaneous Forms