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Applications

Dietitian License Application  WORD | PDF​
Supplemental Application: Authorization to Practice through Military Training or Experience Equivalency WORD | PDF
Supplemental Application: Authorization to Practice for Military Spouse or Domestic Partner WORD |PDF​
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Licensing Information Update

Update Your Licensing Record Online
Customer Information Update Form  WORD | PDF
Affidavit of Licensure Form  WORD​
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Consumer Forms

Complaint Form  WORD
Public Records Request Form  WORD​
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