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

Update Your Licensing Record Online
Authorization Holder Information Update Form   PDF
Affidavit of Licensure Form  PDF
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Consumer Forms

Complaint Form   PDF
Public Records Request Form  PDF
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