Dietitians & Nutritionists

Applications and Forms

Please note: Processing time for applications is three to four weeks.

Initial License Applications

  • Application for Dietitian License, #08-4400, Revised 01/31/14. Must also provide verification of registration from the Commission on Dietitian Registration.
  • Application for Nutritionist License, #08-4399, Revised 01/31/14. 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

License Renewal Applications

Miscellaneous Forms