Texas State Board of Examiners of Dietitians Applications-Forms

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Obtain a copy of the following publications now - click on your selection.

Download a copy of the Licensed Dietitian Application Packet (Word format, 107 KB)
Download a copy of the Licensed Dietitian Application Packet (Adobe Acrobat format, 65 KB)

Download the Renewal Form (Word format, 29 KB)
Download the Renewal Form (Adobe Acrobat format, 23 KB) 

Name Address Change Form (Word format, 55 KB)
Name Address Change Form (Adobe Acrobat, 28 KB)

Verification from Other State Form (Word format, 44 KB)
Verification from Other State Form (Adobe Acrobat, 29 KB)


 To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.

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Last updated July 31, 2014
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    Texas State Board of Examiners of Dietitians