State of Wisconsin
Dietitian Additional Resources
License Information
Other Forms
Per Wis. Stat. § 440.08 (2), the required renewal date for the Dietitian credential is 10/31/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Statutes and Administrative Code Exam Information
An applicant for permanent certification may apply for a temporary certificate at the same time but must pay both fees, have completed education and experience requirements and have submitted an application to take the next available examination.
Related Links Dietitians Affiliated Credentialing Board
Pre-Credential Education Information
Orders and Disciplinary Actions
Received a bachelor's, master's or doctoral degree in human nutrition, nutrition education, food and nutrition, dietetics or food systems management from a program at a regionally accredited college or university located in a state or territory of the United States or from a program that the board determines is substantially equivalent.
Conviction Self Report Professional Assistance Procedure Monitoring File a Complaint
Complete at least 900 hours of dietetics practice in any state or territory of the United States under approved supervision. The 900 hours must include a minimum of 300 hours in clinical dietetics, 120 hours in food service administration and 120 hours in community nutrition.
Application for Licensure Form
Description
2113
Application for Certification to Practice as a Dietitian
2128
Dietetics Practicum Experience
2111
Dietitians Certificate of Professional Education
2112
Request for a Temporary Dietitian Certificate
2115
Request for Verification of Registration
2829
Malpractice Suits or Claims Form (If applicable)
2252
Convictions and Pending Charges
3071
F ax Payment Form
Renewal Information Requirements FEE (See Renewal Dates and Fees) If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or
[email protected]. Renewal Methods Online Log In: License Renewal Online Request a Paper Renewal Form: (888) 506 4239 or (608) 261 4460 for the Madison area Form
Description
RDAF
Renewal Dates and Fees
R210
Active Duty/Discharge Renewal Extension
Wisconsin Act 210 (effective June 1, 2012) This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty. This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended. Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.
