Form A2 - Verification of Credentials

Form A2 is no longer required.

All Category A applicants should upload a copy of their CDR card or CDR online certificate to their application checklist next to "RD Verification."

All Category F applicants should provide verification of their CNS or DACBN credential in the appropriate checklist line.

Please email our office if you have further questions: info@ncbdn.org 

Forms & Resources Category F Supplemental Information Form A2 Credential Verification Forms A3, A4, A5, A6, A7 Form B2 - Supervisor Verification Statement Form C2 Supplemental Legal Reporting Diet Orders Complaint Form Guideline A for Unlicensed, Non-Exempt Persons Guideline B, Evidence-Based Nutrition Practice Guideline C, Guidance on Supervision License Application Helpful Links ID Cards and Certificates Telehealth and Licensing