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Thank you for supporting our clinicians directory! Please complete the form below so that our staff may review your submission for listing on our page. You will need to complete the form in its entirety in order to proceed. Please note that staff must approve and may edit all submissions before they appear in our directory. Please allow our staff up three business days to process your submission. In order to become listed, you agree to disclose that your clinical practice promotes plant-based diets and/or nutrition education.

Credentials (required)
Specialty
Preferred Dietitian Referral
Being listed as Preferred Dietitian involves the following requirements:
  1. You must be a registered dietitian and meet local licensing requirements, if any.
  2. You must personally follow a vegan diet and be experienced in counseling others to begin a vegan diet.
Memberships and Affiliations

Office Locations
Office Location (Primary)
This must be an external URL such as http://example.com.
Do you offer telehealth visits? If so, please indicate which states.
Please include a recent professional headshot to include with your listing.
One file only.
10 MB limit.
Allowed types: png gif jpg jpeg.

The fields below are for administrative purposes and will not be included on your public profile. Please provide a response to all fields in order to complete your listing.


This email will be used to contact you with any questions. To include an email on your public profile, use the Office Email field above.

By providing your electronic signature and clicking Submit, you confirm that you have read and agree to the Terms and Conditions.


YOUR PRINTED NAME WILL SERVE AS A SIGNATURE
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