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Forms & Downloads – Official KADDI Documents for Interns and Preceptors

FORMS

Facility Form

Complete this form for each place you will go during the internship. Be sure it has the name and contact information for the person responsible for affiliation agreements. KADDI will get the contract.

Preceptor Form

All preceptors must complete this form and provide evidence of continued competency appropriate to precepting responsibilities (examples given on the form) and copy of their license if applicable.

ELECTRONIC TRANSFER

In order for us to process your payment for the KADDI Store, you must download the Electronic Transfer Form below, fill it out, and email it to KADDI@consultingdietitians.com or call 918-574-8598 Monday-Friday 8:30am-5:00pm CST to provide payment information over the phone.

Accredited distance MSDI program for aspiring Registered Dietitians

Ph: 918-574-8598 | Fax: 918-585-3047

115 W. 3rd St. Ste. 802, Tulsa, OK 74103

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