Use the Form Below to Submit a Request for Dietitian Coverage
Standard Pre-Hire Package includes: Registered Dietitian credential verification, state licensure verification, reference checks, screening interview, clinical competency assessment, criminal background check, 10-panel urine drug screen, 1-step PPD. Any additional Client-required screenings will be billed to Client or provided directly by Client facility.
Once you hit submit, you will see a success message at the top of the page confirming your submission and a copy of the form will be emailed to you. If you do not see the confirmation message and do not receive a copy of the form via email, then your form has NOT been submitted. Please check your form for errors that may be preventing submission, or call us at 800-545-1208 ext. 710 or 711.