NDDA Membership Application

Directions

The NDDA calendar year is June 1st - May 31st.

Date:

Contact Information

Name:
Street Address:
City/State/Zip:
Phone:
Fax:
Email Address:

Work Information

Employer:
Address:
City/State/Zip:
Phone:
Fax:

Membership Information

A.D.A. Membership Type (REQUIRED): ActiveRetiredStudent
A.D.A. Membership Number (REQUIRED):
NDDA Regular Membership Fee: $30.00
If postmarked after September 30: $35.00
Student/Intern Membership: $12.00
Total Enclosed:

SPECIALTY AREAS OF PRACTICE:

Enter up to 5 codes from the list below:

Specialty Areas of Practice

Specialty Area	Code	Specialty Area	Code
Acute Care	1	Maternal and Child Health	22
AIDS/HIV	2	Neonatal	23
Alternative Therapy	3	Nutrition Support (Adult)	24
Breast feeding - education/promotion	4	Nutrition Support (Pediatric)	25
Business & Corporate Nutrition Programs	5	Oncology	26
Clinical Nutrition Management	6	Pediatrics	27
Communication & Media	7	Pharmaceutical Industry	28
Computer & Information Systems	8	Private Practice	29
Culinary Industry	9	Public Health	30
Developmental/Psychiatric Conditions	10	Rehabilitation, Alcohol and Drug	31
Department Management	11	Rehabilitation, Cardiac/Pulmonary	32
Diabetes (Adult)	12	Renal	33
Diabetes (Pediatric)	13	Research	34
Durable Medical Equipment (DME's)	14	School Food Service	35
Eating Disorders	15	Sports Nutrition	36
Education	16	Subacute and Step Down units	37
Food Manufacturers/Distributors	17	Transplantation	38
Food Service Management	18	Vegetarian	39
Home Health	19	Weight Management	40
Jails and Prisons	20	Wellness	41
Long Term Care	21

The purpose of this listing is twofold: (1) to facilitate networking among members and, (2) to utilize the database to identify dietitians and dietetic technicians practicing within specific areas. Rapid identification is essential in responding to issues related to reimbursement, legislation, or CEU opportunities.

NDDA Membership Application

SPECIALTY AREAS OF PRACTICE:

Print The Application