Application Instructions

• Documents Required for Licensure

  Documents Required for Licensure

  1. Completed Application  - Applications may be submitted online at MyLicense.IN.gov.
  2. Application Fee - $50 application fee to be paid by credit or debit card for applications submitted online at MyLicense.IN.gov.  All application fees are nonrefundable.
  3. Criminal Background Check
  4. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s). Please upload at the time of application or log back into your account and use the License Update option.
  5. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.
  6. Verification of education or training (choose one) - Please upload at the time of application or log back into your account and use the License Update option.
     • Proof of completion of Association of Diabetes Care and Education Specialist (ADCES) core concepts course, with demonstrable experience of at least 1,000 hours within the previous 4 years (400 hours must be within the previous year)
     • Proof of credentialing with Association of Diabetes Care and Education Specialist (ADCES)
     • Proof of credentialing with Certification Board for Diabetes Care and Education (CBDCE)
  7. Verification of State Licensure(s) - Verification of any registration/license/certification to practice any health-related profession or occupation in another state or territory.  Verifications must be submitted directly from the state of issuance. Official electronic verification will also be accepted.
  8. Name Change Documentation (if applicable) - If your name has changed or differs on any documents submitted, please include an official name change document such as a marriage license or divorce decree.  Please upload at the time of application or log back into your account and use the License Update option.

  The Fair Information Practice Act:  In compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information, or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.

  Mandatory Disclosure of U.S. Social Security Number: Your social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and 25-1-5- 11(a). Disclosure is mandatory, and this record cannot be processed without it. Failure to disclose your U.S. social security number will result in the denial of your application. Application fees are not refundable.

  Abandon Applications:  If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted after an abandoned application shall be treated as a new application.

  A person may not use the title of "licensed diabetes educator" or profess to be a licensed diabetes educator unless they hold a diabetes educator license.

  A diabetes educator license, however, is not required to provide diabetes education.

• Information on Reciprocity
  • Licensure by Reciprocity: The Board shall issue a license to an applicant if the applicant satisfies the following conditions:
    • Holds a current license from another state or jurisdiction; and
      • that state's or jurisdiction's requirements for a license are substantially equivalent to or exceed the requirements for a license of the Committee; or
      • when the person was licensed or certified by another state:
        • there were minimum education requirements in the other state or jurisdiction;
        • if there were applicable work experience and clinical supervision requirements in effect, the person met those requirements to be licensed in that state; and
        • if required by the other state or jurisdiction, the person previously passed an examination required for the license or certification.
    • Has not committed any act in any state or jurisdiction that would have constituted grounds for refusal, suspension, or revocation of a license, certificate, registration, or permit to practice that occupation in Indiana at the time the act was committed.
    • Does not have a complaint or an investigation pending before the regulating agency in another state or jurisdiction that relates to unprofessional conduct.
    • Is in good standing and has not been disciplined by the agency that has authority to issue the license or certification.
    • If a law regulating the applicant's occupation requires the Committee to administer an examination on the relevant laws of Indiana, the Committee may require the applicant to take and pass an examination specific to the laws of Indiana.
    • Pays any fees required by the Committee for which the applicant is seeking licensure.

Renewal Instructions

• Renewal Information

  Diabetes Educator licenses expire June 30 of every even-numbered year.

  The renewal fee is $50.00.

  Renewal Information
  Renewal notices are sent approximately ninety (90) days prior to the expiration date.  Licensees with a valid email address on file will be emailed the renewal information.  Licensees that do not have a valid email address on file will be mailed license renewal information.  This notice is mailed to the licensee's address of record with the Board.

  Completion of 15 hours continued education to be completed annually.

  Online Renewal
  Renew your license online using https://mylicense.in.gov/eGov/ML1PLA.html.

• Reinstatement Information

  If your license has been expired for three or more years, you must reinstate your license to practice.  Please submit your reinstatement online with the additional documentation:

  • Reinstate Online!

• Diabetes Educators Applications/Renewals

  Diabetes Educators Applications/Renewals	Fee	Penalty	Total
  Initial Application	$100	NA	$100
  Active Renewal  - June 30 every even-numbered years	$50	$50	$100
  Reinstatement  - Expired over three years	$100	NA	$100