This circular presents information that may be used by officers (AOC 65C), enlisted personnel (MOS 91M), and civilian personnel assigned to or employed by the Nutrition Care Division/Directorate of a TDA Army medical treatment facility. It is designed primarily for supervisors in those facilities. When used in this publication, the term Nutrition Care Division will apply to the Nutrition Care Directorate as well. Described herein are the duties and responsibilities of the Chief, Nutrition Care Division; to include policy, planning, budgeting, the Nutrition Care Activities Report, the Medical Expense and Performance Reporting System, civilian personnel issues, training, research, supply management, and safety. It discusses the Clinical Dietetics Branch, its staffing and operations, and dietary treatment. In discussing the Production and Service Branch, it talks about meal service management, subsistence management, the A La Carte Meal Service, food production instruments and guides, and food preparation. Also discussed is sanitation, holiday meals, and emergency mass feeding. The proponent of this publication is the U.S. Army Medical Department Center and School.