Commonwealth of Massachusetts
  Board of Registration in Medicine
  560 Harrison Avenue, Suite G-4
  Boston, MA 02118
  (617) 654-9800
  (617) 423-5604 TTY

  Hours M-F; 8:45 a.m. to 5:00 p.m.


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Downloadable Application
Kits for
Limited License

• Do not send these forms to the Board of Registration in Medicine. All completed forms must be sent to your training program.



• Do not complete and mail these forms until you have been accepted into an accredited training program.



• Each kit has a set of instructions. Please read the instructions carefully before filling out the forms.