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Board of Medicine Address
  Commonwealth of Massachusetts
  Board of Registration in Medicine
  200 Harvard Mill Square, Suite 330
  Wakefield, MA 01880
  (781) 876-8200
  (781) 876-8395 (TTY)
  Hours M-F; 8:45 a.m. to 5:00 p.m.

Downloads
Download Internet Explorer Internet Explorer
Download Netscape Netscape
Download Adobe Acrobat Reader Adobe Acrobat (PDF)
PowerPoint Viewer (PPT)

Downloadable Application
Kits for
Limited License

Limited License Links

	Initial Limited License Application
	Limited License Address Change
	Renewal Applications
	Change of Program
	Limited License FAQ's

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.

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