Forms & Other Information

Acupuncture License Forms

• Acupuncture License Kit  file size 1MB
• Cover Letter 
• Checklist 
• Full Acupuncture Instructions 
• Application Form 
• Supplement 
• Authorization for Release 
• Moral Character of Applicant 
• CCAOM CNT Course Verification 
• Initial Chinese Herbal Therapy Request Form 
• National Practitioner Databank 
• Deadline Dates for Submission 
• Biology Requirements 
• Anatomy and Physiology Requirements 

Other Forms and Information

• Frequently Asked Acupuncture Questions (PDF) 
• Continuing Acupuncture Education Requirement (PDF) 
• Application for the Extension of CAE Requirements (PDF) 
• Acupuncture Assistant Registration Form 
• Change of Address (PDF) 
• Replace a Lost Wallet Card (PDF) 
• Waiver for Release of Information (PDF) 
• Application to Retire from Practice (PDF) 
• Application to Return to Active Status (PDF) 
• Application for Inactive Status 
• Name Change Form 
• Request for Business Addresses on Diskette (PDF) 
• Request for Business Addresses on Paper (PDF) 
• Application for Active Status (PDF) 
• Physicians Who Practice Acupuncture in Massachusetts
  The last sentence of Section 162 of The Acupuncture Statute (M.G.L. c, 112 §148-162). states that "nothing contained herein shall prevent licensed physicians from practicing acupuncture."
  The above statute allows physicians licensed by the Massachusetts Board of Registration in Medicine to practice acupuncture in Massachusetts under their medical license.

This information is provided by the Board of Registration in Medicine.