Downloadable Application Kits for Limited License Renewals
(Not Program Changes)
Applicants for limited license renewals in Massachusetts may download any or all of the following forms for use in preparing their application.
- 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.
- Limited Renewal Kit
- Limited Renewal Instructions
- Limited Renewal Checklist
- Limited Renewal Application
- Limited Supplement
- Evaluation Form
- State License Verification
- Medical Education Verification
This information is provided by the Board of Registration in Medicine.