Petition for retired genetic counselor status

What you need

You are eligible to submit a petition for retired status, if you:

• Meet the eligibility requirements in 270 CMR 3.07(2)
• Have a license that is not surrendered, suspended, or revoked at the time of the petition
• Demonstrate, to the board's satisfaction, that you intend to permanently retire from active practice in the Commonwealth and in all other jurisdictions

You will also need your:

• License number
• Address
• Telephone number
• Email address
• Date of birth

How to submit

By mail +

1. Download and complete the form, found below
2. Mail completed form to:

   
   Board of Registration of Genetic Counselors
   250 Washington Street,
   Boston, MA 02108

By fax +

1. Download and complete the form, found below
2. Fax completed form to (617) 973-0980

Downloads

Retirement Application (DOCX), Open DOCX file, 37.04 KB (English, DOCX 37.04 KB)

Retirement Application (PDF), Open PDF file, 188.11 KB (English, PDF 188.11 KB)

Contact

Board of Registration of Genetic Counselors

+

Address

250 Washington Street, Boston, MA 02108

Directions

Phone

Call Board of Registration of Genetic Counselors at (617) 973-0806

TTY Call Board of Registration of Genetic Counselors, TTY at (617) 973-0988

Office hours: 9:00 a.m. to 4:30 p.m. Monday - Friday

Online

Email Email Board of Registration of Genetic Counselors at Multiboard.Admin@mass.gov

Fax

(617) 973-0980

Related

• 270 CMR 3.00: Licensure requirements, procedures, and professional and ethical standards of conduct