Apply for my Limited License

Here are the forms, requirements, and next steps to apply for an initial Limited license.

A limited license is issued to physicians enrolled in post-graduate training programs in health care facilities.  

All such training must be done in ACGME accredited programs, or in a subspecialty clinical fellowship program in a training facility that has an approved program in the parent specialty.

A physician who holds or who has ever held a full Massachusetts license is not eligible for a limited license.

Fee for an Initial Limited License:  $100.00

For a description of license requirements and fees, see Licensing Fees and General Information

Application for Initial Limited License

Applicants should complete the fillable PDF Application. The Application documents are also available in Word format.

  • 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 these forms until you have been accepted into a training program.
  • Please read all instructions on the Application carefully before completing.

Initial Limited License Application (Fillable PDF)

Initial Limited License Application (Word Document)

Additional Resources for