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 training or 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
Application Kit for Initial Limited License
Applicants should download or print the Application Kit—it contains all the necessary documents.
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.
The kit has a set of instructions. Please read the instructions carefully before filling out the forms.
Additional Resources for Application Kit for Initial Limited License
The application documents are also available in Word format. IF YOU CHOOSE NOT TO USE THE KIT, THEN YOU SHOULD DOWNLOAD OR PRINT THE DOCUMENTS BELOW. ALL RELEVANT FORMS MUST BE SUBMITTED.