Commonwealth of Massachusetts
  Board of Registration in Medicine
  200 Harvard Mill Square, Suite 330
  Wakefield, MA 01880
  (781) 876-8200
  (781) 876-8395 (TTY)
  Hours M-F; 8:45 a.m. to 5:00 p.m.


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Assorted
Downloadable Forms

Applicants for licensure in Massachusetts may download any or all of the following forms for use in preparing their application.

All forms are Adobe Portable Document Format (PDF) files. You must have the Adobe Acrobat Reader Plugin for your browser in order to download and use these forms. Acrobat Reader is a free download from Adobe. It can be obtained by clicking on this link. First download the reader, then run the installation program to add the plugin to your browser.

Please read the instructions carefully before completing your application, and remember: your license expires at 11:59 p.m. on your birthday. If the Board has not renewed your license by your birthday in your renewal year, YOU MAY NOT PRACTICE MEDICINE IN MASSACHUSETTS IN ANY FASHION OR CAPACITY.