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Limited License Application

Commonwealth of Massachusetts Board of Registration in Medicine information may be found at 

Applicants for an initial limited license in Massachusetts may download the application form and instructions provided by the training program coordinator.  Following are a few rules to keep in mind with regard to your application:

  • Do not send the completed application to the Board of Registration in Medicine. All completed application forms must be sent to your training program at Beth Israel Deaconess Medical Center.
  • Do not complete and mail these forms to BIDMC until you have been accepted into an accredited BIDMC training program.
  • Please read the application instructions carefully before filling out the forms.
  • If you are unsure of which type of license you need, please contact your BIDMC training program coordinator.