Who must report:
Physicians licensed by the Board of Registration in Medicine.
What to report:
1. Health care facility privileges: Any restriction, termination, revocation, suspension or resignation of your health care facility privileges, based on 243 CMR § 1.03(5).
2. Dissolution/disassociation: For-cause dissolution of, or disassociation from, a professional corporation, partnership or other professional practice group if related, directly or indirectly, to:
How to report:
File a report with the Board’s Data Repository Unit within 30 days. Report any action on health care facility privileges within 30 days of the action, even if an appeal is pending.
Board of Registration in Medicine
Data Repository Unit
200 Harvard Mill Square, Suite 330
Wakefield, MA 01880
Phone: (781) 876-8200
243 CMR §§ 2.14(4)(c),(e),(f)