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DA Form 5441-22 Evaluation of Clinical Privileges
What Is DA Form 5441-22?
This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2004. The form, often mistakenly referred to as the DD Form 5441-22, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is the DA Form 5441-22?A: The DA Form 5441-22 is a form used for the evaluation of clinical privileges.
Q: Who uses the DA Form 5441-22?A: Medical professionals use the DA Form 5441-22 for evaluating clinical privileges.
Q: What is the purpose of the DA Form 5441-22?A: The purpose of the DA Form 5441-22 is to assess and evaluate the clinical privileges of medical professionals.
Q: What information does the DA Form 5441-22 include?A: The DA Form 5441-22 includes information about the medical professional's qualifications, education, training, and experience.
Q: Is the DA Form 5441-22 specific to the United States or Canada?A: The DA Form 5441-22 is specific to the United States.
Form Details:
- A 2-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
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Download DA Form 5441-22 Evaluation of Clinical Privileges
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