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DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology
What Is DA Form 5440-5?
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 5440-5, 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 DA Form 5440-5?A: DA Form 5440-5 is a form used for the delineation of clinical privileges in the field of Obstetrics and Gynecology.
Q: What is the purpose of DA Form 5440-5?A: The purpose of DA Form 5440-5 is to document and determine the clinical privileges of medical professionals in the field of Obstetrics and Gynecology.
Q: Who uses DA Form 5440-5?A: DA Form 5440-5 is used by medical professionals specializing in Obstetrics and Gynecology.
Q: What does 'delineation of clinical privileges' mean?A: 'Delineation of clinical privileges' refers to the process of evaluating and deciding the specific medical procedures and treatments that a healthcare provider is authorized to perform.
Q: Is DA Form 5440-5 specific to the United States and Canada?A: Yes, DA Form 5440-5 is specific to the medical systems in the United States and Canada.
Form Details:
- A 3-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 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology
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