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DA Form 5441-31 Evaluation of Clinical Privileges - Chiropractic
What Is DA Form 5441-31?
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 5441-31, 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 5441-31?A: DA Form 5441-31 is a form used for Evaluation of Clinical Privileges for Chiropractic.
Q: Who uses DA Form 5441-31?A: This form is used by the United States Army Medical Center (USAMC) and chiropractic providers.
Q: What is the purpose of DA Form 5441-31?A: The purpose of this form is to evaluate the clinical privileges of chiropractic providers.
Q: What information is included in DA Form 5441-31?A: The form includes information such as provider's name, qualifications, scope of practice, and clinical privileges requested.
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 5441-31 Evaluation of Clinical Privileges - Chiropractic
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