PDF
Word
DA Form 5441-34 Evaluation of Clinical Privileges - Behavioral Health Practitioner
What Is DA Form 5441-34?
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 5441-34, 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 5441-34?A: DA Form 5441-34 is a form used for the Evaluation of Clinical Privileges for Behavioral Health Practitioners.
Q: Who uses DA Form 5441-34?A: Behavioral Health Practitioners use DA Form 5441-34 for the Evaluation of their Clinical Privileges.
Q: What is the purpose of DA Form 5441-34?A: The purpose of DA Form 5441-34 is to assess and evaluate the clinical privileges of Behavioral Health Practitioners.
Q: How is DA Form 5441-34 used?A: DA Form 5441-34 is used to document the evaluation of clinical privileges for Behavioral Health Practitioners.
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.
Download an up-to-date printable DA Form 5441-34 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 5441-34 Evaluation of Clinical Privileges - Behavioral Health Practitioner
1
2
