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DA Form 5440a Approval of Clinical Privileges / Staff Appointment
What Is DA Form 5440a?
This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2009. The form, often mistakenly referred to as the DD Form 5440a, 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 5440a?
A: DA Form 5440a is a form used for the approval of clinical privileges or staff appointment.
Q: What is the purpose of DA Form 5440a?
A: The purpose of DA Form 5440a is to request approval for clinical privileges or staff appointment.
Q: Who uses DA Form 5440a?
A: DA Form 5440a is used by individuals who need to request approval for clinical privileges or staff appointment.
Q: Is DA Form 5440a specific to a certain branch of the military?
A: No, DA Form 5440a is used across all branches of the U.S. Army.
Q: Are there any specific guidelines for filling out DA Form 5440a?
A: Yes, there are specific instructions provided with the form that must be followed when filling it out.
Q: What kind of information is required on DA Form 5440a?
A: DA Form 5440a requires information such as personal details, qualifications, and the requested clinical privileges or staff appointment.
Q: How long does it usually take for approval of clinical privileges or staff appointment with DA Form 5440a?
A: The time for approval can vary, but it typically takes several weeks to a few months.
Form Details:
- A 1-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 5440a down below in PDF format or browse hundreds of other DA Forms stored in our online database.
