DA Form 5440-2 Delineation of Clinical Privileges-Family Practice

What Is DA Form 5440-2?

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 5440-2, 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 5440-2?
A: DA Form 5440-2 is a form used for delineation of clinical privileges in the field of family practice.

Q: What is the purpose of DA Form 5440-2?
A: The purpose of DA Form 5440-2 is to document and define the clinical privileges of healthcare providers in the field of family practice.

Q: Who uses DA Form 5440-2?
A: Healthcare providers, specifically those involved in family practice, use DA Form 5440-2.

Q: What does 'delineation of clinical privileges' mean?
A: Delineation of clinical privileges refers to the process of specifying the medical procedures and services a healthcare provider is permitted to perform within their field of expertise.

Q: What is family practice?
A: Family practice is a medical specialty that provides comprehensive healthcare for individuals of all ages, often in a primary care setting.

Q: Is DA Form 5440-2 specific to the United States and Canada?
A: Yes, DA Form 5440-2 is specific to the United States and Canada.

Q: Is DA Form 5440-2 mandatory?
A: The requirement for DA Form 5440-2 may vary depending on the specific organization or healthcare facility.

Q: Can clinical privileges be revoked?
A: Yes, clinical privileges can be revoked if there are factors that deem a healthcare provider unfit for performing certain procedures or services.

Q: Is DA Form 5440-2 used solely for family practice?
A: Yes, DA Form 5440-2 is specifically used for the delineation of clinical privileges in the field of family practice.