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DA Form 5440-3 Delineation of Clinical Privileges -internal Medicine
What Is DA Form 5440-3?
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 5440-3, 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 5440-3?
A: DA Form 5440-3 is a document used for delineation of clinical privileges in the field of internal medicine.
Q: What is the purpose of DA Form 5440-3?
A: The purpose of DA Form 5440-3 is to outline the clinical privileges and responsibilities of healthcare providers in the field of internal medicine.
Q: Who uses DA Form 5440-3?
A: Healthcare providers in the field of internal medicine use DA Form 5440-3.
Q: What does DA Form 5440-3 cover?
A: DA Form 5440-3 covers the specific clinical privileges, procedures, and responsibilities related to internal medicine.
Q: Is DA Form 5440-3 specific to the United States?
A: Yes, DA Form 5440-3 is specific to the United States and is used within the Department of Defense.
Q: Is DA Form 5440-3 used for other medical specialties?
A: No, DA Form 5440-3 is specifically used for delineation of clinical privileges in the field of internal medicine.
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.
Download an up-to-date printable DA Form 5440-3 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 5440-3 Delineation of Clinical Privileges -internal Medicine
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