DA Form 5441-20 Evaluation of Clinical Privileges - Occupational Therapy

What Is DA Form 5441-20?

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 5441-20, 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 5441-20?
A: DA Form 5441-20 is an evaluation form for clinical privileges in Occupational Therapy.

Q: Who uses DA Form 5441-20?
A: DA Form 5441-20 is used by occupational therapists for evaluating their clinical privileges.

Q: What is the purpose of DA Form 5441-20?
A: The purpose of DA Form 5441-20 is to assess and document an occupational therapist's qualifications and performance for clinical privileges.

Q: How can I obtain DA Form 5441-20?
A: You can obtain DA Form 5441-20 from official military sources or through occupational therapy organizations.

Q: Are there any instructions for completing DA Form 5441-20?
A: Yes, there are instructions provided with the form to guide you in completing it accurately.

Q: What information is required on DA Form 5441-20?
A: DA Form 5441-20 requires information such as personal details, education and training, work experience, and a self-assessment of competence.

Q: Who reviews DA Form 5441-20?
A: DA Form 5441-20 is typically reviewed by a credentialing committee or a peer review board.

Q: What happens after the review of DA Form 5441-20?
A: After the review, a decision is made regarding the occupational therapist's clinical privileges based on the evaluation.

Q: Can DA Form 5441-20 be updated or amended?
A: Yes, DA Form 5441-20 can be updated or amended as needed to reflect changes in qualifications or performance.

Q: Is DA Form 5441-20 used only in the military?
A: No, DA Form 5441-20 is used in both military and civilian healthcare settings for evaluating occupational therapists' clinical privileges.