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DA Form 5440-4 Delineation of Clinical Privileges-Neurology
What Is DA Form 5440-4?
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 5440-4, 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 5440-4?
A: DA Form 5440-4 is a form used for delineation of clinical privileges in the field of Neurology.
Q: What is the purpose of DA Form 5440-4?
A: The purpose of DA Form 5440-4 is to outline and document the clinical privileges of medical professionals in the field of Neurology.
Q: Who uses DA Form 5440-4?
A: DA Form 5440-4 is primarily used by medical professionals specializing in Neurology.
Q: What information is included in DA Form 5440-4?
A: DA Form 5440-4 includes information such as the healthcare provider's name, credentials, education, training, and specific clinical privileges in Neurology.
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 5440-4 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 5440-4 Delineation of Clinical Privileges-Neurology
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