DA Form 5441-22 Evaluation of Clinical Privileges

DA Form 5441-22 Evaluation of Clinical Privileges

What Is DA Form 5441-22?

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 5441-22, 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 the DA Form 5441-22?
A: The DA Form 5441-22 is a form used for the evaluation of clinical privileges.

Q: Who uses the DA Form 5441-22?
A: Medical professionals use the DA Form 5441-22 for evaluating clinical privileges.

Q: What is the purpose of the DA Form 5441-22?
A: The purpose of the DA Form 5441-22 is to assess and evaluate the clinical privileges of medical professionals.

Q: What information does the DA Form 5441-22 include?
A: The DA Form 5441-22 includes information about the medical professional's qualifications, education, training, and experience.

Q: Is the DA Form 5441-22 specific to the United States or Canada?
A: The DA Form 5441-22 is specific to the United States.

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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 5441-22 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5441-22 Evaluation of Clinical Privileges

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