DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology

DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology

What Is DA Form 5440-5?

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 5440-5, 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 5440-5?
A: DA Form 5440-5 is a form used for the delineation of clinical privileges in the field of Obstetrics and Gynecology.

Q: What is the purpose of DA Form 5440-5?
A: The purpose of DA Form 5440-5 is to document and determine the clinical privileges of medical professionals in the field of Obstetrics and Gynecology.

Q: Who uses DA Form 5440-5?
A: DA Form 5440-5 is used by medical professionals specializing in Obstetrics and Gynecology.

Q: What does 'delineation of clinical privileges' mean?
A: 'Delineation of clinical privileges' refers to the process of evaluating and deciding the specific medical procedures and treatments that a healthcare provider is authorized to perform.

Q: Is DA Form 5440-5 specific to the United States and Canada?
A: Yes, DA Form 5440-5 is specific to the medical systems in the United States and Canada.

ADVERTISEMENT

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 5440-5 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology

4.4 of 5 (244 votes)
  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology

    1

  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology, Page 2

    2

  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology, Page 3

    3

  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology, Page 1
  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology, Page 2
  • DA Form 5440-5 Delineation of Clinical Privileges-Obstetrics and Gynecology, Page 3
Prev 1 2 3 Next
ADVERTISEMENT