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DA Form 5441-28 Evaluation of Clinical Privileges - Social Work
What Is DA Form 5441-28?
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 5441-28, 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 5441-28?
A: The DA Form 5441-28 is an Evaluation of Clinical Privileges form for Social Work.
Q: What is the purpose of the DA Form 5441-28?
A: The purpose of the form is to assess and evaluate the clinical privileges of Social Workers.
Q: Who is required to complete the DA Form 5441-28?
A: Social Workers are required to complete the form for evaluation of their clinical privileges.
Q: What information does the DA Form 5441-28 require?
A: The form requires information such as the Social Worker's qualifications, education, experience, and clinical privileges requested.
Q: Are there any fees associated with the DA Form 5441-28?
A: There are no fees associated with the form.
Q: What should I do after completing the DA Form 5441-28?
A: After completing the form, it should be submitted to the appropriate military unit or office for review and evaluation.
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 5441-28 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 5441-28 Evaluation of Clinical Privileges - Social Work
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