DA Form 5440-9 Delineation of Clinical Privileges-Podiatry

What Is DA Form 5440-9?

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 5440-9, 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 5440-9?
A: DA Form 5440-9 is a form used for delineation of clinical privileges in podiatry.

Q: What is the purpose of DA Form 5440-9?
A: The purpose of DA Form 5440-9 is to outline and document the clinical privileges of podiatry practitioners.

Q: Who uses DA Form 5440-9?
A: DA Form 5440-9 is used by podiatrists and healthcare facilities that grant clinical privileges in podiatry.

Q: What information is included in DA Form 5440-9?
A: DA Form 5440-9 includes details about the podiatrist's education, training, and clinical experience, as well as the specific clinical privileges they are granted.

Q: How is DA Form 5440-9 filled out?
A: DA Form 5440-9 is typically filled out by the podiatrist, who provides the required information and submits it to the appropriate healthcare facility.

Q: Is DA Form 5440-9 specific to the United States or Canada?
A: DA Form 5440-9 is specific to the United States.