DA Form 5441-34 Evaluation of Clinical Privileges - Behavioral Health Practitioner

DA Form 5441-34 Evaluation of Clinical Privileges - Behavioral Health Practitioner

What Is DA Form 5441-34?

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 5441-34, 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 5441-34?
A: DA Form 5441-34 is a form used for the Evaluation of Clinical Privileges for Behavioral Health Practitioners.

Q: Who uses DA Form 5441-34?
A: Behavioral Health Practitioners use DA Form 5441-34 for the Evaluation of their Clinical Privileges.

Q: What is the purpose of DA Form 5441-34?
A: The purpose of DA Form 5441-34 is to assess and evaluate the clinical privileges of Behavioral Health Practitioners.

Q: How is DA Form 5441-34 used?
A: DA Form 5441-34 is used to document the evaluation of clinical privileges for Behavioral Health Practitioners.

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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 5441-34 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5441-34 Evaluation of Clinical Privileges - Behavioral Health Practitioner

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