AF Form 2828 - Clinical Privileges - Occupational Therapist

AF Form 2828 - Clinical Privileges - Occupational Therapist serves as a form for documenting clinical privileges granted to occupational therapists within the Air Force medical system.

AF Form 2828 includes sections for recording the occupational therapist's information, clinical privileges granted, and approval signatures. It is used to ensure that occupational therapists have the necessary clinical privileges to provide occupational therapy and rehabilitation services within Air Force medical facilities.

An example scenario for using AF Form 2828 is when an Air Force occupational therapist applies for or updates their clinical privileges to provide occupational therapy services to patients. This form helps document and verify the therapist's qualifications and granted privileges.