AF Form 3929 - Clinical Privileges - Speech Pathologist

AF Form 3929 - Clinical Privileges - Speech Pathologist serves as a clinical privileges form for speech pathologists who provide healthcare services within the Air Force Medical Service.

This form includes sections for personal and professional information, clinical privileges requested, and signatures. It is used to evaluate and grant clinical privileges to speech pathologists based on their qualifications and experience.

An example scenario for using AF Form 3929 is when a speech pathologist applies for clinical privileges to provide services within an Air Force medical facility. This form facilitates the credentialing and privileging process, ensuring that qualified speech pathologists can deliver healthcare services.