AF Form 3930 - Clinical Privileges - Dietetics Providers

AF Form 3930 - Clinical Privileges - Dietetics Providers serves as a clinical privileges form for dietetics providers (e.g., dietitians) seeking to 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 assess the qualifications and experience of dietetics providers and grant them clinical privileges accordingly.

An example scenario for using AF Form 3930 is when a dietetics provider applies for clinical privileges to offer dietary and nutritional services within an Air Force medical facility. This form streamlines the privileging process, ensuring that qualified dietetics providers can contribute to patient care.