AF Form 4296 - Clinical Privileges - Chiropractor

AF Form 4296 - Clinical Privileges - Chiropractor serves as a request for clinical privileges for chiropractors within the Air Force Medical Department.

This form is used by chiropractors seeking clinical privileges within the Air Force medical system. It includes sections for personal information, credentials, education, and details about the requested privileges. Particular attention should be given to accurately documenting qualifications and experience.

For example, a chiropractor looking to join an Air Force medical facility would use AF Form 4296 to request clinical privileges, allowing them to provide chiropractic care to military personnel and their families. The form ensures that qualified healthcare providers are granted appropriate privileges within the Air Force medical system.

Related forms: AF Form 4296-1 - Clinical Privileges - Chiropractor (Continuation Sheet).

Differences from similar forms: AF Form 4296-1 is a continuation sheet used to provide additional information when necessary, while AF Form 4296 is the primary request form for chiropractic clinical privileges.