AF Form 4305 - Clinical Privileges - Preventive Medicine Subspecialists

AF Form 4305 - Clinical Privileges - Preventive Medicine Subspecialists is used to request clinical privileges for preventive medicine subspecialists in the Air Force.

AF Form 4305 is similar to AF Form 4296 but is specifically designed for preventive medicine subspecialists. It includes sections for personal information, qualifications, requested privileges, and signatures from medical authorities. The form is used by preventive medicine subspecialists seeking clinical privileges and the relevant medical authorities responsible for granting or denying these privileges.

Example scenario: A preventive medicine subspecialist with expertise in public health and disease prevention seeks to work within an Air Force medical facility. They complete AF Form 4305 to request clinical privileges, outlining their qualifications and the specific privileges they are qualified to perform. This form facilitates the process of integrating preventive medicine expertise into the Air Force's healthcare services.