DA Form 5190. Clinician`s Information

DA Form 5190 serves as a means to collect and document essential information about clinicians within the Department of the Army's healthcare system. This form aids in maintaining accurate records of clinician details and expertise for administrative and staffing purposes.

The form consists of sections where clinicians provide their personal information, professional credentials, specialized areas of expertise, and relevant contact details. Additional sections may include employment history, education, and references.

Important fields in this form include the clinician's name, contact information, professional credentials, and areas of specialization. Accurate completion of this form is crucial for effective communication within the healthcare system and for ensuring appropriate assignment of clinicians to relevant medical tasks.

Application Example: A newly appointed Army medical officer completes DA Form 5190 to submit their information to the central healthcare administration. This form helps the administration understand the officer's qualifications and expertise, facilitating proper placement within the medical team.

No additional documents are typically required to complete this form, as it is designed to capture all relevant clinician information.

No direct alternatives or analogues to DA Form 5190 are mentioned, as its purpose is specific to collecting clinician information within the Army healthcare system.