DA Form 5441-8. Evaluation of Clinical Privileges-Pediatrics

DA Form 5441-8 is utilized for evaluating clinical privileges in the field of Pediatrics. This form plays a crucial role in assessing and establishing the qualifications and requested privileges for medical professionals specializing in the care and treatment of infants, children, and adolescents.

The form comprises sections where the pediatric specialist provides personal and professional details, including licenses, certifications, and qualifications specific to pediatric practice. It requires outlining the requested clinical privileges, covering areas such as well-child visits, pediatric surgeries, and child health assessments.

Important fields in this form include the specialist's identification information, requested clinical privileges, and supporting documentation showcasing their expertise in pediatric care. Accurate completion of this form is essential to ensure that the practitioner is granted privileges aligned with their proficiency in diagnosing and treating pediatric conditions.

Application Example: A pediatrician joining a military medical facility would use DA Form 5441-8 to request clinical privileges. By accurately completing the form and providing necessary documentation, the practitioner's proficiency in well-child visits and child health assessments is evaluated, enabling the medical facility to grant appropriate privileges.

No additional documents are explicitly mentioned as required for filling this form.

Related Form: DA Form 5441-7, 5441-9, 5448-R, and 5450-R are related forms intended for different clinical privilege evaluation processes.