DA Form 5441-11 is utilized for the evaluation of clinical privileges within the field of Clinical Psychology. This form is a crucial tool for assessing and establishing the qualifications and requested privileges for licensed clinical psychologists involved in diagnosing and treating mental health disorders.
DA Form 5441-10 is used for evaluating clinical privileges within the field of Psychiatry. This form plays a significant role in assessing and establishing the qualifications and requested privileges for medical practitioners involved in diagnosing and treating mental health disorders.
DA Form 5441-1 serves as a vital tool for evaluating clinical privileges within the field of Dentistry. This form is essential for assessing and establishing the qualifications and requested privileges for dental practitioners involved in a range of dental procedures and treatments.
DA Form 5441 is used for the evaluation of clinical privileges in the field of Anesthesia. This form plays a crucial role in assessing and establishing the qualifications and requested privileges for medical practitioners involved in administering anesthesia and perioperative care.
DA Form 5440a, also known as "Approval of Clinical Privileges/Staff Appointment," is used to request and document the approval of clinical privileges and staff appointments for medical practitioners. This form is crucial for establishing the qualifications and granting privileges to practitioners based on their expertise and professional background.
DA Form 5440-9 is a significant document used for delineating clinical privileges in the field of Podiatry. This form serves as a formal request for medical practitioners to establish their qualifications and requested privileges related to the assessment, diagnosis, and treatment of foot and ankle conditions.
DA Form 5440-8 is designed for the delineation of clinical privileges within the field of Pediatrics. This form facilitates the documentation and evaluation of a medical practitioner's qualifications and requested privileges related to the care of infants, children, and adolescents.
DA Form 5440-7 is intended for the delineation of clinical privileges within the field of Pathology. This form serves as a formal request for medical practitioners to establish their qualifications and requested privileges related to diagnosing diseases and conditions through laboratory analysis of tissues and specimens.
DA Form 5440-6 is designed for the delineation of clinical privileges within the Optometry Service. This form facilitates the documentation and evaluation of a medical practitioner's qualifications and requested privileges related to optometric care and eye health.
The form comprises sections where the practitioner provides their personal and professional details, including licenses, certifications, and qualifications. It also requires outlining the requested clinical privileges, covering areas such as comprehensive eye exams, vision correction, and ocular disease management.
DA Form 5440-58 serves as a crucial tool for delineating clinical privileges related to Substance Abuse Rehabilitation. This form is used to assess and establish the qualifications and requested privileges of medical practitioners engaged in substance abuse rehabilitation and addiction treatment.
