DA Form 5440-39 is the Delineation of Clinical Privileges - Nuclear Medicine form used to establish and document the clinical privileges of nuclear medicine practitioners within the Department of the Army. This form outlines the scope of nuclear medicine assessment and treatment procedures that practitioners are authorized to perform.
DA Form 5440-38 is the Delineation of Clinical Privileges - Clinical Pharmacy form used to establish and document the clinical privileges of clinical pharmacists within the Department of the Army. This form outlines the scope of pharmaceutical assessment and treatment procedures that clinical pharmacists are authorized to perform.
DA Form 5440-37 is the Delineation of Clinical Privileges - Speech Pathology form used to establish and document the clinical privileges of speech pathologists within the Department of the Army. This form outlines the scope of speech and language assessment and treatment procedures that speech pathologists are authorized to perform.
DA Form 5440-36 is the Delineation of Clinical Privileges - Audiology form used to establish and document the clinical privileges of audiologists within the Department of the Army. This form outlines the scope of audiology assessment and treatment procedures that audiologists are authorized to perform.
The form consists of sections where the audiologist's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific audiology procedures and detailing any restrictions or limitations.
DA Form 5440-35 is the Delineation of Clinical Privileges - Psychological Associate form used to establish and document the clinical privileges of psychological associates within the Department of the Army. This form outlines the scope of psychological assessment and treatment procedures that psychological associates are authorized to perform.
DA Form 5440-34 is the Delineation of Clinical Privileges - Behavioral Health Practitioner form used to establish and document the clinical privileges of behavioral health practitioners within the Department of the Army. This form outlines the scope of behavioral health procedures and responsibilities that practitioners are authorized to perform.
DA Form 5440-33 is the Delineation of Clinical Privileges - Urology form used to establish and document the clinical privileges of urology practitioners within the Department of the Army. This form outlines the scope of urology procedures and responsibilities that practitioners are authorized to perform.
The form consists of sections where the urology practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific urology procedures and detailing any restrictions or limitations.
DA Form 5440-32 is the Delineation of Clinical Privileges - Dermatology form used to establish and document the clinical privileges of dermatology practitioners within the Department of the Army. This form outlines the scope of dermatology procedures and responsibilities that practitioners are authorized to perform.
The form consists of sections where the dermatology practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific dermatology procedures and detailing any restrictions or limitations.
DA Form 5440-31 is the Delineation of Clinical Privileges - Chiropractic form used to establish and document the clinical privileges of chiropractic practitioners within the Department of the Army. This form outlines the scope of chiropractic procedures and responsibilities that practitioners are authorized to perform.
DA Form 5440-30 is the Delineation of Clinical Privileges - Nephrology form used to establish and document the clinical privileges of nephrology practitioners within the Department of the Army. This form outlines the scope of medical procedures and responsibilities that nephrology practitioners are authorized to perform.
The form consists of sections where the nephrology practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific medical procedures and detailing any restrictions or limitations.
