DA

DA Form 5440-19 is the Delineation of Clinical Privileges-Dietetics form used to establish and document the clinical privileges of dietitians within the Department of the Army. This form outlines the scope of dietetic procedures and responsibilities that dietitians are authorized to perform.

The form consists of sections where the dietitian's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific dietetic procedures and detailing any restrictions or limitations.

DA Form 5440-16 is a related form that serves a similar purpose but is specific to the Delineation of Clinical Privileges-Nurse Practitioner. DA Form 5440-16 is used for nurse practitioners seeking clinical privileges, outlining the scope of medical procedures they are authorized to perform.

DA Form 5440-15 is the Delineation of Clinical Privileges-Certified Nurse Midwives form used to establish and document the clinical privileges of certified nurse midwives within the Department of the Army. This form outlines the scope of midwifery procedures and responsibilities that certified nurse midwives are authorized to perform.

DA Form 5440-14 is the Delineation of Clinical Privileges-Nurse Anesthetists form used to establish and document the clinical privileges of nurse anesthetists within the Department of the Army. This form outlines the scope of anesthesia procedures and responsibilities that nurse anesthetists are authorized to perform.

The form consists of sections where the nurse anesthetist's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific anesthesia procedures and detailing any restrictions or limitations.

DA Form 5440-13 is the Delineation of Clinical Privileges-General Surgery form used to establish and document the clinical privileges of general surgery practitioners within the Department of the Army. This form outlines the scope of surgical procedures and responsibilities that practitioners are authorized to perform.

DA Form 5440-12 is the Delineation of Clinical Privileges-Diagnostic Radiology form used to establish and document the clinical privileges of diagnostic radiology practitioners within the Department of the Army. This form outlines the scope of diagnostic radiology procedures and responsibilities that practitioners are authorized to perform.

DA Form 5440-11 is the Delineation of Clinical Privileges-Psychology form used to establish and document the clinical privileges of psychology practitioners within the Department of the Army. This form outlines the scope of psychological procedures and responsibilities that practitioners are authorized to perform.

The form consists of sections where the psychology practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific psychological procedures and detailing any restrictions or limitations.

DA Form 5440-10 is the Delineation of Clinical Privileges-Psychiatry form used to establish and document the clinical privileges of psychiatric practitioners within the Department of the Army. This form outlines the scope of psychiatric procedures and responsibilities that practitioners are authorized to perform.

The form consists of sections where the psychiatric practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific psychiatric procedures and detailing any restrictions or limitations.

DA Form 5440-1 is the Delineation of Clinical Privileges-Dentistry form used to establish and document the clinical privileges of dental practitioners. This form outlines the scope of dental procedures and responsibilities that practitioners are authorized to perform within the Department of the Army.

The form consists of sections where the dental practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific dental procedures and detailing any restrictions or limitations.

DA Form 5440 is the Delineation of Clinical Privileges-Anesthesia form used to establish and document the clinical privileges of medical practitioners in the field of anesthesia. This form outlines the scope of procedures and responsibilities that practitioners are authorized to perform.

The form consists of sections where the practitioner's information is provided, including their qualifications and requested privileges. It may also include sections for listing specific procedures and detailing any restrictions or limitations.