DA Form 5440-15. Delineation of Clinical Privileges-Certified Nurse Midwives
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.
DA Form 5440-16. Delineation of Clinical Privileges-Nurse Practitioner
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 5440-19. Delineation of Clinical Privileges-Dietetics
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.
DA Form 5440-2. Delineation of Clinical Privileges-Family Practice
DA Form 5440-2 is the Delineation of Clinical Privileges-Family Practice form used to establish and document the clinical privileges of family practice physicians within the Department of the Army.
DA Form 5440-20. Delineation of Clinical Privileges-Occupational Therapy
DA Form 5440-20 is the Delineation of Clinical Privileges-Occupational Therapy form used to establish and document the clinical privileges of occupational therapists within the Department of the Army.
DA Form 5440-21. Delineation of Clinical Privileges-Physical Therapy
DA Form 5440-21 is the Delineation of Clinical Privileges-Physical Therapy form used to establish and document the clinical privileges of physical therapists within the Department of the Army.
DA Form 5440-22. Delineation of Clinical Privileges
DA Form 5440-22 is the Delineation of Clinical Privileges form used to establish and document the clinical privileges of healthcare practitioners within the Department of the Army for whom specific specialty forms are not available.
DA Form 5440-23. Delineation of Clinical Privileges-Emergency Medicine
DA Form 5440-23 is the Delineation of Clinical Privileges-Emergency Medicine form used to establish and document the clinical privileges of emergency medicine physicians within the Department of the Army.
DA Form 5440-24. Delineation of Clinical Privileges-Aerospace Medicine
DA Form 5440-24 is the Delineation of Clinical Privileges-Aerospace Medicine form used to establish and document the clinical privileges of aerospace medicine physicians within the Department of the Army.
DA Form 5440-25. Delineation of Clinical Privileges-General Medical Officer
DA Form 5440-25 is the Delineation of Clinical Privileges-General Medical Officer form used to establish and document the clinical privileges of general medical officers within the Department of the Army.