DA Form 5440-48. Delineation of Clinical Privileges - Oral & Maxillofacial Surgery
DA Form 5440-48 serves as a tool for delineating clinical privileges specifically within the domain of Oral & Maxillofacial Surgery.
DA Form 5440-49. Delineation of Clinical Privileges - Plastic Surgery
DA Form 5440-49 is designed for the delineation of clinical privileges within the field of Plastic Surgery. This form facilitates the documentation and evaluation of a medical practitioner's qualifications and requested privileges related to cosmetic and reconstructive surgical procedures.
DA Form 5440-5. Delineation of Clinical Privileges-Obstetrics and Gynecology
DA Form 5440-5 is intended for the delineation of clinical privileges within the field of Obstetrics and Gynecology.
DA Form 5179-1. Intraoperative Document
DA Form 5179-1, Intraoperative Document, serves as a crucial record during surgical procedures to document important information and actions taken during the operation.
DA Form 5181. Screening Note of Acute Medical Care
DA Form 5181, Screening Note of Acute Medical Care, is used by medical personnel to document initial assessments and observations of patients receiving acute medical care. The form aids in recording critical information for proper diagnosis and treatment.
DA Form 5182-R. Soil Suction, Water Content and Specific Volume (LRA)
DA Form 5182-R, Soil Suction, Water Content and Specific Volume (LRA), is employed for soil analysis and research purposes, particularly related to soil suction, water content, and specific volume measurements.
DA Form 5184. Consumer Complaint
DA Form 5184, Consumer Complaint, serves as a platform for individuals to formally register complaints about products or services provided by entities under the Department of the Army. The form aids in addressing consumer concerns and improving the quality of services.
DA Form 5187. Application for Respite Caregivers
DA Form 5187, Application for Respite Caregivers, is utilized by military families seeking respite care services for their family members with special needs. The form facilitates the application process and helps determine the eligibility and specific requirements for respite care assistance.
DA Form 5190. Clinician`s Information
DA Form 5190 serves as a means to collect and document essential information about clinicians within the Department of the Army's healthcare system. This form aids in maintaining accurate records of clinician details and expertise for administrative and staffing purposes.
DA Form 5191. Information on Individual With Disability
DA Form 5191 is employed to gather information about individuals with disabilities, aiding in the documentation and understanding of their unique needs. This form supports the Department of the Army's commitment to inclusivity and provision of appropriate accommodations.