Da Form 5440 33 What Is DA Form 5440 33 This is a military form that was released by the U S Department of the Army DA on February 1 2004 The form often mistakenly referred to as the DD Form 5440 33 is a military form used by and within the U S Army As of today no separate instructions for the form are provided by the DA
Once approved any revisions or corrections to this list of privileges will require you to submit a new DA Form 5440 SUPERVISOR Review each category and or individual privilege coded by the provider and enter the appropriate approval code in the column marked APPROVED This serves as your recommendation to the commander who is the approval For use of this form see AR 40 68 the proponent agency is OTSG DELINEATION OF CLINICAL PRIVILEGES UROLOGY 1 NAME OF PROVIDER Last First MI 2 RANK GRADE 3 FACILITY PROVIDER CODES SUPERVISOR CODES DA Form 5440 33 FEB 2004 PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 2 APD V1 00 a Radical Partial Nephrectomy b Radical Cystectomy
Da Form 5440 33
Da Form 5440 33
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What Is DA Form 5440 33 This is a military form that was released by the U S Department of the Army DA on February 1 2004 The form often mistakenly referred to as the DD Form 5440 33 is a military form used by and within the U S Army As of today no separate instructions for the form are provided by the DA
https://www.armyreal.com/forms/pdf/A5440.pdf
Once approved any revisions or corrections to this list of privileges will require you to submit a new DA Form 5440 SUPERVISOR Review each category and or individual privilege coded by the provider and enter the appropriate approval code in the column marked APPROVED This serves as your recommendation to the commander who is the approval
DA Form 5440-37. Delineation of Clinical Privileges - Speech Pathology | Forms - Docs - 2023
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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 Fillable Form DA 5440 33 DELINEATION OF CLINICAL PRIVILEGES UROLOGY FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL ONLINE Contents What is DA 5440 33 How to fill out DA 5440 33 FAQs about DA 5440 33 FILL ONLINE Related Forms DA 5441 33 DA 5440 3 DA 5441 3
Overview of DA FORM 5440 33 DA FORM 5440 33 titled Delineation Of Clinical Privileges Urology is designed to ensure that urologists practicing within the Army are qualified to perform specific clinical tasks The form is prescribed by AR 40 68 and includes footnotes that require adherence to privacy act statements as per AR 340 21 It is essential to note that this form is only available Army form Addeddate A5440 33 form Identifier ark ark 13960 t1wd7ks65 Ocr ABBYY FineReader 11 0 Ppi 300 plus circle Add Review comment Reviews There are no reviews yet Be the first one to write a review 78 Views DOWNLOAD OPTIONS download 1 file
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ARMYPUBSDAFORM NET DA FORM 5440 33 DELINEATION OF CLINICAL PRIVILEGES UROLOGY The DA forms are the documents issued by the United States Department of the Army From reporting about US Army soldiers physical capabilities and fitness to gathering the private info of those who have received reassignment guidelines there are so many distinct purposes that these forms served 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
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Da Form 5440 33 - Overview of DA FORM 5440 33 DA FORM 5440 33 titled Delineation Of Clinical Privileges Urology is designed to ensure that urologists practicing within the Army are qualified to perform specific clinical tasks The form is prescribed by AR 40 68 and includes footnotes that require adherence to privacy act statements as per AR 340 21 It is essential to note that this form is only available