Da Form 5440 40 Army DA administrative publications and forms by the Army Publishing Directorate APD The latest technologies high quality electronic pubs and forms view U S Army Regulations and DA Forms
For use of this form see AR 40 68 the proponent agency is OTSG DELINEATION OF CLINICAL PRIVILEGES THERAPEUTIC RADIOLOGY 1 NAME OF PROVIDER Last First MI 2 RANK GRADE 3 FACILITY DA Form 5440 40 FEB 2004 Page 2 of 2 APD V1 00 COMMENTS Approval as requested Approval with Modifications Specify below Disapproval What Is DA Form 5440 40 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 40 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
Da Form 5440 40
Da Form 5440 40
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Learn How to Fill the DA form 2404 Equipment Inspection and Maintenance Worksheet - YouTube
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Army DA administrative publications and forms by the Army Publishing Directorate APD The latest technologies high quality electronic pubs and forms view U S Army Regulations and DA Forms
https://daformfillable.com/wp-content/uploads/2024/07/DA-FORM-5440-40-Delineation-Of-Clinical-Privileges-Therapeutic-Radiology.pdf
For use of this form see AR 40 68 the proponent agency is OTSG DELINEATION OF CLINICAL PRIVILEGES THERAPEUTIC RADIOLOGY 1 NAME OF PROVIDER Last First MI 2 RANK GRADE 3 FACILITY DA Form 5440 40 FEB 2004 Page 2 of 2 APD V1 00 COMMENTS Approval as requested Approval with Modifications Specify below Disapproval
DA Forms 5440 - 5441 | Forms - Docs - 2023
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Perform complete histories and physicals AR 40 501 g Supervision of immunizations AR 40 562 h Nuclear and Chemical Surety evaluations AR 50 5 and 50 6 a Aviation Medicine Aeromedical PA b Orthopedics DA FORM 5440 18 FEB 2004 Page 2 of 2 COMMENTS COMMITTEE CHAIRPERSON Name and rank SIGNATURE DEPARTMENT Overview of DA FORM 5440 40 DA FORM 5440 40 titled Delineation Of Clinical Privileges Therapeutic Radiology was published on February 1 2004 The form is actively used and maintained by the TSG The Surgeon General It is prescribed by AR 40 68 which provides guidelines on clinical privileges Key Details Pub Form Number DA FORM 5440 40
DA Form 5440 40 is the Delineation of Clinical Privileges Therapeutic Radiology form used to establish and document the clinical privileges of therapeutic radiologists within the Department of the Army This form outlines the scope of therapeutic radiology assessment and treatment procedures that practitioners are authorized to perform Get a DA 5440 40 here Edit Online Instantly DELINEATION OF CLINICAL PRIVILEGES THERAPEUTIC RADIOLOGY Toggle navigation 30 votes Rate Me Form was filled out and downloaded 1 000 times already Fillable Form DA 5440 40 DELINEATION OF CLINICAL PRIVILEGES THERAPEUTIC RADIOLOGY FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL
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DA Form 5440 1 is a related form that serves a similar purpose but is specific to dentistry DA Form 5440 1 is used for the Delineation of Clinical Privileges Dentistry outlining the clinical privileges and authorized dental procedures for practitioners in the dental field Download fillable form pdf doc xls For use of this form see AR 40 68 the proponent agency is OTSG 2 RANK GRADE 3 FACILITY PROVIDER CODES SUPERVISOR CODES 1 Fully competent to perform DA FORM 5440 53 FEB 2004 Page 1 of 3 i Perform federal disability retirement medical examinations requires documented training in AMA guidelines for
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