DAFORMFILLABLE.COM | DA FORM 5440-47 Fillable – Army Pubs 5440-47 PDF – The DA FORM 5440-47 – Delineation Of Clinical Privileges – Preventive Medicine is a crucial document used in the field of preventive medicine within the military. This form, active since February 1, 2004, is essential for delineating the clinical privileges of medical professionals. This article provides a comprehensive overview of the form, its purpose, and its importance, following SEO best practices for clarity and discoverability.
DA FORM 5440-47 – Delineation Of Clinical Privileges – Preventive Medicine
| Form Number | DA Form 5440-47 |
| Form Title | Delineation Of Clinical Privileges – Preventive Medicine |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose of DA FORM 5440-47
What is DA FORM 5440-47?
The DA FORM 5440-47 is used to outline the specific clinical privileges granted to medical professionals specializing in preventive medicine. This ensures that only qualified personnel perform particular medical duties, safeguarding the quality of care and compliance with military medical standards.
Importance of Delineating Clinical Privileges
Delineating clinical privileges is vital for maintaining high standards of medical care. It helps in:
- Defining the scope of practice for healthcare providers.
- Ensuring patient safety by confirming that only competent professionals perform certain medical tasks.
- Compliance with regulations, such as AR 40-68, which governs the qualifications and scope of practice for medical personnel.
Key Features of DA FORM 5440-47
Form Details
The DA FORM 5440-47 includes several key details:
- Pub/Form Number: DA FORM 5440-47
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Delineation Of Clinical Privileges – Preventive Medicine
- Proponent: TSG (The Surgeon General)
- Status: Active
- Prescribing Directive: AR 40-68
- Privacy Act Statement Required: Yes (AR 340-21)
- Production Media: Electronic Only
- Security Classification: Unclassified
- Distribution Restriction: Approved for public release; distribution is unlimited.
Completing the Form
To complete the DA FORM 5440-47, the following information is typically required:
- Personal Details: Information about the healthcare provider, including name, rank, and identification number.
- Privileges Requested: A detailed list of the specific preventive medicine privileges the provider is requesting.
- Qualifications and Training: Documentation of the provider’s qualifications, training, and experience relevant to the requested privileges.
- Approval: Signatures from the appropriate medical authority confirming the granting of privileges.
Compliance and Distribution
Privacy and Security
The DA FORM 5440-47 requires a Privacy Act Statement in accordance with AR 340-21, ensuring that the personal information of healthcare providers is protected. The form is classified as unclassified and is available in electronic media only, facilitating easy distribution and access.
Distribution and Accessibility
The distribution of the DA FORM 5440-47 is unrestricted, meaning it is approved for public release and can be freely distributed. This ensures that all relevant parties have access to the form, promoting transparency and efficiency in the delineation of clinical privileges.
Conclusion
The DA FORM 5440-47 – Delineation Of Clinical Privileges – Preventive Medicine plays a pivotal role in maintaining the quality and safety of preventive medical care within the military. By clearly outlining the specific clinical privileges of healthcare providers, it helps ensure that only qualified professionals perform essential medical tasks. Understanding and correctly utilizing this form is crucial for compliance with military medical standards and the effective delivery of healthcare services.
By incorporating SEO best practices, this article aims to provide valuable and easily discoverable information for individuals seeking to understand or utilize the DA FORM 5440-47 in their professional activities.
DA FORM 5440-47 Fillable – Army Pubs 5440-47 PDF DOWNLOAD
