DAFORMFILLABLE.COM | DA FORM 5441-1 Fillable – Army Pubs 5441-1 PDF – DA FORM 5441-1 is a crucial document used within the military medical field to evaluate the clinical privileges of dental professionals. This article provides an in-depth look at DA FORM 5441-1, its purpose, and its importance in ensuring high standards in military dentistry.
DA FORM 5441-1 – Evaluation Of Clinical Privileges-Dentistry
| Form Number | DA Form 5441-1 |
| Form Title | Evaluation Of Clinical Privileges-Dentistry |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5441-1?
DA FORM 5441-1, titled Evaluation of Clinical Privileges-Dentistry, is a form used to assess the clinical capabilities and privileges of dental practitioners within the military. The form was first published on February 1, 2004, and remains an active document in the military health system.
Purpose and Importance
The primary purpose of DA FORM 5441-1 is to ensure that dental professionals meet the necessary standards to perform their duties effectively and safely. This evaluation is essential for maintaining high standards of dental care within military facilities.
Components of DA FORM 5441-1
Pub/Form Number and Date
The form is identified by the Pub/Form Number DA FORM 5441-1 and was published on 02/01/2004.
Title and Proponent
The form is titled Evaluation Of Clinical Privileges-Dentistry and the proponent is TSG (The Surgeon General).
Status and Prescribing Directive
DA FORM 5441-1 is currently ACTIVE and is prescribed under the directive AR 40-68.
Footnotes
Several important footnotes accompany the form:
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
Distribution and Classification
The form has a Security Classification of UNCLASSIFIED and a Distribution Restriction Code of A, meaning it is approved for public release; distribution is unlimited.
How to Utilize DA FORM 5441-1
To effectively utilize DA FORM 5441-1, dental professionals and evaluators should follow these steps:
Completing the Form
- Review Requirements: Understand the specific clinical privileges being evaluated.
- Gather Documentation: Collect all necessary supporting documents and previous evaluations.
- Fill Out Form: Complete all sections of DA FORM 5441-1 accurately, ensuring all information is up-to-date.
- Privacy Act Compliance: Include the required Privacy Act Statement as per AR 340-21.
Submission and Review
- Submit Form: Once completed, submit the form through the appropriate channels within the military health system.
- Evaluation: The form will be reviewed by designated authorities to determine if the dental professional meets the required standards.
- Feedback and Action: Based on the evaluation, necessary actions such as granting, renewing, or revoking clinical privileges will be taken.
SEO Best Practices for Understanding DA FORM 5441-1
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- Use Relevant Keywords: Keywords such as DA FORM 5441-1, Evaluation of Clinical Privileges-Dentistry, and military dental evaluation should be used throughout the article.
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- Internal and External Links: Include links to related articles and authoritative sources like military directives and health guidelines.
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Conclusion
DA FORM 5441-1 – Evaluation Of Clinical Privileges-Dentistry is an essential tool for maintaining the quality and safety of dental care within the military. By understanding its components, purpose, and proper usage, military dental professionals and evaluators can ensure that high standards are consistently met. Utilizing SEO best practices in discussing this form helps disseminate crucial information effectively, reaching those who need it most.
DA FORM 5441-1 Fillable – Army Pubs 5441-1 PDF DOWNLOAD
