DAFORMFILLABLE.COM | DA FORM 5440-25 Fillable – Army Pubs 5440-25 PDF – DA FORM 5440-25, titled Delineation Of Clinical Privileges-General Medical Officer, is a critical document used in the medical field to outline and authorize the specific clinical privileges of a general medical officer. This form ensures that medical officers are granted the appropriate permissions to perform their duties within their scope of practice. Here, we will delve into the details of this form, its purpose, and its significance in the medical community.
DA FORM 5440-25 – Delineation Of Clinical Privileges-General Medical Officer
| Form Number | DA Form 5440-25 |
| Form Title | Delineation Of Clinical Privileges-General Medical Officer |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose of DA FORM 5440-25
The primary purpose of DA FORM 5440-25 is to delineate clinical privileges for general medical officers. This delineation is essential for maintaining the standards of medical care within the military. It ensures that medical officers have the necessary qualifications and are authorized to perform specific medical procedures and tasks.
Key Components of DA FORM 5440-25
Pub/Form Number and Date
- Pub/Form Number: DA FORM 5440-25
- Pub/Form Date: 02/01/2004
The form number and date indicate the specific version of the form being used, ensuring that the most current standards and requirements are applied.
Title and Proponent
- Title: Delineation Of Clinical Privileges-General Medical Officer
- Pub/Form Proponent: TSG (The Surgeon General)
The title specifies the form’s focus on general medical officers, while the proponent, TSG, indicates the responsible authority overseeing its implementation and updates.
Status and Prescribing Directive
- Pub/Form Status: ACTIVE
- Prescribed Forms/Prescribing Directive: AR 40-68
The form is currently active, meaning it is in use and must be adhered to. It is prescribed by AR 40-68, which provides the regulatory guidance for the privileges and responsibilities of medical personnel.
Privacy and Distribution
Footnotes
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21): This footnote indicates that the form requires a privacy act statement as per AR 340-21, ensuring the confidentiality and protection of personal information.
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA: This denotes that the form is only available in electronic format, promoting easy access and digital record-keeping.
Distribution
- Security Classification: UNCLASSIFIED
- Dist Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
The form is unclassified and approved for public release, meaning it can be freely distributed and accessed by the relevant personnel without restrictions.
Utilization of DA FORM 5440-25
Authority and Supersession
- Authority (Superseded By/Rescinded By): Not applicable
- Superseded/Replaced Other Pub/Form: Not applicable
This form is the current authority and has not been superseded or replaced by another publication.
Publication Identification Numbers
- Pub/Form IDN: 990001
- Pub/Form PIN: 066565
These identification numbers are used for cataloging and reference purposes, ensuring the correct form is utilized.
Importance of DA FORM 5440-25
The DA FORM 5440-25 plays a crucial role in the credentialing process for general medical officers. By clearly defining the clinical privileges, it helps in maintaining high standards of medical care and ensures that only qualified personnel perform specific medical procedures. This form is vital for both patient safety and the professional integrity of the medical officers.
Conclusion
In conclusion, the DA FORM 5440-25 – Delineation Of Clinical Privileges-General Medical Officer is an essential document within the military medical community. It ensures that general medical officers are appropriately authorized to perform their duties, maintaining high standards of care and compliance with regulatory requirements. By understanding and utilizing this form correctly, medical personnel can contribute to the efficient and effective delivery of medical services within their scope of practice.
DA FORM 5440-25 Fillable – Army Pubs 5440-25 PDF DOWNLOAD
