DAFORMFILLABLE.COM | DA FORM 5440-29 Fillable – Army Pubs 5440-29 PDF – DA FORM 5440-29 is a critical document used within the military healthcare system to define and authorize the clinical privileges of healthcare professionals specializing in allergy and immunology. This form ensures that practitioners are properly credentialed to perform specific medical procedures, thereby maintaining high standards of care for patients.
DA FORM 5440-29 – Delineation Of Clinical Privileges – Allergy/Immunology
| Form Number | DA Form 5440-29 |
| Form Title | Delineation Of Clinical Privileges – Allergy/Immunology |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Understanding DA FORM 5440-29
DA FORM 5440-29, titled Delineation Of Clinical Privileges – Allergy/Immunology, was published on February 1, 2004, and is maintained by The Surgeon General (TSG). The form is currently in active status, indicating its ongoing use in military medical facilities.
Purpose and Importance
The primary purpose of DA FORM 5440-29 is to detail the specific clinical privileges granted to an allergy/immunology specialist. These privileges outline the scope of medical procedures and treatments that the practitioner is authorized to perform. This delineation is essential for several reasons:
- Ensuring Competency: By clearly defining what a practitioner is allowed to do, the form helps ensure that all medical personnel perform only those procedures for which they are fully trained and competent.
- Maintaining Standards: It helps maintain high standards of medical care within the military healthcare system.
- Legal Compliance: The form ensures compliance with military regulations, specifically AR 40-68, which governs the credentialing of healthcare providers.
Key Features of DA FORM 5440-29
DA FORM 5440-29 includes several important elements that are crucial for its function:
- Clinical Privileges: A detailed list of clinical procedures and treatments that the allergy/immunology specialist is authorized to perform.
- Credentialing Information: Details about the practitioner’s qualifications, including education, training, and certification.
- Approval Signatures: Signatures from credentialing authorities to verify and approve the delineated privileges.
Form Details and Requirements
The DA FORM 5440-29 is subject to several important requirements and restrictions:
- Privacy Act Statement: As per AR 340-21, the form requires a Privacy Act statement to protect the personal information of the practitioners.
- Electronic Media: The form is only produced in electronic media, streamlining its distribution and use within the military healthcare system.
- Public Release: The form is approved for public release and has an unrestricted distribution code (Dist Restriction Code A), ensuring that it is readily accessible to authorized personnel.
Completing DA FORM 5440-29
Filling out DA FORM 5440-29 involves several steps, each requiring attention to detail to ensure accuracy and compliance with military regulations.
Step-by-Step Process
- Personal Information: Enter the healthcare professional’s personal information, including name, rank, and medical specialty.
- Clinical Privileges: List the specific allergy/immunology procedures the practitioner is authorized to perform. This includes both diagnostic and therapeutic procedures.
- Credential Verification: Provide detailed information on the practitioner’s credentials, including medical education, residency training, board certification, and any additional relevant qualifications.
- Signatures: Obtain the necessary signatures from credentialing authorities to validate the form.
Common Procedures Listed
Typical procedures listed on DA FORM 5440-29 for an allergy/immunology specialist may include:
- Allergy Testing: Skin tests, blood tests, and other diagnostic procedures to identify allergens.
- Immunotherapy: Administration of allergy shots or other forms of immunotherapy to treat allergic conditions.
- Management of Immunological Disorders: Treatment and management of conditions such as asthma, eczema, and immunodeficiencies.
Importance of Accurate Documentation
Accurate documentation on DA FORM 5440-29 is crucial for ensuring that only qualified practitioners perform specific medical procedures. This accuracy helps maintain the integrity of the military healthcare system and ensures the safety and well-being of patients.
Compliance with AR 40-68
DA FORM 5440-29 must be completed in compliance with AR 40-68, which outlines the credentialing and privileging process for healthcare providers in the military. This regulation ensures that all practitioners meet the necessary qualifications and standards.
Conclusion
DA FORM 5440-29 – Delineation Of Clinical Privileges – Allergy/Immunology plays a vital role in the military healthcare system by ensuring that allergy and immunology specialists are properly credentialed and authorized to perform specific procedures. By maintaining high standards of care and compliance with military regulations, this form helps safeguard the health and well-being of service members and their families.
For more detailed information and access to the form, you can refer to the official military publications or visit the electronic media repository where the form is available for download.
DA FORM 5440-29 Fillable – Army Pubs 5440-29 PDF DOWNLOAD
