DAFORMFILLABLE.COM | DA FORM 5440-35 Fillable – Army Pubs 5440-35 PDF – DA FORM 5440-35 is a crucial document in the realm of psychological services within military settings. This form delineates the clinical privileges granted to psychological associates, ensuring that these professionals operate within the scope of their training and expertise. Below is a comprehensive guide to understanding the DA FORM 5440-35, its purposes, and its implementation.
DA FORM 5440-35 – Delineation Of Clinical Privileges – Psychological Associate
| Form Number | DA Form 5440-35 |
| Form Title | Delineation Of Clinical Privileges – Psychological Associate |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5440-35
DA FORM 5440-35, titled Delineation Of Clinical Privileges – Psychological Associate, was published on February 1, 2004. It serves as an essential tool for detailing the specific clinical privileges assigned to psychological associates within military medical facilities.
Key Details of DA FORM 5440-35
- Pub/Form Number: DA FORM 5440-35
- Pub/Form Date: 02/01/2004
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: ACTIVE
- Prescribing Directive: AR 40-68
- Security Classification: UNCLASSIFIED
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 081307
- Footnotes:
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
- 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)
Purpose of DA FORM 5440-35
The primary purpose of DA FORM 5440-35 is to ensure that psychological associates are granted clinical privileges that match their training, experience, and competency levels. This form helps in maintaining high standards of care and patient safety within military medical facilities.
Importance of Delineating Clinical Privileges
Delineation of clinical privileges is a critical process in the medical field. It involves specifying the procedures and activities that a healthcare provider is authorized to perform. For psychological associates, this delineation ensures that they are not performing tasks beyond their qualifications, thereby protecting both the provider and the patients.
Implementation and Use
DA FORM 5440-35 is implemented under the guidelines of AR 40-68, which outlines the requirements for granting, renewing, and supervising clinical privileges within the Army Medical Department. The form must be filled out electronically, adhering to privacy standards as mandated by AR 340-21.
Completing the Form
When completing DA FORM 5440-35, it is essential to accurately detail the clinical activities that the psychological associate is privileged to perform. This includes assessments, therapies, and any specialized procedures within their scope of practice.
Privacy and Security Considerations
Given that DA FORM 5440-35 contains sensitive information, it requires a Privacy Act Statement to ensure that personal data is protected. The form is classified as UNCLASSIFIED and is approved for public release, making it accessible for appropriate use without compromising security.
Conclusion
DA FORM 5440-35 – Delineation Of Clinical Privileges – Psychological Associate is a vital document that upholds the standards of clinical practice within military healthcare settings. By clearly outlining the clinical privileges of psychological associates, it ensures that these professionals provide safe and competent care. Adhering to the guidelines of AR 40-68 and maintaining privacy and security standards are paramount in the effective use of this form.
For more information or to access DA FORM 5440-35, professionals can refer to the Army Publishing Directorate or relevant military medical departments.
By following the outlined procedures and maintaining compliance with prescribed directives, psychological associates can effectively contribute to the well-being of military personnel and the overall mission of military healthcare services.
DA FORM 5440-35 Fillable – Army Pubs 5440-35 PDF DOWNLOAD
