DAFORMFILLABLE.COM | DA FORM 5440-37 Fillable – Army Pubs 5440-37 PDF – DA FORM 5440-37 is a crucial document for professionals in the field of speech pathology within military settings. This form, titled Delineation Of Clinical Privileges – Speech Pathology, plays an essential role in specifying the scope and extent of clinical privileges granted to speech pathologists. Below, we will delve into the form’s purpose, usage, and key aspects to provide a comprehensive understanding.
DA FORM 5440-37 – Delineation Of Clinical Privileges – Speech Pathology
| Form Number | DA Form 5440-37 |
| Form Title | Delineation Of Clinical Privileges – Speech Pathology |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5440-37?
Pub/Form Number and Title
DA FORM 5440-37 is identified by its publication/form number and is officially titled Delineation Of Clinical Privileges – Speech Pathology. This form outlines the specific clinical privileges and responsibilities that a speech pathologist is authorized to perform within a military medical facility.
Pub/Form Date and Status
The form was published on February 1, 2004, and its status is active, meaning it is currently in use and applicable for delineating clinical privileges in the field of speech pathology.
Purpose and Importance of DA FORM 5440-37
Defining Clinical Privileges
DA FORM 5440-37 serves to formally define the clinical privileges that a speech pathologist is permitted to exercise. This ensures that each professional’s scope of practice is clearly outlined, promoting both accountability and quality of care.
Compliance with AR 40-68
The use of this form is prescribed by AR 40-68, which is a directive that governs the credentials and clinical privileges of healthcare providers in the military. Ensuring compliance with this regulation is vital for maintaining standardization and adherence to military medical protocols.
Key Features of DA FORM 5440-37
Privacy and Security
The form requires a Privacy Act Statement (AR 340-21) to protect personal information, underscoring the importance of confidentiality in medical records and documentation. Additionally, the form is classified as UNCLASSIFIED but approved for public release, meaning its distribution is not restricted.
Electronic Media
One notable feature is that DA FORM 5440-37 is only produced in electronic media, making it accessible and easy to distribute across various platforms within the military healthcare system.
Structure and Sections of DA FORM 5440-37
Sections and Content
The form typically includes sections that detail the qualifications, scope of practice, and specific clinical privileges granted to the speech pathologist. These sections ensure that there is a clear and documented understanding of what each speech pathologist is authorized to perform.
Updates and Changes
The form is subject to changes and updates to reflect current practices and regulations. It is essential for professionals to stay informed about any modifications to ensure continued compliance and understanding of their clinical privileges.
Utilizing DA FORM 5440-37
Who Should Use This Form?
DA FORM 5440-37 is used by military medical facilities and credentialing committees to delineate the clinical privileges of speech pathologists. This form is crucial for maintaining a standardized approach to credentialing across the military healthcare system.
Process and Documentation
The process of completing and approving DA FORM 5440-37 involves a thorough review of the speech pathologist’s qualifications, training, and experience. Proper documentation and adherence to the guidelines are essential for the accurate delineation of clinical privileges.
Conclusion
DA FORM 5440-37 – Delineation Of Clinical Privileges – Speech Pathology is a fundamental document in the military medical field, ensuring that speech pathologists are granted the appropriate clinical privileges based on their qualifications and expertise. By adhering to the guidelines set forth in AR 40-68 and maintaining up-to-date documentation, military healthcare facilities can ensure high standards of care and accountability.
For further information, individuals are encouraged to consult the full text of AR 40-68 and other related directives to fully understand the requirements and procedures associated with this important form.
DA FORM 5440-37 Fillable – Army Pubs 5440-37 PDF DOWNLOAD
