DAFORMFILLABLE.COM | DA FORM 5441-28 Fillable – Army Pubs 5441-28 PDF – DA FORM 5441-28 – Evaluation Of Clinical Privileges – Social Work is a crucial document used in the evaluation of clinical privileges for social work professionals within the Army. This form, published on February 1, 2004, ensures that social workers meet the necessary standards and qualifications to provide clinical services. This article provides an in-depth look at the form’s purpose, usage, and relevant regulations.
DA FORM 5441-28 – Evaluation Of Clinical Privileges – Social Work
| Form Number | DA Form 5441-28 |
| Form Title | Evaluation Of Clinical Privileges – Social Work |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5441-28
Pub/Form Information
- Pub/Form Number: DA FORM 5441-28
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation Of Clinical Privileges – Social Work
- Pub/Form Proponent: TSG
- Pub/Form Status: Active
Regulatory and Legal Context
- Prescribed Forms/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: 073929
Purpose of DA FORM 5441-28
The Evaluation Of Clinical Privileges – Social Work form is designed to evaluate the qualifications and performance of social work professionals. This evaluation ensures that they are competent to perform their duties within the clinical settings of the Army. The form is crucial for maintaining high standards of care and ensuring that only qualified individuals are granted clinical privileges.
Key Components of DA FORM 5441-28
Privacy and Security
The form requires adherence to privacy regulations, specifically:
- Footnote 14: Requires Privacy Act Statement (AR 340-21)
- Footnote 42: Item only produced in electronic media
These footnotes highlight the importance of protecting personal information and ensuring that the form is handled appropriately.
Evaluation Criteria
The evaluation criteria outlined in DA FORM 5441-28 are comprehensive and detailed. They include assessments of the social worker’s:
- Clinical Skills: Evaluating their ability to provide effective social work services.
- Professional Competence: Ensuring they have the necessary knowledge and expertise.
- Ethical Standards: Adherence to ethical guidelines and professional conduct.
Process and Submission
The form must be completed accurately and submitted according to the guidelines specified in AR 40-68. This regulation provides detailed instructions on the procedures for evaluating and granting clinical privileges.
Importance of Compliance
Compliance with the DA FORM 5441-28 process is mandatory for all social work professionals seeking clinical privileges within the Army. This compliance ensures:
- Quality of Care: Maintaining high standards of care for all service members.
- Accountability: Ensuring social workers are accountable for their professional performance.
- Regulatory Adherence: Meeting the legal and regulatory requirements set forth by the Army.
Conclusion
DA FORM 5441-28 – Evaluation Of Clinical Privileges – Social Work is an essential tool in the evaluation and credentialing process for social work professionals within the Army. By following the guidelines and completing this form accurately, social workers can ensure they meet the necessary standards to provide high-quality clinical services. Adherence to the prescribed directives and privacy regulations is crucial for maintaining the integrity and effectiveness of the evaluation process.
DA FORM 5441-28 Fillable – Army Pubs 5441-28 PDF DOWNLOAD
