DAFORMFILLABLE.COM | DA FORM 5441-37 Fillable – Army Pubs 5441-37 PDF – DA FORM 5441-37, titled Evaluation Of Clinical Privileges – Speech Pathology, is a critical document used within the military healthcare system to assess the qualifications and clinical privileges of speech pathologists. This form ensures that only competent professionals are granted the authority to provide specialized care in speech pathology.
DA FORM 5441-37 – Evaluation Of Clinical Privileges – Speech Pathology
| Form Number | DA Form 5441-37 |
| Form Title | Evaluation Of Clinical Privileges – Speech Pathology |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Key Features of DA FORM 5441-37
DA FORM 5441-37 was published on February 1, 2004, and remains an active form used by the TSG (The Surgeon General) to maintain high standards in military healthcare. The form is prescribed by AR 40-68, which outlines the standards for clinical privileges within the Army Medical Department.
Purpose and Importance
The primary purpose of DA FORM 5441-37 is to evaluate the clinical competencies of speech pathologists. This evaluation ensures that professionals have the necessary skills and knowledge to provide high-quality care to service members and their families. The form serves as a standardized tool to document and review the qualifications and performance of speech pathologists.
Structure and Content
The form is comprehensive and includes various sections that capture essential information about the speech pathologist being evaluated. These sections typically include:
- Personal Information: Details about the speech pathologist, including name, rank, and contact information.
- Professional Qualifications: Educational background, certifications, and licensure information.
- Clinical Competencies: Specific skills and areas of expertise in speech pathology.
- Performance Evaluation: Assessment of the speech pathologist’s performance in clinical settings.
- Recommendations: Final recommendations regarding the granting or denial of clinical privileges.
Compliance and Privacy
DA FORM 5441-37 requires compliance with privacy regulations as per AR 340-21. It includes a Privacy Act Statement to inform individuals about the handling of their personal information. The form is only produced in electronic media, ensuring easy access and efficient processing.
Distribution and Accessibility
The form is classified as UNCLASSIFIED and carries a distribution restriction code of A, indicating that it is approved for public release and distribution is unlimited. This ensures transparency and accessibility for all stakeholders involved in the evaluation process.
Importance of Proper Evaluation
Proper evaluation using DA FORM 5441-37 is crucial for maintaining high standards in speech pathology services within the military. By thoroughly assessing the qualifications and competencies of speech pathologists, the military healthcare system ensures that service members receive the best possible care.
Conclusion
DA FORM 5441-37 – Evaluation Of Clinical Privileges – Speech Pathology is an essential tool in the military healthcare system. It ensures that speech pathologists are adequately qualified and capable of providing high-quality care. Understanding the structure, purpose, and importance of this form is vital for healthcare administrators and professionals involved in the evaluation process. By adhering to the guidelines and requirements outlined in the form, the military can maintain a high standard of care for its personnel and their families.
DA FORM 5441-37 Fillable – Army Pubs 5441-37 PDF DOWNLOAD
