DA 5440-01-R through DA 5517-R
Posted : Monday, January 01, 1900
| FORM NO. | FORM DATE | TITLE | |
| DA 5440-1 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - DENTISTRY | |
| DA 5440-10 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PSYCHIATRY | |
| DA 5440-11 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CLINICAL PSYCHOLOGY | |
| DA 5440-12 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - DIAGNOSTIC RADIOLOGY | |
| DA 5440-13 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - GENERAL SURGERY | |
| DA 5440-14 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - NURSE ANESTHETIST | |
| DA 5440-15 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CERTIFIED NURSE MIDWIFE | |
| DA 5440-16 | FB 04 | DELINEATION OF CLINICAL PRIVILEGES - NURSE PRACTITIONER | |
| DA 5440-18 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT | |
| DA 5440-19 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - DIETETICS | |
| DA 5440-2 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - FAMILY PRACTICE | |
| DA 5440-20 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OCCUPATIONAL THERAPY | |
| DA 5440-21 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PHYSICAL THERAPY | |
| DA 5440-22 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES | |
| DA 5440-23 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - EMERGENCY MEDICINE | |
| DA 5440-24 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - AEROSPACE MEDICINE | |
| DA 5440-25 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - GENERAL MEDICAL OFFICER | |
| DA 5440-28 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES | |
| DA 5440-29 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY | |
| DA 5440-3 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - INTERNAL MEDICINE | |
| DA 5440-30 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - NEPHROLOGY | |
| DA 5440-31 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CHIROPRACTIC | |
| DA 5440-32 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - DERMATOLOGY | |
| DA 5440-33 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - UROLOGY | |
| DA 5440-34 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTIONER | |
| DA 5440-35 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE | |
| DA 5440-36 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - AUDIOLOGY | |
| DA 5440-37 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY | |
| DA 5440-38 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY | |
| DA 5440-39 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE | |
| DA 5440-4 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - NEUROLOGY | |
| DA 5440-40 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY | |
| DA 5440-41 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION | |
| DA 5440-42 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CARDIOLOGY | |
| DA 5440-43 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OPHTHAMOLOGY | |
| DA 5440-44 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY | |
| DA 5440-45 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY | |
| DA 5440-46 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE | |
| DA 5440-47 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE | |
| DA 5440-48 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY | |
| DA 5440-49 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY | |
| DA 5440-5 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OBSTETRICS AND GYNECOLOGY | |
| DA 5440-50 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY | |
| DA 5440-51 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - NEUROSURGERY | |
| DA 5440-52 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - CRITICAL CARE MEDICINE | |
| DA 5440-53 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE | |
| DA 5440-54 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - THORACIC SURGERY | |
| DA 5440-55 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS | |
| DA 5440-56 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - BLOOD SERVICES | |
| DA 5440-57 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE | |
| DA 5440-58 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION | |
| DA 5440-6 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - OPTOMETRY | |
| DA 5440-7 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PATHOLOGY | |
| DA 5440-8 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PEDIATRICS | |
| DA 5440-9 | FEB 04 | DELINEATION OF CLINICAL PRIVILEGES - PODIATRY | |
| DA 5440A | FEB 04 | APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENT | |
| DA 5441 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - ANESTHESIA | |
| DA 5441-1 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - DENTISTRY | |
| DA 5441-10 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PSYCHIATRY | |
| DA 5441-11 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PSYCHOLOGY | |
| DA 5441-12 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - DIAGNOSTIC RADIOLOGY | |
| DA 5441-13 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - GENERAL SURGERY | |
| DA 5441-14 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NURSE ANESTHETIST | |
| DA 5441-15 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CERTIFIED NURSE MIDWIFE | |
| DA 5441-16 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NURSE PRACTITIONER | |
| DA 5441-18 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PHYSICIAN ASSISTANT | |
| DA 5441-19 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - DIETETICS | |
| DA 5441-2 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - FAMILY PRACTICE | |
| DA 5441-20 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL THERAPY | |
| DA 5441-21 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL THERAPY | |
| DA 5441-22 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES | |
| DA 5441-23 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - EMERGENCY MEDICINE | |
| DA 5441-24 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - AEROSPACE MEDICINE | |
| DA 5441-25 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - GENERAL MEDICAL OFFICER | |
| DA 5441-28 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - SOCIAL WORK | |
| DA 5441-29 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - ALLERGY/IMMUNOLOGY | |
| DA 5441-3 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - INTERNAL MEDICINE | |
| DA 5441-30 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NEPHROLOGY | |
| DA 5441-31 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CHIROPRACTIC | |
| DA 5441-32 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - DERMATOLOGY | |
| DA 5441-33 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - UROLOGY | |
| DA 5441-34 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - BEHAVIORAL HEALTH PRACTITIONER | |
| DA 5441-35 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PSYCHOLOGICAL ASSOCIATE | |
| DA 5441-36 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - AUDIOLOGY | |
| DA 5441-37 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - SPEECH PATHOLOGY | |
| DA 5441-38 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CLINICAL PHARMACY | |
| DA 5441-39 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NUCLEAR MEDICINE | |
| DA 5441-4 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NEUROLOGY | |
| DA 5441-40 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - THERAPEUTIC RADIOLOGY | |
| DA 5441-41 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PHYSICAL MEDICINE AND REHABILITATION | |
| DA 5441-42 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CARDIOLOGY | |
| DA 5441-43 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OPHTHALMOLOGY | |
| DA 5441-44 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OTOLARYNGOLOGY | |
| DA 5441-45 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CARDIOVASCULAR SURGERY | |
| DA 5441-46 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PULMONARY DISEASE | |
| DA 5441-47 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PREVENTIVE MEDICINE | |
| DA 5441-48 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - ORAL & MAXILLOFACIAL SURGERY | |
| DA 5441-49 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PLASTIC SURGERY | |
| DA 5441-5 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OBSTETRICS AND GYNECOLOGY | |
| DA 5441-50 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - VASCULAR SURGERY | |
| DA 5441-51 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - NEUROSURGERY | |
| DA 5441-52 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - CRITICAL MEDICINE | |
| DA 5441-53 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OCCUPATIONAL MEDICINE | |
| DA 5441-54 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - THORACIC SURGERY | |
| DA 5441-55 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - ORTHOPAEDICS | |
| DA 5441-56 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - BLOOD SERVICES | |
| DA 5441-57 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PSYCHIATRIC ADVANCED PRACTICE NURSE | |
| DA 5441-58 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION | |
| DA 5441-6 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - OPTOMETRY | |
| DA 5441-7 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PATHOLOGY | |
| DA 5441-8 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PEDIATRICS | |
| DA 5441-9 | FEB 04 | EVALUATION OF CLINICAL PRIVILEGES - PODIATRY | |
| DA 5447-R | FEB 96 | OFFICER SERVICE AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE: MONTGOMERY GI BILL) | |
| DA 5448-R | AUG 85 | MOISTURE & DENSITY TESTER FIELD DATA WORKSHEET | |
| DA 5450-R | AUG 85 | MOISTURE & DENSITY FIELD TEST SHEET | |
| DA 5454-R | JUL 93 | REQUEST FOR ARMY/AMERICAN COUNCIL ON EDUCATION REGISTRY TRANSCRIPT | |
| DA 5456 | NOV 05 | WATER POINT INSPECTION | |
| DA 5457 | NOV 05 | POTABLE WATER CONTAINER INSPECTION | |
| DA 5458 | NOV 05 | SHOWER/DECONTAMINATION POINT INSPECTION | |
| DA 5459 | OCT 03 | AUTHORIZATION TO RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY INQUIRIES | |
| DA 5462 | JUN 04 | TIP ALLOCATION WORKSHEET | |
| DA 5462-1 | JUN 04 | CONTINUATION OF TIP ALLOCATION WORKSHEET | |
| DA 5463-R PDF ONLY | OCT 85 | PETROLEUM PRODUCTS TANK FARM OUTTURN RECORD | |
| DA 5464-R PDF ONLY | OCT 85 | PETROLEUM PRODUCTS PIPELINE LEAKAGE REPORT | |
| DA 5467-R | OCT 85 | CIVILIAN CLEARANCE RECORD | |
| DA 5468-R | OCT 85 | EXIT QUESTIONNAIRE | |
| DA 5473-R | NOV 85 | PERFORMANCE REQUIREMENTS SUMMARY | |
| DA 5475-R | NOV 85 | COR/QAE SURVEILLANCE SCHEDULE | |
| DA 5476-R | NOV 85 | SURVEILLANCE ACTIVITY CHECKLIST | |
| DA 5477-R | NOV 85 | CUSTOMER COMPLAINT RECORD | |
| DA 5478-R | NOV 85 | DECISION TABLE | |
| DA 5479-R | NOV 85 | CONTRACT DISCREPANCY REPORT | |
| DA 5480 | JUN 03 | MAINTENANCE REQUEST AND ASSIGNMENT REGISTER | |
| DA 5481-R | NOV 85 | TALLY CHECKLIST | |
| DA 5484-R | FEB 96 | MISSION SCHEDULE/BRIEF | |
| DA 5500-R | DEC 85 | BODY FAT CONTENT WORKSHEET (MALE) | |
| DA 5501-R | DEC 85 | BODY FAT CONTENT WORKSHEET (FEMALE) | |
| DA 5511-R PDF ONLY | FEB 86 | PERSONAL WEIGHT LOSS PROGRESS | |
| DA 5512 | SEP 02 | RESPITE CARE AGREEMENT | |
| DA 5513-R | AUG 93 | KEY CONTROL REGISTER AND INVENTORY | |
| DA 5514-R | APR 86 | TAMIS TRAINING AMMUNITION FORECAST REPORT | |
| DA 5515 | MAY 04 | TRAINING AMMUNITION CONTROL DOCUMENT | |
| DA 5515-1 | MAY 04 | TRAINING AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET | |
| DA 5517-R | FEB 86 | STANDARD RANGE CARD |
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