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DA 5440-01-R through DA 5517-R

FORM NO. FORM DATE TITLE PDF
DA 5440-1 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – DENTISTRY

PDF
DA 5440-10 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PSYCHIATRY

PDF
DA 5440-11 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CLINICAL PSYCHOLOGY

PDF
DA 5440-12 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – DIAGNOSTIC RADIOLOGY

PDF
DA 5440-13 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – GENERAL SURGERY

PDF
DA 5440-14 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – NURSE ANESTHETIST

PDF
DA 5440-15 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CERTIFIED NURSE MIDWIFE

PDF
DA 5440-16 FB 04 DELINEATION OF
CLINICAL PRIVILEGES – NURSE PRACTITIONER

PDF
DA 5440-18 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PHYSICIAN ASSISTANT

PDF
DA 5440-19 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – DIETETICS

PDF
DA 5440-2 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – FAMILY PRACTICE

PDF
DA 5440-20 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OCCUPATIONAL THERAPY

PDF
DA 5440-21 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PHYSICAL THERAPY

PDF
DA 5440-22 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES

PDF
DA 5440-23 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – EMERGENCY MEDICINE

PDF
DA 5440-24 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – AEROSPACE MEDICINE

PDF
DA 5440-25 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – GENERAL MEDICAL OFFICER

PDF
DA 5440-28 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES

PDF
DA 5440-29 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – ALLERGY/IMMUNOLOGY

PDF
DA 5440-3 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – INTERNAL MEDICINE

PDF
DA 5440-30 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – NEPHROLOGY

PDF
DA 5440-31 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CHIROPRACTIC

PDF
DA 5440-32 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – DERMATOLOGY

PDF
DA 5440-33 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – UROLOGY

PDF
DA 5440-34 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – BEHAVIORAL HEALTH PRACTIONER

PDF
DA 5440-35 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PSYCHOLOGICAL ASSOCIATE

PDF
DA 5440-36 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – AUDIOLOGY

PDF
DA 5440-37 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – SPEECH PATHOLOGY

PDF
DA 5440-38 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CLINICAL PHARMACY

PDF
DA 5440-39 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – NUCLEAR MEDICINE

PDF
DA 5440-4 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – NEUROLOGY

PDF
DA 5440-40 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – THERAPEUTIC RADIOLOGY

PDF
DA 5440-41 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PHYSICAL MEDICINE AND REHABILITATION

PDF
DA 5440-42 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CARDIOLOGY

PDF
DA 5440-43 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OPHTHAMOLOGY

PDF
DA 5440-44 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OTOLARYNGOLOGY

PDF
DA 5440-45 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CARDIOVASCULAR SURGERY

PDF
DA 5440-46 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PULMONARY DISEASE

PDF
DA 5440-47 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PREVENTIVE MEDICINE

PDF
DA 5440-48 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – ORAL & MAXILLOFACIAL SURGERY

PDF
DA 5440-49 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PLASTIC SURGERY

PDF
DA 5440-5 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OBSTETRICS AND GYNECOLOGY

PDF
DA 5440-50 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – VASCULAR SURGERY

PDF
DA 5440-51 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – NEUROSURGERY

PDF
DA 5440-52 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – CRITICAL CARE MEDICINE

PDF
DA 5440-53 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OCCUPATIONAL MEDICINE

PDF
DA 5440-54 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – THORACIC SURGERY

PDF
DA 5440-55 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – ORTHOPAEDICS

PDF
DA 5440-56 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – BLOOD SERVICES

PDF
DA 5440-57 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PSYCHIATRIC ADVANCED PRACTICE NURSE

PDF
DA 5440-58 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – SUBSTANCE ABUSE REHABILITATION

PDF
DA 5440-6 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – OPTOMETRY

PDF
DA 5440-7 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PATHOLOGY

PDF
DA 5440-8 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PEDIATRICS

PDF
DA 5440-9 FEB 04 DELINEATION OF
CLINICAL PRIVILEGES – PODIATRY

PDF
DA 5440A FEB 04 APPROVAL OF
CLINICAL PRIVILEGES/STAFF APPOINTMENT

PDF
DA 5441 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – ANESTHESIA

PDF
DA 5441-1 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – DENTISTRY

PDF
DA 5441-10 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PSYCHIATRY

PDF
DA 5441-11 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CLINICAL PSYCHOLOGY

PDF
DA 5441-12 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – DIAGNOSTIC RADIOLOGY

PDF
DA 5441-13 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – GENERAL SURGERY

PDF
DA 5441-14 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NURSE ANESTHETIST

PDF
DA 5441-15 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CERTIFIED NURSE MIDWIFE

PDF
DA 5441-16 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NURSE PRACTITIONER

PDF
DA 5441-18 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PHYSICIAN ASSISTANT

PDF
DA 5441-19 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – DIETETICS

PDF
DA 5441-2 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – FAMILY PRACTICE

PDF
DA 5441-20 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OCCUPATIONAL THERAPY

PDF
DA 5441-21 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PHYSICAL THERAPY

PDF
DA 5441-22 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES

PDF
DA 5441-23 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – EMERGENCY MEDICINE

PDF
DA 5441-24 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – AEROSPACE MEDICINE

PDF
DA 5441-25 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – GENERAL MEDICAL OFFICER

PDF
DA 5441-28 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – SOCIAL WORK

PDF
DA 5441-29 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – ALLERGY/IMMUNOLOGY

PDF
DA 5441-3 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – INTERNAL MEDICINE

PDF
DA 5441-30 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NEPHROLOGY

PDF
DA 5441-31 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CHIROPRACTIC

PDF
DA 5441-32 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – DERMATOLOGY

PDF
DA 5441-33 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – UROLOGY

PDF
DA 5441-34 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – BEHAVIORAL HEALTH PRACTITIONER

PDF
DA 5441-35 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PSYCHOLOGICAL ASSOCIATE

PDF
DA 5441-36 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – AUDIOLOGY

PDF
DA 5441-37 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – SPEECH PATHOLOGY

PDF
DA 5441-38 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CLINICAL PHARMACY

PDF
DA 5441-39 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NUCLEAR MEDICINE

PDF
DA 5441-4 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NEUROLOGY

PDF
DA 5441-40 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – THERAPEUTIC RADIOLOGY

PDF
DA 5441-41 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PHYSICAL MEDICINE AND REHABILITATION

PDF
DA 5441-42 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CARDIOLOGY

PDF
DA 5441-43 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OPHTHALMOLOGY

PDF
DA 5441-44 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OTOLARYNGOLOGY

PDF
DA 5441-45 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CARDIOVASCULAR SURGERY

PDF
DA 5441-46 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PULMONARY DISEASE

PDF
DA 5441-47 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PREVENTIVE MEDICINE

PDF
DA 5441-48 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – ORAL & MAXILLOFACIAL SURGERY

PDF
DA 5441-49 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PLASTIC SURGERY

PDF
DA 5441-5 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OBSTETRICS AND GYNECOLOGY

PDF
DA 5441-50 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – VASCULAR SURGERY

PDF
DA 5441-51 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – NEUROSURGERY

PDF
DA 5441-52 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – CRITICAL MEDICINE

PDF
DA 5441-53 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OCCUPATIONAL MEDICINE

PDF
DA 5441-54 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – THORACIC SURGERY

PDF
DA 5441-55 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – ORTHOPAEDICS

PDF
DA 5441-56 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – BLOOD SERVICES

PDF
DA 5441-57 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PSYCHIATRIC ADVANCED PRACTICE NURSE

PDF
DA 5441-58 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – SUBSTANCE ABUSE REHABILITATION

PDF
DA 5441-6 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – OPTOMETRY

PDF
DA 5441-7 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PATHOLOGY

PDF
DA 5441-8 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PEDIATRICS

PDF
DA 5441-9 FEB 04 EVALUATION OF
CLINICAL PRIVILEGES – PODIATRY

PDF
DA 5447-R FEB 96 OFFICER SERVICE
AGREEMENT SELECTED RESERVE EDUCATIONAL ASSISTANCE PROGRAM (SHORT TITLE:
MONTGOMERY GI BILL)

PDF
DA 5448-R AUG 85 MOISTURE &
DENSITY TESTER FIELD DATA WORKSHEET

PDF
DA 5450-R AUG 85 MOISTURE &
DENSITY FIELD TEST SHEET

PDF
DA 5454-R JUL 93 REQUEST FOR
ARMY/AMERICAN COUNCIL ON EDUCATION REGISTRY TRANSCRIPT

PDF
DA 5456 NOV 05 WATER POINT
INSPECTION

PDF
DA 5457 NOV 05 POTABLE WATER
CONTAINER INSPECTION

PDF
DA 5458 NOV 05
SHOWER/DECONTAMINATION POINT INSPECTION

PDF
DA 5459 OCT 03 AUTHORIZATION TO
RELEASE INFORMATION FROM ARMY RECORDS ON NONSUPPORT/CHILD CUSTODY/PATERNITY
INQUIRIES

PDF
DA 5462 JUN 04 TIP ALLOCATION
WORKSHEET

PDF
DA 5462-1 JUN 04 CONTINUATION OF
TIP ALLOCATION WORKSHEET

PDF
DA 5463-R PDF
ONLY
OCT 85 PETROLEUM
PRODUCTS TANK FARM OUTTURN RECORD

PDF
DA 5464-R PDF
ONLY
OCT 85 PETROLEUM
PRODUCTS PIPELINE LEAKAGE REPORT

PDF
DA 5467-R OCT 85 CIVILIAN
CLEARANCE RECORD

PDF
DA 5468-R OCT 85 EXIT
QUESTIONNAIRE

PDF
DA 5473-R NOV 85 PERFORMANCE
REQUIREMENTS SUMMARY

PDF
DA 5475-R NOV 85 COR/QAE
SURVEILLANCE SCHEDULE

PDF
DA 5476-R NOV 85 SURVEILLANCE
ACTIVITY CHECKLIST

PDF
DA 5477-R NOV 85 CUSTOMER
COMPLAINT RECORD

PDF
DA 5478-R NOV 85 DECISION TABLE
PDF
DA 5479-R NOV 85 CONTRACT
DISCREPANCY REPORT

PDF
DA 5480 JUN 03 MAINTENANCE
REQUEST AND ASSIGNMENT REGISTER

PDF
DA 5481-R NOV 85 TALLY CHECKLIST
PDF
DA 5484-R FEB 96 MISSION
SCHEDULE/BRIEF

PDF
DA 5500-R DEC 85 BODY FAT CONTENT
WORKSHEET (MALE)

PDF
DA 5501-R DEC 85 BODY FAT CONTENT
WORKSHEET (FEMALE)

PDF
DA 5511-R PDF
ONLY
FEB 86 PERSONAL WEIGHT
LOSS PROGRESS

PDF
DA 5512 SEP 02 RESPITE CARE
AGREEMENT

PDF
DA 5513-R AUG 93 KEY CONTROL
REGISTER AND INVENTORY

PDF
DA 5514-R APR 86 TAMIS TRAINING
AMMUNITION FORECAST REPORT

PDF
DA 5515 MAY 04 TRAINING
AMMUNITION CONTROL DOCUMENT

PDF
DA 5515-1 MAY 04 TRAINING
AMMUNITION CONTROL DOCUMENT CONTINUATION SHEET

PDF
DA 5517-R FEB 86 STANDARD RANGE
CARD

PDF
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