Pub/Form Number | DA FORM 5440A |
Pub/Form Date | 04/01/2009 |
Pub/Form Title | APPROVAL OF CLINICAL PRIVILEGES/STAFF APPOINTMENT |
Unit Of Issue(s) | PDF (This form may require download to view. For more details visit FAQs.) |
Pub/Form IDN |
990001 |
Pub/Form PIN | 066579 |
Pub/Form Proponent | TSG |
Pub/Form Status | ACTIVE |
Product Status | ACTIVE |
Prescribed Forms/Prescribing Directive | AR 40-68 |
Authority (Superseded By/Rescinded By) | |
Superseded/Replaced Other Pub/Form | |
Footnotes | 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA 45-https://armypubs.army.mil |
Security Classification | UNCLASSIFIED |
Dist Restriction Code | A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED |
Changes |
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