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DA FORM
Record Details for DA FORM 5440A

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Authority (Superseded By/Rescinded By)

Superseded/Replaced Other Pub/Form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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Accessibility/Section 508

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Army Publishing Directorate
9301 Chapek Road., Bldg.1458
Fort Belvoir, VA 22060

(703) 614-3727

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