DA FORM

Pub/Form Number	DA FORM 5440-58
Pub/Form Date	02/01/2004
Pub/Form Title	DELINEATION OF CLINICAL PRIVILEGES - SUBSTANCE ABUSE REHABILITATION
Unit Of Issue(s)	PDF  (This form may require download to view. For more details visit FAQs.)
Pub/Form Proponent	TSG
Pub/Form Status	ACTIVE
Prescribed Forms/Prescribing Directive	AR 40-68
Footnotes	14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21) 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
Authority (Superseded By/Rescinded By)
Superseded/Replaced Other Pub/Form
Security Classification	UNCLASSIFIED
Dist Restriction Code	A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
Pub/Form IDN	990001
Pub/Form PIN	081330
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