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EVALUATION OF CLINICAL PRIVILEGES PHYSICAL MEDICINE AND REHABILITATION 1. NAME OF PROVIDER(Last, First, MI)For use of this form, see AR 4068; the proponent agency is OSG. 2. RANK/GRADE 3. PERIOD OF
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The evaluation of clinical privileges form on the www.armyreal.com website is used to assess a healthcare provider's qualifications and competencies to perform specific clinical privileges within the military healthcare system.
Healthcare providers within the military healthcare system are required to file the evaluation of clinical privileges form.
The form can be filled out online on the www.armyreal.com website by providing accurate and detailed information about the healthcare provider's qualifications, training, and experience.
The purpose of the evaluation of clinical privileges form is to ensure that healthcare providers are competent and qualified to perform specific clinical privileges within the military healthcare system.
The form requires information about the healthcare provider's education, training, licensure, certifications, and professional experience.
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