AF Form 1540 - Application for Clinical Privileges / Medical Staff Appointment

AF Form 1540 - Application for Clinical Privileges / Medical Staff Appointment serves as an application form for healthcare professionals seeking clinical privileges or medical staff appointments within the Air Force Medical Service (AFMS).

AF Form 1540 includes sections for the applicant's professional information, qualifications, training, and desired clinical privileges. It is used to assess and approve healthcare professionals for specific roles and responsibilities within AFMS facilities.

An example scenario for using AF Form 1540 is when a medical doctor or other healthcare provider applies for clinical privileges or a medical staff appointment within an Air Force medical facility. This form helps evaluate the qualifications and suitability of applicants, ensuring that only qualified individuals are granted clinical privileges.