The AF Form 1540 is authorized under Title 10, U.S.C., Chapter 55, Sections 1094 and 1102. It evaluates applicants for medical staff membership and clinical privileges at Air Force medical facilities and affiliated civilian healthcare organizations.
The form collects the following information:
Completing AF Form 1540 is voluntary, but inaccuracies or omissions may lead to denial or revocation of clinical privileges. The Air Force uses the form to share applicant credentials with government boards, professional societies, and other healthcare organizations.
For civilian healthcare credentialing, see the Credentialing Application. To document clinical training history, use the Clinical Experience Form.
| Question | Answer |
|---|---|
| Form Name | Af Form 1540 |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | af form 1540 2013 fillable, af 1540, af 1541 fillable, af form 1541 fillable |