AF Form 2825: Clinical Privileges – Radiologist

AF Form 2825: Clinical Privileges – Radiologist – AF Form 2825 is the official U.S. Air Force form used to request, verify, and grant clinical privileges specifically for radiologists serving in Air Force Medical Treatment Facilities (MTFs). It helps ensure that radiologists practice within their demonstrated competence, training, and facility capabilities while maintaining high standards of patient safety and quality care across the Air Force Medical Service (AFMS).

This form is part of the broader Air Force credentialing and privileging process governed primarily by AFI 44-119, Medical Quality Operations (and its updates), which implements Department of Defense policies on clinical quality management.

What Is AF Form 2825 Used For?

Radiologists in the Air Force (active duty, reserve, or civilian providers supporting AFMS) complete AF Form 2825 during:

  • Initial appointment or onboarding to an MTF
  • Renewal of privileges (typically every two years)
  • Requests for additional or modified privileges
  • Transition between facilities or after periods of inactivity

The form documents the specific radiology procedures and interpretations the provider is requesting to perform independently (Code 1), under supervision (Code 2), or not requesting (Code 4). It supports the evaluation of education, training, board certification, experience, and current competence.

Note: While older references call it AF IMT Form 2825, the current downloadable version is available directly from the official Air Force e-Publishing site: https://static.e-publishing.af.mil/production/1/af_sg/form/af2825/af2825.pdf.

Who Needs AF Form 2825?

  • Diagnostic radiologists
  • Interventional radiologists
  • Nuclear medicine radiologists (often using related privilege lists)
  • Providers seeking radiology-specific clinical privileges in Air Force hospitals and clinics

It is typically submitted alongside DHA Form 367 (or AF Form 1540 series for application for clinical privileges/medical staff appointment) and supporting credentials documentation.

How Clinical Privileges Work in the Air Force for Radiologists

The Air Force uses a standardized, facility-specific privileging process under AFI 44-119. Privileges are not automatic—they are granted based on:

  • Board certification (e.g., American Board of Radiology)
  • Completed ACGME- or AOA-accredited residency training
  • Current licensure
  • Recent clinical experience and procedure logs
  • Facility capabilities and support (e.g., availability of CT, MRI, fluoroscopy suites)
  • Peer review and recommendation by the Clinical Supervisor and Credentials Function

The process distinguishes between diagnostic radiology, interventional radiology, and nuclear medicine privileges. Official Department of Defense / Air Force Master Privilege Lists (DODMPL) provide detailed “strawman” templates for these areas.

Common privilege categories for radiologists include:

Diagnostic Radiology Privileges (examples):

  • Interpretation of plain film radiography, fluoroscopy, CT, MRI, ultrasound, and mammography
  • Cross-sectional imaging interpretation
  • Pediatric and adult radiology services
  • Emergency and on-call interpretations (teleradiology may have specific rules)

Interventional Radiology Privileges (examples):

  • Angiography (cerebral, visceral, peripheral)
  • Angioplasty and stent placement
  • Embolization procedures
  • Image-guided biopsies and drainages
  • Thrombolysis
  • Central venous access (PICC lines, tunneled catheters)
  • Pain management procedures (e.g., epidural steroid injections, facet blocks)

Nuclear Medicine privileges cover PET/CT, SPECT, radioisotope therapies, and related procedures.

Providers mark each requested privilege with a code:

  • 1 = Fully competent (independent practice)
  • 2 = Supervision required
  • 4 = Not requested / Not approved (due to lack of training, experience, or facility support)

The Clinical Supervisor verifies the requests, and the Credentials Committee makes the final recommendation.

Step-by-Step Process for Completing and Submitting AF Form 2825

  1. Download the latest form from the official Air Force e-Publishing link provided above.
  2. Complete Part I (Applicant): Request privileges by entering the appropriate code for each listed procedure or category. Reflect your current training and experience accurately.
  3. Gather supporting documents: Residency certificates, board certification, procedure logs, continuing medical education (CME), malpractice history, and current license.
  4. Forward to Clinical Supervisor: They review, verify competence, and recommend approval, modification, or disapproval.
  5. Credentials Office / Function review: Final approval occurs through the MTF’s credentials committee and commander.
  6. Periodic reappraisal: Privileges are time-limited and require ongoing monitoring, FPPE (Focused Professional Practice Evaluation) for new privileges, and OPPE (Ongoing Professional Practice Evaluation).

Important: Use the most current DODMPL privilege lists for diagnostic, interventional, or nuclear medicine radiology when preparing your request. These are maintained on the Air Force Medical Service Credentials Verification Office page.

Why Accurate Privileging Matters?

Proper use of AF Form 2825 protects patients, supports mission readiness, ensures compliance with Joint Commission and DoD standards, and safeguards the provider’s professional standing. Incorrect or incomplete submissions can delay onboarding or result in returned forms.

For providers transitioning from civilian practice or completing residency, aligning your requested privileges with documented case volumes and training is critical.

  • AFI 44-119: Medical Quality Operations (governs the entire credentials process)
  • Air Force Medical Service Credentials Verification Office (AFCCVO) forms and DODMPL lists for Radiology
  • DHA Form 367 and AF Form 1540 series for initial applications
  • Official download: AF Form 2825 PDF

Disclaimer: This article provides general information based on publicly available Air Force publications and forms as of 2026. Always consult the latest official versions on e-publishing.af.mil, your local Credentials Manager, or the AFMS Credentials Verification Office for current requirements. Policies and forms can be updated.

If you are a radiologist preparing to join or move within the Air Force Medical Service, download AF Form 2825 today and begin gathering your supporting credentials early to ensure a smooth privileging process.

Keywords: AF Form 2825, clinical privileges radiologist Air Force, AFMS radiology privileges, diagnostic radiology Air Force, interventional radiology privileges, AFI 44-119, Air Force medical credentials.