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REFERAT MEDICAL

Subsemnatul
calitate de

Dr.________________________________________________________

medic
de
specialitate
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examinnd

Pe
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Am
stabilit
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astzi
dl.(d-na)
diagnosticul

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Avnd
ca
deficit
funcional
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care i favorizeaz dreptul de a fi ncadrat ntr-o categorie de persoane cu handicap.
Se elibereaz prezentul Referat medical pentru a-i servi la ntocmirea dosarului de
ncadrare
ntr-o categorie de persoane cu handicap.
Prezentul Referat medical este valabil 60 zile de la data eliberarii.

Medic

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