REFERAT MEDICAL

Subsemnatul dr._______________________________________, n calitate de

medic de specialitate, examinnd astzi ______________________________________
pe dl.(d-na)______________________________________________________________
am stabilit 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 de zile de la data eliberrii.

Medic
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