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SECRETARIA MUNICIPAL DE EDUCAO

ESCOLA MUNICIPAL PROFESSORA ANTONIA PEREIRA DA SILVA

FICHA DE ENCAMINHAMENTO AO SETOR PEDAGGICO

Aluno _____________________________________________________________
_____ ano

turma: ___________

Motivos do Encaminhamento:
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Expectativas com relao ao atendimento:__________________________________


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Nome do Docente_____________________________________________________
Disciplina:___________________________________________________________

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Assinatura

Data _____/______/________.

Resumo do atendimento:

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Atendimento aos pais (quando necessrio)


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Data: _____/_____/______

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