Raport de evaluare a necesităților de asistență și dezvoltare a

copilului
1.Date generale

Numele ,prenumele copilului_______________________________

Data și locul întocmirii_____________________________

Vârsta_____

Data întocmirii raportului_____________

2.Istoricul social

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3.Nevoi identificate in baza evaluarii complexe a copilului și familiei

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4.Nevoi identificate in baza evaluarii psihologice primare a copilului

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5.Nevoi identificate în baza evaluării pedagogice primare

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6.Nevoi identificate în baza evaluării medicale primare

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Asistentul social__________

Psihologul_______________

Pedagogul social_______________

Asistentul medical______________