REFERAT MEDICAL

Subsemnatul dr._______________________________________, în calitate de

medic de specialitate, examinând astăzi ______________________________________

pe dl.(d-na)______________________________________________________________

am stabilit diagnosticul ___________________________________________________

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având ca deficit funcţional_________________________________________________
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care îi favorizează dreptul de a fi încadrat într-o categorie de persoane cu handicap.
Se eliberează prezentul Referat medical pentru a-i servi la întocmirea dosarului de
încadrare într-o categorie de persoane cu handicap.

Prezentul Referat medical este valabil 60 de zile de la data eliberării.

Medic

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