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A Anamnese Infantil

Por:   •  12/9/2021  •  Abstract  •  343 Palavras (2 Páginas)  •  211 Visualizações

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ANAMNESE

Dados Pessoais:

Nome: __________________________________________________________________________________________________________________________________________________

Data de nascimento: ____/____/_______

Estado Civil: ________________________                  Sexo: _____

Escolaridade: ________________________  Religião: ___________________________

Endereço: __________________________________________________________________________________________________________________________________________________

_________________________________________________________________________

Tel: __________________________ Tel Com. ___________________ cel ____________

Nome do Pai:

__________________________________________________________________________________________________________________________________________________

Data de nascimento: ____/____/_______

Estado Civil: ________________________                  Sexo: _____

Escolaridade: ________________________  Religião: ___________________________

Endereço: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________

Tel: __________________________ Tel Com. ___________________ cel ____________

Nome da Mãe:

__________________________________________________________________________________________________________________________________________________

Data de nascimento: ____/____/_______

Estado Civil: ________________________                  Sexo: _____

Escolaridade: ________________________  Religião: ___________________________

Endereço: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________

Tel: __________________________ Tel Com. ___________________ cel ____________

Anamnese:

a) O que te traz aqui?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

b) desde quando você nota essa problemática?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

c) De que forma isso tem afetado as atividades e suas relações interpessoais?  Como é a reação das pessoas do ambiente frente a isso?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

d) Em quais situações essa problemática ocorre? (onde, com quem)

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

História Pessoal:

  1. Se souber fale sobre as condições em que ele(a) foi gerado, a expectativa familiar a respeito do nascimento e como nasceu (parto normal ou outro).

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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