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Ficha psicológica

Dary Yarelny Perez Quintero


Especialista en Psicóloga clínica
Uninorte TP 127928

IDENTIFICACIÓN

Nombres y apellidos------------------------------------------------------------------------------------------------------

Lugar y fecha de nacimiento--------------------------------------------------------------------------------------------

Sexo---------------------------------Edad--------------------------------------Fecha--------------------------------------

Elaborado por--------------------------------------------------------------------------Fecha-----------------------------

Motivo de Consulta--------------------------------------------------------------------------------------------------------
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Dinámica Familiar----------------------------------------------------------------------------------------------------------
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Genograma Familiar

Nombre Edad Ocupación Relación


Padre
Madre
Hermanos
Otros
Ficha psicológica
Dary Yarelny Perez Quintero
Especialista en Psicóloga clínica
Uninorte TP 127928

Historia Personal------------------------------------------------------------------------------------------------------------
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Historia Escolar--------------------------------------------------------------------------------------------------------------
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Ficha psicológica
Dary Yarelny Perez Quintero
Especialista en Psicóloga clínica
Uninorte TP 127928

VALORACIÓN PSICOLÓGICA GENERAL:

Apariencia General(porte y aptitud)

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Sensopercepción

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Atención

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Memoria

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PRUEBAS APLICADAS

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Ficha psicológica
Dary Yarelny Perez Quintero
Especialista en Psicóloga clínica
Uninorte TP 127928

Diagnostico

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Recomendaciones

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Observaciones

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Ficha psicológica
Dary Yarelny Perez Quintero
Especialista en Psicóloga clínica
Uninorte TP 127928

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