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Departamento de psicología

INFORME PSICOLÓGICO
I. DATOS GENERALES
. Nombres y apellidos : …………………………………………………………………..
. Edad : …………………………………………………………………..
. Sexo : F M
. Fecha de nacimiento : …………………………………………………………………..
. Lugar de nacimiento : …………………………………………………………………..
. Lugar entre hermanos : …………………………………………………………………..
. Residencia : …………………………………………………………………..
. Grado de instrucción : …………………………………………………………………..
. Estado civil : …………………………………………………………………..
. Fecha de evaluación : …………………………………………………………………..

. Evaluador : …………………………………………………………………..

II. MOTIVO DE CONSULTA


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III. PROBLEMA ACTUAL


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IV. OBSERVACION GENERAL DE LA CONDUCTA


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V. DATOS RELEVANTES (Antecedentes)


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VI. TECNICAS E INSTRUMENTOS UTILIZADOS

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Departamento de psicología

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VII. RESULTADOS
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VIII. CONCLUSIONES
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IX. DIAGNÓSTICO
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X. PRONÓSTICO
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XI. RECOMENDACIONES
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XII. RESULTADOS
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XIII. CONCLUSIONES
Departamento de psicología

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XIV. DIAGNÓSTICO
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XV. PRONÓSTICO
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XVI. RECOMENDACIONES
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Alumno
Natalia Katherine Gálvez Rivera
Escuela Profesional Psicología
UPAO

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