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VIÑETA CLÍNICA

Nombre del terapeuta/estudiante: ____________________________________________________

Nombre del paciente/proyecto: ______________________________________________________

Fecha de sesión: ___________________________


Hora de sesión: __________________________
Lugar de sesión: ___________________________ Centro Comunitario ______________________

Número de sesión: _________________ Px Matrícula del PICC ____________________

RESUMEN (Avance u Observaciones)


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Recomendaciones del (a) terapeuta/Estudiante:
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Recomendaciones del supervisor u otro colega:
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FECHA: FIRMA:
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