КАРТА
ОКАЗАНИЯ ПСИХОЛОГО-ПЕДАГОГИЧЕСКОЙ ПОМОЩИ РЕБЕНКУ
(девиантное, делинквентное поведение, «группы риска»)
ФАМИЛИЯ, ИМЯ----------------------------------------------------------------
ДАТА РОЖДЕНИЯ--------------------------------------------------------------
АДРЕС------------------------------------------------------------------------------
СВЕДЕНИЯ О РОДИТЕЛЯХ:
ОТЕЦ-------------------------------------------------------------------------------
МАТЬ-------------------------------------------------------------------------------
СВЕДЕНИЯ О ДРУГИХ ЧЛЕНАХ СЕМЬИ-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
СОЦИАЛЬНЫЙ СТАТУС СЕМЬИ-------------------------------------------
УСЛОВИЯ-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
УСПЕВАЕМОСТЬ В ШКОЛЕ, ПОВЕДЕНИЕ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
УВЛЕЧЕНИЯ -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ПЕДАГОГИЧЕСКИЕ НАБЛЮДЕНИЯ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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МЕДИЦИНСКИЕ НАБЛЮДЕНИЯ---------------------------------------------------------------------------------------------------------------------------------------------------------
НАБЛЮДЕНИЯ ПСИХОЛОГА---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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ВИДЫ КОРРЕКЦИОННОЙ РАБОТЫ
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РЕЗУЛЬТАТЫ
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РЕКОМЕНДАЦИИ
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