Fisa Consiliere

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FISA DE CONSILIERE PSIHOLOGICA

Numele si prenumele clientului Numele si prenumele consilierului

…………………………………… ……………………………………

Tema discutiei cu consilierul in cadrul sedintei de astazi………………………………...

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Timpul alocat acestei discutii ……………………………………..

Stadiul discutiei Finalizat

Nefinalizat

Data programarii pentru urmatoarea sedinta de consiliere……………………………….

si urmatoarea tema de discutie……………………………………………………………
…………………………………………………………………………………………….
…………………………………………………………………………………………….
…………………………………………………………………………………………….
asistata de consilierul psihologic………………………………………………………….

Data Semnatura clientului Semnatura consilierului

…………….. ……………………….. …………………………..

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