Fisa Consiliere

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Catalina Mitu

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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:

………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………

Timpul alocat acestei discutii :....................................................................

Stadiul discutiei: Finaliza / Nefinalizat

Data programarii pentru urmatoarea sedinta de consiliere este

……………………………….si urmatoarea este
…………………………………………………………….............................
………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
Asistata de psiholog Mitu Catalina Mihaela.

Data Semnatura clientului Semnatura

consilierului

…………….. ………………………..
…………………………..

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