В – Крупная моторика Колонка
Г – Речь Колонка
Д – Слуховое восприятие
Таблица сенсомоторного развития
Фамилия, имя ................................................................................................
Город .....................................................................................................................
Адрес ....................................................................................................................
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Возраст .................................... Дата рождения ..........................
Первое обследование ............................................................................
Второе обследование .............................................................................
Третье обследование ...............................................................................
Для заметок лечебного педагога
1. Предыстория (анамнез): ..................................................................
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2. Причина представления:.................................................................
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3. Наблюдения специалиста,
проводившего обследования
Контакты с другими лицами: ..............................................................
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Поведение в игре: ......................................................................................
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Особые замечания:...................................................................................
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4. Диагноз: .......................................................................................................
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