Справка по динамическому контролю замещающей семьи

Динамический контроль

Ф.И.О. замещающих родителей:_______________________________________________________

Ф.И.О.ребенка:_____________________________________________________________________

Цель:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Проблема:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Содержание работы: (используемые диагностические методики)__________________________

__________________________________________________________________________________ __________________________________________________________________________________   ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Результатыдиагностики:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Вывод:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Рекомендации:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

«___»_____________202__г. _________________  _______________________________________                         

                                                                                             ^{(подпись специалиста)                                                                  (расшифровка подписи)}

«___»_____________202__г. _________________  _______________________________________                         

                                                                                             ^{(подпись родителя)                                                                          (расшифровка подписи)}