PRONTUÁRIO TERAPÊUTICO OCUPACIONAL-1

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PRONTUÁRIO TERAPÊUTICO OCUPACIONAL
(Em atendimento à Resolução COFFITO n° 415 de 19 de maio de 2012)
	NOME:
	MF: 
	FILIAÇÃO:
	TERAPEUTA:
	AVALIAÇÃO INICIAL DA TERAPIA OCUPACIONAL
	DATA:
	DIAGNÓSTICO TERAPÊUTICO OCUPACIONAL (considerar a condição de saúde, qualidade de vida e participação social do paciente)
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	PROGNÓSTICO TERAPÊUTICO OCUPACIONAL (estimativa de evolução)
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	PLANO TERAPÊUTICO OCUPACIONAL (descrição dos procedimentos terapêuticos ocupacionais propostos relatando os recursos, os métodos e técnicas a serem utilizados e o (s) objetivo(s) terapêutico(s) a ser (em) alcançado(s), bem como o quantitativo provável de atendimento)
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	ASSINATURA:
	NOME:
	MF: 
	TERAPEUTA:
	REAVALIAÇÃO DA TERAPIA OCUPACIONAL
	DATA:
	PLANO TERAPÊUTICO OCUPACIONAL
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
	NOME:
	MF: 
	TERAPEUTA:
	REAVALIAÇÃO DA TERAPIA OCUPACIONAL
	DATA:
	PLANO TERAPÊUTICO OCUPACIONAL
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