ProfiloDinamicoFunzionale
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PROFILIO DINAMICO FUNZIONALE AZIENDA SANITARIA LOCALE CE/……. DISTRETTO N°……….U.O.M.I. UNITA’ MULTIDISCIPLINARE ISTITUTO COMPRENSIVO STATALE I.C. LUCILIO Con Sezione ad Indirizzo Musicale VIALE TRIESTE – 81037 SESSA AURUNCA (CE) - DISTR. N° 19 TEL. 0823/937127 – FAX 0823/681856 E-Mail [email protected];; sito web www.icasessalucilio.gov.it Cod. Mecc. CEIC8AZ004 – Cod. Fisc. 95015610611 PROFILO DINAMICO FUNZIONALE Cognome e nome______________________________________________________ nato a ______________________________il_______________________________ residente a____________________________Via____________________________ scuola___________________________________di__________________________ classe____________________sez_____________plesso_______________________ DIAGNOSI _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ 1 PROFILIO DINAMICO FUNZIONALE 2 PROFILIO DINAMICO FUNZIONALE DESCRIZIONE DELLE DIFFICOLTA’ PRESENTI E DELLE POTENZIALITA’ AREA COGNITIVA ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ A R E A A F F E T T I V O-R E L A Z I O N A L E ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ AREA SENSORIALE ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ A R E A N E U R O-P S I C O M OT O R I A ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 3 PROFILIO DINAMICO FUNZIONALE AREA DELLE AUTONOMIE ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ A R E A L I N G U I S T I C A/C O M U N I C A Z I O N A L E ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ AREA DEGLI APPRENDIMENTI ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ PROFILO DINAMICO FUNZIONALE ( redatto in forma conclusiva ) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Sostegno scolastico:____________________________________________________ Altro:_______________________________________________________________ Data:____________ SANITARI ____________________ ____________________ ____________________ ____________________ I REDATTORI SCOLASTICI ____________________ ____________________ ____________________ ____________________ 4 FAMILIARI ____________________ ____________________ PROFILIO DINAMICO FUNZIONALE AGGIORNAMENTO DEL PROFILO DINAMICO FUNZIONALE Osservazioni: _____________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Sostegno scolastico:____________________________________________________ Aiuto materiale:______________________________________________________ Barriere architettoniche:_______________________________________________ Altro:_______________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Data:____________ SANITARI ____________________ ____________________ ____________________ ____________________ I REDATTORI SCOLASTICI ____________________ ____________________ ____________________ ____________________ 5 FAMILIARI ____________________ ____________________
