Escolar Documentos
Profissional Documentos
Cultura Documentos
DECLARAO
molstia referida no inciso XIV do art. 6 da Lei n 7.713/88, ou no 2 do art. 30 da Lei n 9.250/95, sob a rubrica de ______
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(DENOMINAO UTILIZADA PELO LEGISLADOR ABAIXO)
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PREENCHIMENTO OBRIGATRIO
Sim
1 O laudo dever ser fundamentado com exposio das observaes, estudos, exames efetuados, registros das concluses e emitido por
SERVIO MDICO OFICIAL da Unio, dos Estados, do Distrito Federal ou dos Municpios.
2 Molstias relacionadas no inciso XIV do art. 6 da Lei n 7.713/88, e no 2 do art. 30, da Lei n 9.250/95:
Molstia Profissional
Cardiopatia Grave
Tuberculose Ativa
Doena de Parkinson
Alienao Mental
Esclerose Mltipla
Nefropatia Grave
Neoplasia Malgna
Cegueira
Hansenase
Contaminao por Radiao
Espondiloartrose Anquilosante
Estados Avanados da Doena de Paget(Ostete Deformante)
Sndrome de Imunodeficincia Adquirida
Paralisia Irreversvel e Incapacitante
Fibrose Cstica (mucoviscidose).
Hepatopatia Grave
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CARIMBO E ASSINATURA DO MDICO