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ACOMPANHAMENTO DE ATENDIMENTO FISIOTERAPÊUTICO

Paciente:
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Diagnóstico Funcional:
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Conduta:___________________________________________________________________
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Fisioterapeuta Paciente ou responsável

Data: ___/___/___
Conduta:___________________________________________________________________
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Fisioterapeuta Paciente ou responsável

Data: ___/___/___
Conduta:___________________________________________________________________
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Fisioterapeuta Paciente ou responsável

Data: ___/___/___
Conduta:___________________________________________________________________
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Fisioterapeuta Paciente ou responsável

Data: ___/___/___
Conduta:___________________________________________________________________
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Fisioterapeuta Paciente ou responsável