Beruflich Dokumente
Kultur Dokumente
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
ANAMNESIS
1. Identificacin
Fecha: ____________________________________________________________________________
Nombre:___________________________________________________________________________
Fecha de Nacimiento: ___________________________________edad:_________________________
Grado de Escolaridad: _______________ Institucin:________________________________________
Nombre de la educadora: ______________________________________________________________
Expectativas: _______________________________________________________________________
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Remitido por ________________________________________________________________________
Nombre de la madre__________________________________________________ Edad ___________
Escolaridad_______________ Ocupacin _______________________ Cdula ___________________
Nombre del padre ________________________________________________ Edad _____________
Escolaridad_______________ Ocupacin _______________________ Cdula ___________________
Se encuentra afiliado a alguna E.P.S: S ___ No___ Cul ____________________________________
Caja de Compensacin Familiar: S ___ No___ Cul ________________________________________
Direccin: ___________________________ Barrio_____________Telfono: ________________
COMPOSICION FAMILIAR
Nombre
Sexo
Edad
Parentesco
Grado de
escolaridad
Ocupacin
Observaciones
ANTECEDENTES
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
Familiares:__________________________________________________________________________
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Personales:
Prenatales:__________________________________________________________________________
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Perinatales:_________________________________________________________________________
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Postnatales:_________________________________________________________________________
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Desarrollo Motor:
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Desarrollo del lenguaje:
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Desarrollo Psico-social:
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Incluyente y Comprometida con la Atencin Integral
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
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CONSIDERACIONES ETIOLGICAS
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HISTORIA EDUCATIVA Y TERAPUTICA
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SITUACIN ACTUAL
DIMENSIONES DEL DESARROLLO HUMANO Y COMPETENCIA CURRICULAR
Dimensin comunicativa:
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Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
Dimensin socio-afectiva:
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Dimensin cognitiva:
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Dimensin corporal:
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Dimensin tica:
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Incluyente y Comprometida con la Atencin Integral
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
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Dimensin esttica:
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Dimensin Espiritual:
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Competencia Curricular:
Castellana, matemtica, ciencias sociales, ciencias naturales, educacin fsica, esttica, religin, lengua
extranjera, tecnologa:
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Incluyente y Comprometida con la Atencin Integral
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
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ESTILO DE APRENDIZAJE:
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INTELIGENCIAS MLTIPLES:
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CONSIDERACIONES AMBIENTALES:
Entorno familiar:
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Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
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Entorno Escolar:
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Observaciones Generales:
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Elaborado por:
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Incluyente y Comprometida con la Atencin Integral
Telfonos 8 52 20 29 - 8 52 20 79 - 8 52 20 80
Correo Electrnico: hospitalanza@hospitalanza.gov.co
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