INFORME PSICOPEDAGÓGICO

1. DATOS INFORMATIVOS

Apellidos: Nombres: Sexo:

Fecha de Nacimiento: Lugar: Edad:
Institución: Curso:
Fecha de Informe:
Nombre del Padre:
Edad:
Ocupación:
Escolaridad:
Nombre de la Madre:
Edad:
Ocupación:
Escolaridad:

2. ANTECEDENTES:

Desarrollo General:
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Ambiente familiar y sociocultural:

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Historia Escolar:
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3. EVALUACIÓN DIAGNÓSTICA:

Solicitado por:
Situación Tipo:
Nueva escolarización Revisión o seguimiento
Cambio de modalidad de escolarización Otras
Por detectarse necesidades específicas de apoyo educativo que requieren de
valoración inicial y determinación de posibles adaptaciones de acceso y/o curriculares
individualizadas.
4. RESULTADOS:

Intelectual:
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Creatividad:
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Adaptación social:
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Artística:
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Comunicativo - lingüística:
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Psicomotriz:
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Nivel de competencia curricular:

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Estilo de aprendizaje y motivación para aprender:

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 Contexto escolar:
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Contexto áulico.
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5. DIAGNÓSTICO:

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6. RECOMENDACIONES:

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7. FIRMA:

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CI.