7/29/2019 Ficha de Consultas+Subsequentes - Auriculo

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PACIENTE _______________________________________________________

_____CONSULTA Data ___/___/_____ Hora: ________ Presso arterial: _______x _______

Resposta clnica do paciente a aplicao anterior: Observaes sobre a PA_________________

_____________________________________________________________________________ _________Peso ________ Kg Pontos aplicados hoje

Objetivos desta aplicao:

_____________________________________________________________________________ ________________________________________________________________________________________

_____________________________________________________________________________

RUBRICA DO TERAPEUTA ASSINATURA DO(A) PACIENTE

...................................................................................................................................................................................

_____CONSULTA Data ___/___/_____ Hora: ________ Presso arterial: _______x _______

Resposta clnica do paciente a aplicao anterior: Observaes sobre a PA_________________

_____________________________________________________________________________ _________Peso ________ Kg Pontos aplicados hoje

Objetivos desta aplicao:

_____________________________________________________________________________ ___________

__________________________________________________________________________________________________________________________________________________________

RUBRICA DO TERAPEUTA ASSINATURA DO(A) PACIENTE