CHAPTER I part 1.
Initial diagnosis sheet
(School’s full name)
Student’s name:
Date:
Class:
School year:
The diagnosis based on:
●
●
●
Disability degree certificate no. ……………………..,
Issued by………………………
An opinion no. PPP4-4331-338/12 issued by Psychological and Pedagogical Counselling
Centre no. 4 in Łódź.
Conversations with parents concerning child’s needs, abilities and interests.
The observations of the level of functioning of a student carried by the class
teacher, other teachers and specialists.
(The diagnosis)
Explanation
●
●
The planned range of a psychological- pedagogical aid:
● psycho-corrective:
● psycho-didactic:
● didactic:
● psycho-therapeutic:
Recommended forms, means and the time to give psychological-pedagogical aid,
suggested number of hours.
No.
1.
2.
Classes
Day
Time
Number of hours