Psychological Certificate Template
Uploaded by
ScribdTranslationsPsychological Certificate Template
Uploaded by
ScribdTranslationsCETCC - Center for Studies in
Cognitive Behavioral Therapy
Corporate name: CETCC Courses and
Psychology Service Eireli
CNPJ: 01.409.571/0001-47
Psychological Certificate
I attest, for the purposes of reimbursement from the Amil agreement, that Mr. Madruga was present.
in psychotherapy sessions on May 1, 7, 14, and 21, 2020, at the Vila Clinic.
Presents symptoms of moderate depression, such as apathy and difficulty in
maintenance of the routine and self-care, requiring continuity of the
psychotherapy. ICD F 32.0
Observations:
This document is confidential in nature, has extrajudicial character and must be
used only for the described purpose.
This certificate relates to the above-mentioned period, with the following characteristics
assessments subject to change, not having a definitive character. Thus, the present
The document, like a snapshot of the current moment, has a validity period of 1 year.
São Paulo, May 30, 2020.
Caroline Benigno Cardoso
Psychologist
CRP 06/105853
Protocol:
I,_____________________________________, ID_________________________,
I confirm the receipt of this document on ___/___/___ and I take responsibility.
for the confidentiality of the information and its use.
_______________________________________
Rua Vergueiro, N°: 2279, Ed. Trend Paulista - Largo Ana Rosa - Vila Mariana
CEP. 04.101-200 I São Paulo/SP
Fone: (11) 2609-8222 I (11) 2609-4697
contato@[Link] [Link]
CETCC - Center for Studies in
Cognitive-Behavioral Therapy
Corporate name: CETCC Courses and
Psychology Service Eireli
CNPJ: 01.409.571/0001-47
Rua Vergueiro, N°: 2279, Ed. Trend Paulista - Largo Ana Rosa - Vila Mariana
CEP. 04.101-200 I São Paulo/SP
Fone: (11) 2609-8222 I (11) 2609-4697
contato@[Link] [Link]
