,,
"是否有康复训练需求","备注" 视力残疾","听力残疾","语言残疾","肢体残疾","智力残疾","精神残疾",,
"填表说明:根据实际情况在有关栏目内填报,有则在栏目内打"√",没有则空格.
"填表人:填表日期:年月日"