Download modulo per certificato anamnestico:

https://www.google.it/url?sa=t&source=web&rct=j&url=https://www.asllanusei.it/documenti/4_18_20150205182541.pdf&ved=2ahUKEwjWuIXLsvDrAhVIY8AKHTl2BXUQFjAAegQIAxAB&usg=AOvVaw0uya9gveKVwnaToeTyP2h2

Certificato anamnestico
Certificato anamnestico