New Beginnings | NB1-Office

Patient Name: Elianna

Patient Information:

Patient ID: 9256

Patient First Name: Elianna

Patient Date of Birth: 03-27-2023

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Roberto, Canales

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Serna, Teresa

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23361	Active	02-09-2026	08-07-2026	Wellpoint Texas Inc	0	26	0	0
23637	Active	03-24-2026	04-24-2026	Wellpoint Texas Inc	1	0	0	0
23557	Active	03-12-2026	04-10-2026	Wellpoint Texas Inc	0	0	0	1

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
23977	01-16-2025	Feeding Initial Evaluation	R63.32, R13.12, R63.39
Feeding Background History: Elianna is a 1 year, 9 month old female who was referred for a feeding evaluation by her pediatrician due to parents having concerns with patient's limited food inventory and food aversions. Elianna's parents, Mr. and Mrs. Estrada served as the informants for this evaluation. Elianna is currently receiving her nutrition from preferred food items and drinks via straw. Parents reported she was progressing well with foods/liquids; however, during transition from bottle to cup, she demonstrated difficulty with breathe-swallow-coordination. Father further reported, that she began to regress about 1 month ago as she is now refusing foods that she previously consumed. He further reported that she is "super picky" with foods. Mr. Estrada reported for Elianna to have no known allergies, no respiratory issues and no gastrointestinal issues. Elianna's feeding/swallowing skills were evaluated using a bedside swallow evaluation and skilled meal observation. Due to Elianna's language background and input/output, the language of intervention will be English.
Feeding Medical History: Parents reported pregnancy was unremarkable. Elianna was delivered at home via vaginal birth. She was born with Fetal Alcohol Syndrome and brain damage. At 18 months of age (July, 2024), an MRI study revealed microcephaly and developmental global delays. On July 2024, Elianna had hip surgery due to left leg being out of socket. She now wears a brace at night.
Feeding Medications: None
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation - reference speech/language evaluation for further information.
Feeding Diagnosis/Impressions: Elianna is a 1 year, 9 month old female who was referred for a feeding evaluation by her pediatrician due to parents having concerns with patient's limited food inventory and food aversions. Elianna's parents, Mr. and Mrs. Estrada served as the informants for this evaluation. Elianna is currently receiving her nutrition from preferred food items and drinks via straw. Parents reported she was progressing well with foods/liquids; however, during transition from bottle to cup, she demonstrated difficulty with breathe-swallow-coordination. Father further reported, that she began to regress about 1 month ago as she is now refusing foods that she previously consumed. He further reported that she is "super picky" with foods. Mr. Estrada reported for Elianna to have no known allergies, no respiratory issues and no gastrointestinal issues. Parents reported pregnancy was unremarkable. Elianna was delivered at home via vaginal birth. She was born with Fetal Alcohol Syndrome and brain damage. At 18 months of age (July, 2024), an MRI study revealed microcephaly and developmental global delays. On July 2024, Elianna had hip surgery due to left leg being out of socket. She now wears a brace at night. An oral mechanism/cranial nerve examination could not be completed. Treating clinician to monitor and conduct oral mechanism/cranial nerve examination when deemed possible to check for TOTs. In summary, Elianna's anatomy and physiology may affect feeding/swallowing. Based on the bedside swallow evaluation and skilled meal observation Elianna presents with a CHRONIC PEDIATRIC FEEDING DISORDER and ORAL DYSPHAGIA characterized by impaired oral intake that is not age-appropriate and may be attributed to medical diagnosis (Fetal Alcohol Syndrome, brain damage, microcephaly, developmental global delays), nutritional status (food jagging), feeding skill (sensory sensitivities, oral dysphagia), and/or psychosocial dysfunction (problematic mealtime/learned responses). Overt clinical signs/symptoms of aspiration/penetration were observed with trials of thin liquid via straw and solids (crackers) resulting in concerns regarding the pharyngeal phase of swallow. Additionally, parents did not report unexplained fevers or history of aspiration pneumonia. The Pediatric Eating Assessment Tool (PediEAT) was completed by Mrs. Estrada which is a subjective questionnaire used to assess Elianna's feeding behavior. Elianna received a rating approaching with "No Concern" on all subscale scores: selective/restrictive eating, problematic mealtime behaviors, physiologic symptoms, and oral processing. Elianna's ratings on the PediEAT are not consistent with her diagnosis and overall performance in the evaluation. CURRENT FEEDING: Elianna currently eats with supervision in the highchair and is presented with food 5x a day (3x meals, 2x snack). Currently, she is unable to sit up for longer than 1 minute due to poor trunk support. Typically, mealtime is no longer than 30 minutes. Parents are concerned that Elianna had sensory aversions and is food jagging (no longer eating foods that he use to eat). Per parent report, Elianna accepts crunchy, smooth, and lumpy consistencies that are warm, cold, and cool in temperature. Parent further reported for her overall appetite to be fair. When Elianna is presented with non-preferred foods she will spit food out. ACCEPTED FOODS: Elianna eats/chews 30 foods and drinks 5 liquids (juice, lemonade, milk, milkshakes, water). CARBS: crackers, chips, bread, rice, sweet pastries, potato (tater rounds, fried potato, wedges), sweet potato (baked, fries, candied), oatmeal, pop-tarts, pancakes, dry cereal, pizza, max 'n' cheese. PROTEINS: pork/sausage, steak, sausage, lunchmeat, eggs (scrambles, whites), go-gurt. VEGETABLES: squash, zucchini, carrots, corn. FRUITS: watermelon. Mother reported for Andre to have food jagged 16 foods. Children between the ages of 1.5 - 2 years are required to consume 1,000 - 1,400 calories per day to achieve adequate nutrition and are expected to consume 35 or more healthy foods across categories to gain the nutrients needed that are important for growth and development. Elianna's caloric daily intake is unknown; however, based on the information provided Elianna's current food inventory has limited protein, vegetable, fruits intake which is vital for growth and nutrition. FEEDING OBSERVATIONS: Elianna was seated in the highchair in a 90-90-90 degree. Non-preferred (beef-jerky) and preferred foods (crackers, flan) items were presented. Elianna took adequate bites from food when given maximum verbal prompts. During consumption of preferred foods, Elianna ate about 90%. When provided with verbal/visual prompts, Elianna interacted with the beef-jerky at the level of her finger pads and palm. When Elianna, was "all done" (ASL) with the food items she threw the food on the floor. Per parental report, feeding performance in the assessment was consistent with her performance at home. MOTOR SKILLS: During opportunity of oral intake of preferred food, Elianna overstuffed oral cavity which resulted in poor management of food. Elianna demonstrated a munching chewing pattern, chewing with mouth open, and no lateralization of tongue resulting in poor bolus formation. Elianna demonstrated overt clinical signs/symptoms of aspiration/penetration when consuming thin liquids via straw and soft solids (crackers). During 3/7 trials of thin liquid via straw and 2/15 trials of flan, Elianna presented with a 5 second delay. Parent reported that she typically doesn't coughs with thin liquids that are in a cup or straw. Based on her age/gender he should be doing the following during feeding: circular rotary chew, chewing with her lips closed, sweeping food from lips with tongue, consuming hard solids, pacing of thin liquids/soft solids with no overt s/s of aspiration/penetration. It should be noted that Elianna consumed soft foods which are easier to manipulate in oral cavity. Patient was not observed to consume regular solids resulting in motor skills not being completely assessed. Treating clinician to monitor motor skills when consuming food of other consistencies. Elianna presents with decreased oral motor skills and pharyngeal dysphagia resulting in poor safe and effective oral intake. RECOMMENDATIONS: Feeding therapy is highly recommended at this time, and should target increasing Elianna's tolerance to non-preferred foods via steps to eating hierarchy and desensitization methods along with increasing oral motor skills. Parent education and mealtime behavior will also be targeted to support feeding development and alleviate the impacts of feeding challenges on the patient and her family. Without feeding therapy, safety risks include but are not limited to: lack of appropriate nutrition due to restricted diet characterized by foods of inappropriate nutritional value, food jagging on limited foods in food repertoire, and poor food management due to oral motor skills. Parents will be responsible for Home Management Intervention Program (HMIP). Due to Elianna's language background and input/output, the language of intervention will be English.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

52642

Plan Date: 01-16-2025

Feeding Assessment Summary: PATIENT HX: Elianna is a 1 year, 9 month old female who was referred for a feeding evaluation by her pediatrician due to parents having concerns with patient's limited food inventory and food aversions. Elianna's parents, Mr. and Mrs. Estrada served as the informants for this evaluation. Elianna is currently receiving her nutrition from preferred food items and drinks via straw. Parents reported she was progressing well with foods/liquids; however, during transition from bottle to cup, she demonstrated difficulty with breathe-swallow-coordination. Father further reported, that she began to regress about 1 month ago as she is now refusing foods that she previously consumed. He further reported that she is "super picky" with foods. Mr. Estrada reported for Elianna to have no known allergies, no respiratory issues and no gastrointestinal issues. MEDICAL HX: Parents reported pregnancy was unremarkable. Elianna was delivered at home via vaginal birth. She was born with Fetal Alcohol Syndrome and brain damage. At 18 months of age (July, 2024), an MRI study revealed microcephaly and developmental global delays. On July 2024, Elianna had hip surgery due to left leg being out of socket. She now wears a brace at night. ORAL MECHANISM/CRANIAL NERVE EXAMINATION: An oral mechanism/cranial nerve examination could not be completed. Treating clinician to monitor and conduct oral mechanism/cranial nerve examination when deemed possible to check for TOTs. In summary, Elianna's anatomy and physiology may affect feeding/swallowing. FEEDING EVALUATION: Based on the bedside swallow evaluation and skilled meal observation Elianna presents with a CHRONIC PEDIATRIC FEEDING DISORDER and ORAL DYSPHAGIA characterized by impaired oral intake that is not age-appropriate and may be attributed to medical diagnosis (Fetal Alcohol Syndrome, brain damage, microcephaly, developmental global delays), nutritional status (food jagging), feeding skill (sensory sensitivities, oral dysphagia), and/or psychosocial dysfunction (problematic mealtime/learned responses). Overt clinical signs/symptoms of aspiration/penetration were observed with trials of thin liquid via straw and solids (crackers) resulting in concerns regarding the pharyngeal phase of swallow. Additionally, parents did not report unexplained fevers or history of aspiration pneumonia. The Pediatric Eating Assessment Tool (PediEAT) was completed by Mrs. Estrada which is a subjective questionnaire used to assess Elianna's feeding behavior. Elianna received a rating approaching with "No Concern" on all subscale scores: selective/restrictive eating, problematic mealtime behaviors, physiologic symptoms, and oral processing. Elianna's ratings on the PediEAT are not consistent with her diagnosis and overall performance in the evaluation. CURRENT FEEDING: Elianna currently eats with supervision in the highchair and is presented with food 5x a day (3x meals, 2x snack). Currently, she is unable to sit up for longer than 1 minute due to poor trunk support. Typically, mealtime is no longer than 30 minutes. Parents are concerned that Elianna had sensory aversions and is food jagging (no longer eating foods that he use to eat). Per parent report, Elianna accepts crunchy, smooth, and lumpy consistencies that are warm, cold, and cool in temperature. Parent further reported for her overall appetite to be fair. When Elianna is presented with non-preferred foods she will spit food out. ACCEPTED FOODS: Elianna eats/chews 30 foods and drinks 5 liquids (juice, lemonade, milk, milkshakes, water). CARBS: crackers, chips, bread, rice, sweet pastries, potato (tater rounds, fried potato, wedges), sweet potato (baked, fries, candied), oatmeal, pop-tarts, pancakes, dry cereal, pizza, max 'n' cheese. PROTEINS: pork/sausage, steak, sausage, lunchmeat, eggs (scrambles, whites), go-gurt. VEGETABLES: squash, zucchini, carrots, corn. FRUITS: watermelon. Mother reported for Andre to have food jagged 16 foods. Children between the ages of 1.5 - 2 years are required to consume 1,000 - 1,400 calories per day to achieve adequate nutrition and are expected to consume 35 or more healthy foods across categories to gain the nutrients needed that are important for growth and development. Elianna's caloric daily intake is unknown; however, based on the information provided Elianna's current food inventory has limited protein, vegetable, fruits intake which is vital for growth and nutrition. FEEDING OBSERVATIONS: Elianna was seated in the highchair in a 90-90-90 degree. Non-preferred (beef-jerky) and preferred foods (crackers, flan) items were presented. Elianna took adequate bites from food when given maximum verbal prompts. During consumption of preferred foods, Elianna ate about 90%. When provided with verbal/visual prompts, Elianna interacted with the beef-jerky at the level of her finger pads and palm. When Elianna, was "all done" (ASL) with the food items she threw the food on the floor. Per parental report, feeding performance in the assessment was consistent with her performance at home. MOTOR SKILLS: During opportunity of oral intake of preferred food, Elianna overstuffed oral cavity which resulted in poor management of food. Elianna demonstrated a munching chewing pattern, chewing with mouth open, and no lateralization of tongue resulting in poor bolus formation. Elianna demonstrated overt clinical signs/symptoms of aspiration/penetration when consuming thin liquids via straw and soft solids (crackers). During 3/7 trials of thin liquid via straw and 2/15 trials of flan, Elianna presented with a 5 second delay. Parent reported that she typically doesn't coughs with thin liquids that are in a cup or straw. Based on her age/gender he should be doing the following during feeding: circular rotary chew, chewing with her lips closed, sweeping food from lips with tongue, consuming hard solids, pacing of thin liquids/soft solids with no overt s/s of aspiration/penetration. It should be noted that Elianna consumed soft foods which are easier to manipulate in oral cavity. Patient was not observed to consume regular solids resulting in motor skills not being completely assessed. Treating clinician to monitor motor skills when consuming food of other consistencies. Elianna presents with decreased oral motor skills and pharyngeal dysphagia resulting in poor safe and effective oral intake. RECOMMENDATIONS: Feeding therapy is highly recommended at this time, and should target increasing Elianna's tolerance to non-preferred foods via steps to eating hierarchy and desensitization methods along with increasing oral motor skills. Parent education and mealtime behavior will also be targeted to support feeding development and alleviate the impacts of feeding challenges on the patient and her family. Without feeding therapy, safety risks include but are not limited to: lack of appropriate nutrition due to restricted diet characterized by foods of inappropriate nutritional value, food jagging on limited foods in food repertoire, and poor food management due to oral motor skills. Parents will be responsible for Home Management Intervention Program (HMIP). Due to Elianna's language background and input/output, the language of intervention will be English.

Feeding Rehabilitation Potential:

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Elianna will improve her feeding/swallowing skills in order to optimize safe and effective nutrition with 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Elianna will throw non-preferred foods into "throw away bowl" instead of on the floor in 3 out of 10 opportunities across 3 consecutive sessions, in order to decrease problematic mealtime behaviors of throwing foods.
Feeding/Swallowing	In 6 months, Elianna will consume liquids from a cup/straw and eat foods with modifications (e.g., pacing, positioning, etc.) without overt s/s of penetration/aspiration in 3 out of 10 opportunities per parent report or data collected opportunities across 3 consecutive sessions, in order to assure a safe/efficient swallow to maintain adequate nutrition/hydration.
Feeding/Swallowing	In 6 months, Elianna will use tongue lateralization to properly masticate preferred foods in order to promote age appropriate oral motor skills in 3 out of 10 trials across 3 consecutive sessions, in order to promote safe swallow consumption.
Feeding/Swallowing	In 6 months, Elianna will touch foods of varying consistencies with her finger pads/hands in 3 out of 10 trials across 3 consecutive sessions, in order to improve acceptance and exploration of non-preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Elianna will touch foods of varying consistencies with upper distal extremities in 3 out of 10 trials across 3 consecutive sessions, in order to improve acceptance and exploration of non-preferred foods in her immediate environment.
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

57856

Plan Date: 01-07-2026

Feeding Assessment Summary: Elianna Estrada is a 2-year, 10-month-old child who was initially referred for feeding therapy due to concerns regarding limited food acceptance, oral motor delays, and feeding inefficiency in the context of cerebral palsy. Elianna is now due for a re-evaluation to determine continued medical necessity for skilled feeding therapy services. A comprehensive reassessment was completed using a bedside feeding evaluation, caregiver interview, and skilled mealtime observation to evaluate current feeding and swallowing skills, oral motor function, safety, and progress since the previous authorization period. Based on re-evaluation findings, Elianna continues to present with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL PHASE DYSPHAGIA, characterized by impaired oral intake that is not developmentally appropriate for age. Contributing factors may include underlying medical diagnoses (e.g., cerebral palsy, brain damage, microcephaly, global developmental delays), nutritional concerns (e.g., food jagging), feeding skill deficits (e.g., sensory sensitivities, oral dysphagia), and psychosocial components (e.g., learned mealtime behaviors, dysregulated feeding responses). At this time, there are no overt clinical signs or symptoms of aspiration or penetration observed during feeding trials. During the re-evaluation, Elianna was observed consuming apple with skin, apple without skin, sausage (with skin), and liquids via straw (Capri Sun). Feeding occurred at the table, and Elianna demonstrated improved tolerance of this environment compared to prior sessions. When presented with apple with skin, Elianna demonstrated a bite-and-pull pattern on three occasions. She required continued visual and verbal modeling to prevent overstuffing, as she demonstrated a tendency to place additional food into her mouth before adequately chewing the initial bite. Elianna was unable to chew the apple skin effectively and appropriately spit out the skin, demonstrating emerging awareness of texture limits and safety. Based on this observation, apple without skin is recommended at this time. With sausage (with skin), Elianna demonstrated increased mastication time, an open-mouth chewing pattern, and inconsistent tongue lateralization throughout the chewing sequence. She demonstrated improved jaw movement and increased tongue involvement compared to the previous authorization period; however, bolus control remained inconsistent, with the bolus frequently held at midline on the tongue. Elianna required cues to continue chewing and intermittently requested juice to assist with bolus clearance. Overstuffing behaviors persisted, and Elianna became upset when prompted to spit food out. Additional observations included increased saliva production, drooling, and food holding, requiring external cues to resume chewing. When drinking liquids via straw, Elianna demonstrated rapid intake with audible swallows, five consecutive gulps, increased respiratory effort, and two coughing episodes. A pacing strategy of “three sips and stop” was implemented, which improved coordination and reduced signs of incoordination. Oral motor assessment revealed continued deficits in labial closure, oral containment, and endurance, with emerging but inconsistent improvements in tongue lateralization and jaw control. Elianna demonstrated increased facial muscle activation compared to the prior authorization period, reflecting positive response to targeted interventions (e.g., applesauce via straw, lollipops for oral muscle engagement, bite-and-pull strategies). Although mastication efficiency has improved, fatigue during meals continues to impact chewing effectiveness, particularly with more complex textures such as foods with skins. Drooling persists and appears related to reduced labial seal, sensory awareness, and oral motor endurance rather than structural impairment. Since the previous authorization period, Elianna has demonstrated meaningful functional gains, including an expanded food repertoire with the addition of sausage (with and without skin) and other chewier meat textures, improved tolerance for seated mealtimes, and increased independence with utensil use and bringing food to her mouth. Additional improvements include enhanced postural stability, increased use of upper distal extremities during feeding, and improved oral muscle activation and control. Elianna has also demonstrated a reduction in phasic bite patterns and improved responsiveness to pacing strategies, supporting safer and more coordinated oral intake. Despite these gains, ongoing challenges persist, including reduced labial closure with associated drooling, continued overstuffing tendencies, feeding fatigue during dinner meals, and inconsistent bolus management, particularly with more complex textures such as foods with skins. These residual deficits continue to impact the safety, efficiency, and endurance of Elianna's oral intake and warrant continued skilled feeding intervention. Although Elianna has demonstrated measurable progress, she continues to present with a Chronic Pediatric Feeding Disorder (PFD) as defined by the ASPEN Consensus Framework, characterized by impaired oral intake that is not age-appropriate and associated with ongoing feeding skill dysfunction. Persistent deficits include oral motor inefficiency, reduced labial closure, drooling, impaired pacing, and difficulty managing developmentally appropriate textures, which continue to limit the safety, efficiency, and endurance of oral intake. Given Elianna’s underlying neuromotor diagnosis of cerebral palsy, these feeding challenges involve multiple PFD domains, including medical, feeding skill, nutritional, and psychosocial components. Without continued skilled intervention, Elianna remains at risk for feeding fatigue, nutritional imbalance, inefficient intake, and regression of feeding skills. Skilled feeding therapy is medically necessary and habilitative in nature, as ongoing treatment is required to support the development of oral motor strength, coordination, bolus management, pacing, and feeding endurance, and to promote safe, functional, and developmentally appropriate feeding across environments.

Feeding Progress to Date: The following are Elianna short-term goals and progress made during this authorization period: In 6 months, Elianna will accept at least 2 new protein-rich foods in 3 out of 10 opportunities during session or per parent report across 3 consecutive sessions, in order to support increased protein intake and expand dietary variety. (BASELINE: 0/10: CURRENT: 7/10 given maximum verbal/visual models; GOAL MET) In 6 months, Elianna will engage in sensory-based food play (e.g., using hands or utensils to scoop, smear, or manipulate various food textures) with at least 2 non-preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to support sensory regulation, reduce food-related anxiety, and build positive associations with novel foods. (BASELINE: 0/10: CURRENT: 10/10 given maximum verbal/visual models; GOAL MET) In 6 months, Elianna will use tongue lateralization to properly masticate preferred foods in order to promote age appropriate oral motor skills in 3 out of 10 trials across 3 consecutive sessions, in order to promote safe swallow consumption. (BASELINE: 2/10: CURRENT: 5/10 given maximum verbal/visual models; GOAL MET) In 6 months, Elianna will use a diagonal chew with a variety of foods in 3 out of 10 trials across 3 consecutive sessions, in order to promote a safe swallow, facilitate emerging chewing skills, and help expand the variety of foods the child can eat. (BASELINE: 1/10: CURRENT: 5/10 given maximum verbal/visual models; GOAL MET) In 6 months, Elianna will demonstrate functional oral motor sequencing by using a bite-and-pull motion followed by chewing food for at least 15–20 seconds before swallowing, in 3 out of 10 trials across 3 consecutive sessions, in order to reduce overstuffing and support coordination and endurance for safe bolus formation. (BASELINE: 1/10: CURRENT: 3/10 given maximum verbal/visual models; GOAL MET) When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. (GOAL MET) Elianna met 5/5 short-term goals during this authorization period. Elianna has increased accuracy and made progress towards her goals during this authorization period.

Feeding Rehabilitation Potential: Elianna demonstrates good rehabilitation potential based on her engagement during the evaluation, caregiver involvement, and responsiveness to structured supports. Discharge will be considered once she is consistently meeting established therapy goals and demonstrating safe, efficient, and developmentally appropriate feeding across settings. Caregivers will play a critical role in implementing and maintaining the Home Management Intervention Program (HMIP) to ensure generalization of feeding strategies into the home environment and to support longterm success.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Elianna will improve her feeding/swallowing skills in order to optimize safe and effective nutrition with 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Elianna will demonstrate improved labial closure during chewing and swallowing of soft and mixed textures in 3 out of 10 opportunities across 3 consecutive sessions, to support oral containment, drooling management, and feeding efficiency.
Feeding/Swallowing	In 6 months, Elianna will demonstrate improved oral motor endurance by sustaining effective chewing without food holding or fatigue-related spitting for 2–4 consecutive chewing cycles in 3 out of 10 opportunities across 3 consecutive sessions.
Feeding/Swallowing	In 6 months, Elianna will demonstrate improved chewing efficiency by biting, chewing, and safely managing foods with increasing textural complexity (e.g., apple without peel progressing toward skin-on textures) with modeling and pacing support in 3 out of 10 opportunities across 3 consecutive sessions.
Feeding/Swallowing	In 6 months, Elianna will demonstrate improved pacing and oral awareness by utilizing clinician-modeled pacing strategies (e.g., pause cues, liquid pacing) during meals in 3 out of 10 opportunities across 3 consecutive sessions, to support safe and coordinated intake.
Feeding/Swallowing	In 6 months, Elianna will demonstrate improved bolus management by maintaining one bite at a time without overstuffing in 3 out of 10 opportunities across 3 consecutive sessions, to support safer and more efficient oral intake.
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Feeding Therapy Soap Note/Visit:

Soap Note

491435

Note Date: 03-25-2026

Subjective: Patient completed all required tasks,Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: Elianna demonstrated improved labial closure during chewing and swallowing of soft and mixed textures in 5 out of 10 opportunities given 10 verbal and 10 visual models. Elianna demonstrated improved oral motor endurance by sustaining effective chewing without food holding or fatigue-related spitting for 2–4 consecutive chewing cycles in 2 out of 10 opportunities given 10 verbal and 10 visual models. Elianna demonstrated improved chewing efficiency by biting, chewing, and safely managing foods with increasing textural complexity (e.g., apple without peel progressing toward skin-on textures) with modeling and pacing support in 4 out of 10 opportunities given 10 verbal and 10 visual models. Elianna demonstrated improved pacing and oral awareness by utilizing clinician-modeled pacing strategies (e.g., pause cues, liquid pacing) during meals in 3 out of 10 opportunities given 10 verbal and 10 visual models. Elianna demonstrated improved bolus management by maintaining one bite at a time without overstuffing in 5 out of 10 opportunities given 10 verbal and 10 visual models. When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Plans: Continue with current Plan of Care,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3038	01-15-2025	Occupational Initial Evaluation	F82
Occupational Background History: Elianna is a 1.9 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Father Christopher, was present in order to serve as the primary informant throughout the evaluation. Per father's report child was born with fetal alcohol syndrome, congenial torticollis, and has history of delayed milestones. Currently Elianna is able to sit in a chair with back support, reach for objects although struggles with BUE/LLE gross motor and fine motor skills hindering accuracy and precision. Elianna is currently attempting to army crawl although has not yet engaged lower body and trunk to aid in body coordination and movement. Elianna was able to track movement with visual light. Thumb tuck on left extremity was noted. Parents also report sub-optimal body positioning when she sleeps due to muscular weakness.
Occupational Medical History: Per father's report child was born with fetal alcohol syndrome, congenial torticollis, and has history of delayed milestones.
Occupational Medications: Please refer to intake forms for list
Occupational Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Moderate delays, Level of Activity: Passive, Cooperation: With some prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Shy, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths:
Occupational Communication Weaknesses: ADL's, Body Awareness, Eye-Hand Coordination, Postural Stability/Trunk Support, ROM, UE Strength, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Currently Elianna is able to sit in a chair with back support, reach for objects although struggles with BUE/LLE gross motor and fine motor skills hindering accuracy and precision. Elianna is currently attempting to army crawl although has not yet engaged lower body and trunk to aid in body coordination and movement. Elianna was able to track movement with visual light. Thumb tuck on left extremity was noted. Parents also report sub-optimal body positioning when she sleeps due to muscular weakness.
Occupational Diagnosis/Impressions: Elianna demonstrates moderate to severe delays hindering executive functioning skills, gross motor, fine motor, coordination and balance. Child also demonstrates difficulty with manual control skills, object manipulation, manual dexterity hindering fine motor precision and accuracy. Child will stop task due to difficulty processing what was asked limiting engagement. Child also demonstrates fine motor and grasp delays in BUE evident by premature grasp patterns, spillage and difficulty with manual dexterity tasks. Elianna also demonstrates deficits in sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child demonstrate medical necessity deficits that warrant skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child to greatly benefit from continued skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Child required close supervision due to impulsivity and poor safety awareness.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

4009

Plan Date: 01-15-2025

Occupational Assessment Summary: Elianna demonstrates moderate to severe delays hindering executive functioning skills, gross motor, fine motor, coordination and balance. Child also demonstrates difficulty with manual control skills, object manipulation, manual dexterity hindering fine motor precision and accuracy. Child will stop task due to difficulty processing what was asked limiting engagement. Child also demonstrates fine motor and grasp delays in BUE evident by premature grasp patterns, spillage and difficulty with manual dexterity tasks. Elianna also demonstrates deficits in sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child demonstrate medical necessity deficits that warrant skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child to greatly benefit from continued skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Child required close supervision due to impulsivity and poor safety awareness.

Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Motor Planning/Praxis	Within 6 months, Elianna will independently coordinate BUE to bring both hands to midline to gasp an object and retain 1/1 object in hand for 3-5 seconds before dropping object in order to develop bilateral coordination patterns. Currently is unable to do so, BUE remain at side requires HOHA
Motor Planning/Praxis	Within 6 months, Elianna will be able to position body from a prone position into a quadped position with mod A in order to establish crawling patterns in 4/6 sessions. Currently requires HOHA to position
Motor Planning/Praxis	Within 6 months, Elianna will engage in tummy time x 5 minutes with only min A in order to hold her head in extension at midline in 3/3 sessions. Currently demonstrates fatigue with head drop limiting balance and coordination
Bilateral Coordination	Within 6 months, Elianna will be able to reach out with BUE to 90 degrees past midline to both right and left to locate atleast 3/5 objects with only min A for support and balance. Currently requires HOHA to locate and grasp with BUE

Occupational Short Term Goals:

Category	Goal Description
Motor Planning/Praxis	Within 3 months, Elianna will coordinate BUE with mod A to bring both hands to midline to gasp an object and retain 1/1 object in hand for 3 seconds before dropping object in order to develop bilateral coordination patterns. Currently is unable to do so, BUE remain at side requires HOHA
Motor Planning/Praxis	Within 3 months, Elianna will be able to position body from a prone position into a quadped position with max A in order to establish crawling patterns in 4/6 sessions. Currently requires HOHA to position
Motor Planning/Praxis	Within 3 months, Elianna will engage in tummy time x 3 minutes with mod A in order to hold her head in extension at midline in 3/3 sessions. Currently demonstrates fatigue with head drop limiting balance and coordination
Bilateral Coordination	Within 3 months, Elianna will be able to reach out with BUE to 60 degrees past midline to both right and left to locate atleast 1/3 objects with only min A for support and balance. Currently requires HOHA to locate and grasp with BUE

Physical Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
324	03-24-2026	Physical Initial Evaluation	M62.81, R26.89
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent consented to physical therapy evaluation today. Parent participated in PT evaluation to provide pertinent information for the assessment. Patient is a 3 year old (36 month old) female referred to physical therapy with fetal alcohol syndrome. Patient was seen on March 24, 2026 for a scheduled physical therapy evaluation to assess current level of function. Patient born full term at home with possible complications due to limited prenatal care and may have had respiratory distress post birth. After birth mother went to rehab out of town for a year and was not with child during her first year of life. Parental Report/Primary Concern/Goals: Parent would like to see child walk
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent consented to physical therapy evaluation today. Parent participated in PT evaluation to provide pertinent information for the assessment. Patient is a 3 year old (36 month old) female referred to physical therapy with fetal alcohol syndrome. Patient was seen on March 24, 2026 for a scheduled physical therapy evaluation to assess current level of function. Patient born full term at home with possible complications due to limited prenatal care and may have had respiratory distress post birth. After birth mother went to rehab out of town for a year and was not with child during her first year of life. Parental Report/Primary Concern/Goals: Parent would like to see child walk
Physical Surgical History: None
Physical Medical History: 0. Fetal Alcohol Syndrome, Cerebral Palsy, mixed tone, brain bleed on right side, hemiplegia on left side
Physical Medications: None
Patient/Family Education: Discussed the finding of the examination, reviewed the POC and goals with the parent. Discussed activities/strategies available to address current concerns and how to assist patient in achieving optimal developmental milestones. Parent states understanding and agrees to provide support at home in order to progress outcomes for patient. Parent provided opportunity to ask questions and all questions were answered to the parent's satisfaction.
Physical Problem List:
Physical Therapy Assessment: Child assessed using a Standardized Assessment Clinical Observations: crouched posture, knee walking, weakness, decreased kinesthetic sense/spacial awareness Parental Report: wants to see walk The patient is a 3-year-old (36-month-old) female referred to physical therapy secondary to diagnoses of Fetal Alcohol Syndrome and Cerebral Palsy, with primary concern of delayed ambulation. The patient demonstrates significant impairments in gross motor development, including decreased strength, impaired balance, reduced coordination, limited mobility, decreased activity tolerance, and diminished kinesthetic awareness. These deficits contribute to an atypical gait pattern and inability to achieve age-appropriate motor milestones. Standardized assessment using the PDMS-2 reveals substantial developmental delays, with age equivalence of 18 months in stationary skills and 9 months in locomotion skills, indicating poor performance in both simple and complex motor tasks. These findings are consistent with severe delays in gross motor development. The patient’s impairments significantly limit her ability to participate in age-appropriate activities of daily living, play, and functional routines, and place her at risk for further developmental delay and long-term functional limitations. Skilled physical therapy services are medically necessary to address the identified deficits and promote optimal developmental progression. Intervention will focus on improving strength, balance, coordination, flexibility, and functional mobility, as well as facilitating motor learning to support attainment of gross motor milestones, including independent ambulation. Early skilled intervention is critical to maximize functional independence and enhance overall quality of life. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Goals In 3 months, ?Patient will improve global lower extremity and core strength by = ½ muscle grade from baseline to facilitate motor planning, body awareness, and ability to perform simple gross motor tasks (e.g., transitions, supported standing). In 3 months, ?Patient will sustain independent standing without support for = 10 seconds in 3 out of 4 trials to facilitate balance and pre-gait skill development. In 3 months, Patient will ambulate 10 feet with hand-held assistance, demonstrating foot-flat contact and improved weight acceptance, 2 out of 4 trials to promote early gait mechanics and functional mobility. In 3 months, Patient will ambulate = 10 steps with MOD IND in 3 out of 4 trials, demonstrating improved balance, coordination, and kinesthetic awareness for progression toward independent gait. In 6 months, ?Patient will improve global strength by = 1 muscle grade from baseline to support functional mobility, postural control, and participation in age-appropriate activities with peers. In 6 months, ?Patient will ambulate independently across household distances (room-to-room) 4 out of 5 trials, without assistive support, demonstrating improved balance and coordination to promote progression toward higher-level gross motor skills (e.g., running, jumping).
Physical Therapy Recommendations: Physical Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Physical Therapy Plan of Care:

Plan of Care

221

Plan Date: 03-24-2026

Physical Assessment Summary: Complicating/Personal Factors Affecting the Plan of Care: Mechanism of injury/ Illness: Possible respiratory distress and or brain bleed Multiple Treatment Areas: Weakness, mixed tone, decreased balance, atypical gait/mobility Patient age: 3 years old Previous Therapy: Was in ECI Rehab Potential: Good Time since onset of injury/illness: Since birth Medical History Review: High Complexity: The patient has a history of present problem with a history of 3 or more factors and/or comorbidities that impact the plan of care. Current Level of Function Summary: Good appetite, using high top shoe but will get SMO soon, Locomotion: can crawl, pull to stand, lower down to floor, ambulates on knees, limited standing balance, crouched posture Assessment: Child assessed using a Standardized Assessment Clinical Observations: crouched posture, knee walking, weakness, decreased kinesthetic sense/spacial awareness Parental Report: wants to see walk The patient is a 3-year-old (36-month-old) female referred to physical therapy secondary to diagnoses of Fetal Alcohol Syndrome and Cerebral Palsy, with primary concern of delayed ambulation. The patient demonstrates significant impairments in gross motor development, including decreased strength, impaired balance, reduced coordination, limited mobility, decreased activity tolerance, and diminished kinesthetic awareness. These deficits contribute to an atypical gait pattern and inability to achieve age-appropriate motor milestones. Standardized assessment using the PDMS-2 reveals substantial developmental delays, with age equivalence of 18 months in stationary skills and 9 months in locomotion skills, indicating poor performance in both simple and complex motor tasks. These findings are consistent with severe delays in gross motor development. The patient’s impairments significantly limit her ability to participate in age-appropriate activities of daily living, play, and functional routines, and place her at risk for further developmental delay and long-term functional limitations. Skilled physical therapy services are medically necessary to address the identified deficits and promote optimal developmental progression. Intervention will focus on improving strength, balance, coordination, flexibility, and functional mobility, as well as facilitating motor learning to support attainment of gross motor milestones, including independent ambulation. Early skilled intervention is critical to maximize functional independence and enhance overall quality of life. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled physical therapy.

Physical Rehabilitation Potential: Good. with consistent Physical Therapy and parental support

Physical Treatment Plan:

Physical Long Term Goals:

Category	Goal Description
	In 6 months, Patient will improve global strength by = 1 muscle grade from baseline to support functional mobility, postural control, and participation in age-appropriate activities with peers.
	In 6 months, Patient will ambulate independently across household distances (room-to-room) 4 out of 5 trials, without assistive support, demonstrating improved balance and coordination to promote progression toward higher-level gross motor skills (e.g., running, jumping).

Physical Short Term Goals:

Category	Goal Description
	In 3 months, Patient will ambulate = 10 steps with MOD IND in 3 out of 4 trials, demonstrating improved balance, coordination, and kinesthetic awareness for progression toward independent gait.
	In 3 months, Patient will ambulate 10 feet with hand-held assistance, demonstrating foot-flat contact and improved weight acceptance, 2 out of 4 trials to promote early gait mechanics and functional mobility.
	In 3 months, Patient will sustain independent standing without support for = 10 seconds in 3 out of 4 trials to facilitate balance and pre-gait skill development.
	In 3 months, ?Patient will improve global lower extremity and core strength by = ½ muscle grade from baseline to facilitate motor planning, body awareness, and ability to perform simple gross motor tasks (e.g., transitions, supported standing).

Completed Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
601210	97167: OT Evaluation	01-15-2025 03:00 PM	01-15-2025 04:00 PM	Saul Tercero Jr.	NB1 east side	Completed
597379	92610: Feeding Evaluation	01-16-2025 10:30 AM	01-16-2025 11:30 AM	Teresa Serna	NB1 east side	Completed
671039	92526: Feeding Visit	03-06-2025 12:30 PM	03-06-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672300	92526: Feeding Visit	03-13-2025 12:30 PM	03-13-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672303	92526: Feeding Visit	03-18-2025 01:00 PM	03-18-2025 01:30 PM	Teresa Serna	NB1 east side	Completed
672302	92526: Feeding Visit	03-27-2025 12:30 PM	03-27-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
686552	92526: Feeding Visit	03-28-2025 02:30 PM	03-28-2025 03:00 PM	Teresa Serna	NB1 east side	Completed
672304	92526: Feeding Visit	04-10-2025 12:30 PM	04-10-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672305	92526: Feeding Visit	04-17-2025 12:30 PM	04-17-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672309	92526: Feeding Visit	05-15-2025 12:30 PM	05-15-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672313	92526: Feeding Visit	05-16-2025 02:00 PM	05-16-2025 02:30 PM	Teresa Serna	NB1 east side	Completed
672310	92526: Feeding Visit	05-22-2025 12:30 PM	05-22-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
752464	S9152: Reevaluation	07-03-2025 12:30 PM	07-03-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
755476	92526: Feeding Visit	07-08-2025 09:30 AM	07-08-2025 10:00 AM	Teresa Serna	NB1 east side	Completed
672317	92526: Feeding Visit	07-10-2025 12:30 PM	07-10-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
672319	92526: Feeding Visit	07-24-2025 12:30 PM	07-24-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
782706	92526: Feeding Visit	08-14-2025 12:30 PM	08-14-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
784223	92526: Feeding Visit	08-21-2025 12:30 PM	08-21-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
784224	92526: Feeding Visit	08-28-2025 10:00 AM	08-28-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
784225	92526: Feeding Visit	09-04-2025 10:30 AM	09-04-2025 11:00 AM	Teresa Serna	NB1 east side	Completed
798303	92526: Feeding Visit	09-09-2025 09:30 AM	09-09-2025 10:00 AM	Teresa Serna	NB1 east side	Completed
784226	92526: Feeding Visit	09-11-2025 10:00 AM	09-11-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
809099	92526: Feeding Visit	09-24-2025 01:30 PM	09-24-2025 02:00 PM	Teresa Serna	NB1 east side	Completed
798302	92526: Feeding Visit	09-25-2025 10:00 AM	09-25-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
820913	92526: Feeding Visit	10-14-2025 02:15 PM	10-14-2025 02:45 PM	Teresa Serna	NB1 east side	Completed
804431	92526: Feeding Visit	10-16-2025 10:00 AM	10-16-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
804432	92526: Feeding Visit	10-23-2025 10:00 AM	10-23-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
804433	92526: Feeding Visit	10-30-2025 10:00 AM	10-30-2025 10:30 AM	Teresa Serna	NB1 east side	Completed
835140	92526: Feeding Visit	11-04-2025 02:30 PM	11-04-2025 03:00 PM	Teresa Serna	NB1 east side	Completed
844775	92526: Feeding Visit	11-18-2025 03:00 PM	11-18-2025 03:30 PM	Teresa Serna	NB1 east side	Completed
846146	92526: Feeding Visit	11-20-2025 02:00 PM	11-20-2025 02:30 PM	Teresa Serna	NB1 east side	Completed
804437	92526: Feeding Visit	11-25-2025 03:30 PM	11-25-2025 04:00 PM	Teresa Serna	NB1 east side	Completed
804441	92526: Feeding Visit	12-02-2025 03:00 PM	12-02-2025 03:30 PM	Teresa Serna	NB1 east side	Completed
853746	92526: Feeding Visit	12-10-2025 03:00 PM	12-10-2025 03:30 PM	Teresa Serna	NB1 east side	Completed
853750	S9152: Reevaluation	01-07-2026 03:00 PM	01-07-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
853751	92526: Feeding Visit	01-14-2026 03:00 PM	01-14-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
853752	92526: Feeding Visit	01-21-2026 03:00 PM	01-21-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
879254	92526: Feeding Visit	01-27-2026 02:00 PM	01-27-2026 02:30 PM	Teresa Serna	NB1 east side	Completed
853753	92526: Feeding Visit	01-28-2026 03:00 PM	01-28-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
853754	92526: Feeding Visit	02-04-2026 03:00 PM	02-04-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
891807	92526: Feeding Visit	02-18-2026 03:00 PM	02-18-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
893002	92526: Feeding Visit	02-25-2026 03:00 PM	02-25-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
893003	92526: Feeding Visit	03-04-2026 03:00 PM	03-04-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
893004	92526: Feeding Visit	03-11-2026 03:00 PM	03-11-2026 03:30 PM	Teresa Serna	NB1 east side	Completed
907336	97163: PT Evaluation	03-24-2026 02:00 PM	03-24-2026 03:00 PM	Dolly Molina	NB1 east side	Completed
910218	92526: Feeding Visit	03-24-2026 04:30 PM	03-24-2026 05:00 PM	Teresa Serna	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
672301	92526: Feeding Visit	03-20-2025 12:30 PM	03-20-2025 01:00 PM	Teresa Serna	NB1 east side	Canceled
672306	92526: Feeding Visit	04-24-2025 12:30 PM	04-24-2025 01:00 PM	Teresa Serna	NB1 east side	Canceled
672318	92526: Feeding Visit	05-20-2025 11:30 AM	05-20-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
672311	92526: Feeding Visit	05-29-2025 12:30 PM	05-29-2025 01:00 PM	Teresa Serna	NB1 east side	Canceled
730024	92526: Feeding Visit	05-30-2025 01:15 PM	05-30-2025 01:45 PM	Teresa Serna	NB1 east side	Canceled
798301	92526: Feeding Visit	09-18-2025 10:00 AM	09-18-2025 10:30 AM	Teresa Serna	NB1 east side	Canceled
798304	92526: Feeding Visit	10-09-2025 10:00 AM	10-09-2025 10:30 AM	Teresa Serna	NB1 east side	Canceled
804435	92526: Feeding Visit	11-13-2025 10:00 AM	11-13-2025 10:30 AM	Teresa Serna	NB1 east side	Canceled
804436	92526: Feeding Visit	11-20-2025 10:00 AM	11-20-2025 10:30 AM	Teresa Serna	NB1 east side	Canceled
804438	92526: Feeding Visit	12-04-2025 10:00 AM	12-04-2025 10:30 AM	Teresa Serna	NB1 east side	Canceled
853747	92526: Feeding Visit	12-17-2025 03:00 PM	12-17-2025 03:30 PM	Teresa Serna	NB1 east side	Canceled
853748	92526: Feeding Visit	12-24-2025 03:00 PM	12-24-2025 03:30 PM	Teresa Serna	NB1 east side	Canceled
853749	92526: Feeding Visit	12-31-2025 03:00 PM	12-31-2025 03:30 PM	Teresa Serna	NB1 east side	Canceled
864895	S9152: Reevaluation	01-06-2026 03:00 PM	01-06-2026 03:30 PM	Teresa Serna	NB1 east side	Canceled
893005	92526: Feeding Visit	03-18-2026 03:00 PM	03-18-2026 03:30 PM	Teresa Serna	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913748	92523: Artic & Language Eval	03-30-2026 02:30 PM	03-30-2026 03:30 PM	Stephanie Escobar	NB1 east side	Scheduled
893007	92526: Feeding Visit	04-01-2026 03:00 PM	04-01-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893008	92526: Feeding Visit	04-08-2026 03:00 PM	04-08-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893009	92526: Feeding Visit	04-15-2026 03:00 PM	04-15-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893010	92526: Feeding Visit	04-22-2026 03:00 PM	04-22-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893011	92526: Feeding Visit	04-29-2026 03:00 PM	04-29-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893012	92526: Feeding Visit	05-06-2026 03:00 PM	05-06-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893013	92526: Feeding Visit	05-13-2026 03:00 PM	05-13-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893014	92526: Feeding Visit	05-20-2026 03:00 PM	05-20-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893015	92526: Feeding Visit	05-27-2026 03:00 PM	05-27-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893016	92526: Feeding Visit	06-03-2026 03:00 PM	06-03-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893017	92526: Feeding Visit	06-10-2026 03:00 PM	06-10-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893018	92526: Feeding Visit	06-17-2026 03:00 PM	06-17-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893019	92526: Feeding Visit	06-24-2026 03:00 PM	06-24-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893020	92526: Feeding Visit	07-01-2026 03:00 PM	07-01-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893021	92526: Feeding Visit	07-08-2026 03:00 PM	07-08-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893022	92526: Feeding Visit	07-15-2026 03:00 PM	07-15-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893023	92526: Feeding Visit	07-22-2026 03:00 PM	07-22-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893024	92526: Feeding Visit	07-29-2026 03:00 PM	07-29-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled
893025	92526: Feeding Visit	08-05-2026 03:00 PM	08-05-2026 03:30 PM	Teresa Serna	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-13-2026	Shekinah Velasquez	FD auth approved starting 02/09/2026 - 08/07/2026 1x/ week = 26 visits. Therapist notified
02-05-2026	Avery Fontenot	Faxed FD Auth request to Wellpoint. Pending approval.
01-21-2026	Teresa Serna	Dr. Yates appointment: No cranial growth since last 6 months. Possibility that fusion may be closed as there has been no brain growth. Doctor reported there is no sign of cranial pressure. If CT scan reveals pressure or closure, immediate surgery might have to occur.
01-13-2026	Avery Fontenot	Sent FD paperwork to PCP via courier.
01-12-2026	Shekinah Velasquez	Resent FD paperwork via courier. Pending signatures
08-06-2025	Shekinah Velasquez	FD auth approved starting 08/11/2025 - 02/06/2026 1x/week = 26 visits. Therapist notified
08-05-2025	Shekinah Velasquez	Auth Request submitted to Wellpoint Tx, pending approval.
07-28-2025	Avery Fontenot	Doctors office called back stating they were not the patients PCP and that Dr.Canales is their PCP, so we are resending POC and frequency form for doctors signature as well as trying to receive THSTEPS through courier.
07-22-2025	Avery Fontenot	Called office for fax to send POC and Frequency for again. We also requested THSTEPS and they stated they would fax them.
07-09-2025	Julie Mora	Faxed documents to PCP for signatures and THSTEPS @ 12:54.
06-30-2025	Teresa Serna	Contacted the parent of the patient to inform them that the patient is no longer on hold and can continue services. Pending response.
06-18-2025	Shekinah Velasquez	Continuation of FD auth submitted to Wellpoint got approved for 6 visits 06/23/2025-07/29/2025
06-09-2025	Shekinah Velasquez	patient showing active on Wellpoint as of 6/9/25. Front office requested new referral from the parent. As soon as the referral is submitted we will submit to new insurance for auth.
06-02-2025	Shekinah Velasquez	Pt is showing inactive on insurance as of 06/01/2025. Parent notified and pt placed on a hold.
05-02-2025	Toni Baylon	FD request for auth has been sent to SHP for approval
03-07-2025	Teresa	Per the mother's report on 03/06/2025, the patient was initially diagnosed with fetal alcohol syndrome. There were no issues initially; however, as she grew, there were complications with developmental milestones. A neurologist saw the patient on 03/08/ 2025; a scan revealed that the patient may have cerebral palsy due to her having become anoxic before or after birth and does not have fetal alcohol syndrome. The patient will receive other studies in the next month to determine if she has cerebral palsy.
03-04-2025	Teresa	The parent notified the clinician that the patient receives ECI on Mondays and Wednesdays. Elianna Estrada 03-04-2025 03:08 PM Elianna (Prim) Replied: She usually has ECI speech therapy on Mondays and Wednesdays Elianna's Fridays are open
02-25-2025	Shekinah Velasquez	ST: 02/25/2025 Auth Request submitted to EPH at 5:44
02-24-2025	Monica Tullius	02/24/2025 Reports were sent to PCP's office via paid courier on 01/21/2025. Phone call placed to PCP's office on 02/05/2025. No response. Reports were resent via courier on 02/19/2025. Still no signed reports.
01-21-2025	Toni Baylon	FD reval report has been sent to PCP by courier on 01/21/2025 picked up: delivered: signed by:

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-18-2026	92526	Serna, Teresa
01-06-2026	S9152	Serna, Teresa
12-31-2025	92526	Serna, Teresa
12-24-2025	92526	Serna, Teresa
12-17-2025	92526	Serna, Teresa
12-04-2025	92526	Serna, Teresa
11-20-2025	92526	Serna, Teresa
11-13-2025	92526	Serna, Teresa
10-09-2025	92526	Serna, Teresa
10-09-2025	92526	Serna, Teresa
10-09-2025	92526	Serna, Teresa
10-09-2025	92526	Serna, Teresa
09-18-2025	92526	Serna, Teresa
05-30-2025	92526	Serna, Teresa
05-30-2025	92526	Serna, Teresa
05-29-2025	92526	Serna, Teresa
05-20-2025	92526	Serna, Teresa
04-24-2025	92526	Serna, Teresa
03-20-2025	92526	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
01-08-2025 01:18 PM	Elianna Estrada	Just added Elianna to your system. The web portal advised us to wait for a phone call to finish the intake process. Thank you for your time
01-09-2025 11:17 AM	Patrick Ramirez	Elianna, Estrada has been added as a patient. Please log in to complete the intake process.
01-09-2025 11:18 AM	Toni Baylon	Hello! just finished verifying benefits with insurance and everything is all set please log back in to the portal and sign our intake forms under the documents tab :)
01-10-2025 10:21 AM	Toni Baylon	Good Morning! I have tried calling Eliannas pediatrician as the occupational therapy referral is missing a diagnosis code. It would help us if you could try to contact them to add an occupational therapy code to the referral and send it to us so we can schedule an evaluation, Thank you!
02-20-2025 03:03 PM	Shekinah Velasquez	Hello Mr. and Mrs. Estrada, I hope you're doing well. I wanted to follow up regarding Elianna's feeding therapy. We are currently in the process of receiving authorization from your insurance company. I’d like to remind you that both speech and feeding therapy fall under the same category when filing insurance claims. Therefore, it is important that Elianna's ECI speech appointments and New Beginnings feeding appointments do not fall on the same day. If they do, the insurance company will only cover one of the services. As long as the appointments are scheduled on separate days, there should be no issues. We also understand that ECI services are available for children until they turn 3. After Elianna graduates from ECI, we would be happy to continue supporting her therapy journey at New Beginnings if needed. Thank you for your time and understanding. We look forward to providing you with further updates. Have a wonderful day!
02-24-2025 01:05 PM	Monica Tullius	Hello, reports dated 01/16/2025 needing Dr. Canales signatures were sent to PCP's office via paid courier on 01/21/2025. Phone call placed to PCP's office on 02/05/2025. No response. Reports were resent via courier (hand-delivered to his office) on 02/19/2025. Still no signed reports. These feeding reports are beyond 1 month at Dr. Canales' office. Please make contact with his office and have him sign and send to our office via fax # 915-855-0751. Thank you!! :) We cannot provide therapy without a doctor's signature. We will hand-deliver to 1733 Cure for the third time today.
03-03-2025 04:35 PM	Patrick Ramirez	Estrada, Elianna has been assigned a therapist.
03-27-2025 08:50 AM	Stephen Tullius	From all of us at New Beginnings, we wish Elianna a very Happy Birthday!
04-07-2025 10:11 AM	Monica Tullius	Dear Parent, This is a friendly reminder that most doctors need to see your child for a yearly check-up before they can approve more therapy visits. For children 10 years and younger, Texas Medicaid requires a Texas Health Steps check-up every year to keep therapy going. If your child has not had a check-up in the past year, please schedule one soon. Without this visit, your child’s therapy approval may be delayed. Thank you for taking care of this! If you have any questions, we are happy to help. :) Team New Beginnings
04-10-2025 02:22 PM	Stephen Tullius	Please join us at our first New Beginnings free Parent Training Series: Sensory Deficits. Discover how sensory deficits affect your child's daily life...There is only space for 30 attendees (Parents/Grandparents only). Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=8&pid=9256
04-10-2025 06:25 PM	Stephen Tullius	ANOTHER TRAINING ADDED: Based on the demand for the Sensory Deficits free parent training session, we have decided to create an additional session AFTER the original scheduled event. We know it's a bit late, but we are here for you if you would like to attend. We want to give as many people as possible the opportunity to receive this training. If you are interested, please sign up...There are only 30 seats available. Parents and Grandparents only. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=9&pid=9256
04-15-2025 06:31 PM	Stephen Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Sensory Deficits scheduled tomorrow at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
04-15-2025 06:32 PM	Stephen Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Sensory Deficits scheduled tomorrow at 7:45 PM. Please be on-time. See you soon! - New Beginnings 🙂
04-15-2025 07:24 PM	Stephen Tullius	Hello, please excuse my intrusion into your evening, however many of you received two reminder messages from me for our first ever parent training tomorrow. The message was supposed to be sent only to those that registered but somehow our new system sent them two times to everyone...Many apologies for the confusion and interrupting your day. :(
04-16-2025 03:15 PM	Monica Tullius	Dear Parent, This is a general broadcast message, please do not respond to this text. We are excited to announce that Physical Therapy (PT) services are now being offered exclusively at our Zaragoza location for Tricare, Superior, Wellpoint, and self-pay patients! Our licensed pediatric physical therapist, with close to 30 years of experience, is here to support your child’s movement, strength, balance, and coordination needs. All patients will need a new referral for PT from their pediatrician, and an initial evaluation by our PT. If you're interested in PT services, please contact our front office—we’re happy to help! Location: New Beginnings Pediatric Therapy – Zaragoza ONLY 1512 N. Zaragoza, Suite A-1 El Paso, Texas 79936 We look forward to continuing to support your child’s growth and development! —Team New Beginnings :)
05-01-2025 09:27 AM	Toni Baylon	Good Morning, this the front office at New Beginnings, we have checked eligibility for your child and currently they are without insurance. We will place a 30-day hold on your account and as of today any future appointments are cancelled, please let us know of any updates regarding your insurance so we can make the change and resume sessions. We also offer self-pay as an option if you decide to go without insurance. If you have any questions feel free to give us a call at 915-855-0601. Thank you.
05-01-2025 09:42 AM	Toni Baylon	Good morning, this is the front office at New Beginnings. We noticed a change in your child's insurance. Please upload a copy of the new card and request an updated referral from your child’s pediatrician for speech therapy under the new plan. Send both documents to our secure email as soon as possible to avoid delays. Therapy is on hold for up to 30 days until we receive insurance authorization. Email: tbaylon@newbeginnings-elp.com Thank you!
05-01-2025 01:35 PM	Elianna Estrada	Just emailed the documentation requested for Elianna Rae Estrada. Please let us know if you need anything else.
05-01-2025 02:40 PM	Toni Baylon	Thank you, we received it and will be sending to insurance so we may have a new authorization
05-01-2025 02:41 PM	Toni Baylon	therapist will contact you once we get approval
05-08-2025 04:24 PM	Stephen Tullius	Please join us at New Beginnings East (1512 N Zaragoza Rd Ste C2) for our free Parent Training Series: Food Chaining. Discover how to expand your child's diet gradually...There is only space for 30 attendees (Parents/Grandparents only). Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=13&pid=9256
05-12-2025 10:58 AM	Stephen Tullius	Good morning, we are having a Food Chaining Parent Training this Wednesday at 6:30pm at our 1512 N Zaragoza Ste C2 office. Since your child is a feeding patient, we would like to give you 1st opportunity to attend before we open it up to everyone. Seats are limited so please register here if you are interested: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=13&pid=9256
05-12-2025 04:49 PM	Caleb Tullius	Hello All! Vote for New Beginnings for El Paso Inc's Best of El Paso! Please consider voting for us in 3 categories: Speech Therapist Occupational Therapists Physical Therapy Services Enter your email or Gmail at the beginning to start voting. THANK YOU!!! https://bestof.elpasoinc.com/health-care-and-self-care
06-02-2025 11:09 AM	Shekinah Velasquez	Good Morning, this the front office at New Beginnings, we have checked eligibility for your child and currently they are without insurance. We will place a 30-day hold on your account and as of today any future appointments are cancelled, please let us know of any updates regarding your insurance so we can make the change and resume sessions. We also offer self-pay as an option if you decide to go without insurance. If you have any questions feel free to give us a call at 915-855-0601. Thank you.
06-12-2025 09:43 AM	Caleb Tullius	Learn how some children acquire language through chunks (gestalts) rather than individual words, and discover strategies to support their natural language development toward flexible, independent communication. Register here https://patient.newbeginnings-elp.com/trainings/default.aspx?id=17&pid=9256
06-17-2025 01:18 PM	Caleb Tullius	Good afternoon, Last Chance to get a seat at our Introduction to Gestalt Parent Training for language processing! Register now. It's on Wednesday at 6:30pm at our 1512 N Zaragoza Ste C2 office. Here's the link: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=17&pid=9256
07-07-2025 07:18 PM	Stephen Tullius	Please join us for the next installment of the New Beginnings free Parent Training Series: Skills for Success. Discover practical tools and strategies to help your child strengthen their cognitive and executive functioning skills. (Parents/Grandparents only please). Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=18&pid=9256
07-08-2025 05:17 PM	Stephen Tullius	Good afternoon, Last Chance to get a seat at our Skills for Success Parent Training on practical tools and strategies to help your child! Register now. It's on Wednesday at 6:30pm at our 1512 N Zaragoza Ste C2 office. (Parents/Grandparents ONLY Please). Here's the link: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=18&pid=9256
09-08-2025 11:39 AM	Celeste Collette	Dear Valued Parent, This is a general broadcast to all parents, do not text this number to reply. As always, we at New Beginnings strive to keep our patients, parents, therapists, and staff safe and healthy. We have thermometers in our front lobbies and will be checking for high temperatures as we begin the traditional time of year for an increase in flu, colds, and COVID. Any child or parent with a temperature of 100 degrees and above will be asked to reschedule for another day & time. If you or your child or someone in your home has COVID, we continue to ask that you stay home and quarantine to stop the spread. The CDC urges people sick with symptoms of respiratory viruses to stay home until their fever has disappeared for at least 24 hours without relying on fever-lowering medications. Please do not come to therapy if you or your child are experiencing the following symptoms: fever, body aches, chills, vomiting, diarrhea, headache. Your treating therapist would be happy to reschedule your visit for you. Please feel free to call our offices if you have any questions. Far East (Rich Beem) (915) 303-5177 OR East (Zaragoza) (915) 855-0601. Thank you in advance for your help keeping others safe and healthy! Team New Beginnings Pediatric Therapy Services
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:52 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9256
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9256
03-11-2026 03:37 PM	Shekinah Velasquez	Hi, it looks like we need to reschedule your Speech Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9256
03-11-2026 03:37 PM	Shekinah Velasquez	Hi, it looks like we need to reschedule your Occupational Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/otevaluation.aspx?pid=9256
03-11-2026 03:37 PM	Shekinah Velasquez	Hi, it looks like we need to reschedule your Physical Therapy Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/ptevaluation.aspx?pid=9256
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-12-2026 08:35 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9256
03-12-2026 08:35 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9256
03-12-2026 08:36 AM	Shekinah Velasquez	Elianna has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9256&type=1&wid=655
03-12-2026 08:36 AM	Shekinah Velasquez	Elianna has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9256&type=3&wid=656
03-12-2026 01:09 PM	Julie Mora	Hello, this is the front office at New Beginnings. We noticed that we are pending a copy of Elianna's Wellpoint insurance card. Can you please email a copy to jmora@newbeginnings-elp.com at your earliest convenience. As soon as we receive a copy of the insurance we can forward Elianna's folder to our Physical therapist to contact you to set up an appointment. Thank you.
03-12-2026 02:29 PM	Julie Mora	I received the copy of the insurance card. Thank you.
03-13-2026 08:35 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9256
03-24-2026 01:16 PM	Julie Mora	Elianna has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9256&type=1&wid=655

Paient Messages Therapist:

Date	Posted By	Message
01-10-2025 03:00 PM	Teresa Serna	Good afternoon, my name is Teresa Serna, and I will be the Speech Language Pathologist evaluating Elianna for feeding. I would like to go ahead and get her scheduled for the evaluation. Typically the evaluation is an hour long; however, I do recommend parents to arrive 15 minutes before the planned evaluation as there are quite a few documents that you will need to fill out or I can email them and you can print them out/fill them out and have them ready for the day of the evaluation. These are the days and times that I have available next week: Tuesday at 1:30 or Thursday at 10:30. Please let me know which of these times work best for you. Thank you and I look forward to meeting you both!
01-10-2025 04:04 PM	Elianna Estrada	Elianna (Prim) Replied: Thursday at 10:30 would be preferable. We will be there 15 min early to sign the paperwork
01-10-2025 04:22 PM	Teresa Serna	I will go ahead and schedule him in for Thursday. I do recommend for parents to arrive 15 minutes before the scheduled session so you could have time to fill out the paperwork. Here is the address: 1512 N Zaragoza Rd Ste C-1, El Paso, TX 79936. When you have an opportunity can you answer these questions: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) major illnesses or accident since last check up? Any medical diagnoses (i.e., down syndrome, etc.)? 3. Any hospitalization/surgeries? 4.) developmental milestones met within normal limits? or delayed? How is his trunk support? 5) known allergies? 6.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 7.) medications? 8.) does pediatrician have concerns regarding nutritional growth? 9.) gastrointestinal issues? 10.) In your a few words write you parental concerns with FEEDING
01-13-2025 01:54 PM	Victoria Chacon	Hi Mr. Estrada, my name is Tori and I'm a speech language pathologist from New Beginnings. I will be conducting Elianna's speech and language evaluation. :) Before we schedule our in person appointment, I just need to gather some background information. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.)
01-13-2025 06:23 PM	Elianna Estrada	Elianna (Prim) Replied: 1)Elianna was born with fetal alcohol syndrome 2) no major illnesses or accidents since last check up, but she did have surgery on her hip at the end of 2024 (left leg was not in hip socket) she is currently wearing a brace only at night, doctors gave the approval for Elianna to return to all forms of therapy, Fetal alcohol syndrome 3)She is delayed on all her developmental milestones 4) no breathing issues, normally sleeps throughout the night and usually takes an hour nap mid day, no enlarged tonsils 5) no medication 6) no preschool nor daycare 7) no vision nor hearing issues 8) Our concern with Elianna's Speech & Language skills is that she isn't really talking yet, strength's include her ability to repeat sounds and her determination 9)Elianna is receiving services from ECI for Physical Therapy, Occupational Therapy, Speech Therapy, & SST (cognitive therapy)
01-13-2025 06:38 PM	Elianna Estrada	Elianna (Prim) Replied: 1)Elianna Estrada 11/27/23 2)Born with Fetal alcohol Syndrome & some brain damage at birth 3)Elianna had hip surgery at the end of last year ( left leg was out of socket) wears a brace only at night, doctors approved her for all therapy 4) delayed on all developmental milestones, trunk support needs work, she can't go from lying to sitting but can sit on under her own strength. 6)no sleeping nor breathing issues 7) no medication 8)cranial size is small 9) no gastrointestinal issues 10) possible issues with textures while eating, would eat anything last summer but has become super picky with food as of December 2024
01-14-2025 10:28 AM	Victoria Chacon	Good morning Mr. Estrada, thank you for your response. Just a few follow up questions, did she spend any time in the NICU based on the fetal alcohol syndrome, if so, how much time? Also, at what age (in months) did she begin to use her first words, or combined words, if she has met those milestones. Lastly, when will her ECI speech visits expire, or will you all be discontinuing with those services? Only because they do not allow patients to be seen by ECI and privately at the clinic. :(
01-14-2025 01:01 PM	Saul Tercero Jr.	Good afternoon, my name is Saul Tercero, occupational therapist from New Beginnings Pediatrics, I received a referral for Elianna to complete an occupational therapy evaluation. I wanted to share my next available dates and times: 1/15 Wednesday at 3pm or 1/16 Thursday at 2pm. Will one of these days and times work for you all? The evaluation will take approximately 30-45 minutes to complete.
01-14-2025 02:16 PM	Elianna Estrada	Elianna (Prim) Replied: We can do Wednesday at 3pm
01-14-2025 02:28 PM	Teresa Serna	Thank you for being so detailed. If you have an opportunity would you be able to take a video of her eating in the home environment just incase she doesn′t eat during the evaluation. This will help me get an idea of how feeding is at home. For the evaluation, please bring in 3 preferred foods and 2 non preferred foods along with a plate, utensils, and preferred drink. Let me know if you have any questions.(:
01-15-2025 08:19 AM	Elianna Estrada	Elianna (Prim) Replied: Morning, Is Elianna still scheduled for evaluation at 3pm today?
01-15-2025 08:27 AM	Saul Tercero Jr.	Good morning , my apologies I didn’t get a chance to respond yesterday. Yes if you all can make the 3pm slot today would be great. Our address is 1510 N Zaragosa SUITE A-5. Thank you
01-15-2025 02:45 PM	Saul Tercero Jr.	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=601210
01-15-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings \uD83D\uDE42
01-15-2025 06:40 PM	Elianna Estrada	Elianna (Prim) Replied: Confirming Elianna Estrada's feeding therapy appointment tomorrow at 10:30 am Thank you... see you there
01-16-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
01-16-2025 10:15 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=597379
01-16-2025 10:17 AM	Elianna Estrada	Elianna is CHECKED IN for: 10:30AM-1/16/2025 92610: Feeding Evaluation
01-16-2025 10:22 AM	Elianna Estrada	Elianna is CHECKED IN for: 10:30AM-1/16/2025 92610: Feeding Evaluation
01-16-2025 10:22 AM	Elianna Estrada	Elianna is CHECKED IN for: 10:30AM-1/16/2025 92610: Feeding Evaluation
01-21-2025 03:19 PM	Victoria Chacon	Hi Mr. Estrada, I am just following with my message from last Tuesday. I had a few follow up questions before we schedule Elianna's speech and language evaluation. Did she spend any time in the NICU based on the fetal alcohol syndrome or for any other issue, if so, how much time? Also, at what age (in months) did she begin to use her first words, or combined words, if she has met those milestones. Lastly, when will her ECI speech visits expire, or will you all be discontinuing with those services? Only because they do not allow patients to be seen by ECI and privately at the clinic. :(
01-22-2025 03:51 PM	Saul Tercero Jr.	Good afternoon, this is Saul reaching out to let you know the office has a copy of the evaluation ready for pick up, if you'd like to pick it up to take to Dr. Canales to get it signed at your earliest convivence. Thank you so much.
01-22-2025 03:54 PM	Elianna Estrada	Elianna (Prim) Replied: Thank you for letting us know. We will stop by and pick up a copy as soon as we can. Thank you again
01-24-2025 11:23 AM	Victoria Chacon	Dear Parents, I hope this message finds you well! I’m reaching out to share some exciting news regarding your child’s speech therapy sessions. Beginning Monday, January 27th, I will be welcoming a graduate student clinician who will be joining our sessions through May. This graduate student is in the final stages of her journey to becoming a licensed speech-language pathologist and will be working under my close supervision. She brings valuable experience, having previously worked as a speech-language pathology assistant in a pediatric therapy clinic. Her background has provided her with a strong foundation in working with children, and I am confident she will bring energy, enthusiasm, and fresh ideas to our sessions. Having a graduate student involved is an excellent opportunity for her to grow and refine her skills while providing high-quality therapy for your child. I will continue to oversee all aspects of your child’s care to ensure consistency and progress toward their ...read more https://st-pros.com/newbeginnings/patients/Patients/patient_message.aspx?sender=2&Id=99&MsgId=5
03-04-2025 08:19 AM	Teresa Serna	Good morning (: Elianna has been approved to start feeding therapy; however, she can not be seen the same day she has speech therapy with ECI. which days does she do speech with ECI?
03-04-2025 03:08 PM	Elianna Estrada	Elianna (Prim) Replied: She usually has ECI speech therapy on Mondays and Wednesdays Elianna's Fridays are open
03-04-2025 03:23 PM	Teresa Serna	For this week, the only open slots that aren't on Wednesday are Thursday at 10:30 am, 12:15 pm, 12:30 pm. Would any of these time slots work? There is currently no therapist that comes in on Friday
03-04-2025 03:53 PM	Elianna Estrada	Elianna (Prim) Replied: Thursday at 12:30 works
03-05-2025 01:44 PM	Teresa Serna	Perfect - scheduled her in (: Tomorrow session will be baseline so please bring in 2 preferred foods along with 1 non preferred protein, 1 non preferred vegetable, and preferred drink. For the non preferred foods we can start with foods that are light in color (white/yellow) to help Elianna′s sensory system - here are ideas: protein: yogurt, ham, chicken nuggets, turkey deli, cheese sticks, cheese, boiled eggs. veggies: yellow squash, corn, cucumber, cauliflower, mushroom, bell pepper, carrots. Let me know if you have any questions
03-05-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-06-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-06-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=671039
03-06-2025 12:31 PM	Elianna Estrada	Elianna is CHECKED IN for: 12:30PM-3/6/2025 92526: Feeding Visit
03-06-2025 12:33 PM	Teresa Serna	Hello i went to the waiting room and there is nobody there
03-06-2025 12:33 PM	Teresa Serna	What car are you in?
03-06-2025 12:34 PM	Elianna Estrada	Elianna (Prim) Replied: White Nissan Pathfinder SUV
03-09-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-13-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2025 05:34 PM	Teresa Serna	Hello, for the session this week, please bring 2 preferred foods along with her favorite drink. For the non-preferred foods we will start with 2 foods. To help Elianna′s sensory system, we will stick to a color scheme (any foods that are light in color so white or yellow). Here are some ideas from you to pick from for the two nonpreferred foods: protein: yogurt, ham, chicken nuggets, turkey deli, cheese sticks, cheese, eggs. starch: rice crackers, rice cakes, veggie strips, pasta, noodles, bread, english muffin, veggies: yellow squash, corn, cucumber. fruits: yellow apples, pears, pineapple, dried mango/apple/pear.
03-12-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-13-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-13-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672300
03-16-2025 10:21 AM	Teresa Serna	Hello, I will be out of the office on April 2-3, can I see Elianna this Tuesday at 1pm to make up the session? if this time/day doesn't work we can make up the session next week (:
03-16-2025 10:38 AM	Teresa Serna	Please sign link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=672300
03-16-2025 12:50 PM	Elianna Estrada	Elianna (Sec) Replied: Yes Tuesday the 18th?
03-16-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-18-2025 at 1:00 PM, and on 03-20-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-17-2025 01:07 PM	Teresa Serna	Yes (:
03-17-2025 01:13 PM	Teresa Serna	Please sign link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=672300
03-17-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2025 12:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672303
03-18-2025 12:49 PM	Elianna Estrada	Elianna (Sec) Replied: Hi might be about 5 minutes late but we're on our way!
03-18-2025 01:00 PM	Teresa Serna	No worries let me know when you are here - drive safe
03-18-2025 01:03 PM	Elianna Estrada	Elianna (Sec) Replied: Okay we're here!
03-19-2025 12:16 PM	Teresa Serna	Just wanted to check in - how is Elianna feeling?
03-19-2025 12:50 PM	Elianna Estrada	Elianna (Sec) Replied: She's doing better today. Dry boogers instead of a runny nose. Hopefully that means it was just the dust. Still no fever also. I will let you know early tomorrow though if I'll be bringing her in. She has PT at 9:45 so I'll see how she does with that or if she should just go home for the day :)
03-19-2025 12:55 PM	Teresa Serna	Yay glad she is doing better! (:
03-19-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-20-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-20-2025 10:24 AM	Elianna Estrada	Elianna (Sec) Replied: Hello! So unfortunately Elianna still seems to be a little fussy with her congestion. I think it might be similar to last session so I'm gonna let her go home and sleep. Let me know if we can reschedule. She should be good to go by next week.
03-20-2025 10:27 AM	Teresa Serna	I hope she feels better!
03-20-2025 10:29 AM	Elianna Estrada	Elianna (Sec) Replied: Thank you!
03-23-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-27-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-26-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-27-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-27-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672302
03-27-2025 01:38 PM	Teresa Serna	Hello, I actaully have tomorrow at 2:30 pm open! It can be on zoom or in person - you let me know if you can and what you prefer (:
03-27-2025 03:03 PM	Elianna Estrada	Elianna (Sec) Replied: Okay yes we can do that! I'll take her in person!
03-27-2025 03:13 PM	Teresa Serna	Perfect(: I will schedule her in
03-27-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
03-28-2025 07:30 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
03-28-2025 02:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=686552
04-01-2025 09:57 AM	Teresa Serna	Hello, just a reminder I won't be it the office April 2-4th this week. If our regular weekly sessions land on these dates I will see you next week (:
04-06-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 04-10-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
04-09-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
04-10-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
04-10-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672304
04-13-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 04-17-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
04-16-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
04-17-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
04-17-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672305
04-20-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 04-24-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
04-23-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
04-24-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
04-24-2025 11:51 AM	Elianna Estrada	Elianna (Sec) Replied: Hello! I apologize but I have to reschedule Eliannas appt today. She has an OT evaluation and I don't think I'm going to make it to you in time. Can we reschedule?
04-24-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672306
04-24-2025 12:22 PM	Teresa Serna	Hello, no worries we can reschedule (:
04-27-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 05-01-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
04-30-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
05-01-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
05-01-2025 09:29 AM	Teresa Serna	Hello(: the office just informed Elianna is on hold so I won't see her today ):
05-08-2025 11:05 AM	Teresa Serna	Hello, Elianna has visits again (: We can start up again next week!
05-08-2025 11:06 AM	Elianna Estrada	Elianna (Prim) Replied: Oh perfect, same day and time?
05-08-2025 11:09 AM	Elianna Estrada	Elianna (Sec) Replied: Okay awesome! Thank you!
05-08-2025 11:15 AM	Teresa Serna	Yes(: and we can do a make-up on Friday - would that work
05-08-2025 11:41 AM	Elianna Estrada	Elianna (Sec) Replied: Okay this Friday or next Friday?
05-08-2025 12:37 PM	Teresa Serna	Next Friday (:
05-08-2025 02:54 PM	Teresa Serna	I have 1pm open(:
05-08-2025 03:05 PM	Teresa Serna	Sorry I meant 2pm - would that work?
05-08-2025 03:11 PM	Elianna Estrada	Elianna (Sec) Replied: Okay yes that's works!
05-11-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 05-15-2025 at 12:30 PM, and on 05-16-2025 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-14-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
05-15-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
05-15-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672309
05-15-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
05-16-2025 07:30 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
05-16-2025 01:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672313
05-16-2025 02:54 PM	Teresa Serna	I have 10:30 and 11:30 open Tuesday - let me know (:
05-18-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 05-20-2025 at 11:30 AM, and on 05-22-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-19-2025 11:39 AM	Elianna Estrada	Elianna (Sec) Replied: Hello! so Elianna can come in at 11:30 tomrrow if it's still open
05-19-2025 05:02 PM	Teresa Serna	Perfect(:
05-19-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
05-19-2025 06:37 PM	Elianna Estrada	Elianna (Sec) Replied: Hi I'm so sorry can we do 10:30? Instead of 11:30? I just realized she has eci therapy at 11:45 😕
05-19-2025 06:40 PM	Teresa Serna	Hi(: the 10:30 slot is already taken but we can always make it up next week!
05-19-2025 06:42 PM	Elianna Estrada	Elianna (Sec) Replied: Okay you know yes actually that should work cause I just realized it's speech with eci. So it would not be covered by insurance one way or another . So we'll just make it up next week. Sorry about that.
05-19-2025 06:42 PM	Elianna Estrada	Elianna (Sec) Replied: Thank you again:)
05-21-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
05-22-2025 07:30 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
05-22-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672310
05-22-2025 01:12 PM	Teresa Serna	Hello(: I forgot to mention can I see Elianna on next Friday at 2pm for the make up session?
05-22-2025 01:15 PM	Elianna Estrada	Elianna (Sec) Replied: Yes that works!
05-22-2025 01:19 PM	Teresa Serna	Perfect thank you
05-22-2025 02:09 PM	Teresa Serna	Hello, would we be able to do a quick call in about 5 minutes?
05-22-2025 02:12 PM	Elianna Estrada	Elianna (Sec) Replied: Yes!
05-22-2025 02:14 PM	Elianna Estrada	Elianna (Sec) Replied: Should I call this number?
05-25-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 05-29-2025 at 12:30 PM, and on 05-30-2025 at 1:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
05-28-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
05-29-2025 07:30 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
05-29-2025 10:33 AM	Elianna Estrada	Elianna (Sec) Replied: Hello! sorry for the late notice I have to cancel feeding therapy. My other daughter got sent home from school she's not feeling well so I have to be here with her.
05-29-2025 11:36 AM	Teresa Serna	Hello, oh no I hope she feels better! let me know if we need to cancel tomorrow
05-29-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672311
05-29-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 01:15 PM. See you soon! - New Beginnings 🙂
05-30-2025 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 01:15 PM. See you soon! - New Beginnings 🙂
05-30-2025 09:50 AM	Teresa Serna	Hello(: wanted to check in to see how your other daughter is feeling and if Elianna will be able to make it in today
05-30-2025 01:00 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=730024
05-30-2025 01:13 PM	Elianna Estrada	Elianna (Sec) Replied: Omg I am so sorry! I've been running around taking care of a sick baby. I completely lost track of time. Me and Elianna won't be able to make it today. Again I'm so sorry for such a late notice.
05-30-2025 01:37 PM	Teresa Serna	No worries I hope she feels better (:
06-01-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 06-05-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-29-2025 10:26 AM	Teresa Serna	Hello(: Elianna has services again we can start this Thursday at 12:30 if that works for you - let me know
06-30-2025 03:34 PM	Teresa Serna	Hello(: are you still interested in continuing feeding therapy?
06-30-2025 03:35 PM	Elianna Estrada	Elianna (Sec) Replied: Yes we are! Thursday's at 12:30 still work for us:)
06-30-2025 03:36 PM	Elianna Estrada	Elianna (Prim) Replied: Yes we are still interested in continuing feeding therapy. Thursdays at 12:30 also worlds for us
06-30-2025 03:36 PM	Teresa Serna	Perfect(: I will see you on Thursday!
07-02-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
07-03-2025 07:32 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
07-03-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=752464
07-06-2025 12:24 PM	Elianna Estrada	Elianna (Sec) Replied: Hi so Elianna is available to go on Tuesday . Her pt got cancelled. And Wednesday she has speech with ECI . But I think I can make it Tuesday
07-06-2025 12:25 PM	Teresa Serna	Hello(: would 9:30 work for you on Tuesday?
07-06-2025 12:26 PM	Elianna Estrada	Elianna (Sec) Replied: Yes that works!
07-06-2025 12:28 PM	Teresa Serna	perfect!
07-06-2025 12:33 PM	Elianna Estrada	Elianna (Sec) Replied: Liked “perfect!”
07-06-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 07-08-2025 at 9:30 AM, and on 07-10-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-07-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
07-08-2025 07:33 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
07-08-2025 09:15 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=755476
07-09-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
07-10-2025 07:33 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
07-10-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672317
07-11-2025 05:48 PM	Teresa Serna	Please sign link for visit when you get the chance (:
07-11-2025 05:59 PM	Teresa Serna	Hi! Just a quick note to let you know I’ll be out of the office from July 14th to July 22nd. I’ll see you when I return, and visits will resume as usual starting July 23rd. 😊 Let me know if you have any questions!
07-20-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 07-24-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-23-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
07-24-2025 07:33 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
07-24-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=672319
07-27-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 07-31-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-30-2025 04:14 PM	Elianna Estrada	Elianna (Sec) Replied: Hello! Was Elianna scheduled for tomorrow? Or are we gonna wait? :)
07-30-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
07-30-2025 07:31 PM	Teresa Serna	Hello(: we are still pending visits for the next authorization but I don’t know if you want to attempt to call the doctor to get the signature so we can request with insurance
07-30-2025 07:39 PM	Elianna Estrada	Elianna (Sec) Replied: Oh okay so she's not scheduled for tomorrow?
07-30-2025 07:39 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
07-31-2025 07:37 AM	Teresa Serna	Correct, she is not scheduled for today. I will keep you updated on when the doctor signs it
08-10-2025 02:22 PM	Teresa Serna	Hello(: we got approved visits. I can see her this Thursday at 12:30 (:
08-10-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 08-14-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-10-2025 04:29 PM	Elianna Estrada	Elianna (Sec) Replied: Okay awesome !!
08-13-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
08-14-2025 07:48 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
08-14-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=782706
08-14-2025 01:28 PM	Teresa Serna	Suggested Foods to Bring for Therapy Sessions. Proteins: (only 1) Not sure what protein she currently is eating but bring in one that she is not eating to work on that • Mild cheese (shredded, stick, or cube) • Peanut butter or other nut butters (spread thin) • Greek yogurt • Eggs (scrambled, omelet strips) • Chicken (nuggets, shredded, thin strips) • Soft turkey or ham roll-ups • Hummus with crackers Sensory/Exploration Foods (only 1) • Cooked pasta shapes • Mashed avocado • Soft fruit (banana, ripe pear, kiwi, peach slices) • Cooked vegetables (sweet potato mash, zucchini sticks) I will have graham crackers and you can also bring in the blueberries to work on
08-14-2025 01:30 PM	Elianna Estrada	Elianna (Sec) Replied: Okay sounds good !
08-14-2025 01:30 PM	Elianna Estrada	Elianna (Sec) Replied: Liked “Suggested Foods to Bring for Therapy Sessions. Proteins: (only 1) Not sure what protein she currently is eating but bring in one that she is not eating to work on that • Mild cheese (shredded, stick, or cube) • Peanut butter or other nut butters (spread thin) • Greek yogurt • Eggs (scrambled, omelet strips) • Chicken (nuggets, shredded, thin strips) • Soft turkey or ham roll-ups • Hummus with crackers Sensory/Exploration Foods (only 1) • Cooked pasta shapes • Mashed avocado • Soft fruit (banana, ripe pear, kiwi, peach slices) • Cooked vegetables (sweet potato mash, zucchini sticks) I will have graham crackers and you can also bring in the blueberries to work on”
08-17-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 08-21-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-20-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
08-21-2025 07:46 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
08-21-2025 12:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=784223
08-21-2025 01:05 PM	Teresa Serna	Yes, I can do 10am next week on Thursday (:
08-21-2025 02:14 PM	Elianna Estrada	Elianna (Sec) Replied: Okay perfect !
08-21-2025 02:14 PM	Elianna Estrada	Elianna (Sec) Replied: Liked “Yes, I can do 10am next week on Thursday (:”
08-24-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 08-28-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-27-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-28-2025 07:43 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-28-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=784224
08-31-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 09-04-2025 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-03-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
09-04-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
09-04-2025 10:15 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=784225
09-05-2025 05:36 PM	Teresa Serna	Hello, I will be out of town the first week of October for a feeding training. Would I be able to see Elianna on Tuesday at 9:30 to make up the session?
09-05-2025 06:42 PM	Elianna Estrada	Elianna (Sec) Replied: Yes . What Tuesday were you thinking? This Tuesday the 9th?
09-07-2025 11:46 AM	Teresa Serna	Correct(: would that work
09-07-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 09-09-2025 at 9:30 AM, and on 09-11-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-08-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
09-09-2025 07:53 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
09-09-2025 09:15 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=798303
09-10-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-11-2025 07:38 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-11-2025 07:56 AM	Elianna Estrada	Elianna (Sec) Replied: Good morning. So I have an appointment at 8. And I dont know when I'll get done and if I'll have time to bring my son to day care before our session. If not could he come sit with us during?
09-11-2025 08:10 AM	Teresa Serna	Good morning (: yes that is no problem at all!
09-11-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=784226
09-14-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 09-18-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-17-2025 05:27 PM	Elianna Estrada	Elianna (Sec) Replied: Hello! So I have to cancel our session tomorrow. Elianna has a few appointments scheduled for tomorrow and they're gonna run into 10 o clock. Let me know if we can reschedule. Thank you :)
09-17-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-18-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-18-2025 07:56 AM	Elianna Estrada	Elianna (Sec) Replied: Hello! I'm not sure if you got my message yesterday. I have to cancel our session today. Elianna has a few other appointments so we won't be able to make it. Let me know if we can reschedule. Thank you :)
09-18-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=798301
09-18-2025 10:17 AM	Teresa Serna	Hello, Sorry my notifications arent appearing so i didnt see you message! but we can make it up next week or when I am back. Good luck with all her appointments (:
09-18-2025 10:17 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-9/18/2025 92526: Feeding Visit
09-21-2025 08:29 AM	Teresa Serna	Hello(: would I be able to see Elianna for a make up session this week? I have Tuesday at 9:30 AM, 12:30 PM OR Wednesday at 1:30 PM open. Let me know what works best with your schedule (:
09-21-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 09-23-2025 at 9:30 AM, and on 09-25-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-21-2025 04:24 PM	Elianna Estrada	Elianna (Sec) Replied: Let's do Wednesday or 1:30! That should work .
09-21-2025 04:24 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-21-2025 06:00 PM	Elianna Estrada	Elianna (Sec) Replied: At 1:30***
09-21-2025 06:00 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-21-2025 07:26 PM	Teresa Serna	I will make the change!
09-23-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
09-24-2025 07:54 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
09-24-2025 01:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=809099
09-24-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-25-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-25-2025 09:09 AM	Elianna Estrada	Elianna (Sec) Replied: Aaron might be joining us today if that's okay!
09-25-2025 09:12 AM	Teresa Serna	No problem at all!
09-25-2025 09:38 AM	Elianna Estrada	Elianna (Sec) Replied: Loved “No problem at all!”
09-25-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=798302
10-05-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 10-09-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-08-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-09-2025 07:02 AM	Elianna Estrada	Elianna (Sec) Replied: Good morning! Elianna has an appointment on the west side at 9:00. I was hoping we'd make it back at 10:30 but then I realized her feeding appointment is at 10:00 so I don't think we'll make it. I apologize about the late notice! Please let me know if we can reschedule! Thank you
10-09-2025 07:17 AM	Teresa Serna	Good morning (: no worries! I currently do not have any openings today, but we can make it up next week. I will contact you later this week with timeslots.
10-09-2025 07:18 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-10/9/2025 92526: Feeding Visit
10-09-2025 07:18 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-10/9/2025 92526: Feeding Visit
10-09-2025 07:18 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-10/9/2025 92526: Feeding Visit
10-09-2025 07:18 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-10/9/2025 92526: Feeding Visit
10-09-2025 03:50 PM	Elianna Estrada	Elianna (Sec) Replied: Liked “Good morning (: no worries! I currently do not have any openings today, but we can make it up next week. I will contact you later this week with timeslots.”
10-09-2025 03:59 PM	Teresa Serna	Hello, would 2:15 on 10/14/2025 work for the makeup session?
10-12-2025 01:27 PM	Teresa Serna	Hello, would 2:15 on 10/14/2025 work for the makeup session?
10-12-2025 03:21 PM	Elianna Estrada	Elianna (Sec) Replied: Okay yes we can do that.
10-12-2025 03:21 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-12-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 10-14-2025 at 2:15 PM, and on 10-16-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-13-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 02:15 PM. See you soon! - New Beginnings 🙂
10-14-2025 07:57 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 02:15 PM. See you soon! - New Beginnings 🙂
10-14-2025 09:59 AM	Teresa Serna	Hello i have 1:30 open today if you need an earlier slot (:
10-14-2025 12:39 PM	Elianna Estrada	Elianna (Sec) Replied: Hello let's still do the 2:15!
10-14-2025 02:00 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820913
10-14-2025 02:17 PM	Elianna Estrada	Elianna (Sec) Replied: Running a bit behind be there in two minutes !
10-15-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-16-2025 07:42 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-16-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804431
10-19-2025 01:22 PM	Teresa Serna	Please sign both links:
10-19-2025 01:22 PM	Teresa Serna	Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=820913
10-19-2025 01:22 PM	Teresa Serna	Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=804431
10-19-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 10-23-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-22-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-23-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-23-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804432
10-26-2025 12:16 PM	Teresa Serna	Please sign: Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=804432
10-26-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 10-30-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 05:43 PM	Teresa Serna	Hello, we will all be dressing up on Thursday for Halloween. We are asking all patients to feel free to dress up as well (:
10-29-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-30-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-30-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804433
10-30-2025 09:53 AM	Elianna Estrada	Elianna (Sec) Replied: Running a couple minutes behind but we're otw !
10-30-2025 10:08 AM	Teresa Serna	No worries let me know when you are here
10-30-2025 10:10 AM	Elianna Estrada	Elianna (Sec) Replied: Here
11-02-2025 03:40 PM	Teresa Serna	Hello(: would I be able to see Elianna on Tuesday at 10:00 AM? I won't be in the office on Thursday
11-02-2025 03:42 PM	Elianna Estrada	Elianna (Sec) Replied: So she has PT at 10:30 on Tuesdays then OT right after. She wouldn't be available till after 12:30 on tuesdays
11-02-2025 03:42 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 04:11 PM	Teresa Serna	I have 2:30 PM open that day would that work?
11-03-2025 07:33 AM	Elianna Estrada	Elianna (Sec) Replied: Yes we can do 2:30!
11-03-2025 07:33 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-03-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
11-04-2025 08:00 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
11-04-2025 02:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=835140
11-09-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 11-13-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-12-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-12-2025 06:31 PM	Elianna Estrada	Elianna (Prim) Replied: Can we please reschedule tomorrow's therapy
11-13-2025 07:29 AM	Elianna Estrada	Elianna (Sec) Replied: Hi I'm gonna have to cancel Eliannas therapy today. She has another appointment. Let me know if I can reschedule!
11-13-2025 07:40 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-13-2025 07:43 AM	Teresa Serna	I will provide you with times when I work on my schedule
11-13-2025 07:43 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-11/13/2025 92526: Feeding Visit
11-16-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 11-20-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 12:46 PM	Teresa Serna	Hello, would I be able to see Elianna tomorrow at 2:45 or 3 pm for a make up session
11-17-2025 01:25 PM	Elianna Estrada	Elianna (Sec) Replied: Okay we can do 3 tomorrow :)
11-17-2025 01:25 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-18-2025 08:03 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
11-18-2025 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844775
11-19-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 07:40 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 09:09 AM	Elianna Estrada	Elianna (Sec) Replied: I hate to have to cancel again but I won't be able to take Elianna to her appointment today. I apologize for the late notice. Let me know if we can reschedule again.
11-20-2025 09:18 AM	Teresa Serna	Good morning (: I have a 1pm open today - would that work?
11-20-2025 09:21 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-11/20/2025 92526: Feeding Visit
11-20-2025 09:36 AM	Elianna Estrada	Elianna (Sec) Replied: Okay I can make 1 work!
11-20-2025 10:30 AM	Teresa Serna	would we actaully be able to do 2? The patient who i usually see at that time will be making it to the appointment
11-20-2025 10:50 AM	Elianna Estrada	Elianna (Sec) Replied: Okay yes two then! Works even better lol.
11-20-2025 01:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=846146
11-23-2025 01:39 PM	Teresa Serna	Hello(: would I be able to see Elianna at 3:30 on Tuesday since the office will be closed Thursday?
11-23-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 11-25-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-24-2025 02:31 PM	Elianna Estrada	Elianna (Sec) Replied: Hi! We can do tomrrow 3:30
11-24-2025 02:31 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-24-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
11-25-2025 07:37 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
11-25-2025 03:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804437
11-30-2025 01:42 PM	Teresa Serna	Hello(: can I see Elianna at 3:00 PM on Tuesday for a make up session? The office will be closed for 2 weeks during christmas and new years
11-30-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 12-02-2025 at 3:00 PM, and on 12-04-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:18 PM	Teresa Serna	Hello, please sign the note from 11/18 Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=844775
11-30-2025 04:51 PM	Elianna Estrada	Elianna (Sec) Replied: We can do Tuesday at 3:00 , yes!
11-30-2025 04:51 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-01-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 07:39 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804441
12-02-2025 03:01 PM	Teresa Serna	Note: Zoom Link: https://us06web.zoom.us/j/81735296741
12-03-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 07:39 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 09:20 AM	Elianna Estrada	Elianna (Sec) Replied: Hello unfortunately I have to cancel feeding therapy today. We won't be able to make it at ten. Thursdays are starting to be kind of busy for her. Let me know if we can reschedule.
12-04-2025 09:45 AM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804438
12-04-2025 10:06 AM	Teresa Serna	Hello(: let's figure out a day and time that works best. What days/times work best for her schedule at the moment?
12-04-2025 10:07 AM	Teresa Serna	Teresa Serna CANCELLED: 10:00AM-12/4/2025 92526: Feeding Visit
12-05-2025 03:07 PM	Teresa Serna	Hello(: please let me know what times/days work best with her schedule so I can work on finding her a permeant spot.
12-05-2025 03:12 PM	Elianna Estrada	Elianna (Sec) Replied: Ah I apologize I completely forgot to text you about that. I was looking at her calendar and it looks like mondays might be better but later in the day. And even Thursday's but again later in the day like after 2 or 3 if that's possible. For now tuesdays are available because we're waiting for approval for more therapy with ot and pt so she doesn't have anything Tuesday but that'll change once we get approval. So her schedule is kind of all over the place right now. But let me know what you have and we'll figure it out
12-05-2025 03:52 PM	Teresa Serna	No worries. I currently only have 3pm open on Tuesday and Wednesday. We can keep the 3pm Tuesday until I can get her a permeant slot. Per policy afternoon slots are for the elementary kiddos so it might be a little hard getting her anything later than 3:30.
12-05-2025 08:54 PM	Elianna Estrada	Elianna (Sec) Replied: You know what. Can we do Wednesday at 3? I think I can make that work.
12-05-2025 08:54 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 03:53 PM	Teresa Serna	Yes (: I will schedule her in
12-07-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 12-10-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-09-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 08:02 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853746
12-14-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 12-17-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-16-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 07:56 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853747
12-17-2025 03:05 PM	Teresa Serna	let me know when you are here (:
12-17-2025 03:09 PM	Elianna Estrada	Elianna (Sec) Replied: I completely lost track of time! I'm so sorry. I have to cancel today! I apologize again! Elianna has had croup since the weekend and still isn't feeling well.
12-17-2025 03:23 PM	Teresa Serna	Oh no I hope she feels better ): a lot of kiddos are getting sick right now
12-17-2025 03:24 PM	Teresa Serna	Teresa Serna CANCELLED: 3:00PM-12/17/2025 92526: Feeding Visit
12-17-2025 03:42 PM	Elianna Estrada	Elianna (Sec) Replied: Yes it's been awful. my other two caught hand foot mouth disease on the weekend as well. I've had to quarantine everyone this entire week. So I've been all over the place 😫 I apologize for missing the appointment ! I hate to do that.
12-18-2025 01:22 PM	Teresa Serna	No worries emergencies happen! I completely understand. I hope they all get better soon ):
12-18-2025 02:45 PM	Teresa Serna	Teresa Serna CANCELLED: 3:00PM-12/31/2025 92526: Feeding Visit
12-18-2025 02:46 PM	Teresa Serna	Teresa Serna CANCELLED: 3:00PM-12/24/2025 92526: Feeding Visit
12-18-2025 03:38 PM	Elianna Estrada	Elianna (Sec) Replied: Loved “No worries emergencies happen! I completely understand. I hope they all get better soon ):”
01-04-2026 02:00 PM	Teresa Serna	Hello, hope you enjoyed the holidays (: would i be able to see Elianna for a make up session Tuesday at 12:30pm or 3pm?
01-04-2026 03:54 PM	Teresa Serna	Hello again, she is actually up for a reevaluation so let me know if Tuesday at 3pm works so we can use that time to do the reevaluation
01-04-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 01-07-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 07:49 PM	Elianna Estrada	Elianna (Sec) Replied: Hello! Okay we can do Tuesday at 3
01-04-2026 07:49 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 11:10 AM	Teresa Serna	Perfect, please bring in 2 foods that are harder for her to chew and another food that we can use to bit pull. Since it the reevaluation we will just present her the foods and see where she is at without therapy (: I will also have a form for you to fill out
01-05-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-06-2026 08:04 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Speech/Feeding Reevaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-06-2026 10:13 AM	Elianna Estrada	Elianna (Sec) Replied: Hi do you happen to have a later time slot for the eval? My son has a 2:15 appt that I thought was tomrrow... so I'm trying to see which one I should reschedule. I don't want to cancel Elianna. So if not that's okay.
01-06-2026 12:39 PM	Teresa Serna	Hello, I do not ): but no worries if we have to cancel we can do next week two times and do the reevaluation tomorrow! I know your son starts school soon so I completely understand if we need to cancel today
01-06-2026 12:57 PM	Elianna Estrada	Elianna (Sec) Replied: Thank youuuu! That actually works! Can we do the evaluation tomorrow then? Will it be same time 3?
01-06-2026 01:06 PM	Teresa Serna	Yes it will be at 3 tomorrow (:
01-06-2026 01:07 PM	Teresa Serna	Teresa Serna CANCELLED: 3:00PM-1/6/2026 S9152: Reevaluation
01-06-2026 01:08 PM	Elianna Estrada	Elianna (Sec) Replied: Okay perfect let's schedule for that! We'll be there. Thank you again! :)
01-06-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-07-2026 07:49 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Speech/Feeding Reevaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-07-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853750
01-11-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 01-14-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-13-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 07:50 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853751
01-18-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 01-21-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-20-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 07:47 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853752
01-21-2026 04:06 PM	Teresa Serna	I know this is really scary information to hear, and I want to reassure you from a developmental standpoint. What I’m seeing in therapy is very encouraging. She is making progress across speech, feeding, OT, and PT, which tells us her brain is learning and adapting. I was reading and a smaller brain doesn’t mean development stops. Development is about connections and learning, and she is clearly doing that. Even if her head size doesn’t change much, her brain can still develop skills. Brain growth and brain learning aren’t the same thing. Therapy works by helping the brain build new pathways and we’re seeing that happen.
01-21-2026 05:07 PM	Elianna Estrada	Elianna (Sec) Replied: Loved “I know this is really scary information to hear, and I want to reassure you from a developmental standpoint. What I’m seeing in therapy is very encouraging. She is making progress across speech, feeding, OT, and PT, which tells us her brain is learning and adapting. I was reading and a smaller brain doesn’t mean development stops. Development is about connections and learning, and she is clearly doing that. Even if her head size doesn’t change much, her brain can still develop skills. Brain growth and brain learning aren’t the same thing. Therapy works by helping the brain build new pathways and we’re seeing that happen.”
01-21-2026 05:09 PM	Elianna Estrada	Elianna (Sec) Replied: Thank you!!! We appreciate you very much. That information helps a lot. I'm grateful we're not the only ones seeing how much she's progressed 🥹
01-25-2026 02:21 PM	Teresa Serna	She has definitely progressed and she is lucky to have both of you as parents!
01-25-2026 03:46 PM	Teresa Serna	Would I be able to see Elianna on Tuesday at 2:00pm for a makeup session from the holidays
01-25-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 01-28-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 07:03 PM	Teresa Serna	Please sign: Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=853752
01-25-2026 07:09 PM	Elianna Estrada	Elianna (Sec) Replied: Yes we can do 2 on Tuesday!
01-25-2026 07:09 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 07:09 PM	Elianna Estrada	Elianna (Sec) Replied: Loved “She has definitely progressed and she is lucky to have both of you as parents!”
01-25-2026 07:09 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
01-27-2026 08:05 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
01-27-2026 10:53 AM	Teresa Serna	I have a 2:30 opening today if that works better for you (:
01-27-2026 11:23 AM	Elianna Estrada	Elianna (Sec) Replied: No two works perfectly we have to be somewhere at three :)
01-27-2026 01:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879254
01-27-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 07:46 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853753
02-01-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 02-04-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-03-2026 01:03 PM	Teresa Serna	Hello, thank you for signing the note. There was two sessions last week can you please sign this one as well Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9256&app=853753
02-03-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853754
02-15-2026 03:09 PM	Teresa Serna	Hello, we have visits again we can start Wednesday at 3pm(:
02-15-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 02-18-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 08:04 AM	Elianna Estrada	Elianna (Sec) Replied: Yes sounds good! :)
02-16-2026 08:04 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 07:57 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891807
02-22-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 02-25-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-24-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:56 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893002
03-01-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-04-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-03-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 07:51 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 10:43 AM	Teresa Serna	Good morning (: Here is the address 1510 N Zaragoza Rd Suite B1, El Paso, TX 79936
03-04-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893003
03-08-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-11-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-10-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:49 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893004
03-12-2026 06:12 PM	Dolly Molina	Good evening, My name is Dolly Molina, and I am the physical therapist at New Beginnings. I am reaching out to schedule a Physical Therapy Evaluation appointment with you. I am available on March 24, 2026 at 2:00 pm , I hope this time works for you. Please let me know if you are available at that time or if we need to find an alternative appointment. Thank you,  Dolly Molina PT MPT  Physical Therapist  New Beginnings
03-13-2026 12:10 PM	Dolly Molina	Subject: Physical Therapy Evaluation Follow-Up Good afternoon, This is Dolly Molina, the physical therapist at New Beginnings. I reached out to you yesterday to offer an appointment for a Physical Therapy Evaluation. I would like to schedule a convenient time to complete this evaluation with you. Please let me know if you are still interested in proceeding. If you would prefer to wait before starting PT services, kindly contact our front office to let them know. Thank you,  Dolly Molina, PT, MPT  Physical Therapist  New Beginnings
03-13-2026 12:57 PM	Elianna Estrada	Elianna (Sec) Replied: Hello! Apologies for the late response. That date should work for us! March 24th at 2pm. I'll put it on the calendar. See you then.
03-13-2026 12:57 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-13-2026 01:52 PM	Dolly Molina	I have that on my calendar. Looking forward to meeting you.
03-13-2026 06:14 PM	Elianna Estrada	Elianna (Sec) Replied: Liked “I have that on my calendar. Looking forward to meeting you.”
03-13-2026 06:14 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-18-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-17-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:48 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 02:35 PM	Elianna Estrada	Elianna (Sec) Replied: Hello. I had to pick up Elianna from daycare earlier because she wasn't feeling very well so I'm going to cancel today's session.
03-18-2026 02:37 PM	Teresa Serna	Oh no ): I hope she feels better!
03-18-2026 02:37 PM	Teresa Serna	Teresa Serna CANCELLED: 3:00PM-3/18/2026 92526: Feeding Visit
03-22-2026 03:50 PM	Teresa Serna	Hello(:to make up the session from last week can I see Elianna on Tuesday at 4:30?
03-22-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Estrada, Elianna has a Feeding Therapy appointment on 03-24-2026 at 4:30 PM, and on 03-25-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 09:32 AM	Elianna Estrada	Elianna (Sec) Replied: I will get back to you by the end of today and let you know if we can make it tomorrow. :)
03-23-2026 09:32 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 01:37 PM	Teresa Serna	Perfect thank you (:
03-23-2026 06:31 PM	Dolly Molina	Hi, this is a just a reminder that Elianna has a Physical Therapy Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 06:31 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 08:24 PM	Teresa Serna	Hello, wanted to check in and see if you would be able to attend tomorrow
03-23-2026 08:37 PM	Elianna Estrada	Elianna (Sec) Replied: Ah Yes let's go ahead and confirm! Elianna still has a bit of a stuffy nose but no fever since the weekend so she should be good to go.
03-23-2026 08:37 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-24-2026 08:03 AM	Dolly Molina	Hi, this is a just a reminder that Elianna has a Physical Therapy Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:06 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 01:29 PM	Elianna Estrada	Elianna (Sec) Replied: Hello. For Eliannas evaluation... would you like us to bring her walker?
03-24-2026 01:45 PM	Dolly Molina	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907336
03-24-2026 01:47 PM	Dolly Molina	Yes Please
03-24-2026 01:51 PM	Elianna Estrada	Elianna (Sec) Replied: Okay and should we go to the main building ?
03-24-2026 02:00 PM	Dolly Molina	No 1510 Zaragosa Building B-1 It opposite direction of the main building
03-24-2026 02:04 PM	Elianna Estrada	Elianna (Sec) Replied: Okay I believe we're here
03-24-2026 04:15 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910218
03-24-2026 04:45 PM	Teresa Serna	https://www.meaningfulspeech.com/offers/YpBHFc24/checkout
03-24-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:48 AM	Teresa Serna	Hi, this is a just a reminder that Elianna has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 02:45 PM	Teresa Serna	Elianna Estrada : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893006