New Beginnings | NB1-Office

Patient Name: Amias

Patient Information:

Patient ID: 9391

Patient First Name: Amias

Patient Date of Birth: 02-24-2020

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Marcella, Frausto

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Haduck, Rachael

FD - Feeding Therapy:

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
22928	Active	12-22-2025	06-19-2026	Superior Health Plan	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
24739	05-02-2025	Speech Initial Evaluation	F80.0, F80.81
Speech Background History: Amias is a 5-year, 2-month-old male referred by his pediatrician for a comprehensive speech and language evaluation due to concerns regarding speech sound errors and disfluencies. Mrs. Rios, Amias’s mother, served as the primary informant for this evaluation. She expressed concerns regarding Amias’s intelligibility with both family members and peers, noting that he often has difficulty being understood and exhibits moments of stuttering. According to Mrs. Rios, the stuttering began around August 2024. She also reported that Amias sometimes struggles to formulate complete sentences and appears slightly delayed in his speech compared to same-age peers. Despite these concerns, Mrs. Rios highlighted a strength: Amias is a strong reader and can read aloud most text placed in front of him. She also noted that he is able to communicate his wants and needs using complete sentences. Amias was evaluated using the following standardized assessments: the Clinical Assessment of Articulation and Phonology – Second Edition (CAAP-2), the Stuttering Severity Instrument – Fourth Edition (SSI-4), and the Developmental Assessment of Young Children – Second Edition (DAYC-2). Given Amias’s language exposure and usage, English was the language of assessment and will be used as the primary language of intervention.
Speech Medical History: According to Mrs. Rios, her pregnancy was unremarkable, and Amias was delivered full term via vaginal delivery. However, complications occurred at birth due to the presence of meconium in utero. As a result, Amias was admitted to the NICU for seven days for treatment of jaundice and was placed on antibiotics. At present, Amias has no known medical conditions and has not experienced any major illnesses or injuries.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Appropriate utterances, Auditory and visually alert and attentive, Follows verbal command with cues, Initiate activity/dialogue, Interactive, Maintains topic, Makes requests, Responds to greetings, Takes turns, Understands nuances of language,
Speech Communication Weaknesses: Difficult to understand, Unintelligible, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Amias was accompanied by his mother to the evaluation. He presented as attentive and cooperative throughout the session, requiring only minimal redirection to maintain engagement in structured tasks such as standardized assessments. He responded well to verbal prompts and benefited from short breaks to support regulation and sustained attention. Amias demonstrated appropriate eye contact, turn-taking, and social reciprocity during interactions. His pragmatic language skills appeared functional and age-appropriate in the clinical setting.
Speech Diagnosis/Impressions: Amias is a 5-year, 2-month-old male referred by his pediatrician for a comprehensive speech and language evaluation due to concerns regarding speech sound errors and disfluencies. Mrs. Rios, Amias’s mother, served as the primary informant for this evaluation. She expressed concerns regarding Amias’s intelligibility with both family members and peers, noting that he often has difficulty being understood and exhibits moments of stuttering. According to Mrs. Rios, the stuttering began around August 2024. According to the CAAP-2, scores ranging from 85 to 115 are considered within functional limits, while Amias’s scores are 1.5 standard deviations below the mean, indicating a SEVERE ARTICULATION/PHONOLOGICAL DISORDER. This significantly impacts his ability to be understood by others. Speech-language therapy is recommended to address these phonological processes and support the development of age-appropriate speech patterns. According to the SSI-4, a total score yielded a Total Score of 24, corresponding to MODERATE SEVERITY. Disfluencies included part-word and whole-word repetitions (e.g., "I-I-I," "the-the-the"), occasional prolongations (e.g., "ssssometimes"), and phrase repetitions (e.g., "and then... and then..."). These occurred primarily in the initial position of utterances. There was no observable frustration or awareness during disfluent moments, and speech remained generally intelligible, with a slight reduction in fluency rhythm, rated with a Naturalness Score of 2. Given the SSI-4 results and clinical observations, indirect stuttering therapy is recommended. Based on formal assessment, parent interview, and clinical observations, speech-language therapy is warranted, as Amias does not demonstrate age-appropriate speech clarity or fluency skills necessary for effective communication of his wants, needs, and ideas. Amias presents with a MODERATE ARTICULATION/PHONOLOGICAL DISORDER as well as MODERATE FLUENCY DEFICITS, both of which significantly reduce his intelligibility—particularly with unfamiliar listeners. Without treatment, Amias may be at increased risk in situations requiring clear communication, such as expressing pain, requesting help, or responding to safety instructions from adults or emergency personnel. Intervention is essential to improve his speech intelligibility and fluency, which are critical for successful communication in academic, social, and safety-related contexts. Amias’s parents will be responsible for implementing his Home Education Program (HEP). Due to Amias’s language background and current language exposure, the intervention will be conducted in English.
Speech Diagnosis/Impressions: Amias is a 5-year, 2-month-old male referred by his pediatrician for a comprehensive speech and language evaluation due to concerns regarding speech sound errors and disfluencies. Mrs. Rios, Amias’s mother, served as the primary informant for this evaluation. She expressed concerns regarding Amias’s intelligibility with both family members and peers, noting that he often has difficulty being understood and exhibits moments of stuttering. According to Mrs. Rios, the stuttering began around August 2024. According to the CAAP-2, scores ranging from 85 to 115 are considered within functional limits, while Amias’s scores are 1.5 standard deviations below the mean, indicating a SEVERE ARTICULATION/PHONOLOGICAL DISORDER. This significantly impacts his ability to be understood by others. Speech-language therapy is recommended to address these phonological processes and support the development of age-appropriate speech patterns. According to the SSI-4, a total score yielded a Total Score of 24, corresponding to MODERATE SEVERITY. Disfluencies included part-word and whole-word repetitions (e.g., "I-I-I," "the-the-the"), occasional prolongations (e.g., "ssssometimes"), and phrase repetitions (e.g., "and then... and then..."). These occurred primarily in the initial position of utterances. There was no observable frustration or awareness during disfluent moments, and speech remained generally intelligible, with a slight reduction in fluency rhythm, rated with a Naturalness Score of 2. Given the SSI-4 results and clinical observations, indirect stuttering therapy is recommended. Based on formal assessment, parent interview, and clinical observations, speech-language therapy is warranted, as Amias does not demonstrate age-appropriate speech clarity or fluency skills necessary for effective communication of his wants, needs, and ideas. Amias presents with a MODERATE ARTICULATION/PHONOLOGICAL DISORDER as well as MODERATE FLUENCY DEFICITS, both of which significantly reduce his intelligibility—particularly with unfamiliar listeners. Without treatment, Amias may be at increased risk in situations requiring clear communication, such as expressing pain, requesting help, or responding to safety instructions from adults or emergency personnel. Intervention is essential to improve his speech intelligibility and fluency, which are critical for successful communication in academic, social, and safety-related contexts. Amias’s parents will be responsible for implementing his Home Education Program (HEP). Due to Amias’s language background and current language exposure, the intervention will be conducted in English.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

54593

Plan Date: 05-02-2025

Speech Assessment Summary: Amias is a 5-year, 2-month-old male referred by his pediatrician for a comprehensive speech and language evaluation due to concerns regarding speech sound errors and disfluencies. Mrs. Rios, Amias’s mother, served as the primary informant for this evaluation. She expressed concerns regarding Amias’s intelligibility with both family members and peers, noting that he often has difficulty being understood and exhibits moments of stuttering. According to Mrs. Rios, the stuttering began around August 2024. According to the CAAP-2, scores ranging from 85 to 115 are considered within functional limits, while Amias’s scores are 1.5 standard deviations below the mean, indicating a SEVERE ARTICULATION/PHONOLOGICAL DISORDER. This significantly impacts his ability to be understood by others. Speech-language therapy is recommended to address these phonological processes and support the development of age-appropriate speech patterns. According to the SSI-4, a total score yielded a Total Score of 24, corresponding to MODERATE SEVERITY. Disfluencies included part-word and whole-word repetitions (e.g., "I-I-I," "the-the-the"), occasional prolongations (e.g., "ssssometimes"), and phrase repetitions (e.g., "and then... and then..."). These occurred primarily in the initial position of utterances. There was no observable frustration or awareness during disfluent moments, and speech remained generally intelligible, with a slight reduction in fluency rhythm, rated with a Naturalness Score of 2. Given the SSI-4 results and clinical observations, indirect stuttering therapy is recommended. Based on formal assessment, parent interview, and clinical observations, speech-language therapy is warranted, as Amias does not demonstrate age-appropriate speech clarity or fluency skills necessary for effective communication of his wants, needs, and ideas. Amias presents with a MODERATE ARTICULATION/PHONOLOGICAL DISORDER as well as MODERATE FLUENCY DEFICITS, both of which significantly reduce his intelligibility—particularly with unfamiliar listeners. Without treatment, Amias may be at increased risk in situations requiring clear communication, such as expressing pain, requesting help, or responding to safety instructions from adults or emergency personnel. Intervention is essential to improve his speech intelligibility and fluency, which are critical for successful communication in academic, social, and safety-related contexts. Amias’s parents will be responsible for implementing his Home Education Program (HEP). Due to Amias’s language background and current language exposure, the intervention will be conducted in English.

Speech Rehabilitation Potential: Good. With consistent Speech Therapy and parental support. Amias will be discharged from speech therapy when all of his goals are met and he receives standard scores above -1.5 standard deviations on articulation and fluency assessments, indicating that his speech sound production and fluency fall within the mild or average range. Parents and caregivers will be responsible for implementing his Home Management Intervention Program (HMIP) and are expected to participate in sessions to ensure effective carryover. Due to Amias’s age (under 7 years), indirect fluency therapy is recommended, and caregiver involvement is a critical component of treatment success.

Speech and Language Long Term Goals:

Category	Goal Description
Oral Motor/Articulation	In 12 months, Amias will demonstrate acquisition of developmentally appropriate phonological skills and improved speech intelligibility in conversational speech with 50% accuracy across 5 consecutive sessions.
Functional Language	In 12 months, Amias will demonstrate improved fluency and age-appropriate speech patterns during conversational speech with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	In 6 months, Amias will reduce final consonant devoicing by accurately producing voiced final consonants /g, d, b/ in CVC words during structured tasks with 40% accuracy across 3 consecutive sessions, in order to improve speech intelligibility and reduce the use of age-inappropriate phonological processes.
Oral Motor/Articulation	In 6 months, Amias will reduce the use of gliding by producing /r/ sounds in the initial position of words (e.g., red) with 40% accuracy across 3 consecutive sessions, to support the development of age-appropriate phoneme use.
Oral Motor/Articulation	In 6 months, Amias will reduce the use of deaffrication by accurately producing affricate sounds (ch, juh) in the final positions of words (e.g., "cage," "watch) during structured tasks with 40% accuracy across 3 consecutive sessions, to improve age-appropriate speech sound production and overall intelligibility.
Fluency	In 6 months, Amias will participate in play-based interactions and familiar routines (e.g., book reading, pretend play, turn-taking games) with increased verbal output and reduced time pressure, demonstrating spontaneous communication in 3 out of 5 opportunities across 3 sessions, to support confidence and reduce communicative stress.
Fluency	In 6 months, Amias’s caregiver will implement at least two fluency-enhancing strategies (e.g., modeling slow rate, pausing before responding, reducing interruptions) during play-based or conversational routines in 3 out of 5 opportunities across 3 consecutive sessions, as measured by clinician observation and caregiver self-report, to support a low-pressure communication 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.

58298

Plan Date: 12-02-2025

Speech Assessment Summary: Amias is a 5-year, 9-month-old male who is demonstrating a Moderate-Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Amias's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Amias receives services 1x/week for up to 60-minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Amias is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 1x/week for 6 months is recommended due to the Amias's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Amias is not able to clearly or effectively communicate his needs and wants for his personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Amias will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations. *LANGUAGE: The Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5) ages 5-8 is a standardized assessment tool designed to evaluate the language skills of individuals aged 9 to 21. It provides a comprehensive measure of both receptive and expressive language abilities, helping to identify areas of strength and areas that may require additional support. The CELF-5 (ages 5-8) assesses a wide range of language skills, including vocabulary, grammar, sentence structure, and pragmatics, in order to gain a thorough understanding of a person's language processing and communication abilities. This evaluation helps to inform the development of appropriate interventions and educational strategies for individuals who demonstrate language delays or difficulties. The CELF-5 (ages 5-8) was administered formally to Amias to evaluate his abilities in the areas of: - Sentence Comprehension (SC): 5 - Linguistic Concepts (LC): 4 - Word Structured (WS): 3 - Word Classes (WC): 8 - Following Directions (FD): 5 - Formulated Sentences (FS): 1 - Recalling Sentences (RS): 6 - Understanding Spoken Paragraphs (USP): 3 - Core Language Score (CLS): 64 - Receptive Language Index (RLI): 76 - Expressive Language Index (ELI): 62 - Language Content Index (LCI): 76 - Language Structure Index (LSI): 65 *ARTICULATION: The Goldman-Fristoe Test of Articulation–Third Edition (GFTA-3) is a standardized assessment designed to evaluate a child’s speech sound production abilities. It assesses consonant production at the single-word level and in connected speech, identifying errors such as substitutions, omissions, additions, and distortions. The Sounds-in-Words and Sounds-in-Sentences subtests provide standardized scores that determine whether articulation skills are age-appropriate. The GFTA-3 was administered formally to Amias to evaluate his speech sound production. Sounds-in-Words: RS 18 ; SC 79 - Initial: ~s/s, ~z/z, f/th voiceless, d/th voiced - Medial: ~s/s, ~z/z, f/th voiceless, d/th voiced - Final: ~s/s, ~z/z, f/th voiceless, d/th voiced - Blends: ~sl/sl, ~sk/sk, ~sm/sm, ~sn/sn, ~sp/sp, ~st/st *ORAL MOTOR: Orofacial examination revealed that Amias consistently speaks out of the right side of his mouth, indicating an asymmetric oral-motor pattern during speech production. A mild underbite was also observed, which may influence his articulatory placement and overall oral-motor coordination. These structural characteristics should continue to be monitored for any potential impact on speech clarity or function, with referral to a dental or orthodontic specialist if concerns increase. *FLUENCY: The Stuttering Severity Instrument–Fourth Edition (SSI-4) could not be administered due to significant avoidance behaviors that prevented sufficient speech sampling for standardized scoring. Although formal evaluation was not possible, informal observation and parent report indicate that Amias's stuttering is minimal and occurs primarily when he is fatigued, frustrated, or angry. At this time, no structured fluency intervention is recommended; however, his fluency should be monitored informally and reassessed in the future if concerns increase or symptoms become more pervasive.

Speech Progress to Date: LTG: - #1: In 12 months, Amias will demonstrate acquisition of developmentally appropriate phonological skills and improved speech intelligibility in conversational speech with 50% accuracy across 5 consecutive sessions. - #2: In 12 months, Amias will demonstrate improved fluency and age-appropriate speech patterns during conversational speech with 50% accuracy across 5 consecutive sessions. STG: #1.1: In 6 months, Amias will reduce final consonant devoicing by accurately producing voiced final consonants /g, d, b/ in CVC words during structured tasks with 40% accuracy across 3 consecutive sessions, in order to improve speech intelligibility and reduce the use of age appropriate phonological processes. - Baseline: 20% - Current level of function: 80% - Goal met: YES - Recommendations: GOAL MET #1.2: In 6 months, Amias will reduce the use of gliding by producing /r/ sounds in the initial position of words (e.g., red) with 40% accuracy across 3 consecutive sessions, to support the development of age-appropriate phoneme use. - Baseline: 10% - Current level of function: 80% - Goal met: YES - Recommendations: GOAL MET #1.3: In 6 months, Amias will reduce the use of deaffrication by accurately producing affricate sounds (ch, juh) in the final positions of words (e.g., "cage," "watch) during structured tasks with 40% accuracy across 3 consecutive sessions, to improve age-appropriate speech sound production and overall intelligibility. - Baseline: 10% - Current level of function: 80% - Goal met: YES - Recommendations: GOAL MET #2.1: In 6 months, Amias will participate in play-based interactions and familiar routines (e.g., book reading, pretend play, turntaking games) with increased verbal output and reduced time pressure, demonstrating spontaneous communication in 3 out of 5 opportunities across 3 sessions, to support confidence and reduce communicative stress. - Baseline: 1/5 opportunities - Current level of function: 4/5 opportunities - Goal met: YES - Recommendations:GOAL MET #2.2: In 6 months, Amias’s caregiver will implement at least two fluency-enhancing strategies (e.g., modeling slow rate, pausing before responding, reducing interruptions) during play-based or conversational routines in 3 out of 5 opportunities across 3 consecutive sessions, as measured by clinician observation and caregiver selfreport, to support a lowpressure communication environment. - Baseline: 1/5 opportunities - Current level of function: 3/5 opportunities - Goal met: YES - Recommendations: GOAL MET

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with therapy is good, prognosis without therapy is guarded. Amias will be discharged from speech therapy when all of his goals are met and he receives a standard score above 1.5 standard deviations for all impairments, indicating that his expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating his Home Management Intervention Program at home. The frequency of therapy sessions will be reduced from 1x/week for 45-60 minutes to 1x/week for 30-45 minutes due Amias's steady progress and per parent request.

Speech and Language Long Term Goals:

Category	Goal Description
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.
Expressive Language	#1: By discharge, Amias will improve his expressive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Receptive Language	#2: By discharge Amias will improve his receptive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Oral Motor/Articulation	#3: By discharge, Amias will demonstrate age-appropriate articulation skills by producing targeted speech sounds with at least 80% accuracy across structured and unstructured tasks, as measured by therapist-collected data and clinical observation, in order to improve overall speech intelligibility and functional communication.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Amias will improve his ability to formulate sentences about a picture or event during structured and unstructured activities utilizing developmentally appropriate nouns, pronouns, functions, and verbs to 60% accuracy across 3 consecutive sessions, improving his expressive language skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Amias will improve his ability to answer a variety of "WH" questions (factual, personal, recall, comprehension) to 60% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Amias will improve produce regular and irregular plural nouns and verbs in sentences in response to picture stimuli to 50% accuracy across 3 consecutive sessions, as measured by therapist collected data and observation.
Receptive Language	#2.1: Within 6 months, Amias will improve his ability to follow 1-2 step directions containing at least one developmentally appropriate vocabulary, modifier, and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving his receptive language skills, as measured by therapist collected data and observations.
Oral Motor/Articulation	#3.1: Within 6 months, Amias will improve his ability to produce /s, z/ in all positions of words and blends to 50% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observation.
Oral Motor/Articulation	#3.2: Within 6 months, Amias will improve his ability to produce voiced and voiceless /th/ in all positions of words to 50% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

491660

Note Date: 03-26-2026

Subjective:

Assessment of Goals/Response to Treatment: #1.2: Within 6 months, Amias will improve his ability to answer a variety of "WH" questions (factual, personal, recall, comprehension) to 60% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations. - Read an age-appropriate story, approximately 3-4 sentences in length with visual support, Amias answered mixed WH-questions in 11/20 opportunities given MOD verbal cues, field choice of 2, and prompts to re-read text. He continues to demonstrates improvement with understand 'when.' #1.3: Within 6 months, Amias will improve produce regular and irregular plural nouns and verbs in sentences in response to picture stimuli to 50% accuracy across 3 consecutive sessions, as measured by therapist collected data and observation. - Reviewed regular past, present, future verb tense. Given a sentence, clinician modeled identifying the verb using suffixes (-ed)and modal auxiliary verbs (will) to help determine tense. Amias identified and stated the sentence tense (past, present, future) in 12/15 opportunities given MOD support.

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
706610	92523: Artic & Language Eval	05-02-2025 02:00 PM	05-02-2025 03:00 PM	Teresa Serna	NB1 east side	Completed
743672	92507: Speech & Language Visit	06-18-2025 09:30 AM	06-18-2025 10:15 AM	Norma Medina	NB1 east side	Completed
745403	92507: Speech & Language Visit	06-25-2025 10:30 AM	06-25-2025 11:15 AM	Norma Medina	NB1 east side	Completed
748467	92507: Speech & Language Visit	06-30-2025 10:30 AM	06-30-2025 11:30 AM	Norma Medina	NB1 east side	Completed
748468	92507: Speech & Language Visit	07-07-2025 10:30 AM	07-07-2025 11:15 AM	Norma Medina	NB1 east side	Completed
755907	92507: Speech & Language Visit	07-14-2025 10:30 AM	07-14-2025 11:15 AM	Norma Medina	NB1 east side	Completed
759779	92507: Speech & Language Visit	07-22-2025 12:00 PM	07-22-2025 01:00 PM	Norma Medina	NB1 east side	Completed
765917	92507: Speech & Language Visit	07-29-2025 05:00 PM	07-29-2025 06:00 PM	Norma Medina	NB1 east side	Completed
765918	92507: Speech & Language Visit	08-05-2025 05:00 PM	08-05-2025 06:00 PM	Norma Medina	NB1 east side	Completed
765920	92507: Speech & Language Visit	08-19-2025 05:00 PM	08-19-2025 06:00 PM	Norma Medina	NB1 east side	Completed
796445	92507: Speech & Language Visit	08-26-2025 04:00 PM	08-26-2025 04:30 PM	Norma Medina	NB1 east side	Completed
765922	92507: Speech & Language Visit	09-02-2025 05:00 PM	09-02-2025 06:00 PM	Norma Medina	NB1 east side	Completed
765923	92507: Speech & Language Visit	09-09-2025 05:00 PM	09-09-2025 06:00 PM	Norma Medina	NB1 east side	Completed
765925	92507: Speech & Language Visit	09-23-2025 05:00 PM	09-23-2025 06:00 PM	Norma Medina	NB1 east side	Completed
813659	92507: Speech & Language Visit	09-30-2025 05:00 PM	09-30-2025 05:45 PM	Rachael Haduck	NB1 east side	Completed
813663	92507: Speech & Language Visit	10-28-2025 05:00 PM	10-28-2025 05:45 PM	Rachael Haduck	NB1 east side	Completed
813664	92507: Speech & Language Visit	11-04-2025 05:00 PM	11-04-2025 05:45 PM	Rachael Haduck	NB1 east side	Completed
839571	92507: Speech & Language Visit	11-11-2025 03:15 PM	11-11-2025 04:00 PM	Rachael Haduck	NB1 east side	Completed
813666	92507: Speech & Language Visit	11-18-2025 04:45 PM	11-18-2025 05:30 PM	Rachael Haduck	NB1 east side	Completed
841673	92507: Speech & Language Visit	11-25-2025 04:45 PM	11-25-2025 05:30 PM	Rachael Haduck	NB1 east side	Completed
841675	S9152: Reevaluation	12-02-2025 04:45 PM	12-02-2025 05:45 PM	Rachael Haduck	NB1 east side	Completed
859228	92507: Speech & Language Visit	01-06-2026 04:45 PM	01-06-2026 05:30 PM	Rachael Haduck	NB1 east side	Completed
866797	92507: Speech & Language Visit	01-08-2026 04:00 PM	01-08-2026 04:45 PM	Rachael Haduck	NB1 east side	Completed
859229	92507: Speech & Language Visit	01-13-2026 04:45 PM	01-13-2026 05:30 PM	Rachael Haduck	NB1 east side	Completed
859230	92507: Speech & Language Visit	01-20-2026 04:45 PM	01-20-2026 05:30 PM	Rachael Haduck	NB1 east side	Completed
888203	92507: Speech & Language Visit	02-09-2026 05:30 PM	02-09-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed
888901	92507: Speech & Language Visit	02-20-2026 03:30 PM	02-20-2026 04:00 PM	Rachael Haduck	NB2 far east side	Completed
888902	92507: Speech & Language Visit	02-25-2026 05:30 PM	02-25-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed
899327	92507: Speech & Language Visit	03-04-2026 05:00 PM	03-04-2026 05:30 PM	Rachael Haduck	NB1 east side	Completed
899328	92507: Speech & Language Visit	03-11-2026 12:30 PM	03-11-2026 01:00 PM	Rachael Haduck	NB1 east side	Completed
899329	92507: Speech & Language Visit	03-18-2026 12:30 PM	03-18-2026 01:00 PM	Rachael Haduck	NB1 east side	Completed
906853	92507: Speech & Language Visit	03-20-2026 11:15 AM	03-20-2026 11:45 AM	Rachael Haduck	NB1 east side	Completed
899330	92507: Speech & Language Visit	03-25-2026 05:00 PM	03-25-2026 05:30 PM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
765919	92507: Speech & Language Visit	08-12-2025 05:00 PM	08-12-2025 06:00 PM	Norma Medina	NB1 east side	Canceled
765924	92507: Speech & Language Visit	09-18-2025 05:00 PM	09-18-2025 06:00 PM	Norma Medina	NB1 east side	Canceled
813660	92507: Speech & Language Visit	10-07-2025 05:00 PM	10-07-2025 05:45 PM	Rachael Haduck	NB1 east side	Canceled
813661	92507: Speech & Language Visit	10-14-2025 05:00 PM	10-14-2025 05:45 PM	Rachael Haduck	NB1 east side	Canceled
813662	92507: Speech & Language Visit	10-21-2025 05:00 PM	10-21-2025 05:45 PM	Rachael Haduck	NB1 east side	Canceled
813665	92507: Speech & Language Visit	11-11-2025 04:45 PM	11-11-2025 05:30 PM	Rachael Haduck	NB1 east side	Canceled
861232	92507: Speech & Language Visit	01-27-2026 04:45 PM	01-27-2026 05:30 PM	Rachael Haduck	NB1 east side	Canceled
861233	92507: Speech & Language Visit	02-04-2026 05:30 PM	02-04-2026 06:15 PM	Rachael Haduck	NB1 east side	Canceled
899332	92507: Speech & Language Visit	04-08-2026 05:00 PM	04-08-2026 05:30 PM	Rachael Haduck	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899331	92507: Speech & Language Visit	04-01-2026 05:00 PM	04-01-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899333	92507: Speech & Language Visit	04-15-2026 05:00 PM	04-15-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899334	92507: Speech & Language Visit	04-22-2026 05:00 PM	04-22-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899335	92507: Speech & Language Visit	04-29-2026 05:00 PM	04-29-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899336	92507: Speech & Language Visit	05-06-2026 05:00 PM	05-06-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899337	92507: Speech & Language Visit	05-13-2026 05:00 PM	05-13-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899338	92507: Speech & Language Visit	05-20-2026 05:00 PM	05-20-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899339	92507: Speech & Language Visit	05-27-2026 05:00 PM	05-27-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899340	92507: Speech & Language Visit	06-03-2026 05:00 PM	06-03-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899341	92507: Speech & Language Visit	06-10-2026 05:00 PM	06-10-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled
899342	92507: Speech & Language Visit	06-17-2026 05:00 PM	06-17-2026 05:30 PM	Rachael Haduck	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-09-2026	Rachael Haduck	Change in POC. Amias will be reduced from 1x/week for 45-60 minutes to 1x/week for 30-45 minutes due to steady progress and per parent request. Parent initiated request due to progress being made, and due to change in parents schedule- attending school and working full-time. Parent is aware of change moving forward and verbalized understanding and agreeing.
12-16-2025	Shekinah Velasquez	ST auth approved starting 12/22/2025- 06/19/2026 1x/ week = 26 visits. Therapist notified.
12-15-2025	Shekinah Velasquez	ST auth request submitted to SHP (NIA). Pending approval
12-12-2025	Shekinah Velasquez	ST paperwork refaxed to Dr.
12-05-2025	Shekinah Velasquez	ST paperwork request faxed to PCP. Pending signatures
05-08-2025	Toni Baylon	ST Initial eval report has been sent to PCP for signatures at 3:20

Paient Missed Visit Notes:

Date	Service	Therapist	Description
04-08-2026	92507	Haduck, Rachael	Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
02-04-2026	92507	Haduck, Rachael
01-27-2026	92507	Haduck, Rachael
11-11-2025	92507	Haduck, Rachael
10-21-2025	92507	Haduck, Rachael
10-14-2025	92507	Haduck, Rachael
10-07-2025	92507	Haduck, Rachael
09-18-2025	92507	Medina, Norma
08-12-2025	92507	Medina, Norma

Paient Messages Admin:

Date	Posted By	Message
03-31-2025 03:41 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=1652
03-31-2025 07:35 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/register/step1.aspx?sid=1652
04-04-2025 09:58 AM	Toni Baylon	Last step to finish up registering your child to begin services here with us, log in to your New Beginnings portal and on the menu drop go to Documents, those will be our intake forms, please review and sign! each form that is missing a signature will be marked as an x. After we get those intake forms signed we will assign a therapist to contact you and set up an appointment for an evaluation. Thank you!
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=9391
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=9391
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 03:16 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 :)
05-12-2025 04:50 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
06-12-2025 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=9391
06-16-2025 02:45 PM	Toni Baylon	McNeal, Amias has been assigned a therapist.
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=9391
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=9391
07-08-2025 05:18 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=9391
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 10:01 AM	Shekinah Velasquez	Hi, Amias as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Rachael https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9391&tid=141
11-13-2025 12:47 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 02:53 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.
12-17-2025 11:12 AM	Avery Fontenot	Hello New Beginnings Parents, If you are receiving this message, we have noticed that we are missing some required documentation from you. At this time, we need a copy of your child’s Medicaid care plan insurance card. Please note that we are no longer accepting the traditional Medicaid card as valid insurance on file. We require the plan-specific Medicaid insurance card, such as (Superior, Molina, El Paso Health, Wellpoint, TMHP) If you do not have the physical card or are having trouble locating it, most Medicaid plans offer an online portal where you can access a digital E-card. If you already have your plan’s insurance card, please email a copy to afontenot@newbeginnings-elp.com Thank you so much for your cooperation, and happy holidays!
12-23-2025 02:05 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 12:10 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! 💙
01-21-2026 09:04 AM	Avery Fontenot	Hello New Beginnings Parents, If you are receiving this message, we have noticed that we are missing some required documentation from you. At this time, we need a copy of your child’s Medicaid care plan insurance card. Please note that we are no longer accepting the traditional Medicaid card as valid insurance on file. We require the plan-specific Medicaid insurance card, such as (Superior, Molina, El Paso Health, Wellpoint, TMHP) If you do not have the physical card or are having trouble locating it, most Medicaid plans offer an online portal where you can access a digital E-card. If you already have your plan’s insurance card, please email a copy to afontenot@newbeginnings-elp.com Thank you so much for your cooperation, and we hope you have a good rest of your week!
02-02-2026 10:57 AM	Shekinah Velasquez	Good morning! This is Shekinah from the front office. We’re reaching out to inform all of Rachael’s patients of a location change. All therapy sessions will now take place at 1510 N Zaragoza, Suite B1. The new office is located in the building directly behind Rachael’s previous location. If you have any questions, please don’t hesitate to give us a call. Thank you!
02-03-2026 03:52 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 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 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=9391
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 07:23 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=9391
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/

Paient Messages Therapist:

Date	Posted By	Message
04-18-2025 05:39 PM	Teresa Serna	Good afternoon, my name is Teresa Serna, and I will be the Speech Language Pathologist evaluating Amias for feeding. I would like to go ahead and get him 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: Friday (5/2) at 2pm or Friday (5/9) at 4:30pm. Please let me know which of these times works best for you. Thank you and I look forward to meeting you both!
04-18-2025 05:43 PM	Amias McNeal	Amias (Prim) Replied: Good afternoon , his evaloution will be for just speech right ? Not feeding . We can do Friday 5/2 at 2 if that's okay
04-18-2025 05:59 PM	Teresa Serna	Correct a speech and language evaluation (: sorry about that. I do recommend for parents to arrive 15 minutes before the scheduled session. 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., 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.) when did your concerns begin 9.) In your a few words write you parental concerns with SPEECH and LANGUAGE along with your child’s strengths.
04-18-2025 09:30 PM	Amias McNeal	Amias (Prim) Replied: 1.) Amias McNeal 02/24/2020 2.) at birth I did have complications, the right term is meconium when he did poop in my belly . 3.) no major illness or accidents 3.) everything met on time 4.)sleeps with mouth open , does snore , does sleep 8-10 hrs , 5.) no medications 6.) head start 7.) no issue 8.) since he started school in August 9.) he started to stutter , I feel like he has trouble speaking some sentences ,to me he seems a bit delayed in his speech for his age . His strength is that he's such a good reader I can read you mostly anything that's in front of you.
05-01-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Amias has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
05-02-2025 07:30 AM	Teresa Serna	Hi, this is a just a reminder that Amias has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
05-02-2025 01:45 PM	Teresa Serna	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=706610
05-02-2025 01:45 PM	Amias McNeal	Amias is CHECKED IN for: 2:00PM-5/2/2025 92523: Artic & Language Eval
05-02-2025 03:19 PM	Teresa Serna	sernat22222@gmail.com
05-06-2025 11:27 AM	Teresa Serna	Hello, I spoke with the front office and at the moment there are no therapist with afternoon availability. Is there another days/times that work best for you?
05-06-2025 11:28 AM	Amias McNeal	Amias (Prim) Replied: We can do Wednesday in the morning ? Like 9?
05-06-2025 11:34 AM	Teresa Serna	I will write that down (: the more time slots you provide the easier it is for them to assign him to a therapist
05-06-2025 11:34 AM	Amias McNeal	Amias (Prim) Replied: Well any day of the week at 9 should be good (:
06-16-2025 04:49 PM	Norma Medina	Good Afternoon! :) This is Norma and I will be Amias speech therapist. Amias was authorized one time a week for 45minute sessions. Currently for this week I am available Wednesday at 9am Let me know if you would like me to schedule you all :)
06-16-2025 04:49 PM	Norma Medina	*9:30am
06-16-2025 05:18 PM	Amias McNeal	Amias (Prim) Replied: Good afternoon, okay that's perfect (:
06-16-2025 05:35 PM	Norma Medina	Thank you :)
06-17-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
06-18-2025 07:33 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
06-18-2025 07:36 AM	Amias McNeal	Amias (Prim) Replied: See you soon ☺️
06-18-2025 09:15 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=743672
06-18-2025 09:22 AM	Amias McNeal	Amias is CHECKED IN for: 9:30AM-6/18/2025 92507: Speech & Language Visit
06-18-2025 10:17 AM	Norma Medina	I will be sending you a link . This is to sign for the visit we had today. I will send this link every time we meet ;)
06-22-2025 03:14 PM	Norma Medina	Good Morning! Would it be ok to see Amias at 10:30am just for this week? Let me know:) Thank you!
06-22-2025 03:24 PM	Amias McNeal	Amias (Prim) Replied: Yes that's perfect thank you !
06-22-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 06-25-2025 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-22-2025 04:18 PM	Amias McNeal	Amias (Prim) Replied: Yes
06-24-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
06-25-2025 07:32 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
06-25-2025 10:15 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=745403
06-25-2025 10:15 AM	Amias McNeal	Amias is CHECKED IN for: 10:30AM-6/25/2025 92507: Speech & Language Visit
06-29-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 06-30-2025 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
06-29-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
06-30-2025 07:32 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
06-30-2025 10:15 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=748467
06-30-2025 10:17 AM	Amias McNeal	Amias is CHECKED IN for: 10:30AM-6/30/2025 92507: Speech & Language Visit
07-06-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 07-07-2025 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-06-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
07-07-2025 07:31 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
07-07-2025 10:15 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=748468
07-07-2025 10:16 AM	Amias McNeal	Amias is CHECKED IN for: 10:30AM-7/7/2025 92507: Speech & Language Visit
07-13-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 07-14-2025 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-13-2025 04:03 PM	Amias McNeal	Amias (Prim) Replied: YES
07-13-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
07-14-2025 07:45 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
07-14-2025 10:15 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=755907
07-14-2025 10:17 AM	Amias McNeal	Amias is CHECKED IN for: 10:30AM-7/14/2025 92507: Speech & Language Visit
07-14-2025 11:29 AM	Norma Medina	I can try and do Tuesday at 12pm I will reach out and confirm to swap w another parent. Does that time works for you?
07-15-2025 07:14 AM	Amias McNeal	Amias (Prim) Replied: Yes that works for me thank you
07-20-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 07-22-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-20-2025 04:06 PM	Amias McNeal	Amias (Prim) Replied: Yes
07-21-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
07-22-2025 07:48 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
07-22-2025 11:45 AM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=759779
07-22-2025 11:52 AM	Amias McNeal	Amias is CHECKED IN for: 12:00PM-7/22/2025 92507: Speech & Language Visit
07-22-2025 11:52 AM	Amias McNeal	Amias is CHECKED IN for: 12:00PM-7/22/2025 92507: Speech & Language Visit
07-27-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 07-29-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
07-27-2025 04:08 PM	Amias McNeal	Amias (Prim) Replied: Yes
07-28-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
07-29-2025 07:49 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
07-29-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765917
07-29-2025 04:50 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-7/29/2025 92507: Speech & Language Visit
08-03-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 08-05-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-04-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
08-05-2025 07:44 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
08-05-2025 04:11 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
08-05-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765918
08-05-2025 04:57 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-8/5/2025 92507: Speech & Language Visit
08-10-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 08-12-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-11-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
08-12-2025 07:43 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
08-12-2025 01:57 PM	Amias McNeal	Amias (Prim) Replied: Hello , amias has a bad cold . I didn't send him to school and i thought he would be feeling a bit better by now but hes not . Is out okay if we reschedule for next week ? Sorry for the short notice😭
08-12-2025 02:00 PM	Norma Medina	HI! No worries at all. I hope he feels better soon:) See you all next week and thank you for letting me know .
08-12-2025 02:02 PM	Amias McNeal	Amias (Prim) Replied: Okay thank you , and yes see you next week :)
08-12-2025 02:03 PM	Norma Medina	Norma Medina CANCELLED: 5:00PM-8/12/2025 92507: Speech & Language Visit
08-17-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 08-19-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-18-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
08-19-2025 07:43 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
08-19-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765920
08-19-2025 04:45 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-8/19/2025 92507: Speech & Language Visit
08-24-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 08-26-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-25-2025 05:25 PM	Norma Medina	Hello! I will not be available tomorrow at 5pm. Would you be available for Thursday at 3pm?
08-25-2025 05:25 PM	Amias McNeal	Amias (Prim) Replied: Hello , no sorry my other 2 kids get out at that time and amias gets home at 2:50
08-25-2025 05:34 PM	Norma Medina	Ok! If anyone cancels a 5pm I will let you know. if not, I will see you all next week:)
08-25-2025 05:51 PM	Amias McNeal	Amias (Prim) Replied: Okay sounds good thank you (:
08-25-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
08-26-2025 07:39 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
08-26-2025 03:19 PM	Amias McNeal	Amias (Prim) Replied: Hello did anyone cancel ?
08-26-2025 03:23 PM	Norma Medina	Hi! Can you do 4pm? I only have 30 minute gap bc I have a 4:30pm as well
08-26-2025 03:25 PM	Amias McNeal	Amias (Prim) Replied: Yes that's fine
08-26-2025 03:27 PM	Norma Medina	See you here at 4pm :)
08-26-2025 03:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=796445
08-26-2025 03:52 PM	Amias McNeal	Amias is RUNNING LATE for: 4:00PM-8/26/2025 92507: Speech & Language Visit
08-31-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 09-02-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-31-2025 04:04 PM	Amias McNeal	Amias (Prim) Replied: Yes
08-31-2025 04:04 PM	Norma Medina	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.
09-01-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-02-2025 07:40 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
09-02-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765922
09-02-2025 04:47 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-9/2/2025 92507: Speech & Language Visit
09-02-2025 04:47 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-9/2/2025 92507: Speech & Language Visit
09-07-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 09-09-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-07-2025 04:07 PM	Amias McNeal	Amias (Prim) Replied: Yes
09-07-2025 04:07 PM	Norma Medina	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.
09-08-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-09-2025 07:40 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
09-09-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765923
09-09-2025 04:51 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-9/9/2025 92507: Speech & Language Visit
09-14-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 09-16-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-15-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-16-2025 07:37 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
09-16-2025 08:58 AM	Norma Medina	Good morning! I have availability to see Amias at 4pm or 4:30pm today due to a cancellation. If you were interested :)
09-16-2025 03:37 PM	Norma Medina	HI! Would it be ok to move Amias to 5pm on Thursday?
09-16-2025 03:40 PM	Norma Medina	Not sure if you received my message about seeing him earlier. But I will just see him Thursday at 5pm, instead :)
09-16-2025 03:40 PM	Amias McNeal	Amias (Prim) Replied: I'm sorry I was in training , yes 5 is good (:
09-16-2025 03:42 PM	Norma Medina	Ok, Thursday at 5pm then :) Thank you!
09-17-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-18-2025 07:10 AM	Norma Medina	Good morning! Im sorry, Ive come down with a cold/flu and I wont be in today :( I will see you guys next week. Thank you
09-18-2025 07:11 AM	Norma Medina	Norma Medina CANCELLED: 5:00PM-9/18/2025 92507: Speech & Language Visit
09-18-2025 09:17 AM	Amias McNeal	Amias (Prim) Replied: Good morning, sounds good and I hope you feel better (:
09-21-2025 04:00 PM	Norma Medina	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 09-23-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-21-2025 08:59 PM	Amias McNeal	Amias (Prim) Replied: YES
09-21-2025 08:59 PM	Norma Medina	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.
09-22-2025 06:30 PM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-23-2025 07:38 AM	Norma Medina	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
09-23-2025 04:45 PM	Norma Medina	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=765925
09-23-2025 04:48 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-9/23/2025 92507: Speech & Language Visit
09-29-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
09-30-2025 07:52 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
10-02-2025 09:39 AM	Rachael Haduck	Dear Family of Amias McNeal, This is Rachael, CCC-SLP with New Beginnings Pediatrics. As discussed in person, I would like to check in with you to see if you would be interested in scheduling a make-up session for tomorrow, October 3rd. My current availability is at 10:00 a.m., 11:00 a.m., or 12:00 p.m. Please let me know if one of these times works best for you, and I will be happy to reserve the appointment. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
10-02-2025 09:41 AM	Amias McNeal	Amias (Prim) Replied: Hello good Morning , amias got sick yesterday with a Fever so I'm not sure we will be able to make it. Thank you for reaching out
10-02-2025 09:48 AM	Rachael Haduck	Oh no, I am so sorry to hear! I hope he begins to feel better soon! While we are speaking, I would like to remind you that I will be out of office from October 6th-17th due to my husband returning from deployment and receiving 2-weeks of leave. Following my return, we can have make-up sessions periodically to ensure we are task :) would you like to schedule them now or wait until I return?
10-02-2025 02:00 PM	Amias McNeal	Amias (Prim) Replied: Okay yes if it's okay we can schedule when you get back ! Enjoy the two weeks with your family (:
10-02-2025 03:16 PM	Rachael Haduck	Sounds perfect! Thank you so much! Very much looking forward to it :)
10-04-2025 11:30 AM	Rachael Haduck	Good Morning, This is Rachael CCC-SLP with New Beginnings Pediatrics. This a friendly reminder that I will be out of the office from October 6th through October 17th as my husband is returning from deployment and will be on two weeks of leave. I sincerely appreciate your understanding and look forward to continuing therapy services when I return. If you have any questions or concerns while I am away, please don’t hesitate to reach out to me or the front office. I will make every effort to respond within 24 hours. Thank you, and I look forward to resuming sessions soon! Kindest, Rachael CCC-SLP
10-05-2025 09:18 AM	Rachael Haduck	Rachael Haduck CANCELLED: 5:00PM-10/7/2025 92507: Speech & Language Visit
10-05-2025 09:19 AM	Rachael Haduck	Rachael Haduck CANCELLED: 5:00PM-10/14/2025 92507: Speech & Language Visit
10-19-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 10-21-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:30 PM	Amias McNeal	Amias (Prim) Replied: No
10-19-2025 04:30 PM	Rachael Haduck	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.
10-20-2025 08:30 AM	Rachael Haduck	Rachael Haduck CANCELLED: 5:00PM-10/21/2025 92507: Speech & Language Visit
10-26-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 10-28-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-27-2025 04:26 AM	Amias McNeal	Amias (Prim) Replied: Yes
10-27-2025 04:26 AM	Rachael Haduck	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.
10-27-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
10-28-2025 07:49 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
10-28-2025 04:45 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813663
10-28-2025 04:49 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-10/28/2025 92507: Speech & Language Visit
11-02-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 11-04-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-03-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
11-04-2025 07:45 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
11-04-2025 04:45 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813664
11-04-2025 04:47 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-11/4/2025 92507: Speech & Language Visit
11-09-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 11-11-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-10-2025 02:55 PM	Rachael Haduck	Hello! I was wondering if you are open to moving your Tuesday appointment time up 15 minutes, changing his scheduled therapy time from 5:00pm to 4:45pm weekly?
11-10-2025 03:05 PM	Amias McNeal	Amias (Prim) Replied: Hello yes we can do that !
11-10-2025 03:08 PM	Rachael Haduck	thank you! he is moved up moving forward :)
11-10-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
11-11-2025 07:42 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
11-11-2025 11:03 AM	Rachael Haduck	Hello! I’m so sorry for the last-minute ask, but I wanted to check if you might be available to come in a little earlier today than his scheduled time. I had a 3:00 (3:15 is doable as well) cancellation open up and thought I’d offer it to you in case it works with your schedule just for today :)
11-11-2025 11:06 AM	Amias McNeal	Amias (Prim) Replied: Yes we can do that for today 😌
11-11-2025 11:10 AM	Rachael Haduck	Wonderful! let me get him moved up. don't worry about the cancellation notice to follow, it's only for documentation purposes. you will receive a new reminder as it gets closer to his new time today. does 3:00pm work?
11-11-2025 11:10 AM	Amias McNeal	Amias (Prim) Replied: Can we do 3:15?
11-11-2025 11:11 AM	Rachael Haduck	yes
11-11-2025 11:12 AM	Rachael Haduck	Rachael Haduck CANCELLED: 4:45PM-11/11/2025 92507: Speech & Language Visit
11-11-2025 03:00 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839571
11-11-2025 03:10 PM	Amias McNeal	Amias is CHECKED IN for: 3:15PM-11/11/2025 92507: Speech & Language Visit
11-16-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 11-18-2025 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
11-18-2025 07:44 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
11-18-2025 04:19 PM	Amias McNeal	Amias (Prim) Replied: Hi will be running a little late today sorry
11-18-2025 04:29 PM	Rachael Haduck	No worries at all! :) I do want to mention that I will need to end the session at his scheduled time (5:30pm) because I have a CEU meeting for a new SLP certification. Also, per company policy, I’m only able to wait up to approximately 7-10 minutes past the appointment time. If it looks like arrival will be later than that, I’m happy to offer a virtual make-up session later in the week. :) just to make sure we get enough time together!
11-18-2025 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813666
11-18-2025 04:49 PM	Amias McNeal	Amias is CHECKED IN for: 4:45PM-11/18/2025 92507: Speech & Language Visit
11-23-2025 04:01 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 11-25-2025 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-24-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
11-25-2025 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
11-25-2025 11:20 AM	Rachael Haduck	Hello! I wanted to check in and see if you might be available to come in today at 2:00pm. I had a cancellation and thought this time may work well for Amias and help avoid the end-of-day fatigue he sometimes experiences :) if not, no worries!!
11-25-2025 12:02 PM	Amias McNeal	Amias (Prim) Replied: Hello can we Stay with the 4:45? Thank you(:
11-25-2025 12:04 PM	Rachael Haduck	We will keep 4:45! :) see you then!
11-25-2025 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841673
11-25-2025 04:33 PM	Amias McNeal	Amias is CHECKED IN for: 4:45PM-11/25/2025 92507: Speech & Language Visit
11-25-2025 04:33 PM	Amias McNeal	Amias is CHECKED IN for: 4:45PM-11/25/2025 92507: Speech & Language Visit
11-30-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 12-02-2025 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-01-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
12-02-2025 07:55 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech/Feeding Reevaluation appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
12-02-2025 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841675
12-02-2025 04:48 PM	Amias McNeal	Amias is CHECKED IN for: 4:45PM-12/2/2025 S9152: Reevaluation
12-02-2025 05:05 PM	Rachael Haduck	I tried to bribe him with our winter prize box. He wants to earn but still declines working to earn it. :/ I would like an hour for our re-evaluation so I can make sure I cover all the material. I do have a 30-minute, 5:00pm session tomorrow, 12/3 that we could try then? or 5:30-6:30pm but that may be too late of a time for him. I just don't want there to be a possible break in services due to his auth expiring 12/15 :(
12-02-2025 05:17 PM	Amias McNeal	Amias (Prim) Replied: We can try the 5:30-6:30 tomorrow 😭
12-02-2025 05:22 PM	Rachael Haduck	He’s working !
12-02-2025 05:22 PM	Amias McNeal	Amias (Prim) Replied: Okay sounds good thank you
12-09-2025 10:17 AM	Rachael Haduck	Good morning! I wanted to give you an update regarding Amias's therapy authorization. His authorization request is still pending in the Superior HealthPlan portal, as well as awaiting the pediatrician’s signature. Because of this, there will be a temporary break in services this week. I apologize for the delay in services, but as we discussed previously, this sometimes happens depending on the insurance processing time. I will notify you as soon as we receive an approval! Please let me know if you have any questions. Kindest, Rachael, CCC-SLP
12-16-2025 10:42 AM	Rachael Haduck	Hello! I wanted to reach out and ask if you can call Amias's PCP to help with the signature process :) this will help move the authorization process along faster to hopefully get him approved before the holiday! Sometimes waiting on the PCP signature can delay the authorization process.
12-16-2025 11:37 AM	Rachael Haduck	hi! Amias has been approved beginning 12/22! however, I will be out of office by then with the holiday. I will send out a notice on my holiday absence soon.
12-17-2025 09:49 AM	Rachael Haduck	Holiday Closure & Out-of-Office Notice Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
12-19-2025 05:30 PM	Rachael Haduck	Holiday Closure & Out-of-Office Notice* Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
12-19-2025 05:30 PM	Rachael Haduck	Holiday Closure & Out-of-Office Notice* Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
01-02-2026 11:39 AM	Rachael Haduck	Good Morning! Happy New Year! This is Rachael, CCC-SLP with New Beginnings Pediatrics. I'm reaching out to let you know that Amias has been approved to continue speech services starting Tuesday, 01/06/2026. :) Kindest, Rachael, CCC-SLP
01-02-2026 11:47 AM	Amias McNeal	Amias (Prim) Replied: Good Morning okay thank you sounds Good !(: And happy new year as well !
01-02-2026 11:47 AM	Rachael Haduck	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.
01-04-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 01-06-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:03 PM	Amias McNeal	Amias (Prim) Replied: Yes
01-04-2026 04:03 PM	Rachael Haduck	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 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
01-06-2026 07:56 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
01-06-2026 09:53 AM	Amias McNeal	Amias (Prim) Replied: Good Morning just wanted to let you know that dad will be taking him today (:
01-06-2026 10:36 AM	Rachael Haduck	sounds good! :)
01-06-2026 04:17 PM	Rachael Haduck	hi!! if it's not too last minute, I had a no show before amias so you're more than welcome to show up earlier than 4:45 :)
01-06-2026 04:21 PM	Amias McNeal	Amias (Prim) Replied: Hi they are on their way but I'm not sure dad knows what building !
01-06-2026 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859228
01-07-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
01-08-2026 08:02 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
01-08-2026 03:45 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=866797
01-11-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 01-13-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-12-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
01-13-2026 07:56 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
01-13-2026 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859229
01-18-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 01-20-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-19-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
01-20-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
01-20-2026 04:30 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859230
01-20-2026 04:34 PM	Amias McNeal	Amias is CHECKED IN for: 4:45PM-1/20/2026 92507: Speech & Language Visit
01-25-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 01-27-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-26-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
01-27-2026 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
01-27-2026 09:52 AM	Rachael Haduck	hello! I wanted to check in and see if you are able to do next Friday, 2/6 for a make-up session instead of today? I am not feeling very well and may end my day early.
01-27-2026 01:11 PM	Rachael Haduck	hi! I am not feeling well and will be going home for the remainder of the day. Today's session will be canceled, but I can offer you next Friday for a make-up session.
01-27-2026 01:11 PM	Rachael Haduck	Rachael Haduck CANCELLED: 4:45PM-1/27/2026 92507: Speech & Language Visit
02-01-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 02-03-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 10:06 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP
02-02-2026 12:29 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. Kindest, Rachael, CCC-SLP
02-02-2026 12:31 PM	Amias McNeal	Amias (Prim) Replied: Good afternoon when you have a chance can you give me a call please and thank you (:
02-02-2026 12:31 PM	Rachael Haduck	Hi! is now and okay time to call?
02-02-2026 12:32 PM	Amias McNeal	Amias (Prim) Replied: Yes
02-02-2026 12:53 PM	Rachael Haduck	front office said I can make an amendment me to his POC dropping it to 30-minutes which would allow for me to see him on Wednesday's at 5:30pm or I can offer Thursday at 2:30 for a 45-minute session or 3:00pm for a 30-minute session and wrote you school note for him. I can't remember if you said you have school on Thursday as well.
02-02-2026 12:56 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP 02-01-2026 02:11 PM Office Location Change
02-02-2026 12:59 PM	Rachael Haduck	his previous SLP, Ms. Tori has Monday's at 3:00 and 4:00pm available if you are open to a therapist change. Her office is still located at main office. :)
02-02-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-03-2026 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:17 AM	Amias McNeal	Amias (Prim) Replied: Good Morning Can we do Wednesday at 5:30 ? He really likes you so i don't know how he would like the change
02-03-2026 08:18 AM	Rachael Haduck	Yes, I’ll move him to Wednesday at 5:30 :)
02-03-2026 08:26 AM	Amias McNeal	Amias (Prim) Replied: Okay thank you so much
02-03-2026 03:42 PM	Rachael Haduck	hi! I am able to reduce Amias to 30-minutes with no need to contact insurance. Would you like to do that moving forward?
02-03-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:48 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
02-04-2026 12:04 PM	Amias McNeal	Amias (Prim) Replied: Good afternoon , amias is really sick he woke up with a fever is it okay if we cancel ?
02-04-2026 12:59 PM	Rachael Haduck	yes
02-04-2026 12:59 PM	Rachael Haduck	Rachael Haduck CANCELLED: 5:30PM-2/4/2026 92507: Speech & Language Visit
02-09-2026 10:07 AM	Rachael Haduck	good morning! I was wondering if you were able to come in today at 5:30pm for a make-up session? It would be for 30-minutes :)
02-09-2026 10:09 AM	Amias McNeal	Amias (Prim) Replied: Good Morning yes we will be there (:
02-09-2026 02:58 PM	Rachael Haduck	perfect!
02-09-2026 05:15 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888203
02-09-2026 05:22 PM	Amias McNeal	Amias is CHECKED IN for: 5:30PM-2/9/2026 92507: Speech & Language Visit
02-09-2026 05:47 PM	Rachael Haduck	We will head out soon. Amias continues to stand in the hallway and won’t enter the room.
02-09-2026 05:48 PM	Amias McNeal	Amias (Prim) Replied: Okay I'm so sorry . Do you want me to go in there and sit in the room with him ?
02-10-2026 07:36 PM	Rachael Haduck	Dear Parents, This is just a friendly reminder that I will be out of the office tomorrow, Wednesday 2/11. If your child’s session has been rescheduled, you should have already received confirmation with the new date and time. If your child's session has not yet been rescheduled due to scheduling conflicts or limited availability, we will work together to find a suitable makeup time. Please feel free to reach out if you have any questions or need clarification. Thank you for your understanding, and I look forward to seeing everyone at their next scheduled session! Kindest, Rachael, CCC-SLP
02-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 02-18-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 12:35 PM	Amias McNeal	Amias (Prim) Replied: Yes
02-17-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
02-18-2026 07:54 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
02-18-2026 09:37 AM	Rachael Haduck	good morning! I am so sorry but I have a doctors appointment this afternoon and I will need to cancel Amias's session. Are you open to completing a 30-minute virtual session session on Friday?
02-18-2026 09:39 AM	Rachael Haduck	or on Thursday, I can offer 5:30pm if that works for you? I know you are attending school so your schedule is busy!
02-18-2026 09:42 AM	Amias McNeal	Amias (Prim) Replied: Good Morning at what time can we do the virtual session on Friday ?
02-18-2026 09:43 AM	Rachael Haduck	are you able to do 3:00 or 3:30pm?
02-18-2026 09:44 AM	Amias McNeal	Amias (Prim) Replied: We can do 3:30
02-18-2026 10:13 AM	Rachael Haduck	perfect. I will move session over to Friday at 3:30 :) thank you so much! I'm sorry again for the short notice, I completely forgot.
02-19-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
02-20-2026 07:34 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/88034435210 - New Beginnings 🙂
02-20-2026 03:15 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=888901
02-20-2026 03:23 PM	Amias McNeal	Amias (Prim) Replied: Running late I'm sorry
02-20-2026 03:23 PM	Rachael Haduck	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.
02-20-2026 03:32 PM	Rachael Haduck	thank you for letting me know!
02-20-2026 03:35 PM	Amias McNeal	Amias (Prim) Replied: I'm ready
02-20-2026 03:36 PM	Rachael Haduck	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.
02-20-2026 03:36 PM	Amias McNeal	Amias (Prim) Replied: In the zoom
02-20-2026 03:36 PM	Rachael Haduck	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.
02-20-2026 03:37 PM	Rachael Haduck	i am on but it notified me that he is not connected to audio
02-20-2026 03:38 PM	Rachael Haduck	if you are on an app try going into settings and it will allow you to connect to audio
02-20-2026 03:39 PM	Amias McNeal	Amias (Prim) Replied: Give me a decir
02-20-2026 03:39 PM	Rachael Haduck	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.
02-20-2026 03:39 PM	Amias McNeal	Amias (Prim) Replied: Second
02-20-2026 03:39 PM	Rachael Haduck	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.
02-20-2026 03:39 PM	Rachael Haduck	if you are on the internet, you may need to give it access
02-20-2026 03:40 PM	Rachael Haduck	if somehow it doesn't work, I will be working in-person next Friday so we try then!
02-20-2026 03:40 PM	Rachael Haduck	we can try then**
02-22-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 02-25-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 05:53 PM	Rachael Haduck	hi!! I wanted to let you know that starting next wednesday, 3/4, I can bump amias up 30 minutes making his session time start at 5:00pm instead of 5:30 if you are okay with that!
02-24-2026 10:45 AM	Amias McNeal	Amias (Prim) Replied: Hi yes that's fine !
02-24-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
02-25-2026 04:05 PM	Rachael Haduck	hi!! if it's not too short notice, my 4:30pm canceled if you wanted to come in earlier :)
02-25-2026 04:38 PM	Amias McNeal	Amias (Prim) Replied: Hi yes can i go now or is it too late ?
02-25-2026 04:40 PM	Rachael Haduck	unfortunately no because I have someone at 5:00pm for today :( it's okay! it was short notice on my end!!
02-25-2026 04:41 PM	Amias McNeal	Amias (Prim) Replied: Its okay , I just saw the message as well :(
02-25-2026 04:41 PM	Rachael Haduck	it's okay :)
02-25-2026 05:00 PM	Rachael Haduck	are you able to come at 5:20? I may be able to take Amias 10-minutes early :)
02-25-2026 05:00 PM	Amias McNeal	Amias (Prim) Replied: Yes we are on our way
02-25-2026 05:15 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888902
02-25-2026 05:18 PM	Amias McNeal	Amias is CHECKED IN for: 5:30PM-2/25/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 03-04-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:18 PM	Amias McNeal	Amias (Prim) Replied: Yes
03-01-2026 04:18 PM	Rachael Haduck	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.
03-03-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 07:58 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 04:45 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899327
03-04-2026 04:56 PM	Amias McNeal	Amias is CHECKED IN for: 5:00PM-3/4/2026 92507: Speech & Language Visit
03-08-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 03-11-2026 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Amias McNeal	Amias (Prim) Replied: Yes
03-08-2026 04:02 PM	Rachael Haduck	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.
03-10-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:55 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-11-2026 12:15 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899328
03-11-2026 12:26 PM	Amias McNeal	Amias is CHECKED IN for: 12:30PM-3/11/2026 92507: Speech & Language Visit
03-12-2026 09:15 AM	Rachael Haduck	Good morning! I noticed Amias has 3 make-up sessions to complete within his authorization period. Are you able to come in on Friday 3/20 to complete one? :)
03-12-2026 10:55 AM	Amias McNeal	Amias (Prim) Replied: Good Morning yes we can (:
03-12-2026 11:01 AM	Rachael Haduck	thank you!! does 10:45am work for you? it's a bit early but I have doctors in the afternoon, sorry! or I can offer Monday, 3/16 at 11:30am!
03-12-2026 01:44 PM	Amias McNeal	Amias (Prim) Replied: Yes 10:45 works for me
03-12-2026 01:45 PM	Rachael Haduck	thank you so much!
03-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 03-18-2026 at 12:30 PM, and on 03-20-2026 at 11:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-17-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:51 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
03-18-2026 12:15 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899329
03-18-2026 12:24 PM	Amias McNeal	Amias is CHECKED IN for: 12:30PM-3/18/2026 92507: Speech & Language Visit
03-19-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 11:15 AM. See you soon! - New Beginnings 🙂
03-20-2026 07:34 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 11:15 AM. See you soon! - New Beginnings 🙂
03-20-2026 11:00 AM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906853
03-22-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that McNeal, Amias has a Speech Therapy appointment on 03-25-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-24-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Amias has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 04:45 PM	Rachael Haduck	Amias McNeal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899330
03-26-2026 04:04 PM	Rachael Haduck	Haduck, Rachael: Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP