New Beginnings | NB1-Office

Patient Name: Yasiel

Patient Information:

Patient ID: 9580

Patient First Name: Yasiel

Patient Date of Birth: 04-30-2025

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Andres, Boadella

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Serna, Teresa

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23370	Active	02-16-2026	08-14-2026	El Paso First Health Plans	0	13	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25190	07-30-2025	Feeding Initial Evaluation	R63.31, R13.12
Feeding Background History: Yasiel is a 3-month-old male who was referred for a feeding evaluation by his pediatrician due to concerns with bottle feeding. His mother, Mrs. Guzman, served as the primary informant for this evaluation. Although she was unsure of Yasiel’s current weight, she reported that weight gain and nutrition are not concerns at this time. Yasiel receives formula via bottle every 1 hour and 30 minutes, typically consuming 4 oz per feed using a Dr. Brown’s Natural Flow Anti-Colic Bottle with a Slow Flow Nipple. According to Mrs. Guzman, Yasiel finishes his bottle in approximately 15 minutes but presents with labial spillage during feeding. She has trialed other bottles in the past but noted that Yasiel spilled more with those; the current bottle seems to minimize spillage, though it is still present. Mrs. Guzman also reported that Yasiel appears irritable during feeds, which she attributes to the ongoing difficulty with milk loss from the mouth. Yasiel has two bowel movements per day and, per parent report, has no known allergies or respiratory issues. His feeding and swallowing skills were evaluated through a bedside swallow evaluation and skilled meal observation.
Feeding Medical History: Mrs. Guzman reported no complications during pregnancy or labor. Yasiel was delivered vaginally at 38 weeks following an induction due to macrosomia (being larger than expected). To date, Yasiel has no known medical conditions and has not experienced any major illnesses or injuries. He underwent a lingual frenectomy in May 2025.
Feeding Medications: None at this time
Feeding Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: Adequate, Awareness of Others: Non-existent, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation.
Feeding Diagnosis/Impressions: Yasiel is a 3-month-old male who was referred for a feeding evaluation by his pediatrician due to concerns with bottle feeding. His mother, Mrs. Guzman, served as the primary informant for this evaluation. Although she was unsure of Yasiel’s current weight, she reported that weight gain and nutrition are not concerns at this time. Yasiel receives formula via bottle every 1 hour and 30 minutes, typically consuming 4 oz per feed using a Dr. Brown’s Natural Flow Anti-Colic Bottle with a Slow Flow Nipple. According to Mrs. Guzman, Yasiel finishes his bottle in approximately 15 minutes but presents with labial spillage during feeding. She has trialed other bottles in the past but noted that Yasiel spilled more with those; the current bottle seems to minimize spillage, though it is still present. Mrs. Guzman also reported that Yasiel appears irritable during feeds, which she attributes to the ongoing difficulty with milk loss from the mouth. Yasiel has two bowel movements per day and, per parent report, has no known allergies or respiratory issues. His feeding and swallowing skills were evaluated through a bedside swallow evaluation and skilled meal observation. An oral mechanism and cranial nerve examination was conducted to assess the structural and functional integrity of Yasiel’s orofacial mechanism. Clinical observations revealed a labial tether (lip tie), and the parent reports he is scheduled to undergo a lingual frenectomy on August 1st. During the exam, Yasiel demonstrated limited upper lip range of motion and difficulty with tongue cupping, particularly when the mandible was gently lowered. Tongue lateralization appeared delayed, and discoordination of tongue movements was noted. These patterns may be attributed to current oral restrictions and lack of established oral motor patterns. Per parent report, Yasiel sleeps with his mouth closed and does not snore, indicating no overt signs of airway obstruction at rest. Overall, Yasiel’s oral anatomy and current motor patterns may be contributing to feeding inefficiency and should be further addressed through therapeutic intervention and post-frenectomy support. Based on the bedside swallow evaluation and skilled meal observation, Yasiel presents with SEVERE OROPHARYNGEAL DYSPHAGIA and ACUTE PEDIATRIC FEEDING DISORDER characterized by decreased oral intake that is not age-appropriate. Contributing factors include tethered oral tissues (TOTs), poor oropharyngeal coordination, inefficient pacing, and signs of distress during feeds. During the evaluation, overt clinical signs of pharyngeal dysphagia were observed with thin liquids via bottle, including watery eyes, increased respiratory rate during and after feeding, hand fisting, and post-feed irritability, raising concern for poor coordination during the pharyngeal phase of the swallow. No history of aspiration pneumonia was reported. Yasiel’s mother completed the Neonatal Eating Assessment Tool – Bottle Feeding (NeoEAT-Bottle), which indicated an overall rating of “approaching concern,” with subscale scores of “High Concern” in Energy and Physiologic Stability and “Concern” in Gastrointestinal Tract Function; all other domains were rated as “No Concern.” CURRENT FEEDING: Yasiel’s current feeding routine consists of 4 oz of formula every 1–2 hours using a Dr. Brown’s Natural Flow Anti-Colic Bottle with a Slow Flow Nipple, with feedings lasting approximately 15 minutes. Mrs. Guzman reported frequent labial spillage, irregular breathing before and after feeds, and signs of fatigue, all of which were observed during the session. FEEDING OBSERVATIONS: Yasiel was fed in a cradle position with full head support and exhibited poor oral seal and suction, uncoordinated suck-swallow-breathe sequencing, labial spillage, and signs of respiratory distress. Post-feed, he appeared irritable and fatigued. MOTOR SKILLS: Jaw movements resembled early munching patterns, and he demonstrated limited tongue cupping, weak lip seal, and poor pacing. At this age, Yasiel should demonstrate emerging phasic bite, consistent lip closure, and tongue cupping; however, current observations suggest delayed oral motor development contributing to reduced safety and efficiency of oral intake. RECOMMENDATIONS: Feeding therapy is strongly recommended at this time to support safe and effective oral intake. Therapy should focus on improving Yasiel’s oral motor skills, including lip closure, tongue cupping, and coordination of suck-swallow-breathe patterns. Targeted intervention will also aim to increase intake efficiency and reduce signs of fatigue and distress during feeding. Parent education will be an essential component of therapy to promote carryover and ensure appropriate pacing, positioning, and bottle selection at home. A Home Management Intervention Program (HMIP) will be implemented and tailored to Yasiel’s specific needs, with active parent involvement encouraged. Without intervention, Yasiel may remain at risk for ongoing feeding inefficiencies and potential aspiration, as evidenced by clinical signs observed during the evaluation.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

56983

Plan Date: 07-30-2025

Feeding Assessment Summary: PATIENT HX: Yasiel is a 3-month-old male who was referred for a feeding evaluation by his pediatrician due to concerns with bottle feeding. His mother, Mrs. Guzman, served as the primary informant for this evaluation. Although she was unsure of Yasiel’s current weight, she reported that weight gain and nutrition are not concerns at this time. Yasiel receives formula via bottle every 1 hour and 30 minutes, typically consuming 4 oz per feed using a Dr. Brown’s Natural Flow Anti-Colic Bottle with a Slow Flow Nipple. According to Mrs. Guzman, Yasiel finishes his bottle in approximately 15 minutes but presents with labial spillage during feeding. She has trialed other bottles in the past but noted that Yasiel spilled more with those; the current bottle seems to minimize spillage, though it is still present. Mrs. Guzman also reported that Yasiel appears irritable during feeds, which she attributes to the ongoing difficulty with milk loss from the mouth. Yasiel has two bowel movements per day and, per parent report, has no known allergies or respiratory issues. His feeding and swallowing skills were evaluated through a bedside swallow evaluation and skilled meal observation. ORAL MECHANISM/CRANIAL NERVE EVALUATION: An oral mechanism and cranial nerve examination was conducted to assess the structural and functional integrity of Yasiel’s orofacial mechanism. Clinical observations revealed a labial tether (lip tie), and the parent reports he is scheduled to undergo a lingual frenectomy on August 1st. During the exam, Yasiel demonstrated limited upper lip range of motion and difficulty with tongue cupping, particularly when the mandible was gently lowered. Tongue lateralization appeared delayed, and discoordination of tongue movements was noted. These patterns may be attributed to current oral restrictions and lack of established oral motor patterns. Per parent report, Yasiel sleeps with his mouth closed and does not snore, indicating no overt signs of airway obstruction at rest. Overall, Yasiel’s oral anatomy and current motor patterns may be contributing to feeding inefficiency and should be further addressed through therapeutic intervention and post-frenectomy support. FEEDING EVALUATION: Based on the bedside swallow evaluation and skilled meal observation, Yasiel presents with SEVERE OROPHARYNGEAL DYSPHAGIA and ACUTE PEDIATRIC FEEDING DISORDER characterized by decreased oral intake that is not age-appropriate. Contributing factors include tethered oral tissues (TOTs), poor oropharyngeal coordination, inefficient pacing, and signs of distress during feeds. During the evaluation, overt clinical signs of pharyngeal dysphagia were observed with thin liquids via bottle, including watery eyes, increased respiratory rate during and after feeding, hand fisting, and post-feed irritability, raising concern for poor coordination during the pharyngeal phase of the swallow. No history of aspiration pneumonia was reported. Yasiel’s mother completed the Neonatal Eating Assessment Tool – Bottle Feeding (NeoEAT-Bottle), which indicated an overall rating of “approaching concern,” with subscale scores of “High Concern” in Energy and Physiologic Stability and “Concern” in Gastrointestinal Tract Function; all other domains were rated as “No Concern.” CURRENT FEEDING: Yasiel’s current feeding routine consists of 4 oz of formula every 1–2 hours using a Dr. Brown’s Natural Flow Anti-Colic Bottle with a Slow Flow Nipple, with feedings lasting approximately 15 minutes. Mrs. Guzman reported frequent labial spillage, irregular breathing before and after feeds, and signs of fatigue, all of which were observed during the session. FEEDING OBSERVATIONS: Yasiel was fed in a cradle position with full head support and exhibited poor oral seal and suction, uncoordinated suck-swallow-breathe sequencing, labial spillage, and signs of respiratory distress. Post-feed, he appeared irritable and fatigued. MOTOR SKILLS: Jaw movements resembled early munching patterns, and he demonstrated limited tongue cupping, weak lip seal, and poor pacing. At this age, Yasiel should demonstrate emerging phasic bite, consistent lip closure, and tongue cupping; however, current observations suggest delayed oral motor development contributing to reduced safety and efficiency of oral intake. RECOMMENDATIONS: Feeding therapy is strongly recommended at this time to support safe and effective oral intake. Therapy should focus on improving Yasiel’s oral motor skills, including lip closure, tongue cupping, and coordination of suck-swallow-breathe patterns. Targeted intervention will also aim to increase intake efficiency and reduce signs of fatigue and distress during feeding. Parent education will be an essential component of therapy to promote carryover and ensure appropriate pacing, positioning, and bottle selection at home. A Home Management Intervention Program (HMIP) will be implemented and tailored to Yasiel’s specific needs, with active parent involvement encouraged. Without intervention, Yasiel may remain at risk for ongoing feeding inefficiencies and potential aspiration, as evidenced by clinical signs observed during the evaluation.

Feeding Rehabilitation Potential: Yasiel demonstrates good rehabilitation potential for improvement in feeding and swallowing skills, supported by early identification of feeding concerns, strong caregiver involvement, and observed responsiveness to therapeutic intervention. With continued skilled feeding therapy, appropriate pacing and positioning strategies, and implementation of a home management program, Yasiel is expected to make meaningful progress toward safe and efficient oral intake.

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Yasiel’s caregiver will demonstrate proper use of pacing and feeding position strategies (e.g., upright positioning, frequent pauses, chin tuck) during bottle feeds in 3 out of 10 trials across 3 sessions, to support safer and more efficient feeding.
Feeding/Swallowing	In 6 months, Yasiel will complete structured suck training exercises (e.g., pacifier dips, facilitated sucks) with support, demonstrating improved lip seal and tongue cupping in 3 out of 10 trials across 3 consecutive sessions, to promote safe and effective bottle feeding.
Feeding/Swallowing	In 6 months, Yasiel will tolerate and participate in oral/facial stimulation activities (e.g., facial massage, lingual tapping, cheek support) with minimal signs of distress, in 3 out of 10 opportunities across 3 consecutive sessions, to increase oral sensory tolerance and improve oral motor coordination.
Feeding/Swallowing	In 6 months, Yasiel will demonstrate no overt clinical signs or symptoms of aspiration/penetration (e.g., watery eyes, increased respiratory rate, coughing, irritability) during bottle feeding in 3 out of 10 observed sessions, in order to support safe swallowing and respiratory stability.
Feeding/Swallowing	In 6 months, once cleared by the pediatrician for solids, Yasiel will accept age-appropriate purees with no overt signs of aspiration in 3 out of 10 trials across 3 sessions, to support safe feeding progression and increased oral experience.
Feeding/Swallowing	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.

58250

Plan Date: 01-27-2026

Feeding Assessment Summary: Yasiel is an 8-month-old male who was initially referred for feeding therapy due to concerns regarding bottle feeding efficiency, oral motor coordination, and feeding-related distress. He is currently due for a re-evaluation to determine the continued need for skilled feeding therapy services. A bedside feeding evaluation and skilled mealtime observation were completed to reassess Yasiel’s feeding and swallowing skills, oral motor development, texture tolerance, and overall safety during oral intake. Based on current findings, Yasiel continues to present with PEDIATRIC FEEDING DISORDER with ORAL PHASE DYSPHAGIA, characterized by immature oral motor skills impacting safe and efficient intake of advancing solid textures. While progress has been observed with pureed and minced consistencies, Yasiel demonstrates reduced ability to manipulate, lateralize, and safely manage more complex textures, particularly those introduced through baby-led weaning and texture progression. A skilled feeding observation was conducted utilizing pureed and minced-moist consistencies, including carrots, pear, and squash. Yasiel accepted multiple spoonfuls of each consistency with improved tolerance, demonstrating closed-mouth munching, functional lip seal, and emerging jaw control. No overt clinical signs of aspiration or penetration were observed with these consistencies. However, when advancing beyond pureed and minced textures, Yasiel demonstrates difficulty with oral manipulation and bolus control, including reduced tongue lateralization and immature chewing patterns. Caregiver and treatment session reports indicate that when presented with more solid textures consistent with baby-led weaning approaches, Yasiel exhibits coughing, difficulty clearing the bolus, and decreased coordination, suggesting ongoing oral phase dysphagia with texture advancement. These findings indicate that while purees are currently managed safely, oral motor skill breakdown occurs with increased texture complexity, requiring continued skilled intervention to support safe feeding progression. During functional feeding tasks, Yasiel demonstrated improving but immature oral motor skills. He showed closed-mouth munching and adequate lip range of motion; however, tongue lateralization remains inconsistent, and bolus manipulation is limited with textures beyond puréed and minced consistencies. Oral rest posture continues to vary between open and closed mouth. Yasiel’s chronological age, children are expected to demonstrate emerging lateral tongue movement, improved bolus control, and increased tolerance of soft solids as part of the transition from purees to textured foods. Yasiel’s current oral motor profile indicates delayed feeding skill acquisition, placing him at risk for coughing episodes, inefficient intake, and difficulty advancing along the feeding continuum without skilled support. Based on the bedside feeding evaluation and skilled mealtime observation, Yasiel continues to present with a PEDIATRIC FEEDING DISORDER and ORAL PHASE DYSPHAGIA, characterized by impaired oral motor coordination, reduced tongue lateralization, and difficulty safely managing advancing food textures. Contributing factors include a history of early feeding challenges, prior tethered oral tissues, immature oral motor patterns, and difficulty transitioning from purées to more developmentally appropriate solid textures. Although Yasiel demonstrates improved tolerance of puréed and minced foods, ongoing oral dysphagia is evident with texture advancement, as reflected by coughing, poor bolus manipulation, and reduced feeding efficiency during baby-led weaning attempts. Continued skilled feeding therapy remains medically necessary to address Yasiel’s ongoing oral phase dysphagia and support safe progression of feeding skills. Evidence-based feeding intervention, including gradual texture advancement, puree-to-solid progression, and baby-led weaning–informed approaches, is required to support oral motor development and prevent aspiration risk or feeding regression. Without continued skilled intervention, Yasiel remains at risk for: inability to safely advance food textures, persistent coughing and poor bolus control with solids, delayed feeding milestone acquisition, feeding aversion and regression during weaning. Therapy is habilitative in nature, supporting the acquisition of age-appropriate feeding skills during a critical developmental window.

Feeding Progress to Date: The following are Yasiel’s short?term goals and progress made during this authorization period: In 6 months, Yasiel’s caregiver will demonstrate proper use of pacing and feeding position strategies (e.g., upright positioning, frequent pauses, chin tuck) during bottle feeds in 3 out of 10 trials across 3 sessions, to support safer and more efficient feeding. (BASELINE: 2/10 accuracy: CURRENT: 10/10) GOAL MET In 6 months, Yasiel will complete structured suck training exercises (e.g., pacifier dips, facilitated sucks) with support, demonstrating improved lip seal and tongue cupping in 3 out of 10 trials across 3 consecutive sessions, to promote safe and effective bottle feeding. (BASELINE: 1/10 accuracy: CURRENT: 10/10) GOAL MET xx In 6 months, Yasiel will tolerate and participate in oral/facial stimulation activities (e.g., facial massage, lingual tapping, cheek support) with minimal signs of distress, in 3 out of 10 opportunities across 3 consecutive sessions, to increase oral sensory tolerance and improve oral motor coordination. (BASELINE: 4/10 accuracy: CURRENT: 9/10) GOAL MET In 6 months, Yasiel will demonstrate no overt clinical signs or symptoms of aspiration/penetration (e.g., watery eyes, increased respiratory rate, coughing, irritability) during bottle feeding in 3 out of 10 observed sessions, in order to support safe swallowing and respiratory stability. (BASELINE: 2/10 accuracy: CURRENT: 9/10) GOAL MET In 6 months, once cleared by the pediatrician for solids, Yasiel will accept age-appropriate purees with no overt signs of aspiration in 3 out of 10 trials across 3 sessions, to support safe feeding progression and increased oral experience. (BASELINE: 0/10 accuracy: CURRENT: 9/10) GOAL MET When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. GOAL MET Yasiel met 5/5 short- term goals during this authorization period. Yasiel has increased accuracy and made progress toward his goals during this authorization period.

Feeding Rehabilitation Potential: Yasiel demonstrates good rehabilitation potential given his young age, caregiver involvement, and measurable progress with therapeutic support. Prognosis for continued advancement of feeding skills is favorable with ongoing skilled intervention focused on texture progression, oral motor coordination, and caregiver education. Feeding therapy is recommended 2 times per month to monitor swallowing safety, support progression of feeding textures, and provide skilled intervention during this critical developmental period.

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Yasiel will safely tolerate advancement across IDDSI texture levels by accepting and managing minced–moist progressing to soft/bite-sized consistencies, with appropriate oral manipulation and no overt signs of aspiration in 3 out of 10 opportunities across 3 consecutive sessions, to support developmentally appropriate progression of solid feeding.
Feeding/Swallowing	In 6 months, Yasiel will demonstrate improved tongue lateralization by moving the bolus laterally toward the molars during feeding with soft solids in 3 out of 10 opportunities across 3 consecutive sessions, to support efficient chewing and safe oral intake.
Feeding/Swallowing	In 6 months, Yasiel will demonstrate improved oral awareness and coordination by tolerating and responding to oral tactile–proprioceptive input prior to feeding, resulting in improved bolus control and reduced coughing with advancing textures in 3 out of 10 opportunities across 3 consecutive sessions.
Feeding/Swallowing	In 6 months, Yasiel will demonstrate improved coordination during solid feeding by chewing and swallowing age-appropriate textures without coughing or distress in 3 out of 10 opportunities across 3 consecutive sessions, to support safe weaning and feeding milestone acquisition.
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Feeding Therapy Soap Note/Visit:

Soap Note

490147

Note Date: 03-17-2026

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

Assessment of Goals/Response to Treatment: Yasiel safely tolerated advancement across IDDSI texture levels by accepting and managing minced–moist progressing to soft/bite-sized consistencies, with appropriate oral manipulation and no overt signs of aspiration in 4 out of 10 opportunities given 10 verbal and 10 visual models. Yasiel demonstrated improved tongue lateralization by moving the bolus laterally toward the molars during feeding with soft solids in 3 out of 10 opportunities given 10 verbal and 10 visual models. Yasiel demonstrated improved oral awareness and coordination by tolerating and responding to oral tactile–proprioceptive input prior to feeding, resulting in improved bolus control and reduced coughing with advancing textures in 3 out of 10 opportunities given 10 verbal and 10 visual models. Yasiel demonstrated improved coordination during solid feeding by chewing and swallowing age-appropriate textures without coughing or distress in 4 out of 10 opportunities given 10 verbal and 10 visual models. When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
758515	92610: Feeding Evaluation	07-30-2025 10:00 AM	07-30-2025 11:00 AM	Teresa Serna	NB1 east side	Completed
794489	92526: Feeding Visit	08-28-2025 12:00 PM	08-28-2025 12:30 PM	Teresa Serna	NB1 east side	Completed
794490	92526: Feeding Visit	09-02-2025 11:30 AM	09-02-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
794492	92526: Feeding Visit	09-16-2025 11:30 AM	09-16-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
794493	92526: Feeding Visit	09-23-2025 11:30 AM	09-23-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
794495	92526: Feeding Visit	10-07-2025 11:30 AM	10-07-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
818937	92526: Feeding Visit	10-08-2025 11:30 AM	10-08-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
829233	92526: Feeding Visit	10-23-2025 01:00 PM	10-23-2025 01:30 PM	Teresa Serna	NB1 east side	Completed
829629	92526: Feeding Visit	10-28-2025 11:30 AM	10-28-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
829670	92526: Feeding Visit	11-04-2025 11:30 AM	11-04-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
829697	92526: Feeding Visit	11-18-2025 12:00 PM	11-18-2025 12:30 PM	Teresa Serna	NB1 east side	Completed
847609	92526: Feeding Visit	11-26-2025 11:00 AM	11-26-2025 11:30 AM	Teresa Serna	NB1 east side	Completed
829700	92526: Feeding Visit	12-09-2025 11:30 AM	12-09-2025 12:00 PM	Teresa Serna	NB1 east side	Completed
829702	92526: Feeding Visit	12-10-2025 12:30 PM	12-10-2025 01:00 PM	Teresa Serna	NB1 east side	Completed
864113	92526: Feeding Visit	01-07-2026 10:30 AM	01-07-2026 11:00 AM	Teresa Serna	NB1 east side	Completed
829705	92526: Feeding Visit	01-13-2026 11:30 AM	01-13-2026 12:00 PM	Teresa Serna	NB1 east side	Completed
829706	92526: Feeding Visit	01-20-2026 11:30 AM	01-20-2026 12:00 PM	Teresa Serna	NB1 east side	Completed
829707	S9152: Reevaluation	01-27-2026 11:30 AM	01-27-2026 12:00 PM	Teresa Serna	NB1 east side	Completed
884194	92526: Feeding Visit	02-05-2026 11:00 AM	02-05-2026 11:30 AM	Teresa Serna	NB1 east side	Completed
829709	92526: Feeding Visit	02-10-2026 11:30 AM	02-10-2026 12:00 PM	Teresa Serna	NB1 east side	Completed
894224	92526: Feeding Visit	03-04-2026 12:00 PM	03-04-2026 12:30 PM	Teresa Serna	NB1 east side	Completed
905664	92526: Feeding Visit	03-17-2026 11:30 AM	03-17-2026 12:00 PM	Teresa Serna	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
794491	92526: Feeding Visit	09-09-2025 01:30 PM	09-09-2025 02:00 PM	Teresa Serna	NB1 east side	Canceled
804049	92526: Feeding Visit	09-11-2025 02:00 PM	09-11-2025 02:30 PM	Teresa Serna	NB1 east side	Canceled
794494	92526: Feeding Visit	09-17-2025 11:30 AM	09-17-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
809076	92526: Feeding Visit	09-25-2025 12:30 PM	09-25-2025 01:00 PM	Teresa Serna	NB1 east side	Canceled
794496	92526: Feeding Visit	10-14-2025 11:30 AM	10-14-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
794497	92526: Feeding Visit	10-21-2025 11:30 AM	10-21-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
829699	92526: Feeding Visit	12-02-2025 11:30 AM	12-02-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
829701	92526: Feeding Visit	12-16-2025 11:30 AM	12-16-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
829703	92526: Feeding Visit	12-30-2025 11:30 AM	12-30-2025 12:00 PM	Teresa Serna	NB1 east side	Canceled
829704	92526: Feeding Visit	01-06-2026 11:30 AM	01-06-2026 12:00 PM	Teresa Serna	NB1 east side	Canceled
870436	S9152: Reevaluation	01-14-2026 12:00 PM	01-14-2026 12:30 PM	Teresa Serna	NB1 east side	Canceled
829708	92526: Feeding Visit	02-03-2026 11:30 AM	02-03-2026 12:00 PM	Teresa Serna	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913230	92526: Feeding Visit	03-31-2026 12:00 PM	03-31-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-13-2026	Shekinah Velasquez	FD auth approved starting 02/16/2026 - 08/014/2026 2x/ month = 13 visits. Therapist notified.
02-11-2026	Avery Fontenot	FD auth request submitted to EPH. Pending approval.
02-06-2026	Avery Fontenot	Faxed FD paperwork to and request for THSTEPS to PCP.
10-21-2025	Teresa Serna	Addendum completed to reflect current progress in feeding therapy and updated frequency recommendation. The patient continues to demonstrate gradual improvement toward feeding goals, with emerging acceptance of new textures and participation in structured mealtime activities. A biweekly therapy schedule is recommended to support ongoing progress and monitor generalization across home and clinic settings.
09-25-2025	Teresa Serna	The patient will be out of town October 13-15. Sessions to be made up. Ysiel Paez 9/25/2025 12:40 PM Yasiel (Prim) Replied: Si esta bien yo voy a salir del 13 al 15 de octubre
09-25-2025	Teresa Serna	09/25/2025: Parent messaged clinician they were running late to planned therapy visit. Treating clinician reminded the parent of 7 minute grace period for 30 minute session. Session canceled due to it being passed 7 minute grace period. Yasiel Paez 9/25/2025 12:37 PM Yasiel (Prim) Replied: Si esta bien una disculpa Teresa Serna 9/25/2025 12:37 PM es la póliza de la compania Teresa Serna 9/25/2025 12:36 PM Okay como es sesion de 30 minutos y tengo paciente despues nomas podemos esperar 7 minutes despues de la sesion y llego no lo voy a poder ver ): Yasiel Paez 9/25/2025 12:34 PM Yasiel (Prim) Replied: Si se me hizo un poco tarde pero ya vamos en camino llego en un momento Teresa Serna 9/25/2025 12:34 PM Dime cuando esta aqui(:
09-17-2025	Teresa Serna	09/17/2025: the parent canceled session 3 hours before due to other appointment that conflicts with time. Non compliance. Note to be sent by front office.
08-22-2025	Avery Fontenot	FD auth for 08/18/2025 to 02/13/2026 for 1x/wk = 26 visits. Therapist notified.
08-15-2025	Avery Fontenot	Submitted for FD auth to EPH. Pending approval.
08-14-2025	Avery Fontenot	Called doctors office to send us THSTEPS. They said they would fax them over.
08-06-2025	Shekinah Velasquez	Received signed paperwork, pending THSteps. Email sent to PCP.
08-05-2025	Shekinah Velasquez	FD Paperwork sent to PCP via fax and email. Pending signatures
07-31-2025	Shekinah Velasquez	Received a Doctor referral fax stating that the Pt no longer requires PT services. Parent notified
07-24-2025	Avery Fontenot	Doctors office resent referral again @5:10 with the wrong dx code again.
07-24-2025	Avery Fontenot	Called doctors office for missing DX code. The office said they would fax over the new referral.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-03-2026	92526	Serna, Teresa
01-14-2026	S9152	Serna, Teresa
01-06-2026	92526	Serna, Teresa
12-30-2025	92526	Serna, Teresa
12-16-2025	92526	Serna, Teresa
12-02-2025	92526	Serna, Teresa
10-21-2025	92526	Serna, Teresa
10-14-2025	92526	Serna, Teresa
09-25-2025	92526	Serna, Teresa
09-17-2025	92526	Serna, Teresa
09-11-2025	92526	Serna, Teresa
09-09-2025	92526	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
07-08-2025 01:44 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=1947
07-08-2025 02:04 PM	Shekinah Velasquez	Hi, it looks like we need to reschedule your Physical Therapy Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/ptevaluation.aspx?pid=9580
07-09-2025 11:34 AM	Shekinah Velasquez	Hi, it looks like we need to reschedule your Feeding Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/fdevaluation.aspx?pid=9580
07-31-2025 09:51 AM	Shekinah Velasquez	Hola, soy Shekinah de la oficina de New Beginnings. Queríamos darle una actualización sobre la referencia para Terapia Física de Yasiel. Enviamos una solicitud al médico del paciente para una nueva referencia, y recibimos una respuesta por fax indicando que la Terapia Física no es necesaria para su hijo en este momento. Si tiene alguna pregunta o desea hablar más sobre esto, le recomendamos comunicarse directamente con el pediatra de su hijo para obtener más información. ¡Gracias!
08-22-2025 04:35 PM	Shekinah Velasquez	Paez, Yasiel has been assigned a therapist.
09-08-2025 11:47 AM	Celeste Collette	Estimado padre, Esta es una transmisión general para todos los padres, no envíe mensajes de texto a este número para responder. Como siempre, en New Beginnings nos esforzamos por mantener a nuestros pacientes, padres, terapeutas y personal seguros y saludables. Tenemos termómetros en nuestras salas de espera y revisaremos las altas temperaturas a medida que comenzamos la época tradicional del año en la que aumentan los casos de gripa, resfriados, y COVID. A cualquier niño(a) o padre con una temperatura de 100 grados o más se le pedirá que reprograme para otro día y hora. Si usted, su hijo(a) o alguien en su hogar tiene COVID, le seguimos pidiendo que se quede en casa y se ponga en cuarentena para detener la propagación. El CDC instan a las personas enfermas con síntomas de virus respiratorios a quedarse en casa hasta que la fiebre haya desaparecido durante al menos 24 horas sin depender de medicamentos para bajar la calentura. Por favor no asista a terapia si usted o su hijo(a) tengan los siguientes síntomas: calentura, dolores corporales, escalofríos, vómitos, diarrea, dolor de cabeza. Su terapeuta estará encantado(a) de reprogramar su visita por usted. No dude en llamar a nuestras oficinas si tiene alguna pregunta. Rich Beem (915) 303-5177 O Zaragoza (915) 855-0601 ¡Gracias de antemano por su ayuda para mantener a otros seguros y saludables! New Beginnings
09-17-2025 10:45 AM	Avery Fontenot	Dear Parent, We noticed you missed your therapeutic appointment at New Beginnings today. Please remember to inform us of any changes to your appointment at least 24 hours in advance or an hour ahead in case of emergencies. When appointments are missed without prior cancellation, our therapists are left with open slots. We appreciate your understanding and adherence to our no-call-no-show policy. As this is your first missed appointment, we expect you to schedule a makeup visit. To reschedule, send a direct message to your therapist on our messaging app.
09-25-2025 02:35 PM	Avery Fontenot	Dear Parent, We noticed you missed your therapeutic appointment at New Beginnings today. Please remember to inform us of any changes to your appointment at least 24 hours in advance or an hour ahead in case of emergencies. Our therapists are left with open slots when appointments are missed without prior cancellation. We appreciate your understanding and adherence to our no-call-no-show policy. As this is your second missed appointment, we expect you to schedule a makeup visit and respect our therapist’s time. To reschedule, send a direct message to your therapist on our messaging app.
11-13-2025 12:55 PM	Monica Tullius	¡Regalo de Pavos para las Fiestas! Nos alegra compartir que Hope Across the Border estará regalando pavos gratis para esta temporada navideña. Si usted o alguien que conoce necesita un poco de apoyo este año, están cordialmente invitados a recoger uno: Domingo, 16 de noviembre 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 Si tiene alguna pregunta, puede comunicarse al hopeacrossstheborder@gmail.com. ¡Les deseamos una temporada festiva cálida y llena de bendiciones! Equipo New Beginnings :)
11-25-2025 03:07 PM	Celeste Collette	Estimados padres: Estamos profundamente agradecidos por el amor, la confianza y la colaboración de nuestras maravillosas familias. ¡Gracias por permitirnos ser parte del camino de su hijo! De parte de todo el equipo de New Beginnings, les deseamos un muy Feliz Día de Acción de Gracias lleno de consuelo, alegría y momentos significativos con sus seres queridos.
12-17-2025 11:24 AM	Avery Fontenot	Estimados padres de New Beginnings: Si está recibiendo este mensaje, hemos notado que nos falta documentación requerida de su parte. En este momento, necesitamos una copia de la tarjeta del plan de atención de Medicaid de su hijo(a). Tenga en cuenta que ya no estamos aceptando la tarjeta tradicional de Medicaid como seguro válido en nuestros archivos. Requerimos la tarjeta del plan específico de Medicaid, como: Superior, Molina, El Paso Health, Wellpoint o TMHP. Si no cuenta con la tarjeta física o tiene dificultades para localizarla, la mayoría de los planes de Medicaid ofrecen un portal en línea donde puede acceder a una tarjeta digital E-card. Si ya tiene la tarjeta de su plan de seguro, por favor envíe una copia por correo electrónico a afontenot@newbeginnings-elp.com Muchas gracias por su cooperación y ¡felices fiestas!
12-23-2025 02:13 PM	Stephen Tullius	Estimadas familias: Al acercarse la temporada de fiestas, queremos tomar un momento para expresarles nuestro más sincero agradecimiento a ustedes. Ha sido un verdadero privilegio acompañar a su familia y ser parte del camino de desarrollo de su hijo/a durante este año. Cada logro, cada esfuerzo y cada sonrisa compartida nos recuerdan la importancia de nuestro trabajo. Deseamos que esta temporada les brinde momentos de alegría, descanso y unión familiar. Que el próximo año esté lleno de progreso continuo y muchas razones para celebrar. Les recordamos que nuestras oficinas permanecerán cerradas desde el 24 de diciembre hasta el 4 de enero. Reanudaremos nuestras actividades el lunes 5 de enero de 2026. De parte de todo nuestro equipo, les deseamos unas felices fiestas y un Año Nuevo lleno de salud y esperanza. Con afecto, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:11 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 09:16 AM	Avery Fontenot	Estimados padres de New Beginnings: Si están recibiendo este mensaje, hemos notado que nos falta documentación importante de su parte. En este momento, necesitamos una copia de la tarjeta de seguro médico de Medicaid de su hijo/a. Tengan en cuenta que ya no aceptamos la tarjeta tradicional de Medicaid como comprobante de seguro válido. Requerimos la tarjeta de seguro de Medicaid específica de su plan, como (Superior, Molina, El Paso Health, Wellpoint, TMHP). Si no tienen la tarjeta física o tienen dificultades para encontrarla, la mayoría de los planes de Medicaid ofrecen un portal en línea donde pueden acceder a una tarjeta digital. Si ya tienen la tarjeta de seguro de su plan, envíen una copia por correo electrónico a afontenot@newbeginnings-elp.com Muchas gracias por su cooperación
02-03-2026 03:53 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=9580
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=9580
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
07-09-2025 03:29 PM	Teresa Serna	Good afternoon, my name is Teresa Serna, and I will be the Speech Language Pathologist evaluating Yasiel 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: Tuesday (7/29) at 9:30 am or Thursday (7/31) at 1:30 pm. Please let me know which of these times works best for you. Thank you and I look forward to meeting you both!
07-09-2025 03:46 PM	Yasiel Paez	Yasiel (Prim) Replied: Hi good afternoon, nice to meet you, I'm Brenda, Yasiel's Mother I'd like Thuesday 7/29 at 9:30 am
07-10-2025 11:21 AM	Teresa Serna	I will go ahead and schedule her in for Thursday and did you want me tosend you the forms or have them ready for you the day of the evaluation? Here is the address: 1512 N Zaragoza Rd Ste C-1, El Paso, TX 79936. When you have an opportunity can you answer these questions: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) major illnesses or accident since last check up? Any medical diagnoses (i.e., down syndrome, etc.)? 3. Any hospitalization/surgeries? 4.) developmental milestones met within normal limits? or delayed? How is his trunk support? 5) known allergies? 6.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 7.) medications? 8.) does pediatrician have concerns regarding nutritional growth? 9.) gastrointestinal issues? 10.) In your a few words write you parental concerns with FEEDING
07-10-2025 03:06 PM	Yasiel Paez	Yasiel (Prim) Replied: 👍 a “ I will go ahead and schedule her in for Thursday and did you want me tosend you the forms or have them ready for you the day of the evaluation? Here is the address: 1512 N Zaragoza Rd Ste C-1, El Paso, TX 79936. When you have an opportunity can you answer these questions: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) major illnesses or accident since last check up? Any medical diagnoses (i.e., down syndrome, etc.)? 3. Any hospitalization/surgeries? 4.) developmental milestones met within normal limits? or delayed? How is his trunk support? 5) known allergies? 6.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 7.) medications? 8.) does pediatrician have concerns regarding nutritional growth? 9.) gastrointestinal issues? 10.) In your a few words write you parental concerns with FEEDING ”
07-10-2025 03:06 PM	Yasiel Paez	Yasiel (Prim) Replied: Yes please I'll answer all that in a moment
07-10-2025 03:10 PM	Teresa Serna	Perfect you can provide me with your email and i will email then to you (:
07-10-2025 03:14 PM	Yasiel Paez	Yasiel (Prim) Replied: Of curse brendarocioguzman@gmail.com
07-11-2025 02:24 PM	Teresa Serna	Are you currently doing breast or bottle so I can send you the accurate paperwork(:
07-11-2025 03:05 PM	Yasiel Paez	Yasiel (Prim) Replied: Bottle
07-21-2025 01:01 PM	Teresa Serna	Hello(: I wanted to touch base for the evaluation this week. The forms aren’t allowing me to attach them to the email so I will have them ready for you the day of the evaluation. I recommend for you to arrive 15 minutes early to provide to fill out those forms. Please bring in a bottle with formula/breastmilk along with a blanket. I will be observing a bottle feeding so if you could bring him in hungry that would be great. Also when you get a chance please fill out those questions to help me get a better idea. Thank you!
07-21-2025 01:01 PM	Teresa Serna	1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) major illnesses or accident since last check up? Any medical diagnoses (i.e., down syndrome, etc.)? 3. Any hospitalization/surgeries? 4.) developmental milestones met within normal limits? or delayed? How is his trunk support? 5) known allergies? 6.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 7.) medications? 8.) does pediatrician have concerns regarding nutritional growth? 9.) gastrointestinal issues? 10.) In your a few words write you parental concerns with FEEDING
07-21-2025 01:36 PM	Teresa Serna	My apologizes I mean next week (:
07-22-2025 09:26 AM	Yasiel Paez	Yasiel (Prim) Replied: Una disculpa hoy respondo las preguntas
07-24-2025 05:41 PM	Yasiel Paez	Yasiel (Prim) Replied: 1.Yasiel Armando Paez 04/30/2025 2-No 3.- No 4.- Frenectomy lingual 5.- It's developmental is normal and trunk support normal 6.- He has no trouble sleeping or breathing. He sleeps 8 hours a night and wakes up once or twice. He doesn't snore and sleeps with his mouth closed. 7.-No 8.-No 9.- No 10.- We were sent by the pediatrician because when he takes a bottle he spills a lot of milk
07-25-2025 01:50 PM	Teresa Serna	Thank you for answering these questions. Has he always spilled from the bottle or did it worsen/improve after the frenectomy? What kind of nipple is being used (brand/flow)?
07-25-2025 02:08 PM	Yasiel Paez	Yasiel (Prim) Replied: Always spilled, but this July 31 has another Frenectomy because he has a lip tied Use a bottle Dr. Browns show flow
07-25-2025 02:21 PM	Teresa Serna	Thank you so much for the update! That actually makes a lot of sense. If he’s always spilled milk, it might be that his mouth muscles are still working a little harder than they need to. Even with tongue and lip ties being released, little ones sometimes still need some help learning how to use those muscles the right way. I’m really looking forward to working with you both during the evaluation! For the session, please bring a bottle with his milk, a blanket, and anything else you usually use to keep him comfortable during feeds. I’ll be observing what a typical mealtime looks like for him and we’ll try out a few strategies to support him. I’ll be sending you the documents to fill out shortly!
07-28-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una evaluación de terapia de alimentación manana a las 09:30 AM. Nos vemos pronto! - New Beginnings 🙂
07-28-2025 06:31 PM	Yasiel Paez	Yasiel (Prim) Replied: Claro que si muchísimas gracias
07-29-2025 07:45 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una evaluación de terapia de alimentación hoy a las 09:30 AM. Nos vemos pronto! - New Beginnings 🙂
07-29-2025 07:55 AM	Teresa Serna	Buenos días, Hoy me desperté congestionada. No estoy segura si son alergias o si me estoy enfermando, pero por precaución, prefiero no exponer a Yasiel a nada. Voy a cancelar la evaluación de hoy y acudir al médico para asegurarme. Si resulta ser solo algo estacional, tengo disponibilidad mañana a las 10 a.m. para ver a Yasiel. Gracias por su comprensión!
07-29-2025 07:56 AM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien mañana Espero su confirmación
07-29-2025 07:57 AM	Teresa Serna	Gracias por su paciencia y comprensión. Le mando mensaje mas tarde (:
07-29-2025 07:59 AM	Yasiel Paez	Yasiel (Prim) Replied: Claro que si muchísimas gracias que se recupere pronto
07-29-2025 04:54 PM	Teresa Serna	Hola, Solo son alergias estacionales, así que estaré un poco congestionada durante la evaluación, pero no es nada de qué preocuparse. Los veo mañana (:
07-29-2025 05:05 PM	Yasiel Paez	Yasiel (Prim) Replied: Perfecto muchísimas gracias nos vemos mañana
07-29-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una evaluación de terapia de alimentación manana a las 10:00 AM. Nos vemos pronto! - New Beginnings 🙂
07-30-2025 07:47 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una evaluación de terapia de alimentación hoy a las 10:00 AM. Nos vemos pronto! - New Beginnings 🙂
07-30-2025 09:45 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=758515
07-30-2025 09:50 AM	Yasiel Paez	Yasiel is CHECKED IN for: 10:00AM-7/30/2025 92610: Feeding Evaluation
08-24-2025 03:43 PM	Teresa Serna	Hello, Yasiel has been approved for feeding therapy starting this week. I have Tuesday at 1:30pm or Thursday at 12pm open - what time would you prefer (:
08-24-2025 03:44 PM	Yasiel Paez	Yasiel (Prim) Replied: Hi Thursday 12pm
08-24-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 08-28-2025 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
08-24-2025 05:44 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
08-27-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
08-28-2025 07:49 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
08-28-2025 11:45 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794489
08-28-2025 12:04 PM	Yasiel Paez	Yasiel is CHECKED IN for: 12:00PM-8/28/2025 92526: Feeding Visit
08-31-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 09-02-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
08-31-2025 04:55 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
08-31-2025 04:55 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-01-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-02-2025 07:52 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-02-2025 08:36 AM	Yasiel Paez	Yasiel (Prim) Replied: Si
09-02-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794490
09-02-2025 11:40 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-9/2/2025 92526: Feeding Visit
09-07-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 09-09-2025 a las 1:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
09-07-2025 04:03 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
09-07-2025 04:03 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-08-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
09-08-2025 06:43 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
09-08-2025 06:43 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-09-2025 07:51 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
09-09-2025 10:35 AM	Yasiel Paez	Yasiel (Prim) Replied: Buenos días disculpe sabe que quisiera programar la cita de hoy para otro dia
09-09-2025 12:35 PM	Teresa Serna	Hola(: tengo disponible las 2:00 PM el jueves - esta bien?
09-09-2025 12:35 PM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien el jueves
09-09-2025 12:37 PM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-9/9/2025 92526: Feeding Visit
09-10-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 02:00 PM. Nos vemos pronto! - New Beginnings 🙂
09-10-2025 07:16 PM	Yasiel Paez	Yasiel (Prim) Replied: Hola buenas tardes Disculpa sabes que una de mis niñas esta enferma y no puede salir de casa podemos cancelar la cita
09-11-2025 07:46 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 02:00 PM. Nos vemos pronto! - New Beginnings 🙂
09-11-2025 08:06 AM	Teresa Serna	Ojala se siente mejor su hija!
09-11-2025 08:07 AM	Teresa Serna	Teresa Serna CANCELLED: 2:00PM-9/11/2025 92526: Feeding Visit
09-14-2025 10:51 AM	Teresa Serna	Hola puedo ver a Yasiel el miercoles a las 11:30 AM para recuperar la sesion de la semana pasada?
09-14-2025 10:52 AM	Yasiel Paez	Yasiel (Prim) Replied: Hola buen dia si claro que si
09-14-2025 10:52 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-14-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 09-16-2025 a las 11:30 AM, y el 09-17-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
09-14-2025 05:18 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
09-14-2025 05:18 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-15-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-16-2025 07:45 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-16-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794492
09-16-2025 11:34 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-9/16/2025 92526: Feeding Visit
09-16-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-17-2025 07:47 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-17-2025 08:26 AM	Yasiel Paez	Yasiel (Prim) Replied: Buenos dias Disculpa no tienes algo disponible para mañana se va a complicar a las 11:30
09-17-2025 08:56 AM	Teresa Serna	Hola Tengo disponible las 12 hoy, está disponible a esa hora?
09-17-2025 08:58 AM	Yasiel Paez	Yasiel (Prim) Replied: No se me olvido una cita de laboratorio y no creo llegare
09-17-2025 09:00 AM	Teresa Serna	Okay déjame cancelar la sesión!
09-17-2025 09:01 AM	Yasiel Paez	Yasiel (Prim) Replied: Muchas gracias
09-17-2025 09:01 AM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-9/17/2025 92526: Feeding Visit
09-21-2025 08:30 AM	Teresa Serna	Hola puedo ver a Yasiel el jueves a las 12:30 para recupera una sesion?
09-21-2025 09:13 AM	Yasiel Paez	Yasiel (Prim) Replied: Buenos dias si
09-21-2025 09:13 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-21-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 09-23-2025 a las 11:30 AM, y el 09-25-2025 a las 12:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
09-21-2025 05:58 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
09-21-2025 05:58 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-22-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-23-2025 07:46 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
09-23-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794493
09-23-2025 11:36 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-9/23/2025 92526: Feeding Visit
09-24-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
09-25-2025 07:49 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
09-25-2025 12:15 PM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=809076
09-25-2025 12:34 PM	Teresa Serna	Dime cuando esta aqui(:
09-25-2025 12:34 PM	Yasiel Paez	Yasiel (Prim) Replied: Si se me hizo un poco tarde pero ya vamos en camino llego en un momento
09-25-2025 12:36 PM	Teresa Serna	Okay como es sesion de 30 minutos y tengo paciente despues nomas podemos esperar 7 minutes despues de la sesion y llego no lo voy a poder ver ):
09-25-2025 12:37 PM	Teresa Serna	es la póliza de la compania
09-25-2025 12:37 PM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien una disculpa
09-25-2025 12:38 PM	Teresa Serna	La proxima semana no voy estar aqui los veo cuando regreso
09-25-2025 12:40 PM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien yo voy a salir del 13 al 15 de octubre
09-25-2025 12:41 PM	Teresa Serna	Okay recuperamos las sesions cuando regrese
09-25-2025 12:42 PM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-10/14/2025 92526: Feeding Visit
09-25-2025 12:42 PM	Teresa Serna	Teresa Serna CANCELLED: 12:30PM-9/25/2025 92526: Feeding Visit
09-25-2025 12:43 PM	Yasiel Paez	Yasiel (Prim) Replied: Perfecto muchísimas gracias
10-05-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 10-07-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
10-05-2025 04:01 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
10-05-2025 04:01 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-06-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-07-2025 07:44 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-07-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794495
10-07-2025 11:34 AM	Teresa Serna	Hola dime cuando estan aqui (:
10-07-2025 11:34 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-10/7/2025 92526: Feeding Visit
10-07-2025 11:35 AM	Yasiel Paez	Yasiel (Prim) Replied: Ya estamos aqui
10-07-2025 12:39 PM	Teresa Serna	Hola tengo disponible manana a las 11:30 para recupera una sesion si esta disponible
10-07-2025 12:48 PM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien
10-07-2025 01:36 PM	Teresa Serna	Okay perfecto! los veo manana
10-07-2025 01:36 PM	Yasiel Paez	Yasiel (Prim) Replied: Claro muchas gracias
10-07-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-08-2025 07:53 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-08-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818937
10-08-2025 11:25 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-10/8/2025 92526: Feeding Visit
10-08-2025 11:26 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-10/8/2025 92526: Feeding Visit
10-19-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 10-21-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
10-19-2025 04:02 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
10-19-2025 04:02 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-20-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-20-2025 08:03 PM	Yasiel Paez	Yasiel (Prim) Replied: Buenas noches disculpa sabes que no pobre asistir mañana podemos reagendar
10-20-2025 08:03 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-21-2025 06:24 AM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-10/21/2025 92526: Feeding Visit
10-22-2025 05:38 PM	Teresa Serna	Hola tengo disponible manana a las 1:00 PM
10-22-2025 05:56 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
10-23-2025 09:25 AM	Teresa Serna	Perfecto los veo hoy a las 1 (:
10-23-2025 10:46 AM	Yasiel Paez	Yasiel (Prim) Replied: Claro muchas gracias
10-23-2025 12:45 PM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829233
10-23-2025 01:03 PM	Yasiel Paez	Yasiel is CHECKED IN for: 1:00PM-10/23/2025 92526: Feeding Visit
10-26-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 10-28-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
10-26-2025 04:15 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
10-26-2025 04:15 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-27-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-28-2025 08:00 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
10-28-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829629
10-28-2025 11:29 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-10/28/2025 92526: Feeding Visit
10-28-2025 11:33 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-10/28/2025 92526: Feeding Visit
11-02-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 11-04-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
11-02-2025 04:01 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
11-02-2025 04:01 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-03-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
11-04-2025 07:54 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
11-04-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829670
11-04-2025 11:35 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-11/4/2025 92526: Feeding Visit
11-04-2025 11:36 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-11/4/2025 92526: Feeding Visit
11-16-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 11-18-2025 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
11-16-2025 04:08 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
11-16-2025 04:08 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-17-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
11-18-2025 07:50 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
11-20-2025 08:23 AM	Teresa Serna	Hola(: tengo disponible hoy a las 1pm para recuperar una sesion si esta disponible usted
11-20-2025 08:26 AM	Yasiel Paez	Yasiel (Prim) Replied: Hola buenas tardes no tengo un compromiso hoy una disculpa
11-23-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 11-26-2025 a las 11:00 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
11-23-2025 04:12 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
11-23-2025 04:12 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-25-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
11-26-2025 07:47 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
11-26-2025 10:45 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847609
11-26-2025 11:36 AM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-12/2/2025 92526: Feeding Visit
12-07-2025 03:59 PM	Teresa Serna	Hola (: puedo ver a Yasiel el miercoles a las 12:30 PM para recuperar las sesion que vamos faltar para navidad?
12-07-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 12-09-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
12-08-2025 10:17 AM	Yasiel Paez	Yasiel (Prim) Replied: Si esta bien las 2 sesiones
12-08-2025 10:17 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-08-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
12-09-2025 07:45 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
12-09-2025 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829700
12-09-2025 11:29 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-12/9/2025 92526: Feeding Visit
12-09-2025 11:30 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-12/9/2025 92526: Feeding Visit
12-09-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
12-10-2025 07:45 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
12-10-2025 12:15 PM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829702
12-10-2025 12:34 PM	Yasiel Paez	Yasiel is CHECKED IN for: 12:30PM-12/10/2025 92526: Feeding Visit
12-14-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 12-16-2025 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
12-15-2025 03:28 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
12-15-2025 03:28 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-15-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
12-15-2025 07:35 PM	Yasiel Paez	Yasiel (Prim) Replied: Hola buenas noches Disculpa sabes que tengo malito al bebe podemos cancelar necesito llevarlo a su pediatra
12-15-2025 07:35 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-16-2025 07:43 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
12-16-2025 10:38 AM	Teresa Serna	Hola ojala se sienta mejor el neno!
12-16-2025 10:38 AM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-12/16/2025 92526: Feeding Visit
12-16-2025 10:39 AM	Yasiel Paez	Yasiel (Prim) Replied: Muchísimas gracias
12-18-2025 02:44 PM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-12/30/2025 92526: Feeding Visit
01-04-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 01-06-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-04-2026 04:15 PM	Yasiel Paez	Yasiel (Prim) Replied: No
01-04-2026 04:15 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:17 PM	Teresa Serna	Tengo disponible las 10:30 AM el miercoles
01-04-2026 04:18 PM	Yasiel Paez	Yasiel (Prim) Replied: Si porfavor
01-04-2026 04:18 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:18 PM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-1/6/2026 92526: Feeding Visit
01-06-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 10:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-07-2026 08:00 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 10:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-07-2026 10:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864113
01-07-2026 10:29 AM	Yasiel Paez	Yasiel is CHECKED IN for: 10:30AM-1/7/2026 92526: Feeding Visit
01-11-2026 09:23 AM	Teresa Serna	hola(: puedra ver a Yasiel el martes a las 12 para la reevalacion?
01-11-2026 09:23 AM	Teresa Serna	perdon el miercoles
01-11-2026 09:24 AM	Yasiel Paez	Yasiel (Prim) Replied: Hola buen dia Si claro que si el miércoles esta bien
01-11-2026 09:24 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia del habla/alimentación programada el 01-13-2026 a las 11:30 AM, y el 01-14-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-11-2026 04:48 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
01-11-2026 04:48 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-12-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-13-2026 07:43 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-13-2026 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829705
01-13-2026 11:32 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-1/13/2026 92526: Feeding Visit
01-13-2026 11:55 AM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-1/14/2026 S9152: Reevaluation
01-18-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 01-20-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-19-2026 04:55 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
01-19-2026 04:55 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-19-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-20-2026 07:42 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-20-2026 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829706
01-20-2026 11:21 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-1/20/2026 92526: Feeding Visit
01-25-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia del lenguaje programada el 01-27-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-25-2026 04:07 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
01-25-2026 04:07 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una reevaluación manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-27-2026 07:41 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita programada para una reevaluación hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-27-2026 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829707
01-27-2026 11:26 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-1/27/2026 S9152: Reevaluation
02-01-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 02-03-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-01-2026 04:03 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
02-01-2026 04:03 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-02-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
02-02-2026 07:18 PM	Teresa Serna	Hola estoy tiendo problemas con mi carro. Es posible mover la sesion para el jueves a las 11?
02-02-2026 07:18 PM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-2/3/2026 92526: Feeding Visit
02-02-2026 07:23 PM	Yasiel Paez	Yasiel (Prim) Replied: Hola buenas noches si claro que si
02-02-2026 07:23 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-02-2026 07:26 PM	Teresa Serna	Muchas gracias!
02-02-2026 07:33 PM	Yasiel Paez	Yasiel (Prim) Replied: No a usted bonita noche
02-02-2026 07:33 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-04-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
02-05-2026 08:00 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
02-05-2026 10:45 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884194
02-05-2026 10:52 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:00AM-2/5/2026 92526: Feeding Visit
02-08-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 02-10-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-08-2026 04:14 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
02-08-2026 04:14 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-09-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
02-10-2026 07:42 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
02-10-2026 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=829709
02-10-2026 11:30 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-2/10/2026 92526: Feeding Visit
03-01-2026 12:35 PM	Teresa Serna	Hola(: podemos empezar terapia esta semana puedo ver a Yasiel a las 12pm esta semanan el miercoles?
03-01-2026 12:43 PM	Yasiel Paez	Yasiel (Prim) Replied: Hola Si claro que si
03-01-2026 12:43 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 03-04-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-01-2026 04:28 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
03-01-2026 04:28 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-03-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-04-2026 07:52 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-04-2026 09:28 AM	Teresa Serna	Hola estoy en otro edificio Good morning (: 1510 N Zaragoza Rd Suite B1, El Paso, TX 79936
03-04-2026 09:50 AM	Yasiel Paez	Yasiel (Prim) Replied: Perfecto muchas gracias
03-04-2026 11:45 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894224
03-04-2026 11:56 AM	Yasiel Paez	Yasiel is CHECKED IN for: 12:00PM-3/4/2026 92526: Feeding Visit
03-04-2026 12:18 PM	Teresa Serna	Apio, pollo, pasta
03-15-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Paez, Yasiel tiene una cita de terapia de alimentación programada el 03-17-2026 a las 11:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-15-2026 07:45 PM	Yasiel Paez	Yasiel (Prim) Replied: Si
03-15-2026 07:45 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-16-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada manana a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
03-17-2026 07:59 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Yasiel tiene una cita de terapia de alimentación programada hoy a las 11:30 AM. Nos vemos pronto! - New Beginnings 🙂
03-17-2026 08:14 AM	Yasiel Paez	Yasiel (Prim) Replied: Buenos dias Disculpa es en mismo edificio de la última cita?
03-17-2026 09:44 AM	Teresa Serna	Si (:
03-17-2026 11:15 AM	Teresa Serna	Yasiel Paez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905664
03-17-2026 11:27 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-3/17/2026 92526: Feeding Visit
03-17-2026 11:28 AM	Yasiel Paez	Yasiel is CHECKED IN for: 11:30AM-3/17/2026 92526: Feeding Visit