New Beginnings | NB1-Office

Patient Name: Katerina

Patient Information:

Patient ID: 9604

Patient First Name: Katerina

Patient Date of Birth: 09-30-2024

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Maria de Lourdes, Asiain

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

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25261	08-13-2025	Feeding Initial Evaluation	R63.32, R13.12, R63.39
Feeding Background History: Katerina is an 10-month-old female referred for a feeding evaluation by her pediatrician due to difficulty consuming pureed foods. Her mother, Mrs. Bertolli, and grandmother served as informants for this evaluation. Mrs. Bertolli reported that when purees were introduced between 6–9 months, Katerina did not transition easily and consistently refused these textures. Around July 2025, her mother initiated a baby-led weaning approach, at which time Katerina began to accept solid foods with more success. A primary concern was poor weight gain between 6–9 months; however, since the introduction of baby-led weaning, Katerina has gained approximately one pound. While progress has been noted, her mother continues to express concern regarding food textures, particularly as Katerina tends to eat/drink quickly and will occasionally gag or choke on certain foods. Mrs. Bertolli reported no known allergies and no history of respiratory issues. Katerina’s feeding and swallowing skills were evaluated through a bedside swallow evaluation and skilled meal observation. Due to the family’s language background and communication needs, the language of intervention will be English.
Feeding Medical History: Mrs. Bertolli reported an unremarkable pregnancy overall. Thyroid labs were slightly abnormal during the pregnancy but did not require medication and were monitored throughout. During the last trimester, low iron levels were identified and successfully managed with iron supplements. Mrs. Bertolli was also followed by a maternal-fetal specialist due to her age (38) and a long interval since her previous pregnancy (17 years); however, no complications were noted, and the baby remained healthy throughout gestation. Katerina was delivered via a planned cesarean section at 39 weeks, weighing 5 lbs 14 oz. The delivery and postpartum course were without complication, with both mother and baby discharged home after a three-day hospital stay. At this time, Katerina has no diagnosed medical conditions and no history of major illness or significant injury.
Feeding Medications: None at this time
Feeding Behavioral Observations: Attending Skills: Adequate, 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,
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: Katerina is an 10-month-old female referred for a feeding evaluation by her pediatrician due to difficulty consuming pureed foods. Her mother, Mrs. Bertolli, and grandmother served as informants for this evaluation. Mrs. Bertolli reported that when purees were introduced between 6–9 months, Katerina did not transition easily and consistently refused these textures. Around July 2025, her mother initiated a baby-led weaning approach, at which time Katerina began to accept solid foods with more success. A primary concern was poor weight gain between 6–9 months; however, since the introduction of baby-led weaning, Katerina has gained approximately one pound. While progress has been noted, her mother continues to express concern regarding food textures, particularly as Katerina tends to eat/drink quickly and will occasionally gag or choke on certain foods. Mrs. Bertolli reported no known allergies and no history of respiratory issues. An oral mechanism and cranial nerve examination could not be fully completed, as Katerina did not tolerate intraoral examination at this time. A formal oral mechanism and cranial nerve exam will be attempted when tolerated, as oral anatomy and physiology may contribute to Katerina’s feeding and swallowing challenges. Based on the bedside swallow evaluation and skilled meal observation, Katerina presents with a CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA, characterized by impaired oral intake that is not age-appropriate. These difficulties may be attributed to a combination of medical history (including prior concerns for poor weight gain), nutritional status (limited food repertoire and inconsistent intake), feeding skill deficits (sensory sensitivities and decreased oral motor coordination), and/or psychosocial factors (problematic mealtime behaviors and learned responses). There are also concerns regarding the pharyngeal phase of the swallow, as Katerina demonstrated clinical signs and symptoms of possible aspiration/penetration (i.e., increased respiratory effort, watery eyes) when consuming liquid consistencies. These events may be related to her rapid pace of drinking and lack of pacing. Mrs. Bertolli denied any history of unexplained fevers or aspiration pneumonia. The Pediatric Eating Assessment Tool (PediEAT) was completed by Mrs. Bertolli as a subjective measure of Katerina’s feeding behaviors. Results indicated a rating approaching “Concern” on the subscale for problematic mealtime behaviors. Scores on the remaining subscale including physiologic symptoms, selective/restrictive eating, and oral processing fell within the “No Concern” range. Overall, Katerina’s PediEAT results are consistent with her current diagnosis and observed performance during the feeding evaluation. CURRENT FEEDING: Katerina currently eats with assistance from her parents, with meals typically offered in her highchair on a consistent feeding schedule. She consumes approximately 6 oz of formula three times per day and is introduced to solids three times per day. Each eating session lasts about 20–30 minutes when she accepts the foods presented, but may extend up to an hour when non-preferred foods are offered. Her mother and grandmother expressed concern regarding her limited food inventory, as she currently prefers only about eight foods, including bananas, applesauce, yogurt, sweet fruits, and rotisserie chicken from Sam’s Club. When non-preferred foods are presented, mealtimes often become stressful, lasting up to an hour, and Katerina may gag at the sight of these items. Katerina’s appetite is variable, and she demonstrates a strong preference for crunchy, lumpy, or mixed-consistency foods served warm in temperature. When presented with non-preferred items, she may gag or throw the food. ACCEPTED FOODS: Katerina currently accepts approximately 43 solid foods and 2 liquids (water and formula). Her diet includes a variety of carbohydrate sources (e.g., rice, sweet potato, potato, oatmeal, pancakes, rice-wheat cereal, spaghetti), protein sources (e.g., chicken, turkey, ground beef, ground turkey, nut butter, yogurt, eggs, cheese, broccoli soup, caldo de pollo, chicken and rice), fruits (e.g., apple, blueberries, kiwi, pear, watermelon, strawberry, pineapple, peaches/nectarines, banana, cantaloupe, orange, coconut, mango, plums), and vegetables (e.g., green beans, cauliflower, squash, carrots, peas, broccoli, cucumber, lettuce, spinach). Despite this broad food inventory, she consistently consumes only about 8 preferred foods, with regression in acceptance and increasing selectivity. According to the USDA Dietary Guidelines and the American Academy of Pediatrics (AAP), infants between 8–12 months of age typically require approximately 750–900 calories per day from a varied, nutrient-dense diet. By this stage, formula or breast milk should gradually decrease, with no more than 16 fluid ounces of formula per day, as solid foods become the primary source of nutrition. Infants are generally expected to consume three meals per day with two optional snacks of solids to support adequate growth and development. Katerina’s exact daily caloric intake is unknown; however, based on caregiver report, her limited food acceptance, prolonged mealtimes, and gagging responses to non-preferred items suggest her intake may not be meeting age-appropriate dietary expectations. FEEDING OBSERVATIONS: During the feeding observation, Katerina was seated in a highchair with a stable 90-90-90 posture (hips, knees, and ankles) throughout the session. A variety of foods were presented, including preferred items such as shredded cheese, organic melt hoops, and applesauce. She readily accepted and consumed approximately 70% of the preferred foods offered. When the preferred purée was initially presented, Katerina turned her face away and closed her mouth. With visual and verbal cues provided by her mother, she eventually opened her mouth and accepted the spoon, with her mother and grandmother using verbal praise to encourage intake. Katerina demonstrated adequate bites of the preferred foods with 1:1 supervision. In contrast, when presented with a non-preferred food (at home chicken breast), she immediately gagged, turned her head, and closed her mouth. Parent education was provided regarding the Steps to Eating Hierarchy to help the family understand Katerina’s current level of tolerance for non-preferred foods. According to caregiver report, when non-preferred foods are presented at home, Katerina may allow her parent to place the food in her mouth but will typically spit it out. She demonstrates strong texture-based aversions, particularly to wet or slimy foods. These behaviors are consistent with functioning at the early “taste” stage of the hierarchy, as she may briefly allow non-preferred foods into her mouth with caregiver assistance but does not swallow them. This reflects limited oral tolerance and emerging sensory exploration. Her behaviors during the evaluation were reported by caregivers to be consistent with her typical feeding patterns at home. ORAL MOTOR SKILLS: During the observation of oral intake, Katerina demonstrated a munch-bite pattern with active lip movement and anterior protrusion/retraction of the tongue, suggesting limited dissociation of oral structures. She presented with several oral motor deficits, including reduced tongue lateralization, a vertical chewing pattern with limited rotary movement, shortened mastication time, and occasional drooling. Poor bolus formation was observed, and she displayed overstuffing behaviors without pulling or biting from larger pieces of food, which further contributed to inefficient mastication. Katerina also did not demonstrate effective spoon stripping during purée trials. Overt signs of pharyngeal dysphagia (i.e., increased respiratory effort and watery eyes) were observed during water consumption via both open cup and straw, which may be attributed to poor coordination of oral and swallow function. By approximately 11 months of age, children are typically expected to demonstrate emerging rotary chewing skills, improved tongue lateralization, and adequate bolus formation across a variety of textures. Ongoing monitoring is recommended as Katerina is introduced to increasingly complex textures during intervention. Overall, she presents with decreased oropharyngeal motor coordination and efficiency, which may be contributing to concerns regarding the safety and effectiveness of her oral intake. RECOMMENDATIONS: Feeding therapy is recommended to address Katerina’s oral dysphagia, oral motor deficits, sensory-based aversions, and regression in food acceptance. Goals will target safer, more efficient intake by addressing poor bolus formation, overstuffing, limited chewing, and swallow coordination. Intervention will focus on rapport-building, increasing tolerance of non-preferred foods through the Steps to Eating Hierarchy and food chaining, and improving oral motor skills for chewing, tongue movement, and bolus control. Parent coaching will be essential, with a home program provided to support carryover, reduce mealtime stress, and encourage safe exploration of new foods. Therapy will be conducted in English with ongoing monitoring of swallow safety.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

56048

Plan Date: 08-13-2025

Feeding Assessment Summary: PATIENT HX: Katerina is an 10-month-old female referred for a feeding evaluation by her pediatrician due to difficulty consuming pureed foods. Her mother, Mrs. Bertolli, and grandmother served as informants for this evaluation. Mrs. Bertolli reported that when purees were introduced between 6–9 months, Katerina did not transition easily and consistently refused these textures. Around July 2025, her mother initiated a baby-led weaning approach, at which time Katerina began to accept solid foods with more success. A primary concern was poor weight gain between 6–9 months; however, since the introduction of baby-led weaning, Katerina has gained approximately one pound. While progress has been noted, her mother continues to express concern regarding food textures, particularly as Katerina tends to eat/drink quickly and will occasionally gag or choke on certain foods. Mrs. Bertolli reported no known allergies and no history of respiratory issues. ORAL MECHANISM/CRANIAL NERVE EXAMINATION: An oral mechanism and cranial nerve examination could not be fully completed, as Katerina did not tolerate intraoral examination at this time. A formal oral mechanism and cranial nerve exam will be attempted when tolerated, as oral anatomy and physiology may contribute to Katerina’s feeding and swallowing challenges. FEEDING EVALUATION: Based on the bedside swallow evaluation and skilled meal observation, Katerina presents with a CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA, characterized by impaired oral intake that is not age-appropriate. These difficulties may be attributed to a combination of medical history (including prior concerns for poor weight gain), nutritional status (limited food repertoire and inconsistent intake), feeding skill deficits (sensory sensitivities and decreased oral motor coordination), and/or psychosocial factors (problematic mealtime behaviors and learned responses). There are also concerns regarding the pharyngeal phase of the swallow, as Katerina demonstrated clinical signs and symptoms of possible aspiration/penetration (i.e., increased respiratory effort, watery eyes) when consuming liquid consistencies. These events may be related to her rapid pace of drinking and lack of pacing. Mrs. Bertolli denied any history of unexplained fevers or aspiration pneumonia. The Pediatric Eating Assessment Tool (PediEAT) was completed by Mrs. Bertolli as a subjective measure of Katerina’s feeding behaviors. Results indicated a rating approaching “Concern” on the subscale for problematic mealtime behaviors. Scores on the remaining subscale including physiologic symptoms, selective/restrictive eating, and oral processing fell within the “No Concern” range. Overall, Katerina’s PediEAT results are consistent with her current diagnosis and observed performance during the feeding evaluation. CURRENT FEEDING: Katerina currently eats with assistance from her parents, with meals typically offered in her highchair on a consistent feeding schedule. She consumes approximately 6 oz of formula three times per day and is introduced to solids three times per day. Each eating session lasts about 20–30 minutes when she accepts the foods presented, but may extend up to an hour when non-preferred foods are offered. Her mother and grandmother expressed concern regarding her limited food inventory, as she currently prefers only about eight foods, including bananas, applesauce, yogurt, sweet fruits, and rotisserie chicken from Sam’s Club. When non-preferred foods are presented, mealtimes often become stressful, lasting up to an hour, and Katerina may gag at the sight of these items. Katerina’s appetite is variable, and she demonstrates a strong preference for crunchy, lumpy, or mixed-consistency foods served warm in temperature. When presented with non-preferred items, she may gag or throw the food. ACCEPTED FOODS: Katerina currently accepts approximately 43 solid foods and 2 liquids (water and formula). Her diet includes a variety of carbohydrate sources (e.g., rice, sweet potato, potato, oatmeal, pancakes, rice-wheat cereal, spaghetti), protein sources (e.g., chicken, turkey, ground beef, ground turkey, nut butter, yogurt, eggs, cheese, broccoli soup, caldo de pollo, chicken and rice), fruits (e.g., apple, blueberries, kiwi, pear, watermelon, strawberry, pineapple, peaches/nectarines, banana, cantaloupe, orange, coconut, mango, plums), and vegetables (e.g., green beans, cauliflower, squash, carrots, peas, broccoli, cucumber, lettuce, spinach). Despite this broad food inventory, she consistently consumes only about 8 preferred foods, with regression in acceptance and increasing selectivity. According to the USDA Dietary Guidelines and the American Academy of Pediatrics (AAP), infants between 8–12 months of age typically require approximately 750–900 calories per day from a varied, nutrient-dense diet. By this stage, formula or breast milk should gradually decrease, with no more than 16 fluid ounces of formula per day, as solid foods become the primary source of nutrition. Infants are generally expected to consume three meals per day with two optional snacks of solids to support adequate growth and development. Katerina’s exact daily caloric intake is unknown; however, based on caregiver report, her limited food acceptance, prolonged mealtimes, and gagging responses to non-preferred items suggest her intake may not be meeting age-appropriate dietary expectations. FEEDING OBSERVATIONS: During the feeding observation, Katerina was seated in a highchair with a stable 90-90-90 posture (hips, knees, and ankles) throughout the session. A variety of foods were presented, including preferred items such as shredded cheese, organic melt hoops, and applesauce. She readily accepted and consumed approximately 70% of the preferred foods offered. When the preferred purée was initially presented, Katerina turned her face away and closed her mouth. With visual and verbal cues provided by her mother, she eventually opened her mouth and accepted the spoon, with her mother and grandmother using verbal praise to encourage intake. Katerina demonstrated adequate bites of the preferred foods with 1:1 supervision. In contrast, when presented with a non-preferred food (at home chicken breast), she immediately gagged, turned her head, and closed her mouth. Parent education was provided regarding the Steps to Eating Hierarchy to help the family understand Katerina’s current level of tolerance for non-preferred foods. According to caregiver report, when non-preferred foods are presented at home, Katerina may allow her parent to place the food in her mouth but will typically spit it out. She demonstrates strong texture-based aversions, particularly to wet or slimy foods. These behaviors are consistent with functioning at the early “taste” stage of the hierarchy, as she may briefly allow non-preferred foods into her mouth with caregiver assistance but does not swallow them. This reflects limited oral tolerance and emerging sensory exploration. Her behaviors during the evaluation were reported by caregivers to be consistent with her typical feeding patterns at home. ORAL MOTOR SKILLS: During the observation of oral intake, Katerina demonstrated a munch-bite pattern with active lip movement and anterior protrusion/retraction of the tongue, suggesting limited dissociation of oral structures. She presented with several oral motor deficits, including reduced tongue lateralization, a vertical chewing pattern with limited rotary movement, shortened mastication time, and occasional drooling. Poor bolus formation was observed, and she displayed overstuffing behaviors without pulling or biting from larger pieces of food, which further contributed to inefficient mastication. Katerina also did not demonstrate effective spoon stripping during purée trials. Overt signs of pharyngeal dysphagia (i.e., increased respiratory effort and watery eyes) were observed during water consumption via both open cup and straw, which may be attributed to poor coordination of oral and swallow function. By approximately 11 months of age, children are typically expected to demonstrate emerging rotary chewing skills, improved tongue lateralization, and adequate bolus formation across a variety of textures. Ongoing monitoring is recommended as Katerina is introduced to increasingly complex textures during intervention. Overall, she presents with decreased oropharyngeal motor coordination and efficiency, which may be contributing to concerns regarding the safety and effectiveness of her oral intake. RECOMMENDATIONS: Feeding therapy is recommended to address Katerina’s oral dysphagia, oral motor deficits, sensory-based aversions, and regression in food acceptance. Goals will target safer, more efficient intake by addressing poor bolus formation, overstuffing, limited chewing, and swallow coordination. Intervention will focus on rapport-building, increasing tolerance of non-preferred foods through the Steps to Eating Hierarchy and food chaining, and improving oral motor skills for chewing, tongue movement, and bolus control. Parent coaching will be essential, with a home program provided to support carryover, reduce mealtime stress, and encourage safe exploration of new foods. Therapy will be conducted in English with ongoing monitoring of swallow safety.

Feeding Rehabilitation Potential: Katerina demonstrates good rehabilitation potential given her engagement during the evaluation, caregiver involvement, and positive response to structured supports. Discharge will be considered once she is consistently meeting therapy goals and demonstrating safe, efficient, and age-appropriate feeding across settings. Caregivers will play a key role in carryover through the Home Management Intervention Program (HMIP) to reduce mealtime stress and support long-term success.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Katerina will improve her feeding/swallowing skills in 5 out of 10 opportunities across 5 consecutive sessions, in order to improve safe and effective feeding for adequate nutritional intake.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Katerina will demonstrate improved oral motor coordination by using tongue lateralization with preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to support safe and efficient bolus formation and swallowing.
Feeding/Swallowing	In 6 months, Katerina will demonstrate improved oral motor coordination by using a diagonal chewing pattern with preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, to promote safe and efficient oral intake.
Feeding/Swallowing	In 6 months,Katerina will consume liquids via controlled pacing (open cup or straw) in 4 out of 5 opportunities without overt signs of pharyngeal compromise (e.g., watery eyes, increased respiratory effort) across 3 consecutive sessions in order to promote safe oral intake.
Feeding/Swallowing	In 6 months, Katerina will tolerate interaction with at least 3 non-preferred foods (e.g., touching, smelling, or brief oral contact) without gagging or distress in 3 out of 5 opportunities across 3 consecutive sessions, to promote expansion of her food repertoire.
Feeding/Swallowing	In 6 months, Katerina’s caregivers will demonstrate the ability to identify and respond to her early stress cues (e.g., gagging, turning away, closing mouth) and implement at least 2 feeding strategies (e.g., pacing, smaller bites, positive reinforcement) with 80% accuracy across 3 consecutive sessions, in order to support safe and positive mealtime experiences.
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.

58356

Plan Date: 02-10-2026

Feeding Assessment Summary: Katerina is a now 16-month-old female who was initially referred for feeding therapy due to difficulty transitioning from purées to solids, concerns for poor weight gain, limited food acceptance, oral motor inefficiency, and clinical signs consistent with oropharyngeal dysphagia. She is being seen today for re-evaluation to determine whether continued skilled feeding therapy remains medically necessary. At the time of her initial evaluation, Katerina presented with CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA characterized by reduced tongue lateralization, immature chewing patterns, overstuffing behaviors, limited tolerance of textures, and clinical signs concerning for pharyngeal dysphagia with liquids, including watery eyes and increased respiratory effort. She relied heavily on purées and bottle feeding and demonstrated decreased bolus formation, inefficient mastication, and poor pacing with liquids. During today’s re-evaluation, Katerina demonstrated significant functional improvement in feeding and swallowing skills. She consumed applesauce via spoon with appropriate spoon stripping and functional bolus manipulation. Mild labial spillage was observed only when the spoon was overloaded; however, once the bolus entered the oral cavity, she demonstrated effective control. She was able to drink applesauce from an open cup without difficulty, indicating improved oral control and coordination. With thin liquids via straw, she demonstrated improved suck–swallow–breathe coordination, sustaining drinking for approximately 6–8 seconds before independently pausing to breathe, and up to 10 seconds on additional trials, without overt clinical signs of aspiration or respiratory distress. When presented with regular solids such as chicken and Cheetos, Katerina demonstrated closed-mouth chewing, active tongue lateralization, emerging rotary mastication, and appropriate mastication time relative to consistency. She was able to manipulate the bolus effectively, determine when additional chewing was required, and safely initiate the swallow. No overt clinical signs or symptoms of aspiration or penetration were observed during any trials presented during this session. Since initiating feeding therapy, Katerina has made substantial gains in dietary variety and feeding independence. Prior to therapy, she primarily consumed purées and bottle feeds. Currently, she accepts a wide range of proteins, starches, fruits, and vegetables, including chicken, meat, brisket, tofu, yogurt, cottage cheese, eggs, ground turkey, turkey breast, pancakes, bread, pasta, rice, mac and cheese, pizza, carrots, sweet potato, cucumber, oranges, squash, tomato, and mixed textures such as brisket combined with beans. Caregiver report confirms that she has discontinued bottle use, demonstrates flexibility with textures, and is able to manage chopped and mixed consistencies safely. Mealtimes are no longer prolonged or stressful, and intake is developmentally appropriate for age. Based on today’s clinical findings and caregiver report, Katerina no longer presents with oropharyngeal dysphagia or pediatric feeding disorder. She demonstrates age-appropriate oral motor coordination, effective bolus formation, safe swallow function, appropriate pacing with liquids, and functional feeding skills across a variety of textures. Her prior feeding challenges have resolved with skilled intervention and caregiver implementation of home strategies. At this time, continued skilled feeding therapy is not medically necessary. Katerina demonstrates safe, efficient, and developmentally appropriate oral intake. Discharge from feeding therapy is recommended. Caregivers were educated to continue offering a balanced diet, maintain appropriate pacing with liquids, and support continued exposure to a variety of textures to reinforce feeding development. Re-referral may be considered should new feeding or swallowing concerns arise in the future.

Feeding Progress to Date: The following are Katerina’s short-term goals and progress made during this authorization period: In 6 months, Katerina will demonstrate improved oral motor coordination by using tongue lateralization with preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to support safe and efficient bolus formation and swallowing. (BASELINE: 1/10: CURRENT: 8/10) GOAL MET In 6 months, Katerina will demonstrate improved oral motor coordination by using a diagonal chewing pattern with preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, to promote safe and efficient oral intake. (BASELINE: 2/10: CURRENT: 6/10) GOAL MET In 6 months,Katerina will consume liquids via controlled pacing (open cup or straw) in 4 out of 5 opportunities without overt signs of pharyngeal compromise (e.g., watery eyes, increased respiratory effort) across 3 consecutive sessions in order to promote safe oral intake. (BASELINE: 0/5: CURRENT: 5/5) GOAL MET In 6 months, Katerina will tolerate interaction with at least 3 non-preferred foods (e.g., touching, smelling, or brief oral contact) without gagging or distress in 3 out of 5 opportunities across 3 consecutive sessions, to promote expansion of her food repertoire. (BASELINE: 0/5: CURRENT: 5/5) GOAL MET In 6 months, Katerina’s caregivers will demonstrate the ability to identify and respond to her early stress cues (e.g., gagging, turning away, closing mouth) and implement at least 2 feeding strategies (e.g., pacing, smaller bites, positive reinforcement) with 80% accuracy across 3 consecutive sessions, in order to support safe and positive mealtime experiences. (BASELINE: 0%: CURRENT: 100%) 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 Katerina met 5/5 short-term goals during this authorization period. Katerina has increased accuracy and made progress toward her goals during this authorization period.

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 Short Term Goals:

Category

Goal Description

Feeding Therapy Soap Note/Visit:

Soap Note

487660

Note Date: 02-27-2026

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

Assessment of Goals/Response to Treatment: Katerina demonstrated improved oral motor coordination by using tongue lateralization with preferred foods in 10 out of 10 opportunities given 10 verbal and 10 visual models. Katerina demonstrated improved oral motor coordination by using a diagonal chewing pattern with preferred foods in 9 out of 10 opportunities given 10 verbal and 10 visual models. Katerina consumed liquids via controlled pacing (open cup or straw) in 5 out of 5 opportunities given 10 verbal and 10 visual models. Katerina tolerated interaction with at least 3 non-preferred foods (e.g., touching, smelling, or brief oral contact) without gagging or distress in 5 out of 5 opportunities given 10 verbal and 10 visual models. Katerina’s caregivers demonstrate the ability to identify and respond to her early stress cues (e.g., gagging, turning away, closing mouth) and implement at least 2 feeding strategies (e.g., pacing, smaller bites, positive reinforcement) with 100% accuracy 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
783977	92610: Feeding Evaluation	08-13-2025 01:00 PM	08-13-2025 02:00 PM	Teresa Serna	NB1 east side	Completed
805961	92526: Feeding Visit	09-12-2025 02:45 PM	09-12-2025 03:15 PM	Teresa Serna	NB2 far east side	Completed
804578	92526: Feeding Visit	09-16-2025 12:30 PM	09-16-2025 01:00 PM	Teresa Serna	NB2 far east side	Completed
806190	92526: Feeding Visit	09-25-2025 12:00 PM	09-25-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
811749	92526: Feeding Visit	10-07-2025 02:00 PM	10-07-2025 02:30 PM	Teresa Serna	NB2 far east side	Completed
806191	92526: Feeding Visit	10-09-2025 12:30 PM	10-09-2025 01:00 PM	Teresa Serna	NB2 far east side	Completed
804615	92526: Feeding Visit	10-14-2025 11:30 AM	10-14-2025 12:00 PM	Teresa Serna	NB2 far east side	Completed
806192	92526: Feeding Visit	10-16-2025 11:45 AM	10-16-2025 12:15 PM	Teresa Serna	NB2 far east side	Completed
806193	92526: Feeding Visit	10-23-2025 12:00 PM	10-23-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
806195	92526: Feeding Visit	10-29-2025 12:00 PM	10-29-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
806194	92526: Feeding Visit	10-30-2025 12:00 PM	10-30-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
806196	92526: Feeding Visit	11-13-2025 12:00 PM	11-13-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
806198	92526: Feeding Visit	11-25-2025 11:30 AM	11-25-2025 12:00 PM	Teresa Serna	NB2 far east side	Completed
806199	92526: Feeding Visit	12-04-2025 12:00 PM	12-04-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
806201	92526: Feeding Visit	12-17-2025 12:00 PM	12-17-2025 12:30 PM	Teresa Serna	NB2 far east side	Completed
857946	92526: Feeding Visit	12-18-2025 12:30 PM	12-18-2025 01:00 PM	Teresa Serna	NB2 far east side	Completed
870731	92526: Feeding Visit	01-13-2026 11:00 AM	01-13-2026 11:30 AM	Teresa Serna	NB2 far east side	Completed
873768	92526: Feeding Visit	01-15-2026 01:30 PM	01-15-2026 02:00 PM	Teresa Serna	NB2 far east side	Completed
806206	92526: Feeding Visit	01-22-2026 12:00 PM	01-22-2026 12:30 PM	Teresa Serna	NB2 far east side	Completed
806207	92526: Feeding Visit	01-29-2026 12:00 PM	01-29-2026 12:30 PM	Teresa Serna	NB2 far east side	Completed
806208	92526: Feeding Visit	02-05-2026 12:30 PM	02-05-2026 01:00 PM	Teresa Serna	NB2 far east side	Completed
885852	S9152: Reevaluation	02-10-2026 10:00 AM	02-10-2026 10:30 AM	Teresa Serna	NB2 far east side	Completed
806209	92526: Feeding Visit	02-12-2026 12:30 PM	02-12-2026 01:00 PM	Teresa Serna	NB2 far east side	Completed
892911	92526: Feeding Visit	02-18-2026 12:30 PM	02-18-2026 01:00 PM	Teresa Serna	NB2 far east side	Completed
806210	92526: Feeding Visit	02-20-2026 12:30 PM	02-20-2026 01:00 PM	Teresa Serna	NB2 far east side	Completed
806211	92526: Feeding Visit	02-26-2026 01:30 PM	02-26-2026 02:00 PM	Teresa Serna	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
768520	92610: Feeding Evaluation	08-07-2025 01:30 PM	08-07-2025 02:30 PM	Teresa Serna	NB1 east side	Canceled
805376	92526: Feeding Visit	09-11-2025 02:30 PM	09-11-2025 03:00 PM	Teresa Serna	NB1 east side	Canceled
806197	92526: Feeding Visit	11-20-2025 12:00 PM	11-20-2025 12:30 PM	Teresa Serna	NB1 east side	Canceled
806200	92526: Feeding Visit	12-10-2025 12:00 PM	12-10-2025 12:30 PM	Teresa Serna	NB2 far east side	Canceled
806202	92526: Feeding Visit	12-25-2025 12:15 PM	12-25-2025 12:45 PM	Teresa Serna	NB2 far east side	Canceled
806203	92526: Feeding Visit	01-01-2026 12:00 PM	01-01-2026 12:30 PM	Teresa Serna	NB2 far east side	Canceled
806204	92526: Feeding Visit	01-08-2026 12:00 PM	01-08-2026 12:30 PM	Teresa Serna	NB2 far east side	Canceled
806205	92526: Feeding Visit	01-15-2026 12:00 PM	01-15-2026 12:30 PM	Teresa Serna	NB2 far east side	Canceled
890693	92526: Feeding Visit	02-17-2026 11:30 AM	02-17-2026 12:00 PM	Teresa Serna	NB2 far east side	Canceled
893397	92526: Feeding Visit	02-25-2026 01:00 PM	02-25-2026 01:30 PM	Teresa Serna	NB2 far east side	Canceled
899686	92526: Feeding Visit	03-05-2026 11:00 AM	03-05-2026 11:30 AM	Teresa Serna	NB2 far east side	Canceled

Paient Notes:

Date	Posted By	Description
09-08-2025	Avery Fontenot	FD Auth starting 09/08/2025 to 03/08/2026 for 1x/wk = 26 visits. Therapist notified.
08-29-2025	Shekinah Velasquez	FD auth request submitted to EPH, pending approval.
08-27-2025	Avery Fontenot	Called doctors office regarding missing signatures no one answered so I left a message. We will call back in a day or two.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-05-2026	92526	Serna, Teresa
02-25-2026	92526	Serna, Teresa
02-17-2026	92526	Serna, Teresa
01-15-2026	92526	Serna, Teresa
01-08-2026	92526	Serna, Teresa
01-01-2026	92526	Serna, Teresa
12-25-2025	92526	Serna, Teresa
12-10-2025	92526	Serna, Teresa
11-20-2025	92526	Serna, Teresa
09-11-2025	92526	Serna, Teresa
08-07-2025	92610	Serna, Teresa
08-07-2025	92610	Serna, Teresa
08-07-2025	92610	Serna, Teresa
08-07-2025	92610	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
07-21-2025 12:15 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=1981
07-21-2025 12:24 PM	Julie Mora	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step1.aspx?sid=1981
07-21-2025 12:48 PM	Julie Mora	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step1.aspx?sid=1981
09-08-2025 11:38 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
09-08-2025 02:59 PM	Shekinah Velasquez	Almanza, Katerina has been assigned a therapist.
09-08-2025 03:12 PM	Shekinah Velasquez	Almanza, Katerina has been assigned a therapist.
11-13-2025 12:45 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 02:51 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:50 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 05:26 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=9604
02-18-2026 04:15 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=9604
03-11-2026 05:41 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
07-24-2025 12:38 AM	Teresa Serna	Hi, my name is Teresa, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9604&tid=113
07-24-2025 12:38 AM	Katerina Almanza	Katerina SCHEDULED: 1:30PM-8/7/2025 92610: Feeding Evaluation
08-03-2025 02:40 PM	Teresa Serna	Good afternoon, my name is Teresa Serna, and I will be the Speech Language Pathologist evaluating Katerina for feeding. 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. Please let me know which of these times works best for you. Thank you, and I look forward to meeting you both!
08-03-2025 03:47 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you 😊
08-03-2025 03:48 PM	Katerina Almanza	Katerina (Prim) Replied: I would like them emailed please 😊
08-03-2025 03:48 PM	Katerina Almanza	Katerina (Prim) Replied: Fsb9286@yahoo.com
08-03-2025 04:00 PM	Teresa Serna	I will go ahead and schedule her in for Tuesday and send you the forms. 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
08-03-2025 04:00 PM	Teresa Serna	**I will go ahead and send you the forms. 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 her 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
08-03-2025 04:11 PM	Katerina Almanza	Katerina (Prim) Replied: Sounds good 👍 thank you
08-03-2025 05:53 PM	Katerina Almanza	Katerina (Prim) Replied:
08-03-2025 05:54 PM	Katerina Almanza	Katerina (Prim) Replied: Hi I'm sorry I just wanted to confirm her appointment is on Thursday August 7th at 1:30
08-04-2025 10:04 AM	Teresa Serna	Correct it is this Thursday at 1:30(: Once you answer those questions I’ll be able to send you the proper documents to sign via email
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:11 PM	Katerina Almanza	Katerina (Prim) Replied:
08-04-2025 06:13 PM	Teresa Serna	Unfortunately, we are unable to see pictures through the messaging system. I'm not sure if that's what was sent
08-04-2025 06:14 PM	Katerina Almanza	Katerina (Prim) Replied: Feeding therapy? 1.) Name and DOB Katerina Almanza / 9-30-24 2.) Any complications with pregnancy or birth? My Pregnancy: my thyroid labs were a little off but no medications taken just monitored and low iron labs my last trimester my obgyn prescribed iron supplements and was fine. *I Did see a maternal fetal specialist to make sure baby was ok my whole pregnancy. I'm assuming my obgyn was considering my maternal age at 38 and I had not carried a baby for 17 years so they just wanted to make sure everything was going as it should. The baby was perfectly healthy they just said she was a little bit little but normal. She weighed 5lbs 14oz . I had a planned C-section that went very well. I stayed in the hospital with the baby for 3 days and was discharged home with no issues. 3.) major illnesses or accident since last check up? No Any medical diagnoses (i.e., down syndrome, etc.)? No 3. Any hospitalization/surgeries? No 4.) developmental milestones met within normal limits? or delayed? Pediatrician says she has met all her milestones even some advanced fine motor skills with the exception of gross motor function being crawling and pulling up to stand alone is not met yet .(Her Pediatrician did already refer her to get an evaluation with physical therapy just to see if she needs some additional help with that. ( she does many gestures to include clapping, waving, points, smiles, laughs, puts arms up to pick her up , jumps in her jumper,hand gestures with songs, turns pages on a book, feeds herself with her hands using pincer and palmar grasp , drinks out of
08-04-2025 06:21 PM	Teresa Serna	Thank you so much for being detailed and taking the time to answer those questions. I truly appreciate it, and it gives me a much clearer insight. I noticed that the evaluation is currently scheduled as a Feeding Evaluation, but it sounds like you may actually be seeking a Speech and Language Evaluation. There might have been an error on our end, but I’ll double-check with the front office when I’m in tomorrow to make sure we have the correct referral from the pediatrician. If there’s a mix-up, it should be a quick and easy fix. I’ll follow up with you tomorrow once I have more information!
08-04-2025 06:22 PM	Teresa Serna	Do you have any concerns with her language/speech?
08-04-2025 06:25 PM	Katerina Almanza	Katerina (Prim) Replied: Your welcome 😁The evaluation is for Feeding from her pediatrician because she wasnt really wanting to eat and not gaining weight. I don't have concerns with her language or speech at the moment
08-04-2025 06:27 PM	Katerina Almanza	Katerina (Prim) Replied: Her referral says R63.8
08-04-2025 06:27 PM	Katerina Almanza	Katerina (Prim) Replied: Other symptoms and signs concerning food and fluid intake
08-04-2025 06:28 PM	Katerina Almanza	Katerina (Prim) Replied: For evaluation and treatment
08-04-2025 06:28 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you 😊
08-04-2025 06:28 PM	Teresa Serna	Okay, perfect, looks like there isn't a mistake! Is she currently doing puree? solids? I will be sending you the documentation needed for the evaluation. Please have it filled, and if you have any questions, please feel free to ask (:
08-04-2025 06:30 PM	Katerina Almanza	Katerina (Prim) Replied: She does lumpy purees and mostly smashed solids cut Bite sized solids and teether puff and snacks
08-04-2025 06:30 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you so much 😊
08-04-2025 06:32 PM	Teresa Serna	Just emailed you the forms(: Looking forward to working with you both! See you Thursday at 1:30 pm
08-04-2025 06:33 PM	Katerina Almanza	Katerina (Prim) Replied: Sounds great 👍 😉 have a nice evening!
08-06-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Evaluation appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
08-06-2025 07:05 PM	Katerina Almanza	Katerina (Prim) Replied: Sounds good 👍 thank you see you tomorrow
08-06-2025 10:20 PM	Katerina Almanza	Katerina (Prim) Replied: Hello I'm sorry to reach out this late but I just had a family emergency come up and will not be able to Make my appointment tommorow if I could please reschedule
08-06-2025 10:20 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.
08-07-2025 06:47 AM	Teresa Serna	Good morning, I hope everything is okay! No worries I will reach out with times for next week later today
08-07-2025 06:48 AM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-8/7/2025 92610: Feeding Evaluation
08-07-2025 06:48 AM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-8/7/2025 92610: Feeding Evaluation
08-07-2025 06:48 AM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-8/7/2025 92610: Feeding Evaluation
08-07-2025 06:48 AM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-8/7/2025 92610: Feeding Evaluation
08-07-2025 02:02 PM	Teresa Serna	I have next Tuesday at 1:30 and Wednesday at 1 open - let me know if these times work for you.
08-07-2025 03:37 PM	Katerina Almanza	Katerina (Prim) Replied: Hello, 😊next Wednesday at 1 pm works thank you very much
08-07-2025 04:19 PM	Teresa Serna	Went ahead and scheduled her in (: hope everything is okay!
08-07-2025 04:21 PM	Katerina Almanza	Katerina (Prim) Replied: Yes thankfully 😊ok awesome 👍
08-12-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
08-12-2025 06:51 PM	Katerina Almanza	Katerina (Prim) Replied: Yes ! Thank you
08-12-2025 06:51 PM	Katerina Almanza	Katerina (Prim) Replied: See you tommorow
08-13-2025 07:51 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
08-13-2025 11:44 AM	Katerina Almanza	Katerina (Prim) Replied: Thank you 😊
08-13-2025 12:45 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=783977
08-13-2025 12:48 PM	Katerina Almanza	Katerina is RUNNING LATE for: 1:00PM-8/13/2025 92610: Feeding Evaluation
08-13-2025 12:58 PM	Katerina Almanza	Katerina is CHECKED IN for: 1:00PM-8/13/2025 92610: Feeding Evaluation
09-09-2025 01:58 PM	Teresa Serna	Hello, this is Teresa the feeding therapist (: We got authorization starting this week to start feeding visits. I currently only have 11:30 tomorrow open; however, if this time does not work for you we can start next week and do an extra visit to make up this week. I have her scheduled on Tuesday at 2:30. Does this time still work for you?
09-09-2025 02:22 PM	Katerina Almanza	Katerina (Prim) Replied: Hi ☺️ can we do next week would you have 1:30
09-09-2025 02:38 PM	Teresa Serna	I have 12:30 on Tuesday (: would that work?
09-09-2025 02:39 PM	Teresa Serna	what is your availability?
09-09-2025 02:43 PM	Teresa Serna	Starting the 23rd I have 1:30 open
09-09-2025 04:49 PM	Katerina Almanza	Katerina (Prim) Replied: Can I do the 23 rd
09-09-2025 04:57 PM	Teresa Serna	Perfect - what about for next week?
09-09-2025 05:01 PM	Katerina Almanza	Katerina (Prim) Replied: Ok for next week I can do the 12:30 Tuesday 16th
09-09-2025 06:30 PM	Teresa Serna	Perfect, we will still have to make up the session that we will be missing this week. I do have another opening this Thursday at 2:00, 2:15, and 2:30 - would any of these times work for you?
09-10-2025 08:26 AM	Katerina Almanza	Katerina (Prim) Replied: Ok Thursday 2:15
09-10-2025 09:04 AM	Katerina Almanza	Katerina (Prim) Replied: I'm sorry do u have Friday or Saturday
09-10-2025 10:04 AM	Katerina Almanza	Katerina (Prim) Replied: I'm sorry Tommorow will work out at 2:15
09-10-2025 11:53 AM	Teresa Serna	Hello(: I currently gave the 2-2:30 slot to another patient but i do have 2:30-3:00 open for tomorrow - would that work?
09-10-2025 11:55 AM	Katerina Almanza	Katerina (Prim) Replied: 2:30 Tommorow please
09-10-2025 01:20 PM	Teresa Serna	Perfect(: tomorrow will be baseline so it will be similar to the evaluation. Please bring in 3 preferred foods and 2 non preferred foods that you would like to work on - let me know if you have any questions
09-10-2025 01:23 PM	Katerina Almanza	Katerina (Prim) Replied: Ok thank you 😊
09-10-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
09-11-2025 07:48 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
09-11-2025 02:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805376
09-11-2025 02:41 PM	Teresa Serna	Hello, the front office informed me there was an accident leading there to be traffic. Unfortunately, per company policy there is a 7 minute grace period. I have another kiddo after so I wouldn't be able to extend it the session.
09-11-2025 02:41 PM	Teresa Serna	We can attempt a telehealth session tomorrow at 2:45 if you are willing to try that route. Let me know (: again sorry for the inconvenience!
09-11-2025 02:45 PM	Teresa Serna	Teresa Serna CANCELLED: 2:30PM-9/11/2025 92526: Feeding Visit
09-11-2025 02:47 PM	Katerina Almanza	Katerina (Prim) Replied: Hi yes I apologize I could definitely do tommorow telehealth appointment 2:45
09-11-2025 03:00 PM	Teresa Serna	No worries! Sorry for the confusion they told me you went to the Rich Beam location. I will see you tomorrow over zoom(:
09-11-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 02:45 PM. - New Beginnings 🙂
09-12-2025 07:34 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 02:45 PM. Here is the link https://us06web.zoom.us/j/85174328686 - New Beginnings 🙂
09-12-2025 10:15 AM	Katerina Almanza	Katerina (Prim) Replied: Thank you
09-14-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 09-16-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-14-2025 04:33 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
09-14-2025 04:33 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.
09-15-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
09-15-2025 06:31 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you
09-15-2025 06:31 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-16-2025 07:52 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/84497653063 - New Beginnings 🙂
09-16-2025 07:55 AM	Katerina Almanza	Katerina (Prim) Replied: Thank you
09-16-2025 08:10 AM	Katerina Almanza	Katerina (Prim) Replied: She only drinks Water no juices right now Friday Egg Pancake Gerber snack chips Small spoon of watermelon Blueberry muffin sprouts small piece At restaurant Bread roll with butter Mashed potatoes with gravy Green beans Water Saturday Banana pancake Strawberries sliced Applesauce sprouts Chicken Thigh Mozzerella cheese Blueberries Cantelope Sunday Egg Veggie sausage Peach Coconut yogurt with mango and strawberry Chicken thigh Ground beef half spoon Blueberry Spit out avocado Monday Banana Pancake Rice cereal Teether snack Sams chicken Colby jack chese slices Sprouts mango appelsauce Pieces of steamed broccoli
09-16-2025 08:11 AM	Katerina Almanza	Katerina (Prim) Replied: Hello ☺️ this is Katerinas food log from Friday to now
09-21-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 09-25-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-23-2025 06:54 AM	Katerina Almanza	Katerina (Prim) Replied: Yes
09-23-2025 06:54 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.
09-24-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
09-25-2025 07:48 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/87253570430 - New Beginnings 🙂
09-25-2025 12:02 PM	Teresa Serna	Ready whenever you are (:
10-05-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 10-07-2025 at 2:00 PM, and on 10-09-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 04:02 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
10-05-2025 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.
10-06-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 02:00 PM. - New Beginnings 🙂
10-06-2025 06:32 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you
10-06-2025 06:32 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.
10-07-2025 07:49 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 02:00 PM. Here is the link https://us06web.zoom.us/j/85138229521 - New Beginnings 🙂
10-07-2025 02:04 PM	Teresa Serna	Ready whenever you are (:
10-08-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
10-09-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/85720924940 - New Beginnings 🙂
10-09-2025 12:31 PM	Teresa Serna	Ready whenever you are (:
10-12-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 10-14-2025 at 11:30 AM, and on 10-16-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-13-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. - New Beginnings 🙂
10-14-2025 07:46 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:30 AM. Here is the link https://us06web.zoom.us/j/87429170892 - New Beginnings 🙂
10-15-2025 12:57 PM	Teresa Serna	Hello(: is there anyway we can move our session to 11:30 tomorrow?
10-15-2025 02:56 PM	Katerina Almanza	Katerina (Prim) Replied: Hi ok she just got vaccines today so she may not eat to good? Is that ok
10-15-2025 02:56 PM	Katerina Almanza	Katerina (Prim) Replied: Tommorow
10-15-2025 03:14 PM	Teresa Serna	I am sorry I meant 11:45 yes we can work on the oral motor component - we can use the chew tube you had mentioned and just cereal not so much focusing on food consumption tomorrow
10-15-2025 03:35 PM	Katerina Almanza	Katerina (Prim) Replied: Ok 👍
10-15-2025 03:35 PM	Katerina Almanza	Katerina (Prim) Replied: 11:45
10-15-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. - New Beginnings 🙂
10-16-2025 07:43 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:45 AM. Here is the link https://us06web.zoom.us/j/85798854662 - New Beginnings 🙂
10-19-2025 01:23 PM	Teresa Serna	Please sign Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9604&app=806192
10-19-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 10-23-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 10:24 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
10-19-2025 10:24 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-22-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
10-22-2025 06:38 PM	Katerina Almanza	Katerina (Prim) Replied: Thanks 😊
10-23-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/87354510842 - New Beginnings 🙂
10-23-2025 12:03 PM	Teresa Serna	Ready whenever you are
10-26-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 10-29-2025 at 12:00 PM, and on 10-30-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:08 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
10-26-2025 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.
10-28-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
10-29-2025 07:44 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/87314975188 - New Beginnings 🙂
10-29-2025 12:29 PM	Teresa Serna	Silicone Honey Bear Straw Cup
10-29-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
10-30-2025 07:45 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/84776814403 - New Beginnings 🙂
11-03-2025 07:54 AM	Teresa Serna	Hello(: just a reminder I won't be here this Thursday but I will see you next week on the 13th.
11-03-2025 02:54 PM	Katerina Almanza	Katerina (Prim) Replied: Ok ☺️ 👍
11-03-2025 02:54 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 11-13-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 05:14 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
11-09-2025 05:14 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.
11-12-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
11-13-2025 07:41 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/82072406969 - New Beginnings 🙂
11-14-2025 11:29 AM	Katerina Almanza	Katerina (Prim) Replied: Hello , for next week for Katerina do you have an 11:00 or 11:30
11-16-2025 12:21 PM	Teresa Serna	Hello, unfortunately I do not have those openings!
11-16-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 11-20-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:08 PM	Teresa Serna	I have Wednesday at 11:30 would that work?
11-16-2025 09:37 PM	Katerina Almanza	Katerina (Prim) Replied: Hi that's ok I'll keep Thursday at 12 she has another appointment Wednesday
11-16-2025 09:37 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-19-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-19-2025 07:40 PM	Katerina Almanza	Katerina (Prim) Replied: Thank you
11-19-2025 07:40 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.
11-20-2025 07:40 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-20-2025 07:40 AM	Katerina Almanza	Katerina (Prim) Replied: Thanks!
11-20-2025 08:32 AM	Katerina Almanza	Katerina (Prim) Replied: Hello I will have to reschedule today's appointment if possible. I am feeling sick a sore throat Actually just checked my temperature. And I do have a high temperature So I'm not sure if I can go into the clinic like that.
11-20-2025 09:22 AM	Teresa Serna	We can go ahead and reschedule! I hope you feel better
11-20-2025 09:22 AM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-11/20/2025 92526: Feeding Visit
11-20-2025 09:25 AM	Katerina Almanza	Katerina (Prim) Replied: Thank you
11-23-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 11-25-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-24-2025 05:32 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
11-24-2025 05:32 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-24-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. - New Beginnings 🙂
11-25-2025 07:37 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:30 AM. Here is the link https://us06web.zoom.us/j/89103431396 - New Beginnings 🙂
11-25-2025 11:36 AM	Teresa Serna	Ready whenever you are
11-25-2025 11:37 AM	Katerina Almanza	Katerina (Prim) Replied: I'm here
11-25-2025 11:37 AM	Katerina Almanza	Katerina (Prim) Replied: In the clinic
11-25-2025 12:04 PM	Teresa Serna	It was so nice to see you! She is progressing so well
11-25-2025 12:19 PM	Katerina Almanza	Katerina (Prim) Replied: Yes it was ! Thank you and happy Thanksgiving 😊 🦃
11-30-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 12-04-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:12 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
11-30-2025 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.
12-03-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
12-03-2025 06:56 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
12-04-2025 07:40 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/82446188582 - New Beginnings 🙂
12-07-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 12-10-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-09-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
12-09-2025 11:04 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
12-09-2025 11:04 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.
12-10-2025 07:38 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/88935925338 - New Beginnings 🙂
12-10-2025 12:07 PM	Teresa Serna	ready whenever you are
12-10-2025 12:10 PM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-12/10/2025 92526: Feeding Visit
12-10-2025 04:01 PM	Katerina Almanza	Katerina (Prim) Replied: Hello I'm so sorry we missed the appointment the baby had her flu shot so she had just eaten toast and fell back asleep at the appointment time
12-10-2025 04:13 PM	Teresa Serna	No worries (: just shoot me a text next time so I can go ahead and cancel the session I have tomorrow at 1pm open - would you be able to do a session?
12-10-2025 04:25 PM	Katerina Almanza	Katerina (Prim) Replied: I can but She may not eat if that's ok maybe just a snack ?
12-10-2025 04:35 PM	Teresa Serna	What if we do Tuesday at 11:00 AM instead (:
12-10-2025 04:37 PM	Katerina Almanza	Katerina (Prim) Replied: Ok 😊
12-14-2025 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 12-17-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:17 PM	Teresa Serna	Hello(: can I see Katerina at 12:00 PM on Wednesday for a make up instead?
12-14-2025 04:56 PM	Katerina Almanza	Katerina (Prim) Replied: Ok!
12-14-2025 04:56 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 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
12-17-2025 07:38 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/83035055876 - New Beginnings 🙂
12-17-2025 11:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806201
12-17-2025 12:55 PM	Katerina Almanza	Katerina (Prim) Replied: She ended up eating her banana and a quarter of my quesadilla ☺️
12-17-2025 02:55 PM	Teresa Serna	yay! shes doing so good!
12-17-2025 02:58 PM	Katerina Almanza	Katerina (Prim) Replied: ☺️
12-17-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
12-17-2025 06:59 PM	Katerina Almanza	Katerina (Prim) Replied: 👍
12-18-2025 07:58 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/89130719088 - New Beginnings 🙂
12-18-2025 12:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=857946
12-18-2025 12:35 PM	Katerina Almanza	Katerina (Prim) Replied: Hello I'm getting on zoom my phone kept turning off
12-18-2025 02:45 PM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-1/1/2026 92526: Feeding Visit
12-18-2025 02:53 PM	Teresa Serna	Teresa Serna CANCELLED: 12:15PM-12/25/2025 92526: Feeding Visit
01-04-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 01-08-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-05-2026 01:13 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
01-05-2026 01:13 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.
01-07-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
01-08-2026 07:40 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/81557652856 - New Beginnings 🙂
01-08-2026 11:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806204
01-08-2026 12:09 PM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-1/8/2026 92526: Feeding Visit
01-11-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 01-15-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 05:16 PM	Teresa Serna	Hello, would I be able to see Katerina on Tuesday at 10:30 to make up the session on Thursday?
01-11-2026 09:53 PM	Katerina Almanza	Katerina (Prim) Replied: Hello sorry ! Yes we can do Tuesday and then the 15th
01-11-2026 09:53 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	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. - New Beginnings 🙂
01-13-2026 08:10 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:00 AM. Here is the link https://us06web.zoom.us/j/82111869167 - New Beginnings 🙂
01-13-2026 10:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=870731
01-14-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
01-15-2026 07:39 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/81831207931 - New Beginnings 🙂
01-15-2026 11:19 AM	Katerina Almanza	Katerina (Prim) Replied: Hi are u able to do 1230? Something came up so I need to take Katerina to my mother in laws right now
01-15-2026 11:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806205
01-15-2026 11:48 AM	Teresa Serna	I have 1:30 open today - would that work?
01-15-2026 11:50 AM	Katerina Almanza	Katerina (Prim) Replied: Yes 😊
01-15-2026 11:55 AM	Teresa Serna	Teresa Serna CANCELLED: 12:00PM-1/15/2026 92526: Feeding Visit
01-15-2026 01:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=873768
01-15-2026 01:29 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has an appointment scheduled on 01-15-2026 via telehealth at 01:30 PM. Here is the link https://us06web.zoom.us/j/82387370248 - New Beginnings 🙂
01-15-2026 01:46 PM	Teresa Serna	chewy tube
01-18-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 01-22-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-21-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
01-21-2026 08:20 PM	Katerina Almanza	Katerina (Prim) Replied: Yes
01-21-2026 08:20 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.
01-22-2026 07:39 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/89445318428 - New Beginnings 🙂
01-22-2026 11:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806206
01-25-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 01-29-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 07:04 PM	Teresa Serna	Please sign: Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9604&app=806206
01-26-2026 12:38 PM	Teresa Serna	Hello: can you pleas sign last weeks visit Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9604&app=806206
01-28-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. - New Beginnings 🙂
01-29-2026 07:37 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:00 PM. Here is the link https://us06web.zoom.us/j/89680029890?pwd=ll7U2diW6NAxfszADgZ5b6QzI9X6N5.1 - New Beginnings 🙂
01-29-2026 11:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806207
02-01-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 02-05-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-04-2026 05:10 PM	Teresa Serna	Hello(: can we move our session to 12:30 tomorrow?
02-04-2026 05:54 PM	Katerina Almanza	Katerina (Prim) Replied: Hello yes 👍
02-04-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
02-05-2026 07:38 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/87846673662?pwd=POt93B5HJv7B0zj77aOWhg8QI0bYRp.1 - New Beginnings 🙂
02-05-2026 12:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806208
02-08-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Speech/Feeding Therapy appointment on 02-10-2026 at 10:00 AM, and on 02-12-2026 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-09-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 10:00 AM. - New Beginnings 🙂
02-10-2026 08:06 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Speech/Feeding Reevaluation appointment scheduled today at 10:00 AM. Here is the link https://us06web.zoom.us/j/87564643317?pwd=tV3JxnbIo6fm1XerMwqKxpcpTVc3rq.1 - New Beginnings 🙂
02-10-2026 09:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=885852
02-10-2026 10:04 AM	Katerina Almanza	Katerina (Prim) Replied: Hi If you can give me like 2 min
02-11-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
02-12-2026 07:38 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/84688741140?pwd=OlYR51gHbr7YMH2edKDp72Lg2GmDlw.1 - New Beginnings 🙂
02-12-2026 12:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806209
02-15-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 02-17-2026 at 11:30 AM, and on 02-19-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. - New Beginnings 🙂
02-17-2026 12:41 AM	Katerina Almanza	Katerina (Prim) Replied: Yes
02-17-2026 12:41 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 03:49 AM	Katerina Almanza	Katerina (Prim) Replied: For 2-19 I won't be able to make that appointment if we can reschedule it
02-17-2026 03:49 AM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 08:06 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:30 AM. Here is the link https://us06web.zoom.us/j/88478418143 - New Beginnings 🙂
02-17-2026 11:15 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=890693
02-17-2026 11:37 AM	Teresa Serna	ready whenever you are
02-17-2026 11:47 AM	Teresa Serna	Teresa Serna CANCELLED: 11:30AM-2/17/2026 92526: Feeding Visit
02-17-2026 12:32 PM	Katerina Almanza	Katerina (Prim) Replied: Hello I'm sorry I wasn't feeling well Katerina was with her dad so I did not hear my alarm early enough to go pick her up for the appointment today if we can reschedule thank you
02-17-2026 02:18 PM	Teresa Serna	I have tomorrow at 12:30 open would that work?
02-17-2026 02:24 PM	Katerina Almanza	Katerina (Prim) Replied: Yes thank you
02-17-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
02-18-2026 08:00 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/85771902473 - New Beginnings 🙂
02-18-2026 12:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=892911
02-19-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. - New Beginnings 🙂
02-20-2026 07:31 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 12:30 PM. Here is the link https://us06web.zoom.us/j/81463425610 - New Beginnings 🙂
02-20-2026 12:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806210
02-20-2026 12:56 PM	Teresa Serna	cherry tomato, tomato, kiwi, banana
02-22-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 02-25-2026 at 1:00 PM, and on 02-26-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-24-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. - New Beginnings 🙂
02-25-2026 07:57 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 01:00 PM. Here is the link https://us06web.zoom.us/j/82025277078 - New Beginnings 🙂
02-25-2026 12:45 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=893397
02-25-2026 01:54 PM	Teresa Serna	Teresa Serna CANCELLED: 1:00PM-2/25/2026 92526: Feeding Visit
02-25-2026 04:58 PM	Teresa Serna	would it be possible to move our session to 1:30 tomorrow?
02-25-2026 05:13 PM	Katerina Almanza	Katerina (Prim) Replied: Hello yes we can do that tommorow sorry today they took longer at the clinic she got her last vaccinations
02-25-2026 05:17 PM	Teresa Serna	perfect thank you so much
02-25-2026 05:28 PM	Katerina Almanza	Katerina (Prim) Replied: 👍😊
02-25-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 01:30 PM. - New Beginnings 🙂
02-26-2026 07:37 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 01:30 PM. Here is the link https://us06web.zoom.us/j/88465271381 - New Beginnings 🙂
02-26-2026 01:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=806211
02-26-2026 02:12 PM	Katerina Almanza	Katerina (Prim) Replied: Hi sorry my phone died!
03-01-2026 04:01 PM	Teresa Serna	Hi, this is a just a reminder that Almanza, Katerina has a Feeding Therapy appointment on 03-05-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-04-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. - New Beginnings 🙂
03-05-2026 07:57 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 11:00 AM. Here is the link https://us06web.zoom.us/j/87141569905 - New Beginnings 🙂
03-05-2026 10:45 AM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=899686
03-05-2026 10:52 AM	Katerina Almanza	Katerina (Prim) Replied: Hi she still asleep 😴 trying to wake her up can you do 11:30?
03-05-2026 10:59 AM	Teresa Serna	Hello(: i see a patient at 11:30 but i have tomorrow at 2:30 open - would that work?
03-05-2026 10:59 AM	Teresa Serna	Teresa Serna CANCELLED: 11:00AM-3/5/2026 92526: Feeding Visit
03-05-2026 11:03 AM	Katerina Almanza	Katerina (Prim) Replied: Ok tommorow at 2:30 ☺️
03-05-2026 11:35 AM	Teresa Serna	perfect thank you
03-05-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled tomorrow at 02:30 PM. - New Beginnings 🙂
03-06-2026 07:36 AM	Teresa Serna	Hi, this is a just a reminder that Katerina has a Feeding Therapy appointment scheduled today at 02:30 PM. Here is the link https://us06web.zoom.us/j/88925480479 - New Beginnings 🙂
03-06-2026 01:09 PM	Teresa Serna	Hello! Can we move our session to 3:30pm?
03-06-2026 01:22 PM	Katerina Almanza	Katerina (Prim) Replied: Hi she woke up early today at 8 am so she won't make it awake till 3:30 😵‍💫 we can try or maybe reschedule ?
03-06-2026 01:26 PM	Teresa Serna	We can stick to the 2:30, do you think she’ll stay awake?
03-06-2026 01:29 PM	Teresa Serna	Or do you want to cancel? We can do 8am tomorrow?
03-06-2026 01:30 PM	Katerina Almanza	Katerina (Prim) Replied: Can we try 2:30 ?
03-06-2026 01:34 PM	Teresa Serna	Yes (:
03-06-2026 02:15 PM	Teresa Serna	Katerina Almanza : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=903528
03-06-2026 02:39 PM	Teresa Serna	Is the link working for you?