Patient Name: Alexander

Patient Information:

Patient ID: 9665
Patient First Name: Alexander
Patient Date of Birth: 11-23-2020
Gender: male
Assigned Office: NB1 east side
Primary Care Physician: Riddhi, Patel
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Haduck, Rachael
FD - Feeding Therapy:
OT - Occupational Therapy: Key, Guadalupe
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23309Active02-02-202605-03-2026Superior Health Plan26000
23297Active02-02-202604-03-2026Superior Health Plan002170

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2562710-11-2025Speech Initial EvaluationF80.2, F84.0
Speech Background History: Alexander is a 4-year, 10-month-old male referred for a comprehensive speech and language evaluation due to concerns regarding his ability to express himself effectively. Background information was obtained through a parent interview and formal testing. His mother served as the primary informant throughout the evaluation and provided relevant developmental, medical, and behavioral history. Alexander was born full-term following an unremarkable pregnancy and delivery. He was diagnosed with Autism Spectrum Disorder at 18 months of age by Dr. Patel, according to his mother. She reported that all developmental milestones were met within normal limits, with the exception of speech and language. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Alexander passed both his vision and hearing screenings and is not currently taking any medications. He currently attends pre-kindergarten in a special education classroom full day, where he also receives school-based speech therapy services. Alexander previously received private speech therapy and occupational therapy for six months at New Beginnings, but services were discontinued due to insurance limitations. His mother continues to express concerns about his communication skills, noting that he has significant difficulty expressing his wants and needs effectively. She reported that Alexander often becomes frustrated when unable to communicate and may engage in behaviors such as grabbing objects, shaking his head, screaming, crying, slapping himself, or lining items up. His primary methods of communication include jargon, gestures, and simple signs such as β€œmore,” β€œthank you,” β€œplease,” and β€œmama.” He also occasionally vocalizes simple sounds or words such as β€œmama” and β€œdada,” though most communication is nonverbal or through physical actions.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None at this time
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Easily separated from Parents, Follows verbal command with cues, Interactive, Understands nuances of language,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor use of eye contact, Poor vocabulary, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns,
Speech Background Summary:
Speech Diagnosis/Impressions: Alexander is a 4-year, 10-month-old male referred for a comprehensive speech and language evaluation due to concerns regarding his ability to express himself effectively. Background information was obtained through a parent interview and formal testing. His mother served as the primary informant throughout the evaluation and provided relevant developmental, medical, and behavioral history. Alexander was born full-term following an unremarkable pregnancy and delivery. He was diagnosed with Autism Spectrum Disorder at 18 months of age by Dr. Patel, according to his mother. She reported that all developmental milestones were met within normal limits, with the exception of speech and language. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Alexander passed both his vision and hearing screenings and is not currently taking any medications. He currently attends pre-kindergarten in a special education classroom full day, where he also receives school-based speech therapy services. Alexander previously received private speech therapy and occupational therapy for six months at New Beginnings, but services were discontinued due to insurance limitations. His mother continues to express concerns about his communication skills, noting that he has significant difficulty expressing his wants and needs effectively. She reported that Alexander often becomes frustrated when unable to communicate and may engage in behaviors such as grabbing objects, shaking his head, screaming, crying, slapping himself, or lining items up. His primary methods of communication include jargon, gestures, and simple signs such as β€œmore,” β€œthank you,” β€œplease,” and β€œmama.” He also occasionally vocalizes simple sounds or words such as β€œmama” and β€œdada,” though most communication is nonverbal or through physical actions. The Preschool Language Scales, Fifth Edition (PLS-5), was administered in English, as English is the dominant language spoken in the home. The clinician utilized this standardized assessment to gather information about Alexander’s current language abilities. However, the results should be interpreted with caution, as the PLS-5 was not standardized on children with Autism Spectrum Disorder. Due to Alexander’s low functional communication level and limited expressive language skills, the results are for informational purposes only and should be used in conjunction with clinical observation and parent report. On the PLS-5, Alexander received the following scores: Auditory Comprehension – Raw Score: 14, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; Expressive Communication – Raw Score: 15, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; and Total Language Score – Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months. These results indicate that Alexander presents with a profound mixed receptive and expressive language disorder, with overall language abilities significantly below age expectations. This suggests that Alexander demonstrates considerable difficulty understanding and using language in age-appropriate contexts, impacting his ability to communicate effectively across daily routines and structured activities. These results indicate that Alexander presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER, with overall language skills significantly below age expectations. In the area of Auditory Comprehension, Alexander demonstrated several emerging strengths. He was able to interrupt an activity when his name was called, look toward objects or people when his caregiver pointed or named them, and respond to inhibitory words such as β€œno.” However, he displayed notable difficulty engaging in functional, relational, and self-directed play; following familiar one-step directions even with gestural cues; identifying familiar objects or pictures from a group; and comprehending routine instructions without additional support. For Expressive Communication, Alexander demonstrated strengths in his ability to babble two syllables together, use representational and symbolic gestures, and produce at least one real word. However, significant difficulties were observed in his ability to sustain play routines for one minute with appropriate eye contact, imitate words or sounds, produce varied consonant-vowel combinations, initiate social games or turn-taking activities, and use at least five consistent words for communication. His speech was largely characterized by jargon and limited meaningful verbal output. Observations and caregiver report further indicate that Alexander primarily communicates through nonverbal means such as gestures, hand-leading, and sign language. While he is capable of using a few basic signs, his communication remains inconsistent and limited, impacting his ability to interact socially and express his needs safely and effectively. Overall, findings from standardized testing, clinical observation, and parent input indicate that Alexander presents with a profound mixed receptive and expressive language disorder in the context of Autism Spectrum Disorder. His language abilities are consistent with those of a child functioning at approximately 10 months of age. For comparison, by 4 years of age, children are typically expected to understand and answer simple β€œwh” questions, follow multi-step directions, use complete sentences, engage in back-and-forth conversations, and be understood by both familiar and unfamiliar listeners. Compared to these developmental milestones, Alexander demonstrates significant delays that impact his communication, learning, and social participation. It is medically and educationally necessary for Alexander to receive ongoing speech and language therapy to increase his functional communication skills, support social interaction, and promote overall language development. Therapy will focus on building foundational receptive and expressive language abilities, increasing verbal and nonverbal communication, and supporting emotional regulation through communication. Therapy will be conducted in English.
Speech Diagnosis/Impressions: Alexander is a 4-year, 10-month-old male referred for a comprehensive speech and language evaluation due to concerns regarding his ability to express himself effectively. Background information was obtained through a parent interview and formal testing. His mother served as the primary informant throughout the evaluation and provided relevant developmental, medical, and behavioral history. Alexander was born full-term following an unremarkable pregnancy and delivery. He was diagnosed with Autism Spectrum Disorder at 18 months of age by Dr. Patel, according to his mother. She reported that all developmental milestones were met within normal limits, with the exception of speech and language. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Alexander passed both his vision and hearing screenings and is not currently taking any medications. He currently attends pre-kindergarten in a special education classroom full day, where he also receives school-based speech therapy services. Alexander previously received private speech therapy and occupational therapy for six months at New Beginnings, but services were discontinued due to insurance limitations. His mother continues to express concerns about his communication skills, noting that he has significant difficulty expressing his wants and needs effectively. She reported that Alexander often becomes frustrated when unable to communicate and may engage in behaviors such as grabbing objects, shaking his head, screaming, crying, slapping himself, or lining items up. His primary methods of communication include jargon, gestures, and simple signs such as β€œmore,” β€œthank you,” β€œplease,” and β€œmama.” He also occasionally vocalizes simple sounds or words such as β€œmama” and β€œdada,” though most communication is nonverbal or through physical actions. The Preschool Language Scales, Fifth Edition (PLS-5), was administered in English, as English is the dominant language spoken in the home. The clinician utilized this standardized assessment to gather information about Alexander’s current language abilities. However, the results should be interpreted with caution, as the PLS-5 was not standardized on children with Autism Spectrum Disorder. Due to Alexander’s low functional communication level and limited expressive language skills, the results are for informational purposes only and should be used in conjunction with clinical observation and parent report. On the PLS-5, Alexander received the following scores: Auditory Comprehension – Raw Score: 14, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; Expressive Communication – Raw Score: 15, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; and Total Language Score – Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months. These results indicate that Alexander presents with a profound mixed receptive and expressive language disorder, with overall language abilities significantly below age expectations. This suggests that Alexander demonstrates considerable difficulty understanding and using language in age-appropriate contexts, impacting his ability to communicate effectively across daily routines and structured activities. These results indicate that Alexander presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER, with overall language skills significantly below age expectations. In the area of Auditory Comprehension, Alexander demonstrated several emerging strengths. He was able to interrupt an activity when his name was called, look toward objects or people when his caregiver pointed or named them, and respond to inhibitory words such as β€œno.” However, he displayed notable difficulty engaging in functional, relational, and self-directed play; following familiar one-step directions even with gestural cues; identifying familiar objects or pictures from a group; and comprehending routine instructions without additional support. For Expressive Communication, Alexander demonstrated strengths in his ability to babble two syllables together, use representational and symbolic gestures, and produce at least one real word. However, significant difficulties were observed in his ability to sustain play routines for one minute with appropriate eye contact, imitate words or sounds, produce varied consonant-vowel combinations, initiate social games or turn-taking activities, and use at least five consistent words for communication. His speech was largely characterized by jargon and limited meaningful verbal output. Observations and caregiver report further indicate that Alexander primarily communicates through nonverbal means such as gestures, hand-leading, and sign language. While he is capable of using a few basic signs, his communication remains inconsistent and limited, impacting his ability to interact socially and express his needs safely and effectively. Overall, findings from standardized testing, clinical observation, and parent input indicate that Alexander presents with a profound mixed receptive and expressive language disorder in the context of Autism Spectrum Disorder. His language abilities are consistent with those of a child functioning at approximately 10 months of age. For comparison, by 4 years of age, children are typically expected to understand and answer simple β€œwh” questions, follow multi-step directions, use complete sentences, engage in back-and-forth conversations, and be understood by both familiar and unfamiliar listeners. Compared to these developmental milestones, Alexander demonstrates significant delays that impact his communication, learning, and social participation. It is medically and educationally necessary for Alexander to receive ongoing speech and language therapy to increase his functional communication skills, support social interaction, and promote overall language development. Therapy will focus on building foundational receptive and expressive language abilities, increasing verbal and nonverbal communication, and supporting emotional regulation through communication. Therapy will be conducted in English.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
56843
Plan Date: 10-11-2025
Speech Assessment Summary: Alexander is a 4-year, 10-month-old male referred for a comprehensive speech and language evaluation due to concerns regarding his ability to express himself effectively. Background information was obtained through a parent interview and formal testing. His mother served as the primary informant throughout the evaluation and provided relevant developmental, medical, and behavioral history. Alexander was born full-term following an unremarkable pregnancy and delivery. He was diagnosed with Autism Spectrum Disorder at 18 months of age by Dr. Patel, according to his mother. She reported that all developmental milestones were met within normal limits, with the exception of speech and language. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Alexander passed both his vision and hearing screenings and is not currently taking any medications. He currently attends pre-kindergarten in a special education classroom full day, where he also receives school-based speech therapy services. Alexander previously received private speech therapy and occupational therapy for six months at New Beginnings, but services were discontinued due to insurance limitations. His mother continues to express concerns about his communication skills, noting that he has significant difficulty expressing his wants and needs effectively. She reported that Alexander often becomes frustrated when unable to communicate and may engage in behaviors such as grabbing objects, shaking his head, screaming, crying, slapping himself, or lining items up. His primary methods of communication include jargon, gestures, and simple signs such as β€œmore,” β€œthank you,” β€œplease,” and β€œmama.” He also occasionally vocalizes simple sounds or words such as β€œmama” and β€œdada,” though most communication is nonverbal or through physical actions. The Preschool Language Scales, Fifth Edition (PLS-5), was administered in English, as English is the dominant language spoken in the home. The clinician utilized this standardized assessment to gather information about Alexander’s current language abilities. However, the results should be interpreted with caution, as the PLS-5 was not standardized on children with Autism Spectrum Disorder. Due to Alexander’s low functional communication level and limited expressive language skills, the results are for informational purposes only and should be used in conjunction with clinical observation and parent report. On the PLS-5, Alexander received the following scores: Auditory Comprehension – Raw Score: 14, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; Expressive Communication – Raw Score: 15, Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months; and Total Language Score – Standard Score: 50, Percentile Rank: 1, Age Equivalent: 10 months. These results indicate that Alexander presents with a profound mixed receptive and expressive language disorder, with overall language abilities significantly below age expectations. This suggests that Alexander demonstrates considerable difficulty understanding and using language in age-appropriate contexts, impacting his ability to communicate effectively across daily routines and structured activities. These results indicate that Alexander presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER, with overall language skills significantly below age expectations. In the area of Auditory Comprehension, Alexander demonstrated several emerging strengths. He was able to interrupt an activity when his name was called, look toward objects or people when his caregiver pointed or named them, and respond to inhibitory words such as β€œno.” However, he displayed notable difficulty engaging in functional, relational, and self-directed play; following familiar one-step directions even with gestural cues; identifying familiar objects or pictures from a group; and comprehending routine instructions without additional support. For Expressive Communication, Alexander demonstrated strengths in his ability to babble two syllables together, use representational and symbolic gestures, and produce at least one real word. However, significant difficulties were observed in his ability to sustain play routines for one minute with appropriate eye contact, imitate words or sounds, produce varied consonant-vowel combinations, initiate social games or turn-taking activities, and use at least five consistent words for communication. His speech was largely characterized by jargon and limited meaningful verbal output. Observations and caregiver report further indicate that Alexander primarily communicates through nonverbal means such as gestures, hand-leading, and sign language. While he is capable of using a few basic signs, his communication remains inconsistent and limited, impacting his ability to interact socially and express his needs safely and effectively. Overall, findings from standardized testing, clinical observation, and parent input indicate that Alexander presents with a profound mixed receptive and expressive language disorder in the context of Autism Spectrum Disorder. His language abilities are consistent with those of a child functioning at approximately 10 months of age. For comparison, by 4 years of age, children are typically expected to understand and answer simple β€œwh” questions, follow multi-step directions, use complete sentences, engage in back-and-forth conversations, and be understood by both familiar and unfamiliar listeners. Compared to these developmental milestones, Alexander demonstrates significant delays that impact his communication, learning, and social participation. It is medically and educationally necessary for Alexander to receive ongoing speech and language therapy to increase his functional communication skills, support social interaction, and promote overall language development. Therapy will focus on building foundational receptive and expressive language abilities, increasing verbal and nonverbal communication, and supporting emotional regulation through communication. Therapy will be conducted in English.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement in the area of his impairments is good with continues and consistent speech therapy and parental support. Alexander will be discharged when he achieves a standard score above 1 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the average range and he will have met all long term therapy goal.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen 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.
Receptive LanguageWithin 1 year, Alexander will utilize age appropriate receptive language skills in order to communicate effectively with family and peers with 80% accuracy.
Expressive LanguageWithin 1 year,Alexander will utilize age appropriate expressive language skills in order to communicate effectively with family and peers with 80% accuracy.
Speech and Language Short Term Goals:
CategoryGoal Description
Receptive LanguageIn 6 months, utilizing early language therapy, Alexander will follow oneΒ­step directions with visual and verbal cues in structured and playΒ­based activities with 30% accuracy across three consecutive sessions to support comprehension and participation in daily routines.
Receptive LanguageIn 6 months, utilizing early language therapy, Alexander will identify familiar objects, pictures, or actions from a field of four with 30% accuracy using visual and verbal prompts to increase receptive vocabulary and comprehension of familiar concepts.
Expressive LanguageIn 6 months, utilizing early language therapy, Alexander will request preferred items or actions during structured and playΒ­based activities with 30% accuracy to encourage functional communication to express wants and needs effectively.
Expressive LanguageIn 6 months, utilizing early language therapy, Alexander will imitate environmental sounds, words, or short phrases during structured play or daily routines with 30% accuracy given maximal verbal and visual cues to promote imitation and expands expressive vocabulary.
Play/SocializationIn 6 months, utilizing early language therapy, Alexander will engage in reciprocal play routines (e.g., turnΒ­taking, joint attention, shared play) with the therapist or caregiver for 2 minutes with visual/verbal support in 3 consecutive sessions to help build early social communication skills necessary for meaningful interactions.
58758
Plan Date: 03-02-2026
Speech Assessment Summary: Alex is a 5-year, 3-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Autism Spectrum Disorder (F84.0). These deficits impact Alex's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Alex receives services 2x/week for up to 60-Β­minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Alex is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Alex's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-Β­appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Alex is not able to clearly or effectively communicate his needs and wants for his personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longΒ­term services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-Β­language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Alex will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations. LANGUAGE: The Preschool Language Scales Fifth Edition (PLSΒ­-5) is an individually administered instrument used to assess a child's receptive and expressive language skills from birth to age 7:11. The assessment identifies receptive and expressive language skills in the areas of attention, gesture, play, vocal development, basic concepts, language structure, integrative language, and literacy development. The PLS5 consists of the Auditory Comprehension standardized scale and the Expressive Communication standardized scale to obtain a Total Language Score and determine if the child is presenting with a language delay or disorder. The PLSΒ­5 was administered to evaluate Alex's auditory comprehension and expressive communication skills. - Auditory Comprehension: RS 32; SS 57 - Expressive Communication: RS 28; SS 54 - Total Language: RS 114 ; SS 52 Per the auditory comprehension assessment, Alex is able to follow 1Β­-step directions given verbal, gestural, and tactile cues, engage in symbolic play and turnΒ­-taking, respond to name given verbal repetition and tactile cues, respond to inhibitory words 'no, wait, stop,' and identify common nouns , verbs, and objects given verbal repetition. He is not able to consistently respond to name, follow 1Β­-step directions without support, identify object function, consistently identify colors, and inconsistently basic body parts, verbs, or common objects with or without support, understand 'who, what (do), where' questions with or without support, or understand pronouns. Per the expressive communication assessment, Alex is able to use singleΒ­-word utterances and/or sign for a variety of pragmatic functions given direct models, participate in greetings and farewells given prompts, and label pictured items, tangible nouns, and verbs given direct models. He is not able to use more words than gestures, consistently use single-Β­words, signs, or symbols for a variety of pragmatic functions without prompts or models, use approximately 60-words, produce a variety of C-V combinations without support, imitate environmental and play sounds with or without support, answer basic 'who, what (do), where' questions with or without support, label basic body parts, verbs, or common objects or pictures nouns without prompts, or use pronouns.
Speech Progress to Date: LTG: - #1: Within 1 year, Alexander will utilize age appropriate receptive language skills in order to communicate effectively with family and peers with 80% accuracy. - #2: Within 1 year,Alexander will utilize age appropriate expressive language skills in order to communicate effectively with family and peers with 80% accuracy STG: #1.1: In 6 months, utilizing early language therapy, Alexander will follow onestep directions with visual and verbal cues in structured and play-based activities with 30% accuracy across three consecutive sessions to support comprehension and participation in daily routines. #1.2: In 6 months, utilizing early language therapy, Alexander will identify familiar objects, pictures, or actions from a field of four with 30% accuracy using visual and verbal prompts to increase receptive vocabulary and comprehension of familiar concepts. - Β­ Baseline: 5% - Β­ Current level of function: 15% - Β­ Goal met: NO Β­- Recommendations: continue goal with modifications #2.1: In 6 months, utilizing early language therapy, Alexander will imitate environmental sounds, words, or short phrases during structured play or daily routines with 30% accuracy given maximal verbal and visual cues to promote imitation and expands expressive vocabulary. - Β­ Baseline: 5% - Β­ Current level of function: 15% - Β­ Goal met: NO Β­- Recommendations: continue goal with modifications #2.2: In 6 months, utilizing early language therapy, Alexander will request preferred items or actions during structured and play-based activities with 30% accuracy to encourage functional communication to express wants and needs effectively. - Β­ Baseline: 5% - Β­ Current level of function: 20% - Β­ Goal met: NO Β­- Recommendations: continue goal with modifications #2.3: In 6 months, utilizing early language therapy, Alexander will engage in reciprocal play routines (e.g., turn-taking, joint attention, shared play) with the therapist or caregiver for 2 minutes with visual/verbal support in 3 consecutive sessions to help build early social communication skills necessary for meaningful interactions. - Β­ Baseline: 0% - Β­ Current level of function: 15% at 30-second intervals - Β­ Goal met: NO Β­- Recommendations: continue goal with modifications
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with skilled speechΒ­ language therapy is good; prognosis without therapy is guarded. Alex presents with a severe mixed receptive and expressive language disorder, requiring ongoing intervention to improve his ability to understand and use age-appropriate language, communicate his wants and needs effectively, engage in back-and-forth interactions, and develop early social-pragmatic skills within daily routines and play-based activities. He will be discharged from therapy when all goals are met and he demonstrates functional ageΒ­-appropriate pragmatic skills, supported by standardized scores above –1.5 SD in all targeted areas, indicating skills within the mild or average range.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language#1: By discharge, Alexander will improve his expressive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Receptive Language#2: By discharge, Alexander will improve his receptive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Pragmatic Language#3: By discharge, Alexander will improve his functional social communication skills to support meaningful interactions across home, school, and community settings, as evidenced by increased use of AAC and/or verbalizations to express basic needs, make choices, and participate in simple social routines with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Speech and Language Short Term Goals:
CategoryGoal Description
Expressive Language#1.1: Within 6 months, Alexander will increase his ability to use 1-2 words/signs/AAC for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language#1.2: Within 6 months, Alexander will increase his ability to label a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Receptive Language#2.1: Within 6 months, Alexander will increase his ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving his receptive language skills, as measured by therapist collected data and observations.
Receptive Language#2.2: Within 6 months, Alexander will increase his ability to identify a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Pragmatic Language#3.1: Within 6 months, Alexander will engage in joint attention routines (e.g., looking toward partner, orienting to name, following partner’s point, sharing an activity) for at least 1-minute in 3/5 opportunities across 3 consecutive sessions, improving his social engagement and shared attention skills, as measured by therapist collected data and observations.
Pragmatic Language#3.2: Within 6 months, Alexander will participate in simple turn-taking routines (e.g., rolling a ball, activating a toy, completing a structured game turn) for at least 3 turns in 3/5 opportunities across 3 consecutive sessions, improving his reciprocal social interaction and early pragmatic skills, as measured by therapist-collected data and observations.

Speech and Language Soap Note/Visit:

IDSoap Note
491662
Note Date: 03-26-2026
Subjective:
Assessment of Goals/Response to Treatment: In 6 months, utilizing early language therapy, Alexander will imitate environmental sounds, words, or short phrases during structured play or daily routines with 30% accuracy given maximal verbal and visual cues to promote imitation and expands expressive vocabulary. - During semi-structured and play-based activities, clinician modeled many 1-2 word utterances for a variety of pragmatic functions secondary to clinician SGD with program TDSnap. He imitated in <10% of opportunities with verbal approximation. He was observed to explore and navigate TDSnap and imitate SGD production in >15% of opportunities with verbal approximation In 6 months, utilizing early language therapy, Alexander will engage in reciprocal play routines (e.g., turnΒ­taking, joint attention, shared play) with the therapist or caregiver for 2 minutes with visual/verbal support in 3 consecutive sessions to help build early social communication skills necessary for meaningful interactions. - Alex demonstrated MIN-NO joint attention this date. He was observed to demonstrate turn-taking in 3/20+ opportunities given MAX multi-sensory support.
Plans:
Additional Notes:

Occupational Therapy Evaluation:

IDDateTypeEvaluation Diagnosis
363908-26-2025Occupational Initial EvaluationF84.0
Occupational Background History: Alexander is a 4.9 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per parent report child was born at 40 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Poor, Reliability of Scores: Questionable, Awarencess of Environmental Events: Occasionally, Social Interactions: Withdrawn,
Occupational Communication Strengths:
Occupational Communication Weaknesses: ADL's, Attention to Task, Behavior (defiance, resistance to authority, etc.), Eye-Hand Coordination, Grasp, Manual Dexterity, Motivated, Problem Solving, ROM, Self-Control, Sensory Process/Mod, Social Interaction, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Child demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 10 seconds before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection.
Occupational Diagnosis/Impressions: Child was assessed via: Standardized Assessment Clinical Observations Parental Report (Child) demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Therapy Plan of Care:

IDPlan of Care
4695
Plan Date: 08-26-2025
Occupational Assessment Summary: Child was assessed via: Standardized Assessment Clinical Observations Parental Report (Child) demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support
Occupational Treatment Plan: Child was assessed via: Standardized Assessment Clinical Observations Parental Report (Child) demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Long Term Goals:
CategoryGoal Description
Sensory IntegrationWithin 6 months, given sensory-based strategies (e.g., noise-reducing headphones, calming corner, deep breathing, or visual supports), Alexander will demonstrate improved tolerance to the sound of crying by remaining in the environment and/or using a coping strategy (e.g., covering ears, requesting help, engaging in a self-calming activity) for at least 3 minutes in 3 out of 4 opportunities. Currently Alexander hits or yells when he hears other children crying.
Self CareWithin 6 months, Alexander will independently use a spoon to scoop and bring food to mouth with minimal spillage in 4 out of 5 opportunities, to increase independence with self-care skills. Currently Alexander will throw the spoon and finger feed.
Attention Within 6 months, through use of sensorimotor play, Alexander will initiate play with another person for 5 consecutive turns for 4 consecutive sessions to increase social interaction skills. Currently Alexander is preferring to play in isolation.
Sensory Issues/Self RegulationWithin 6 months, Alexander will improve ability to self-regulate with minimal assistance to achieve an optimal state of arousal and alertness to complete a 2 minute functional activity 75% of the time. Currently Alexander is requiring max support to self regulate.
Occupational Short Term Goals:
CategoryGoal Description
Sensory IntegrationWithin 3 months, given sensory-based strategies (e.g., noise-reducing headphones, calming corner, deep breathing, or visual supports), Alexander will demonstrate improved tolerance to the sound of crying by remaining in the environment and/or using a coping strategy (e.g., covering ears, requesting help, engaging in a self-calming activity) for at least 1 minute in 3 out of 4 opportunities. Currently Alexander hits or yells when he hears other children crying
Self CareWithin 3 months, Alexander will independently use a spoon to scoop and bring food to mouth with minimal spillage in 3 out of 5 opportunities with moderate support, to increase independence with self-care skills. Currently Alexander will throw the spoon and finger feed.
Attention Within 3 months, through use of sensorimotor play, Alexander will initiate play with another person for 3 consecutive turns for 4 consecutive sessions to increase social interaction skills. Currently Alexander is preferring to play in isolation.
Sensory Issues/Self RegulationWithin 3 months, Alexander will improve ability to self-regulate with moderate assistance to achieve an optimal state of arousal and alertness to complete a 1 minute functional activity 75% of the time. Currently Alexander is requiring max support to self regulate.
5327
Plan Date: 03-03-2026
Occupational Assessment Summary: Child was assessed via: Standardized Assessment Clinical Observations Parental Report (Child) demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Progress to Date: Per clinical observations, parental report and functional assessment scores Ian demonstrates functional gains from skilled occupational therapy services. Ian was assessed via standardized assessment PDMS¬2, child demonstrates a gain in both subsets with a +4 on the raw scores on the PDMS-2 in grasping and VMI skills, now placing the child ¬2 to -3 standard deviations below his peers his chronological age of 63 months, child age equivalency scores are between 14 months and 23 months. LTG's: 1. Within 6 months, given sensory­based strategies Alexander will demonstrate improved tolerance to the sound of crying by remaining in the environment and/or using a coping strategy (e.g., covering ears, requesting help, engaging in a self­ calming activity) for at least 3 minutes in 3 out of 4 opportunities. Goal Met 2. Within 6 months, Alexander will independently use a spoon to scoop and bring food to mouth with minimal spillage in 4 out of 5 opportunities, to increase independence with self­care skills. Goal Met 3. Within 6 months, through use of sensorimotor play, Alexander will initiate play with another person for 5 consecutive turns for 4 consecutive sessions to increase social interaction skills. Goal Met 4. Within 6 months, Alexander will improve ability to self ­regulate with minimal assistance to achieve an optimal state of arousal and alertness to complete a 2 minute functional activity 75% of the time. Goal Met Child also demonstrates deficits in sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child demonstrate medical necessity deficits that warrant skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child to greatly benefit from continued skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Child required close supervision due to impulsivity and poor safety awareness.
Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support
Occupational Treatment Plan: Per clinical observations, parental report and functional assessment scores Ian demonstrates functional gains from skilled occupational therapy services. Ian was assessed via standardized assessment PDMS¬2, child demonstrates a gain in both subsets with a +4 on the raw scores on the PDMS-2 in grasping and VMI skills, now placing the child ¬2 to -3 standard deviations below his peers his chronological age of 63 months, child age equivalency scores are between 14 months and 23 months. LTG's: 1. Within 6 months, given sensory ­based strategies Alexander will demonstrate improved tolerance to the sound of crying by remaining in the environment and/or using a coping strategy (e.g., covering ears, requesting help, engaging in a self­ calming activity) for at least 3 minutes in 3 out of 4 opportunities. Goal Met 2. Within 6 months, Alexander will independently use a spoon to scoop and bring food to mouth with minimal spillage in 4 out of 5 opportunities, to increase independence with self­care skills. Goal Met 3. Within 6 months, through use of sensorimotor play, Alexander will initiate play with another person for 5 consecutive turns for 4 consecutive sessions to increase social interaction skills. Goal Met 4. Within 6 months, Alexander will improve ability to self ­regulate with minimal assistance to achieve an optimal state of arousal and alertness to complete a 2 minute functional activity 75% of the time. Goal Met Child also demonstrates deficits in sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child demonstrate medical necessity deficits that warrant skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Child to greatly benefit from continued skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Child required close supervision due to impulsivity and poor safety awareness.
Occupational Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWithin 6 months, the child and caregiver will demonstrate consistent participation in the prescribed home exercise program by completing activities, with the caregiver reporting improved carryover of targeted skills during daily routines, in 4 out of 5 weeks.
Sensory IntegrationWithin 6 months, Alexander will engage in activity with various tactile media for 2 minute with minimal aversion provided visual demonstration to decrease hypersensitivity. Currently Alexander does demonstrated aversion to touching wet, mushy textures.
Self CareWithin 6 months, Alexander will button 3 one-inch buttons with minimal assistance in 4 out of 5 opportunities, using a coordinated pincer grasp and bilateral hand skills, to increase independence in dressing. Currently Alexander is unable to fasten buttons.
Self CareWithin 6 months, Alexander don a pullover shirt, pulling it over her head and arms with minimal assistance, in 4 out of 5 opportunities, to increase independence in self-care routines. Currently Alexander is requiring maximal assistance to don a shirt.
AttentionWithin 6 months, Alexander will attend to and complete first/then cues 80% of the time with 3 prompts to improve attention to and participation in self care tasks. Currently Alexander will move from one activity to the next demonstrating difficulty with adult led activities.
Occupational Short Term Goals:
CategoryGoal Description
Sensory Issues/Self RegulationWithin 3 months, Alexander will engage in activity with various tactile media for 1 minute with moderate support provided visual demonstration to decrease hypersensitivity. Currently Alexander does demonstrated aversion to touching wet, mushy textures.
Self CareWithin 3 months, Alexander will button 3 one-inch buttons with moderate assistance in 3 out of 5 opportunities, using a coordinated pincer grasp and bilateral hand skills, to increase independence in dressing. Currently Alexander is unable to fasten buttons.
Self CareWithin 3 months, Alexander don a pullover shirt, pulling it over her head and arms with moderate assistance, in 3 out of 5 opportunities, to increase independence in self-care routines. Currently Alexander is requiring maximal assistance to don a shirt.
AttentionWithin 3 months, Alexander will attend to and complete first/then cues 50% of the time with moderate support to improve attention to and participation in self care tasks. Currently Alexander will move from one activity to the next demonstrating difficulty with adult led activities.

Occupational Therapy Soap Note/Visit:

IDSoap Note
148058
Note Date: 03-26-2026
Subjective: Patient completed all required tasks,
Assessment of Goals/Response to Treatment: Alexander was engaged and cooperative throughout the occupational therapy session, completing all structured therapeutic activities presented. Notable improvement was observed in self-regulation, as he independently maintained an appropriate level of alertness and arousal to complete a one-minute tabletop task without the need for verbal or physical cues, marking significant progress from previously requiring maximal support. In targeting sensory integration, an auditory stimulus resembling a child crying was introduced. With moderate verbal and gestural prompting, Alexander successfully implemented a coping strategy by covering his ears and practicing deep breathing. This allowed him to remain in the therapy setting for the full one-minute duration during the trial without engaging in maladaptive behaviors such as yelling or hitting, reflecting meaningful progress in tolerating challenging sensory input. Fine motor and visual-motor skills were addressed through a simulated feeding activity. Alexander used a spoon with moderate spillage and attempted to use a fork, requiring maximal hand-over-hand assistance to pierce food items. These observations indicate that grasp patterns and in-hand manipulation skills related to utensil use continue to require development. He also demonstrated strong cognitive integration abilities, including sequencing and problem-solving, during a multi-step sensorimotor play task. Overall, Alexander is making positive gains in self-regulation and coping strategies. Continued skilled intervention is recommended to further improve independence with feeding tasks and reduce the level of support needed to initiate and apply sensory coping strategies.
Plans: Continue with current Plan of Care,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
79408197167: OT Evaluation08-26-2025 12:00 PM08-26-2025 01:00 PMClaudia ApplewhiteNB1 east sideCompleted
81906192523: Artic & Language Eval10-11-2025 01:30 PM10-11-2025 02:30 PMLailani ChehedehNB1 east sideCompleted
827910OT-VIS: OT Visit10-23-2025 04:00 PM10-23-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
830088OT-VIS: OT Visit10-28-2025 04:00 PM10-28-2025 05:00 PMAlexia HintonNB1 east sideCompleted
827911OT-VIS: OT Visit10-30-2025 04:00 PM10-30-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
832042OT-VIS: OT Visit11-04-2025 04:00 PM11-04-2025 05:00 PMAlexia HintonNB1 east sideCompleted
827912OT-VIS: OT Visit11-06-2025 04:00 PM11-06-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
832043OT-VIS: OT Visit11-11-2025 04:00 PM11-11-2025 05:00 PMAlexia HintonNB1 east sideCompleted
827913OT-VIS: OT Visit11-13-2025 04:00 PM11-13-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
84105892507: Speech & Language Visit11-17-2025 04:30 PM11-17-2025 05:00 PMRachael HaduckNB1 east sideCompleted
841503OT-VIS: OT Visit11-17-2025 05:00 PM11-17-2025 06:00 PMGuadalupe KeyNB1 east sideCompleted
832044OT-VIS: OT Visit11-18-2025 04:00 PM11-18-2025 05:00 PMAlexia HintonNB1 east sideCompleted
845003OT-VIS: OT Visit11-19-2025 04:00 PM11-19-2025 04:30 PMAlexia HintonNB1 east sideCompleted
84109492507: Speech & Language Visit11-19-2025 04:30 PM11-19-2025 05:00 PMRachael HaduckNB1 east sideCompleted
827914OT-VIS: OT Visit11-20-2025 04:00 PM11-20-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
84105992507: Speech & Language Visit11-24-2025 04:30 PM11-24-2025 05:00 PMRachael HaduckNB1 east sideCompleted
844015OT-VIS: OT Visit11-24-2025 05:00 PM11-24-2025 06:00 PMGuadalupe KeyNB1 east sideCompleted
832045OT-VIS: OT Visit11-25-2025 04:00 PM11-25-2025 05:00 PMAlexia HintonNB1 east sideCompleted
832046OT-VIS: OT Visit12-02-2025 04:00 PM12-02-2025 05:00 PMAlexia HintonNB1 east sideCompleted
84109592507: Speech & Language Visit12-03-2025 04:30 PM12-03-2025 05:00 PMRachael HaduckNB1 east sideCompleted
827916OT-VIS: OT Visit12-04-2025 04:00 PM12-04-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
85058192507: Speech & Language Visit12-04-2025 05:00 PM12-04-2025 05:30 PMRachael HaduckNB1 east sideCompleted
832047OT-VIS: OT Visit12-09-2025 04:00 PM12-09-2025 05:00 PMAlexia HintonNB1 east sideCompleted
84109692507: Speech & Language Visit12-10-2025 04:30 PM12-10-2025 05:00 PMRachael HaduckNB1 east sideCompleted
827917OT-VIS: OT Visit12-11-2025 04:00 PM12-11-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
84106292507: Speech & Language Visit12-15-2025 04:30 PM12-15-2025 05:00 PMRachael HaduckNB1 east sideCompleted
854412OT-VIS: OT Visit12-15-2025 05:00 PM12-15-2025 06:00 PMGuadalupe KeyNB1 east sideCompleted
859150OT-VIS: OT Visit12-17-2025 04:00 PM12-17-2025 04:30 PMAlexia HintonNB1 east sideCompleted
84109792507: Speech & Language Visit12-17-2025 04:30 PM12-17-2025 05:00 PMRachael HaduckNB1 east sideCompleted
827918OT-VIS: OT Visit12-18-2025 04:00 PM12-18-2025 05:00 PMLeslie BurciagaNB1 east sideCompleted
857181OT-VIS: OT Visit12-19-2025 04:00 PM12-19-2025 05:00 PMAlexia HintonNB1 east sideCompleted
85837892507: Speech & Language Visit12-19-2025 05:00 PM12-19-2025 05:30 PMRachael HaduckNB1 east sideCompleted
858223OT-VIS: OT Visit12-22-2025 05:00 PM12-22-2025 06:00 PMGuadalupe KeyNB1 east sideCompleted
84106392507: Speech & Language Visit01-05-2026 04:30 PM01-05-2026 05:00 PMRachael HaduckNB1 east sideCompleted
861871OT-VIS: OT Visit01-05-2026 05:00 PM01-05-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
866281OT-VIS: OT Visit01-06-2026 04:00 PM01-06-2026 05:00 PMGuadalupe KeyNB1 east sideCompleted
827921OT-VIS: OT Visit01-08-2026 04:00 PM01-08-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
86864892507: Speech & Language Visit01-09-2026 04:00 PM01-09-2026 04:30 PMRachael HaduckNB1 east sideCompleted
84106492507: Speech & Language Visit01-12-2026 04:30 PM01-12-2026 05:00 PMRachael HaduckNB1 east sideCompleted
861872OT-VIS: OT Visit01-12-2026 05:00 PM01-12-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
84109992507: Speech & Language Visit01-14-2026 04:30 PM01-14-2026 05:00 PMRachael HaduckNB1 east sideCompleted
827922OT-VIS: OT Visit01-15-2026 04:00 PM01-15-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
84106592507: Speech & Language Visit01-19-2026 04:30 PM01-19-2026 05:00 PMRachael HaduckNB1 east sideCompleted
861873OT-VIS: OT Visit01-19-2026 05:00 PM01-19-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
84110092507: Speech & Language Visit01-21-2026 04:30 PM01-21-2026 05:00 PMRachael HaduckNB1 east sideCompleted
827923OT-VIS: OT Visit01-22-2026 04:00 PM01-22-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
84106692507: Speech & Language Visit01-26-2026 04:30 PM01-26-2026 05:00 PMRachael HaduckNB1 east sideCompleted
861874OT-VIS: OT Visit01-26-2026 05:00 PM01-26-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
84110192507: Speech & Language Visit01-28-2026 04:30 PM01-28-2026 05:00 PMRachael HaduckNB1 east sideCompleted
827924OT-VIS: OT Visit01-29-2026 04:00 PM01-29-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
84106892507: Speech & Language Visit02-09-2026 04:30 PM02-09-2026 05:00 PMRachael HaduckNB1 east sideCompleted
887428OT-VIS: OT Visit02-09-2026 05:00 PM02-09-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
827926OT-VIS: OT Visit02-12-2026 04:00 PM02-12-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
887429OT-VIS: OT Visit02-16-2026 05:00 PM02-16-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
84110492507: Speech & Language Visit02-18-2026 04:30 PM02-18-2026 05:00 PMRachael HaduckNB1 east sideCompleted
827927OT-VIS: OT Visit02-19-2026 04:00 PM02-19-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
89462792507: Speech & Language Visit02-19-2026 05:00 PM02-19-2026 05:30 PMRachael HaduckNB1 east sideCompleted
84107092507: Speech & Language Visit02-23-2026 04:30 PM02-23-2026 05:00 PMRachael HaduckNB1 east sideCompleted
892913OT-VIS: OT Visit02-23-2026 05:00 PM02-23-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
89857692507: Speech & Language Visit02-24-2026 05:30 PM02-24-2026 06:00 PMRachael HaduckNB1 east sideCompleted
827928OT-VIS: OT Visit02-26-2026 04:00 PM02-26-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
89971192507: Speech & Language Visit02-26-2026 05:30 PM02-26-2026 06:00 PMRachael HaduckNB1 east sideCompleted
841071S9152: Reevaluation03-02-2026 04:30 PM03-02-2026 05:00 PMRachael HaduckNB1 east sideCompleted
892914OT-VIS: OT Visit03-02-2026 05:00 PM03-02-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
90294097168: OT Re-Evaluation03-03-2026 03:00 PM03-03-2026 04:00 PMClaudia ApplewhiteNB1 east sideCompleted
90232292507: Speech & Language Visit03-03-2026 05:30 PM03-03-2026 06:00 PMRachael HaduckNB1 east sideCompleted
84110692507: Speech & Language Visit03-04-2026 04:30 PM03-04-2026 05:00 PMRachael HaduckNB1 east sideCompleted
827929OT-VIS: OT Visit03-05-2026 04:00 PM03-05-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
892915OT-VIS: OT Visit03-09-2026 10:00 AM03-09-2026 11:00 AMGuadalupe KeyNB1 east sideCompleted
84107292507: Speech & Language Visit03-09-2026 11:00 AM03-09-2026 11:30 AMRachael HaduckNB1 east sideCompleted
904152OT-VIS: OT Visit03-10-2026 11:00 AM03-10-2026 12:00 PMGuadalupe KeyNB1 east sideCompleted
84110792507: Speech & Language Visit03-11-2026 10:45 AM03-11-2026 11:15 AMRachael HaduckNB1 east sideCompleted
90685092507: Speech & Language Visit03-13-2026 09:00 AM03-13-2026 09:30 AMLauryn BarlowNB1 east sideCompleted
84107492507: Speech & Language Visit03-23-2026 04:30 PM03-23-2026 05:00 PMRachael HaduckNB1 east sideCompleted
892917OT-VIS: OT Visit03-23-2026 05:00 PM03-23-2026 06:00 PMGuadalupe KeyNB1 east sideCompleted
913476OT-VIS: OT Visit03-24-2026 04:00 PM03-24-2026 05:00 PMLeslie BurciagaNB1 east sideCompleted
913781OT-VIS: OT Visit03-25-2026 04:00 PM03-25-2026 04:30 PMGuadalupe KeyNB1 east sideCompleted
84110992507: Speech & Language Visit03-25-2026 04:30 PM03-25-2026 05:00 PMRachael HaduckNB1 east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
81703092523: Artic & Language Eval10-07-2025 02:00 PM10-07-2025 03:00 PMLailani ChehedehNB1 east sideCanceled
827915OT-VIS: OT Visit11-27-2025 04:00 PM11-27-2025 05:00 PMLeslie BurciagaNB1 east sideCanceled
84106092507: Speech & Language Visit12-01-2025 04:30 PM12-01-2025 05:00 PMRachael HaduckNB1 east sideCanceled
84106192507: Speech & Language Visit12-08-2025 04:30 PM12-08-2025 05:00 PMRachael HaduckNB1 east sideCanceled
851463OT-VIS: OT Visit12-08-2025 05:00 PM12-08-2025 06:00 PMGuadalupe KeyNB1 east sideCanceled
827919OT-VIS: OT Visit12-25-2025 04:00 PM12-25-2025 05:00 PMLeslie BurciagaNB1 east sideCanceled
827920OT-VIS: OT Visit01-01-2026 04:00 PM01-01-2026 05:00 PMLeslie BurciagaNB1 east sideCanceled
84109892507: Speech & Language Visit01-07-2026 04:30 PM01-07-2026 05:00 PMRachael HaduckNB1 east sideCanceled
84106792507: Speech & Language Visit02-02-2026 04:30 PM02-02-2026 05:00 PMRachael HaduckNB1 east sideCanceled
861875OT-VIS: OT Visit02-02-2026 05:00 PM02-02-2026 06:00 PMGuadalupe KeyNB1 east sideCanceled
84110392507: Speech & Language Visit02-11-2026 04:30 PM02-11-2026 05:00 PMRachael HaduckNB1 east sideCanceled
84106992507: Speech & Language Visit02-16-2026 04:30 PM02-16-2026 05:00 PMRachael HaduckNB1 east sideCanceled
84110592507: Speech & Language Visit02-25-2026 04:30 PM02-25-2026 05:00 PMRachael HaduckNB1 east sideCanceled
827930OT-VIS: OT Visit03-12-2026 02:00 PM03-12-2026 03:00 PMLeslie BurciagaNB1 east sideCanceled
84107392507: Speech & Language Visit03-16-2026 04:30 PM03-16-2026 05:00 PMRachael HaduckNB1 east sideCanceled
906851OT-VIS: OT Visit03-18-2026 12:00 PM03-18-2026 01:00 PMLeslie BurciagaNB1 east sideCanceled
84110892507: Speech & Language Visit03-18-2026 04:30 PM03-18-2026 05:00 PMRachael HaduckNB1 east sideCanceled
827931OT-VIS: OT Visit03-19-2026 04:00 PM03-19-2026 05:00 PMLeslie BurciagaNB1 east sideCanceled
892916OT-VIS: OT Visit03-20-2026 02:00 PM03-20-2026 03:00 PMGuadalupe KeyNB1 east sideCanceled
892918OT-VIS: OT Visit03-30-2026 05:00 PM03-30-2026 06:00 PMGuadalupe KeyNB1 east sideCanceled
84107692507: Speech & Language Visit04-06-2026 04:30 PM04-06-2026 05:00 PMRachael HaduckNB1 east sideCanceled
84111192507: Speech & Language Visit04-08-2026 04:30 PM04-08-2026 05:00 PMRachael HaduckNB1 east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
84107592507: Speech & Language Visit03-30-2026 04:30 PM03-30-2026 05:00 PMRachael HaduckNB1 east sideScheduled
914724OT-VIS: OT Visit04-01-2026 02:00 PM04-01-2026 03:00 PMGuadalupe KeyNB1 east sideScheduled
84111092507: Speech & Language Visit04-01-2026 04:30 PM04-01-2026 05:00 PMRachael HaduckNB1 east sideScheduled
827933OT-VIS: OT Visit04-02-2026 04:00 PM04-02-2026 05:00 PMLeslie BurciagaNB1 east sideScheduled
84107792507: Speech & Language Visit04-13-2026 04:30 PM04-13-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84111292507: Speech & Language Visit04-15-2026 04:30 PM04-15-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84107892507: Speech & Language Visit04-20-2026 04:30 PM04-20-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84111392507: Speech & Language Visit04-22-2026 04:30 PM04-22-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84107992507: Speech & Language Visit04-27-2026 04:30 PM04-27-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84111492507: Speech & Language Visit04-29-2026 04:30 PM04-29-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84108092507: Speech & Language Visit05-04-2026 04:30 PM05-04-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84111592507: Speech & Language Visit05-06-2026 04:30 PM05-06-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84108192507: Speech & Language Visit05-11-2026 04:30 PM05-11-2026 05:00 PMRachael HaduckNB1 east sideScheduled
84111692507: Speech & Language Visit05-13-2026 04:30 PM05-13-2026 05:00 PMRachael HaduckNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
03-18-2026Shekinah VelasquezST paperwork sent to PCP via fax. Pending signatures.
03-18-2026Shekinah VelasquezParent switching over from SHP to EPH. Pt still active as of 03/18/26 with SHP. Once switch has happened pt will be placed on hold. Parent is aware.
03-05-2026Shekinah VelasquezOT paperwork sent to PCP via fax. Pending signatures.
02-09-2026Avery FontenotContinuation of ST Auth satrting 02/02/2026 to 05/03/2026 for 2x/wk = 26 visits. Therapist notified.
02-06-2026Avery FontenotPending ST Authorization, due to Superior messing up the end date and visits. Request for the change was made 02/06/2026 Ticket #: MAIC-3828960.
02-06-2026Avery FontenotOT Continuation of authorization starting 02/02/2026 to 04/03/2026 for 2x/wk = 18 visits = 72 units. Therapist notified.
02-02-2026Julie MoraPatient has been placed on hold due to inactive insurance. EPH end date 01/31/26. Parent and therapist notified.
11-12-2025Avery FontenotST Auth starting 11/17/2025 to 05/15/2026 for 2x/wk = 52 visits. Therapist notified.
11-06-2025Shekinah VelasquezST auth request submitted to EPH via portal. Pending approval.
10-20-2025Shekinah VelasquezST paperwork sent to PCP via fax. pending signatures
10-13-2025Claudia ApplewhiteTherapist reached out to parent to confirm OT schedule agreed upon at time of evaluation. Parent replied stating she was not sure if the times would still work due to her work schedule. Parent agreed to contact therapist on Friday, 10/17, once her work schedule has been confirmed.
10-08-2025Shekinah VelasquezOT auth approved starting 10/06/2025 - 04/03/2026 2x/week = 52 visits (208 units). Therapist notified.
10-02-2025Avery FontenotOT Auth request submitted to EPH. Pending approval.
09-10-2025Avery FontenotChecked EPH to see if patient is active yet but EPH is still showing inactive at this time.
09-04-2025Avery FontenotCalled mom regarding issue with TMHP and EPH. Mom agreed to call TMHP to see why there is an issue with alexander not popping up in EPH.
09-03-2025Avery FontenotReceived doctors signatures pending submission to TMHP
09-02-2025Avery FontenotPt is still not populating in EPH. Pt is showing active in TMHP till 09/30 as an extension of coverage through TMHP.
08-27-2025Avery FontenotSent request to doctor for signatures and THSTEPS
08-22-2025Avery FontenotPt is populating in TMP from 08/01/2025 to 08/31/2025. Starting 09/01/2025 pt should populate in EPH system.

Paient Missed Visit Notes:

DateServiceTherapistDescription
04-08-202692507Haduck, RachaelDear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
04-06-202692507Haduck, RachaelDear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
03-30-2026OT-VISKey, Guadalupe
03-20-2026OT-VISKey, Guadalupe
03-19-2026OT-VISBurciaga, Leslie
03-18-202692507Haduck, Rachael
03-18-2026OT-VISBurciaga, Leslie
03-18-2026OT-VISBurciaga, Leslie
03-18-2026OT-VISBurciaga, Leslie
03-18-2026OT-VISBurciaga, Leslie
03-16-202692507Haduck, Rachael
03-12-2026OT-VISBurciaga, LeslieMother stated conflicting schedule with her refrigerator delivery for tomorrow.
03-12-2026OT-VISBurciaga, LeslieMother stated conflicting schedule with her refrigerator delivery for tomorrow.
02-25-202692507Haduck, Rachael
02-16-202692507Haduck, RachaelDear Parents, I apologize for the short notice, but I will need to cancel our session on Monday, February 19th. My husband is in the military and has an upcoming training departure, and some final scheduling and transportation arrangements that came together more quickly than anticipated. I need to be available that day to assist with last-minute arrangements and getting him to base. I apologize for the inconvenience and truly appreciate your understanding. I will be reaching out to schedule a make-up session with you soon. Kindest, Rachael, CCC-SLP
02-11-202692507Haduck, Rachael**Out of Office Notice - Wednesday, 2/11** Dear Parents, Happy Sunday! I hope you are all enjoying your Super Bowl Sunday. This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to let you know that I will be out of the office on Wednesday, February 11th. Make-up sessions will be offered throughout the week, as well as on Friday, February 13th. I will be reaching out to schedule make-up sessions with you. Thank you for your understanding. :) Kindest, Rachael, CCC-SLP
02-02-2026OT-VISKey, Guadalupe
02-02-2026OT-VISKey, Guadalupe
02-02-2026OT-VISKey, Guadalupe
02-02-202692507Haduck, Rachael**Out of Office Notice** Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to let you know that I will be out of the office on Monday, February 2nd. Make-up sessions will be offered throughout the week, as well as on Friday, February 6th. I will be reaching out to schedule make-up sessions with you. Kindest, Rachael, CCC-SLP
01-07-202692507Haduck, Rachael
01-01-2026OT-VISBurciaga, LeslieAppointments canceled are all for the week of December 29th- January2nd. Due to the clinic being closed for the holidays and new year. REMINDER the clinic will be closed from December 24TH-January 2nd. Therpaist will complete make-ups before the year is over. Or after the new year. If you have any questions or concerns please don't hesitate to reach out and ask :)
12-25-2025OT-VISBurciaga, LeslieAppointments canceled for DECEMBER 24TH & 25TH. REMINDER THE CLINIC WILL BE CLOSED FROM DECEMBER 24TH UNTIL JANUARY 2ND. THERAPY WILL RESUME THE WEEK OF JANUARY 5TH
12-08-2025OT-VISKey, Guadalupe
12-08-202592507Haduck, RachaelJust a friendly reminder that I will be out of office tomorrow, 12/8 and will return 12/9. If you have any questions or concerns, please do not hesitate to message me.
12-01-202592507Haduck, Rachael
11-27-2025OT-VISBurciaga, LeslieTHANKSGIVING WEEK WEDNESDAY AND THURSDAY APPOINTMENTS CANCELED.
10-07-202592523Chehedeh, LailaniMother called at 2pm to cancel appointment with front desk.

Paient Messages Admin:

DatePosted ByMessage
08-22-2025 10:38 AMAvery FontenotPlease fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2087
08-22-2025 10:49 AMShekinah VelasquezAlexander has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9665&type=1&wid=210
08-22-2025 01:53 PMAvery FontenotHi this is Avery from New Beginnings. We were just looking at you're referral and on the insurance portion it does say self pay. If you could ask your pediatrician to put that you have El Paso Heath on the referral for insurance purposes. If you have any questions please feel free to reach out. Thank you and have a good rest of your day!
08-22-2025 02:12 PMAlexander GonzalezHello! Yes of course I just called and they will change it out! Have a beautiful day!
09-04-2025 11:13 AMAvery FontenotHi this is Avery from New Beginnings. I spoke to our office manager at the other location, she advised us it would be best to wait until El Paso Health is showing active for Alexander to submit to insurance. Since you completed the paperwork on 08/11 we should only have a couple more days left until it should populate in El Paso Health system. We will keep you updated when it does populate and when we submit. Thank you so much for helping us get the information we need and if you have any questions please don't hesitate to call!
09-08-2025 11:39 AMCeleste ColletteDear 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
09-24-2025 09:51 AMAlexander GonzalezHello Avery! I wanted to see if you have heard anything back from the insurance. On my end it's showing that he's under El Paso health already
09-24-2025 09:56 AMAvery FontenotGood morning! Thank you for letting us know that it is now popping up on your end that he is now showing up under El Paso Health. I just double checked on our end and it is reflecting that Alexander is under El Paso health, and I will submit to them today for occupational therapy! I will send you a message once I do so.
09-24-2025 10:10 AMAlexander GonzalezThank you so much! Are you able to see where he is on the waitlist for speech?☺️
09-24-2025 10:11 AMAvery FontenotNo problem! He is number 7 on our waitlist and we will probably contact you this week to get him in for his evaluation!
09-24-2025 01:24 PMAvery FontenotHi this is Avery! I wanted to reach back out to you and Alexander is showing up in El Paso system as active but I didn't see it says effective 10/1/2025. I do apologize for the miscommunication but we will finally be able to submit next Wednesday on 10/01/2025!
10-02-2025 03:57 PMAvery FontenotHi this is Avery from the front office at New Beginnings. I just wanted to inform you we submitted for authorization and were just waiting on the approval from El Paso Health. Thank you so much for your help and if you have any questions please feel free to reach out. Thank you!
10-08-2025 12:32 PMShekinah VelasquezGonzalez, Alexander has been assigned a therapist.
10-23-2025 04:08 PMShekinah VelasquezGonzalez, Alexander has been assigned a therapist.
11-12-2025 10:09 AMShekinah VelasquezHi, Alexander as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Rachael https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9665&tid=141
11-13-2025 12:46 PMMonica TulliusHello, this is a general broadcast message. Please do not respond to this message.

Holiday Turkey Giveaway!

We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season.
If you or someone you know could use a little extra support this year, you’re invited to pick one up:

Sunday, November 16th
8:00 a.m.
5411 N. Mesa St, Suite 27, El Paso, TX 79912

If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com.

Wishing you and your family a warm and joyful holiday season!

Team New Beginnings
11-25-2025 02:52 PMCeleste ColletteDear Parents,

We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-17-2025 11:11 AMAvery FontenotHello New Beginnings Parents,

If you are receiving this message, we have noticed that we are missing some required documentation from you. At this time, we need a copy of your child’s Medicaid care plan insurance card.
Please note that we are no longer accepting the traditional Medicaid card as valid insurance on file. We require the plan-specific Medicaid insurance card, such as (Superior, Molina, El Paso Health, Wellpoint, TMHP)
If you do not have the physical card or are having trouble locating it, most Medicaid plans offer an online portal where you can access a digital E-card.
If you already have your plan’s insurance card, please email a copy to afontenot@newbeginnings-elp.com

Thank you so much for your cooperation, and happy holidays!
12-23-2025 02:05 PMStephen TulliusDear Families,

As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do.

We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours.

From all of us, we wish you a joyful holiday season and a bright, healthy New Year!

With warmest regards,

Stephen Tullius
New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us for our Kids Sensory Series β€” a fun, movement-based sensory play event for kids!

πŸ“… Feb 2nd, 2026
⏰ 10:00 AM
πŸ“ Esperanza Acosta Moreno Public Library

We’d love to see you there! πŸ’™

_________________________________

🌟 ‘EstÑn invitados! 🌟
AcompÑñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento.

πŸ“… 2 de febrero de 2026
⏰ 10:00 a.m.
πŸ“ Biblioteca PΓΊblica Esperanza Acosta Moreno

Β‘Esperamos verlos! πŸ’™
01-27-2026 10:47 AMShekinah VelasquezHi, Alexander as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Guadalupe https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9665&tid=66
02-02-2026 10:57 AMShekinah VelasquezGood morning! This is Shekinah from the front office. We’re reaching out to inform all of Rachael’s patients of a location change.

All therapy sessions will now take place at 1510 N Zaragoza, Suite B1. The new office is located in the building directly behind Rachael’s previous location.

If you have any questions, please don’t hesitate to give us a call. Thank you!
02-02-2026 12:19 PMJulie MoraHello, New Beginnings has placed Alexander Gonzalez on HOLD due to losing insurance coverage. It is important that you contact our front office at 915-855-0601 to resolve this issue. As a courtesy, New Beginnings will hold your childβ€²s spot for 30 days. After 30 days, it is our company policy to discharge to allow other patients the opportunity to receive our services. Thank you for your attention to this matter.
02-03-2026 11:26 AMJulie MoraHello, this is Julie from the front office at New Beginnings. I wanted to update you on the status of Alexander's hold. I have submitted a continuation of authorization for both ST and OT from Superior. I will keep you updated when we receive a response from Superior. Thank you :)
02-03-2026 03:52 PMCaleb 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.
πŸ“… February 7th, 2026
⏰ 4:30 PM
πŸ“ Esperanza Acosta Moreno Public Library
We’d love to see you there! πŸ’™


🌟 ‘EstÑn invitados! 🌟
AcompÑñenos 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.
πŸ“… 7 de febrero de 2026
⏰ 4:30 p.m.
πŸ“ Biblioteca PΓΊblica Esperanza Acosta Moreno
Β‘Esperamos verlos! πŸ’™
02-16-2026 05:27 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:48 PMStephen TulliusPlease 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=9665
02-18-2026 04:15 PMStephen TulliusFor 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/
03-06-2026 01:51 PMShekinah VelasquezDear Parents/Guardians,
New Beginnings has been notified that starting April 1st, Dr. Patel’s office will no longer be accepting Superior Health insurance.

To stay ahead of this change and help prevent any interruptions in your child’s therapy, we would like to know how you would like to proceed. The options to proceed would be to remain with Dr. Patel and switch to a different insurance plan, or remain with Superior Health and transition to a different pediatrician.

If you choose to stay with Dr. Patel and switch insurance plans, we will need a new referral for all services under the new insurance, as well as a copy of your new insurance ID card so we can verify benefits.
If you choose to switch pediatricians and remain with Superior Health, we will need a new referral for all services from the new primary care provider (PCP).

Please contact the front office as soon as possible so we can help coordinate this change and ensure there are no gaps in your child’s therapy services.
Thank you for allowing us to serve your child!
03-09-2026 07:22 PMStephen TulliusPlease 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=9665
03-11-2026 05:40 PMStephen TulliusHello, 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:

DatePosted ByMessage
08-22-2025 10:52 AMClaudia ApplewhiteHi, my name is Claudia, with New Beginnings, and I will be performing your child's Occupational 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=9665&tid=135
08-22-2025 10:52 AMAlexander GonzalezAlexander SCHEDULED:
12:00PM-8/26/2025
97167: Occupational Evaluation
08-25-2025 06:30 PMClaudia ApplewhiteHi, this is a just a reminder that Alexander has a Occupational Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings πŸ™‚
08-26-2025 07:53 AMClaudia ApplewhiteHi, this is a just a reminder that Alexander has a Occupational Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings πŸ™‚
08-26-2025 11:45 AMClaudia ApplewhiteAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794081
08-26-2025 11:47 AMAlexander GonzalezAlexander is CHECKED IN for:
12:00PM-8/26/2025
97167: OT Evaluation
10-05-2025 09:10 AMLailani ChehedehHi Mrs. Caldera, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Adriadne's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information.
So when you have an opportunity can you answer these questions for me:

1.) Any complications with pregnancy or birth?
2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)?
3.) developmental milestones met within normal limits? or delayed?
4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils?
5.) medications?
6.) education? (i.e., day care, preschool)
7.) vision or hearing issues?
8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths.
9.) when did your concerns begin?
10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.)
11) Dominate Language ? English or Spanish ?
10-05-2025 09:11 AMLailani ChehedehHi Mrs. Gonzales, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Alexander's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information.
So when you have an opportunity can you answer these questions for me:

1.) Any complications with pregnancy or birth?
2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)?
3.) developmental milestones met within normal limits? or delayed?
4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils?
5.) medications?
6.) education? (i.e., day care, preschool)
7.) vision or hearing issues?
8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths.
9.) when did your concerns begin?
10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.)
11) Dominate Language ? English or Spanish ?
10-06-2025 09:20 AMAlexander GonzalezAlexander (Prim) Replied: 1.no
2.autism
3.speech delayed
4.everything normal
5.no
6.prek
7.no
8. He is started to just say more and beginning to try and say some words but not a clear things. He initially was nonverbal for a long time but as soon as he started school he started grasping on the concept of pronouncing things. We do just want to be able to express himself.
9.as soon as we noticed he was babbling he immediately stopped
10.speech and occupational
11.English and we do speak to him in Spanish so that he knows both languages but primary English
10-06-2025 06:30 PMLailani ChehedehHi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings πŸ™‚
10-07-2025 07:54 AMLailani ChehedehHi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings πŸ™‚
10-07-2025 07:55 AMAlexander GonzalezAlexander (Prim) Replied: Loved β€œHi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings πŸ™‚β€
10-07-2025 07:55 AMLailani ChehedehHi, 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 01:45 PMLailani ChehedehAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817030
10-07-2025 02:03 PMLailani ChehedehLailani Chehedeh CANCELLED:
2:00PM-10/7/2025
92523: Artic & Language Eval
10-07-2025 02:03 PMAlexander GonzalezAlexander (Prim) Replied: Yes I do apologize my husband last minute got pulled he is military so it was something unavoidable
10-07-2025 02:03 PMLailani ChehedehHi, 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 02:06 PMLailani ChehedehHello, I hope everything is okay. Reception notified me that we had to cancel today's session. The other available time is this Saturday at 3:00 PM. Please let me know if that's convenient for you :)
10-07-2025 02:06 PMAlexander GonzalezAlexander (Prim) Replied: Yes please I'm able to attend that one!
10-07-2025 02:06 PMLailani ChehedehHi, 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 02:06 PMLailani ChehedehSaturday at 1;30pm my apologies
10-07-2025 02:07 PMAlexander GonzalezAlexander (Prim) Replied: Loved β€œSaturday at 1;30pm my apologies”
10-07-2025 02:07 PMLailani ChehedehHi, 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 02:07 PMAlexander GonzalezAlexander (Prim) Replied: Yes I can do that
10-07-2025 02:07 PMLailani ChehedehHi, 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 02:07 PMLailani Chehedehthank you ! See you Saturday at 1:30pm thank you !
1512 N Zaragoza C-1
10-07-2025 02:07 PMAlexander GonzalezAlexander (Prim) Replied: Loved β€œthank you ! See you Saturday at 1:30pm thank you !
1512 N Zaragoza C-1”
10-07-2025 02:07 PMLailani ChehedehHi, 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 02:16 PMLailani ChehedehIf you prefer I also have tomorrow at 9am available ?
10-07-2025 02:23 PMAlexander GonzalezAlexander (Prim) Replied: It's best on Saturday so that I can make sure i can be certain we will be there :)
10-07-2025 02:23 PMLailani ChehedehHi, 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 02:26 PMLailani Chehedehperfect :) thank you !
10-08-2025 03:09 PMClaudia ApplewhiteGood afternoon. This is Claudia, OT here at New Beginnings. We received authorization to begin OT for Alexander. During evaluation, we had agreed on Tues and Wednesday at 3. I have an available appt tomorrow at 1 or we can wait for next Tues at 3?
10-08-2025 03:11 PMAlexander GonzalezAlexander (Prim) Replied: Do you have anything for next Wednesday? If not we can do next Tuesday at 3☺️
10-08-2025 03:40 PMClaudia ApplewhiteHe is approved for 2 times a week. Would you be able to bring him on Tuesdays and Wednesdays at 3?
10-08-2025 08:44 PMAlexander GonzalezAlexander (Prim) Replied: I apologize for the late reply, by any chance is there something later than 3?
10-08-2025 08:44 PMClaudia ApplewhiteHi, 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.
10-09-2025 09:53 AMClaudia ApplewhiteGood morning, Unfortunately, that is the latest available appointment at this time.
10-09-2025 05:09 PMLailani ChehedehHello :) see you Saturday for Alexander speech evaluation
1512 N Zaragoza C-1 is the address.
10-10-2025 07:13 AMAlexander GonzalezAlexander (Prim) Replied: Loved β€œHello :) see you Saturday for Alexander speech evaluation
1512 N Zaragoza C-1 is the address.”
10-10-2025 07:13 AMLailani ChehedehHi, 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.
10-10-2025 06:30 PMLailani ChehedehHi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings πŸ™‚
10-11-2025 07:31 AMLailani ChehedehHi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled today at 01:30 PM. See you soon! - New Beginnings πŸ™‚
10-11-2025 01:15 PMLailani ChehedehAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=819061
10-11-2025 01:15 PMAlexander GonzalezAlexander is CHECKED IN for:
1:30PM-10/11/2025
92523: Artic & Language Eval
10-13-2025 10:11 AMClaudia ApplewhiteGood morning. I wanted to follow-up on OT appointments for Alexander. Will Tuesday and Wednesday's at 3 work for you? At this time that is the latest appointments we have available.
10-13-2025 01:25 PMAlexander GonzalezAlexander (Prim) Replied: Good morning! Unfortunately as of now we are waiting for my work schedule to be released this week on Friday if that okay to let you know if we can do 3. I spoke to the speech therapist about it and let her know that once I get my work schedule I can let you all know an official time, the days don't really matter it was only the time
10-13-2025 01:29 PMClaudia ApplewhiteNo problem. If you could please let me know on Friday, I would greatly appreciate it. Thank you!
10-20-2025 09:57 AMClaudia ApplewhiteGood morning. I am reaching out to follow-up regarding OT schedule for Alexander. Do you know what you availability is? Does Tues and Thurs and Wed at 3 still work for you?
10-20-2025 10:06 AMAlexander GonzalezAlexander (Prim) Replied: Good morning no unfortunately I won't be able to do three my schedule they gave me has me out at 3:30 and my husband had just been deployed so I won't be able to unless something opens up around 4
10-20-2025 11:50 AMClaudia ApplewhiteWe can see him at 4 on Tues and Thurs. Does that work?
10-22-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-23-2025 07:55 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-23-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827910
10-23-2025 03:58 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-10/23/2025
OT-VIS: OT Visit
10-23-2025 03:59 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-10/23/2025
OT-VIS: OT Visit
10-23-2025 04:04 PMLeslie BurciagaHi let me know what car you are In
10-23-2025 04:08 PMAlexander GonzalezAlexander (Prim) Replied: I'm in the lobby but I do drive a gray Highlander
10-26-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 10-30-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
10-26-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 10-28-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
10-26-2025 07:39 PMAlexander GonzalezAlexander (Prim) Replied: YES
10-26-2025 07:39 PMLeslie BurciagaHi, 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.
10-26-2025 07:39 PMAlexander GonzalezAlexander (Prim) Replied: YES
10-26-2025 07:39 PMAlexia HintonHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-27-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-28-2025 08:00 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-28-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830088
10-28-2025 04:00 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-10/28/2025
OT-VIS: OT Visit
10-29-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-30-2025 07:54 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
10-30-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827911
10-30-2025 04:02 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-10/30/2025
OT-VIS: OT Visit
11-02-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-06-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-02-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-04-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-02-2025 04:03 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-02-2025 04:03 PMAlexia HintonHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 04:03 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-02-2025 04:03 PMLeslie BurciagaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-03-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-04-2025 07:56 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-04-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832042
11-04-2025 03:56 PMAlexander GonzalezAlexander is RUNNING LATE for:
4:00PM-11/4/2025
OT-VIS: OT Visit
11-04-2025 04:04 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/4/2025
OT-VIS: OT Visit
11-04-2025 04:06 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/4/2025
OT-VIS: OT Visit
11-04-2025 04:29 PMLeslie BurciagaHi! Alexandres appointment will land on thanksgiving November 27. I wanted to see if I could schedule him an additional visit next week Monday November 10th @ 4pm in addition to his already scheduled appointment for Thursday the 13th.
11-04-2025 04:30 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course?
11-04-2025 04:30 PMAlexander GonzalezAlexander (Prim) Replied: !
11-04-2025 04:31 PMLeslie BurciagaThank you!
11-05-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-06-2025 07:48 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-06-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827912
11-06-2025 04:01 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/6/2025
OT-VIS: OT Visit
11-09-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-10-2025 at 4:00 PM, and on 11-13-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-09-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-11-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-09-2025 04:02 PMLeslie BurciagaHello good afternoon, I apologize I am needing to cancel our appointment we have scheduled for tomorrow. I will however still see Alexander Thursday. Thank you!
11-09-2025 05:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-09-2025 05:05 PMAlexia HintonHi, 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.
11-10-2025 10:36 AMAlexander GonzalezAlexander (Prim) Replied: YES
11-10-2025 10:37 AMAlexander GonzalezAlexander (Prim) Replied: THANK YOU!
11-10-2025 04:48 PMAlexia HintonHi parents it's Lexi. Friendly reminder the clinic will be closed for the holidays from December 24th to January 2nd. There was an error message sent prior please disregard that. I will get with each of you individually to schedule make ups. Any questions please reach out to me. Thank you. :)
11-10-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-11-2025 07:52 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-11-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832043
11-11-2025 03:51 PMAlexander GonzalezAlexander is RUNNING LATE for:
4:00PM-11/11/2025
OT-VIS: OT Visit
11-11-2025 04:06 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/11/2025
OT-VIS: OT Visit
11-12-2025 01:01 PMRachael HaduckDear family of Alexander Gonzalez,

This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Alexander for speech services. It is recommended he is seen 2x/week for 30-minutes. I understand you were hoping for a 4:00 p.m. time slot β€” currently, I have Monday and Wednesday at 4:30 p.m. available. Please let me know if this works for your schedule.

I look forward to hearing from you!


Kindest,

Rachael, CCC-SLP
11-12-2025 01:02 PMAlexander GonzalezAlexander (Prim) Replied: Hello! Yes that is perfect thank you ! Please let us know when he can start
11-12-2025 01:06 PMRachael Haduckwonderful! 11/17 will be his first session, I will get him scheduled :)
11-12-2025 01:07 PMAlexander GonzalezAlexander (Prim) Replied: Thank you!πŸ™πŸΌ
11-12-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-13-2025 07:47 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-13-2025 03:05 PMRachael HaduckHe can start next week :) what days and times are you available so then I can compare my openings?
11-13-2025 03:06 PMRachael Haducksorry! please disregard that message!
11-13-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827913
11-13-2025 04:02 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/13/2025
OT-VIS: OT Visit
11-16-2025 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-17-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-20-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:01 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-16-2025 04:01 PMLeslie BurciagaHi, 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.
11-16-2025 04:01 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-16-2025 04:01 PMGuadalupe KeyHi, 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.
11-16-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-18-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 11-17-2025 at 4:30 PM, and on 11-19-2025 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 04:02 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-16-2025 04:02 PMRachael HaduckHi, 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.
11-16-2025 04:03 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-16-2025 04:03 PMAlexia HintonHi, 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.
11-16-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-16-2025 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
11-17-2025 07:54 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-17-2025 07:54 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
11-17-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841058
11-17-2025 04:31 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-11/17/2025
92507: Speech & Language Visit
11-17-2025 04:31 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-11/17/2025
92507: Speech & Language Visit
11-17-2025 04:36 PMAlexander GonzalezAlexander (Prim) Replied: Hello, I'm outside in a grey hylander☺️
11-17-2025 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841503
11-17-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-18-2025 07:51 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-18-2025 08:30 AMAlexia HintonGood morning mom it's Lexi. I wanted to ask if tomorrow at 4pm I can see Alexander ? If not its ok :))
11-18-2025 08:48 AMAlexander GonzalezAlexander (Prim) Replied: Good morning! Yes of course I'll take him at 4☺️
11-18-2025 10:06 AMAlexia HintonI just saw he has speech at 4:30. I can have him out in time. Will that still be ok ?
11-18-2025 10:12 AMAlexander GonzalezAlexander (Prim) Replied: Yeah that's perfectly fine
11-18-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832044
11-18-2025 03:57 PMAlexander GonzalezAlexander is RUNNING LATE for:
4:00PM-11/18/2025
OT-VIS: OT Visit
11-18-2025 04:10 PMAlexander GonzalezAlexander (Prim) Replied: I just arrived☺️
11-18-2025 04:41 PMLeslie BurciagaBurciaga, Leslie: THANKSGIVING WEEK WEDNESDAY AND THURSDAY APPOINTMENTS CANCELED.
11-18-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-18-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-19-2025 07:55 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-19-2025 07:59 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-19-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=845003
11-19-2025 03:59 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/19/2025
OT-VIS: OT Visit
11-19-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841094
11-19-2025 04:34 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-11/19/2025
92507: Speech & Language Visit
11-19-2025 04:35 PMAlexander GonzalezAlexander (Prim) Replied: Hello I'm here☺️
11-19-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-20-2025 07:46 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-20-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827914
11-20-2025 03:59 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/20/2025
OT-VIS: OT Visit
11-20-2025 04:04 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/20/2025
OT-VIS: OT Visit
11-23-2025 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-24-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-23-2025 04:01 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 11-25-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-23-2025 04:01 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 11-24-2025 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-23-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-23-2025 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
11-23-2025 08:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-23-2025 08:05 PMAlexia HintonHi, 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.
11-23-2025 08:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-23-2025 08:05 PMGuadalupe KeyHi, 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 07:49 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
11-24-2025 07:50 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
11-24-2025 04:03 PMAlexander GonzalezAlexander (Prim) Replied: Hello my husband will be taking Alexander he is in a grey ford truck☺️
11-24-2025 04:04 PMAlexander GonzalezAlexander (Prim) Replied: Hello my husband will be taking Alexander he is in a grey ford truck☺️
11-24-2025 04:08 PMRachael Haducksounds good :) does your husband know to come to building A for speech first?
11-24-2025 04:09 PMAlexander GonzalezAlexander (Prim) Replied: Yes☺️
11-24-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841059
11-24-2025 04:21 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-11/24/2025
92507: Speech & Language Visit
11-24-2025 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844015
11-24-2025 04:58 PMGuadalupe KeyThank you for letting me know!! (:
11-24-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-25-2025 07:46 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
11-25-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832045
11-25-2025 04:05 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-11/25/2025
OT-VIS: OT Visit
11-25-2025 04:06 PMAlexander GonzalezAlexander (Prim) Replied: Hey! I just arrived
11-30-2025 09:58 AMGuadalupe KeyHi good morning! I was just reaching out to remind you I won’t be seeing Alexander this Monday since I will be out, but we can resume next Monday. I apologize for the inconvenience! Have a great day 😊
11-30-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-04-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-02-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 12-01-2025 at 4:30 PM, and on 12-03-2025 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 04:04 PMAlexander GonzalezAlexander (Prim) Replied: Loved β€œHi good morning! I was just reaching out to remind you I won’t be seeing Alexander this Monday since I will be out, but we can resume next Monday. I apologize for the inconvenience! Have a great day πŸ˜Šβ€
11-30-2025 04:04 PMGuadalupe KeyHi, 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.
11-30-2025 04:04 PMAlexander GonzalezAlexander (Prim) Replied: Hello! Thank you for reminding me!πŸ™‚
11-30-2025 04:04 PMGuadalupe KeyHi, 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.
11-30-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-30-2025 04:05 PMRachael HaduckHi, 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.
11-30-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-30-2025 04:05 PMAlexia HintonHi, 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.
11-30-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
11-30-2025 04:05 PMLeslie BurciagaHi, 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.
11-30-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-01-2025 07:52 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-01-2025 03:15 PMAlexander GonzalezAlexander (Prim) Replied: Hello! Are we able to reschedule another time? Alexander was sent home with a horrible rash and we are at UMC with him
12-01-2025 03:19 PMRachael HaduckOf course! I will get him canceled. Feel better, Alex!

I have availability for a make-up session this Thursday at 2:30, 3:30, and 4:45pm :)
12-01-2025 03:19 PMRachael HaduckRachael Haduck CANCELLED:
4:30PM-12/1/2025
92507: Speech & Language Visit
12-01-2025 03:20 PMAlexander GonzalezAlexander (Prim) Replied: I can do this Thursday and 4:45pmπŸ™‚
12-01-2025 03:21 PMAlexander GonzalezAlexander (Prim) Replied: Thank you so much! Do he need a note or anything?
12-01-2025 03:21 PMRachael Haduckperfect, I will get him scheduled for Thursday at 4:45pm. And no, no note is needed, you are all good :)
12-01-2025 03:25 PMRachael HaduckActually, I will have to bump Alex down to 5:00pm because he has an Ot visit from 4:00-5:00pm. If he gets done early with it, feel free to bring him over to my office before 5:00pm! I know sometimes sessions don't run the full hour.
12-01-2025 03:25 PMAlexander GonzalezAlexander (Prim) Replied: Yeah usually it's 4:45pm when they release but yes I'll have him there by 5!
12-01-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-02-2025 07:49 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-02-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832046
12-02-2025 04:06 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/2/2025
OT-VIS: OT Visit
12-02-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-03-2025 07:51 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-03-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841095
12-03-2025 04:29 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-12/3/2025
92507: Speech & Language Visit
12-03-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-03-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-04-2025 07:44 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-04-2025 07:59 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-04-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827916
12-04-2025 03:52 PMAlexander GonzalezAlexander is RUNNING LATE for:
4:00PM-12/4/2025
OT-VIS: OT Visit
12-04-2025 04:05 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/4/2025
OT-VIS: OT Visit
12-04-2025 04:45 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=850581
12-04-2025 04:53 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/4/2025
92507: Speech & Language Visit
12-07-2025 08:44 AMRachael HaduckGood morning! I hope you had a great weekend. I’m reaching out to let you know I will be taking a personal day tomorrow, so I will need to cancel our session. I’m sorry for the short notice and can offer you these days and times as a make-up:

1) Wednesday 12/10: 5:00pm
2) Wednesday 12/17: 5:00pm

Thank you for your understanding, and if you have any questions please do not hesitate to reach out.


Kindest,

Rachael, CCC-SLP
12-07-2025 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-08-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-11-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-09-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:02 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-07-2025 04:02 PMAlexia HintonHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:02 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-07-2025 04:02 PMLeslie BurciagaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 12-08-2025 at 4:30 PM, and on 12-10-2025 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-07-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: Hello! He originally has therapy on Mondays and Wednesday I'm not sure if that was for me but will he still have therapy tomorrow or were you still taking a personal day☺️
12-07-2025 04:05 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:05 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-07-2025 04:05 PMGuadalupe KeyHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-07-2025 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-07-2025 06:33 PMRachael HaduckHaduck, Rachael: Just a friendly reminder that I will be out of office tomorrow, 12/8 and will return 12/9. If you have any questions or concerns, please do not hesitate to message me.
12-07-2025 06:36 PMRachael HaduckYes, I am still taking a personal day, sorry for the confusion! Do you want to discuss a make-up session this week?
12-08-2025 07:52 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-08-2025 12:30 PMLeslie BurciagaBurciaga, Leslie: Appointments canceled for DECEMBER 24TH & 25TH.
REMINDER THE CLINIC WILL BE CLOSED FROM DECEMBER 24TH UNTIL JANUARY 2ND.
THERAPY WILL RESUME THE WEEK OF JANUARY 5TH
12-08-2025 04:02 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I hope it's okay if we can reschedule today session Alexander has broken out into hives and we are gonna be taking him to the urgent care to get checked since it's the second time it's spread throughout his body now
12-08-2025 04:05 PMGuadalupe KeyGuadalupe Key CANCELLED:
5:00PM-12/8/2025
OT-VIS: OT Visit
12-08-2025 04:05 PMAlexander GonzalezAlexander (Prim) Replied: I hope this doesn't affect him with therapy services only because this is his second time rescheduling 🫩
12-08-2025 04:06 PMGuadalupe KeyHi! No worries at all, I hope everything is okay with him :( Since I only see him on Mondays, I can reschedule for next Monday, so don't worry (:
12-08-2025 04:11 PMAlexander GonzalezAlexander (Prim) Replied: Thank you so much! I do apologize we aren't sure what's happening but hopefully all is okay
12-08-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-08-2025 06:46 PMRachael HaduckGood evening! I apologize for the late message, but Noah’s note from 12/4 still needs a signature. I may have forgotten to send it over soonerβ€”thank you so much! :) have a wonderful evening!
12-08-2025 06:46 PMRachael HaduckSorry! I meant Alex. Complete computer typo on my end!
12-08-2025 06:47 PMAlexander GonzalezAlexander (Prim) Replied: Thank you I just signed it! (;
12-08-2025 06:48 PMRachael Haduckthank you so much!

Also, I hope Alex begins to feel better soon! Hives can feel awful!
12-08-2025 06:49 PMAlexander GonzalezAlexander (Prim) Replied: I know they randomly popped out again but on his whole body so I can only imagine that feeling :( thank you so much though!
12-09-2025 07:46 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-09-2025 02:18 PMLeslie BurciagaBurciaga, Leslie: Appointments canceled are all for the week of December 29th- January2nd. Due to the clinic being closed for the holidays and new year.
REMINDER the clinic will be closed from December 24TH-January 2nd.
Therpaist will complete make-ups before the year is over. Or after the new year.
If you have any questions or concerns please don't hesitate to reach out and ask :)
12-09-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=832047
12-09-2025 04:08 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/9/2025
OT-VIS: OT Visit
12-09-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-10-2025 07:50 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-10-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-11-2025 07:43 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-11-2025 11:45 AMAlexia HintonGood morning. Its Lexi. Next week on Friday the 19th I wanted to set up a makeup visit due to the following week starting the 24th of dec to the 5th of jan we will be closed. I was thinking of Friday because I had more availability. Will that work ? :))
12-11-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827917
12-11-2025 03:54 PMAlexia HintonHi mom its Lexi. Question for next week on Friday the 19th would it be possible to see Alex at 4:00 ?
12-11-2025 04:04 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course!
12-11-2025 04:04 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/11/2025
OT-VIS: OT Visit
12-11-2025 04:07 PMAlexia Hintonperfect thank you so much
12-14-2025 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-15-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-18-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 04:02 PMAlexia HintonHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-19-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 12-15-2025 at 4:30 PM, and on 12-17-2025 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 04:23 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-14-2025 04:23 PMGuadalupe KeyHi, 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.
12-14-2025 04:23 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-14-2025 04:23 PMRachael HaduckHi, 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.
12-14-2025 04:23 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-14-2025 04:23 PMAlexia HintonHi, 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.
12-14-2025 04:23 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-14-2025 04:23 PMLeslie BurciagaHi, 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.
12-14-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-14-2025 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-15-2025 07:45 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-15-2025 07:53 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-15-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841062
12-15-2025 04:15 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-12/15/2025
92507: Speech & Language Visit
12-15-2025 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=854412
12-15-2025 05:01 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/15/2025
OT-VIS: OT Visit
12-15-2025 07:13 PMAlexia HintonHi mom it’s Lexi. I was wondering if possible I can see Alex on Wednesday at 5pm for a makeup ? If not it’s ok ☺️
12-16-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-16-2025 06:38 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I'm so sorry I just saw tif it's still open then yes we can do a makeup tomorrow
12-16-2025 06:42 PMAlexia HintonIt's ok don't worry :)). My 5 got filled, but my 4pm is open ? I can have him out in time for Ms. Rachel. You can come 10min before 4pm as well if you like. Whatever works for you if that's ok ? :))
12-16-2025 06:43 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course I'll be there super soon!!😊
12-16-2025 06:47 PMAlexia HintonAwesome ☺️. I appreciate you for getting back to me. Thank you so much, I will see you guys tomorrow. ☺️
12-17-2025 07:49 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 08:05 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 09:49 AMRachael Haduck**Holiday Closure & Out-of-Office Notice**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return.

I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year!


Kindest,

Rachael, CCC-SLP
12-17-2025 03:44 PMAlexander GonzalezAlexander (Prim) Replied: Hey Lexi! I'm outside😌
12-17-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859150
12-17-2025 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841097
12-17-2025 04:30 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-12/17/2025
92507: Speech & Language Visit
12-17-2025 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-18-2025 07:42 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-18-2025 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827918
12-18-2025 04:03 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/18/2025
OT-VIS: OT Visit
12-18-2025 06:30 PMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-18-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-19-2025 07:37 AMAlexia HintonHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
12-19-2025 07:39 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-19-2025 03:00 PMAlexia HintonHello parents. Just wanted to clear up any confusion. Next week on Monday the 22nd and Tuesday the 23rd we will still be open and seeing patients at their scheduled times. I know a lot of the speech department will not be coming in, however, OT is still treating. Reminders will be sent out Sunday. Please reach out if there's any more questions. :))
12-19-2025 03:45 PMAlexia HintonAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857181
12-19-2025 03:50 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/19/2025
OT-VIS: OT Visit
12-19-2025 03:50 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-12/19/2025
OT-VIS: OT Visit
12-19-2025 04:45 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858378
12-19-2025 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/19/2025
92507: Speech & Language Visit
12-19-2025 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/19/2025
92507: Speech & Language Visit
12-19-2025 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/19/2025
92507: Speech & Language Visit
12-19-2025 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/19/2025
92507: Speech & Language Visit
12-19-2025 05:30 PMRachael Haduck*Holiday Closure & Out-of-Office Notice**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return.

I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year!


Kindest,

Rachael, CCC-SLP
12-19-2025 05:30 PMRachael Haduck*Holiday Closure & Out-of-Office Notice**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return.

I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year!


Kindest,

Rachael, CCC-SLP
12-21-2025 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 12-22-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-21-2025 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-21-2025 06:33 PMAlexander GonzalezAlexander (Prim) Replied: YES
12-21-2025 06:33 PMGuadalupe KeyHi, 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.
12-22-2025 07:40 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-22-2025 01:59 PMGuadalupe KeyHi! I had an opening at 3 would you be interested in coming earlier?
12-22-2025 02:28 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I won't be able to only because I get off at 3:30 :(
12-22-2025 03:47 PMGuadalupe KeyIts okay no worries!!
12-22-2025 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858223
12-22-2025 04:45 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-12/22/2025
OT-VIS: OT Visit
12-22-2025 06:33 PMAlexander GonzalezAlexander (Prim) Replied: Hopefully you are safe! That was strange but I'm hoping you're okay :)
12-22-2025 06:36 PMGuadalupe KeyHi mom! Yes I’m good, I am home now. It was very strange, he kept going to the back where we park and was running around. Good thing I had another coworker that was there and he waited for me so we could leave together 😭
12-23-2025 01:32 PMLeslie BurciagaNew Beginnings will be closed from 12/24/25 through 1/2/26 in observance of the holidays.

We will reopen and resume therapy services the week of 1/5/26. All appointment reminders for that week will be sent on 1/4/26.

Thank you for your continued support. We wish you and your families a joyful and safe holiday season! πŸŽ„βœ¨

New Beginnings estarΓ‘ cerrado desde el 24/12/25 hasta el 2/1/26 por motivo de las fiestas.

Reanudaremos los servicios de terapia la semana del 5/1/26. Todos los recordatorios de citas para esa semana se enviarΓ‘n el 4/1/26.

Gracias por su continuo apoyo. Β‘Les deseamos a usted y a su familia unas felices y seguras fiestas! πŸŽ„βœ¨

12-23-2025 01:40 PMGuadalupe KeyNew Beginnings will be closed from 12/24/25 through 1/02/26 in observance of the holidays.

We will reopen and resume therapy services the week of 1/5/26. All appointment reminders for that week will be sent on 1/4/26.

Thank you for your continued support. We wish you and your families a joyful and safe holiday season! πŸŽ„βœ¨

New Beginnings estarΓ‘ cerrado desde el 12/24/25 hasta el 01/02/26 por motivo de las fiestas.

Reanudaremos los servicios de terapia la semana del 01/05/26. Todos los recordatorios de citas para esa semana se enviarΓ‘n el 01/04/26.

Gracias por su continuo apoyo. Β‘Les deseamos a usted y a su familia unas felices y seguras fiestas! πŸŽ„βœ¨
01-04-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-05-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-08-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 01-05-2026 at 4:30 PM, and on 01-07-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:12 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-04-2026 04:12 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:12 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-04-2026 04:12 PMLeslie BurciagaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:12 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-04-2026 04:12 PMGuadalupe KeyHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-04-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-05-2026 07:42 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-05-2026 07:54 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-05-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841063
01-05-2026 04:30 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/5/2026
92507: Speech & Language Visit
01-05-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=861871
01-05-2026 05:03 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-1/5/2026
OT-VIS: OT Visit
01-06-2026 09:50 AMGuadalupe Keyhi! I have an appointment available today at 4. Would you be interested in coming for an extra appointment? We are behind only 2 visits (:
01-06-2026 09:52 AMAlexander GonzalezAlexander (Prim) Replied: Yeah of course! (:
01-06-2026 11:07 AMGuadalupe Keyperfect! See you guys at 4 (:
01-06-2026 03:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=866281
01-06-2026 03:57 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/6/2026
OT-VIS: OT Visit
01-06-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-07-2026 07:45 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-07-2026 03:14 PMAlexander GonzalezAlexander (Prim) Replied: Hello Rachael! I think we might have to reschedule we are on our way to the doctors, just got a call to pick her up and we are taking her to the doctors. They scheduled us at 3:50pm if there are openings tomorrow we can do them after 4 and same for Friday
01-07-2026 03:20 PMRachael HaduckNo worries! Tomorrow I can possibly see him at 5:30. And I can see him on Friday at 4:00pm
01-07-2026 03:28 PMRachael HaduckI do have a 5:00pm open today if you were somehow able to make it. If not, that's okay! I will still get his 4:30 cancelled.
01-07-2026 03:29 PMRachael HaduckRachael Haduck CANCELLED:
4:30PM-1/7/2026
92507: Speech & Language Visit
01-07-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 07:42 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 08:22 AMAlexander GonzalezAlexander (Prim) Replied: Good morning! I can do tomorrow at 4pm if that's okay (:
01-08-2026 09:36 AMRachael Haduckperfect, he is scheduled :)
01-08-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827921
01-08-2026 04:04 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/8/2026
OT-VIS: OT Visit
01-08-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-09-2026 07:37 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-09-2026 03:45 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868648
01-09-2026 04:00 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/9/2026
92507: Speech & Language Visit
01-11-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-12-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-15-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 01-12-2026 at 4:30 PM, and on 01-14-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 05:32 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-11-2026 05:32 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 05:32 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-11-2026 05:32 PMLeslie BurciagaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 05:32 PMAlexander GonzalezAlexander (Prim) Replied: YES
01-11-2026 05:32 PMGuadalupe KeyHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-11-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-12-2026 07:42 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-12-2026 07:51 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-12-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841064
01-12-2026 04:28 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/12/2026
92507: Speech & Language Visit
01-12-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=861872
01-12-2026 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-1/12/2026
OT-VIS: OT Visit
01-13-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-14-2026 07:44 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-14-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841099
01-14-2026 04:27 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/14/2026
92507: Speech & Language Visit
01-14-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 07:41 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827922
01-15-2026 03:59 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/15/2026
OT-VIS: OT Visit
01-18-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-19-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-18-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-22-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-18-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 01-19-2026 at 4:30 PM, and on 01-21-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-18-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-18-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-19-2026 07:41 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-19-2026 07:49 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-19-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841065
01-19-2026 04:30 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/19/2026
92507: Speech & Language Visit
01-19-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=861873
01-19-2026 04:59 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-1/19/2026
OT-VIS: OT Visit
01-20-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 07:43 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-21-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841100
01-21-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 07:41 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827923
01-22-2026 03:58 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/22/2026
OT-VIS: OT Visit
01-25-2026 04:01 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-26-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-25-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 01-29-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-25-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 01-26-2026 at 4:30 PM, and on 01-28-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-25-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-25-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-26-2026 07:39 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-26-2026 07:47 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-26-2026 12:14 PMRachael Haduck**Out of Office Notice**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to let you know that I will be out of the office on Monday, February 2nd. Make-up sessions will be offered throughout the week, as well as on Friday, February 6th. I will be reaching out to schedule make-up sessions with you.


Kindest,

Rachael, CCC-SLP
01-26-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841066
01-26-2026 04:26 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/26/2026
92507: Speech & Language Visit
01-26-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=861874
01-26-2026 05:04 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-1/26/2026
OT-VIS: OT Visit
01-27-2026 04:26 PMRachael HaduckHaduck, Rachael: **Out of Office Notice**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to let you know that I will be out of the office on Monday, February 2nd. Make-up sessions will be offered throughout the week, as well as on Friday, February 6th. I will be reaching out to schedule make-up sessions with you.


Kindest,

Rachael, CCC-SLP
01-27-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-28-2026 07:43 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
01-28-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841101
01-28-2026 04:30 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-1/28/2026
92507: Speech & Language Visit
01-28-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 07:38 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827924
01-29-2026 04:00 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-1/29/2026
OT-VIS: OT Visit
02-01-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-02-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-05-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 02-04-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 05:28 PMAlexander GonzalezAlexander (Prim) Replied: YES
02-01-2026 05:28 PMGuadalupe KeyHi, 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.
02-01-2026 05:28 PMAlexander GonzalezAlexander (Prim) Replied: YES
02-01-2026 05:28 PMLeslie BurciagaHi, 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.
02-01-2026 05:28 PMAlexander GonzalezAlexander (Prim) Replied: YES
02-01-2026 05:28 PMRachael HaduckHi, 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.
02-01-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-01-2026 08:21 PMGuadalupe KeyGood evening, parents! This is a friendly reminder that starting tomorrow, my new location will be 1510 N. Zaragoza Rd., Suite B1, El Paso, TX 79936, formerly OT for Tots. Don’t hesitate to contact me if you have any questions or concerns.(:
02-01-2026 10:06 PMRachael Haduck**Office Location Change**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B.

DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads β€œ1510 Zaragoza, Building A” β€” turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location.

Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601.

NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed.


Kindest,
Rachael, CCC-SLP
02-02-2026 07:44 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-02-2026 12:56 PMRachael Haduck**Office Location Change**

Dear Parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B.

DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads β€œ1510 Zaragoza, Building A” β€” turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location.

Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601.

NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed.

Kindest,
Rachael, CCC-SLP
02-01-2026 02:11 PM **Office Location Change**
02-02-2026 01:36 PMGuadalupe KeyHi! Today I won't be able to see Alex, I asked the front office, and they said they have to first get the approval from the new insurance :(
02-02-2026 01:57 PMAlexander GonzalezAlexander (Prim) Replied: Oh no😞 well thank you for letting me know :(
02-02-2026 04:11 PMGuadalupe KeyI know :( Hopefully, we get him back by the end of the week, but I will definitely keep you posted :)
02-06-2026 04:17 PMGuadalupe KeyHello!!! We can start seeing Alex next week at his regular times (:
02-06-2026 04:18 PMGuadalupe KeyGuadalupe Key CANCELLED:
5:00PM-2/2/2026
OT-VIS: OT Visit
02-06-2026 04:18 PMGuadalupe KeyGuadalupe Key CANCELLED:
5:00PM-2/2/2026
OT-VIS: OT Visit
02-06-2026 04:18 PMGuadalupe KeyGuadalupe Key CANCELLED:
5:00PM-2/2/2026
OT-VIS: OT Visit
02-06-2026 04:36 PMAlexander GonzalezAlexander (Prim) Replied: Ugh thank you so much! I started getting worried! :)
02-08-2026 02:48 PMRachael HaduckHaduck, Rachael: **Out of Office Notice - Wednesday, 2/11**

Dear Parents,

Happy Sunday! I hope you are all enjoying your Super Bowl Sunday.

This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to let you know that I will be out of the office on Wednesday, February 11th. Make-up sessions will be offered throughout the week, as well as on Friday, February 13th. I will be reaching out to schedule make-up sessions with you.

Thank you for your understanding. :)


Kindest,
Rachael, CCC-SLP
02-08-2026 04:01 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-09-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-12-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 04:03 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 02-09-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-08-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-09-2026 07:39 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-09-2026 08:01 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-09-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841068
02-09-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887428
02-10-2026 05:40 PMRachael HaduckDear Parents,

This is just a friendly reminder that I will be out of the office tomorrow, Wednesday 2/11.

If your child’s session has been rescheduled, you should have already received confirmation with the new date and time. If your child's session has not yet been rescheduled due to scheduling conflicts or limited availability, we will work together to find a suitable makeup time. Please feel free to reach out if you have any questions or need clarification. Thank you for your understanding, and I look forward to seeing everyone at their next scheduled session!

Kindest,
Rachael, CCC-SLP
02-11-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-12-2026 07:39 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-12-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827926
02-12-2026 03:59 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-2/12/2026
OT-VIS: OT Visit
02-13-2026 02:50 PMRachael HaduckHaduck, Rachael: Dear Parents,

I apologize for the short notice, but I will need to cancel our session on Monday, February 19th. My husband is in the military and has an upcoming training departure, and some final scheduling and transportation arrangements that came together more quickly than anticipated. I need to be available that day to assist with last-minute arrangements and getting him to base.

I apologize for the inconvenience and truly appreciate your understanding. I will be reaching out to schedule a make-up session with you soon.


Kindest,
Rachael, CCC-SLP
02-13-2026 02:56 PMAlexander GonzalezAlexander (Prim) Replied: Loved β€œHaduck, Rachael: Dear Parents,

I apologize for the short notice, but I will need to cancel our session on Monday, February 19th. My husband is in the military and has an upcoming training departure, and some final scheduling and transportation arrangements that came together more quickly than anticipated. I need to be available that day to assist with last-minute arrangements and getting him to base.

I apologize for the inconvenience and truly appreciate your understanding. I will be reaching out to schedule a make-up session with you soon.


Kindest,
Rachael, CCC-SLP”
02-13-2026 02:56 PMRachael HaduckHi, 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.
02-14-2026 10:46 AMRachael HaduckGood morning!

I want to clarify that I will be out of the office on Monday, 2/16. A parent kindly brought to my attention that my previous message listed the 19th, and I apologize for any confusion this may have caused with days and dates!

Thank you again for your understanding, especially with the short notice due to military obligations. I truly appreciate your flexibility! :)

I hope you all have a wonderful weekend.

Kindest,
Rachael, CCC-SLP
02-15-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-16-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-19-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 02-18-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-16-2026 07:50 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-16-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887429
02-16-2026 04:58 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-2/16/2026
OT-VIS: OT Visit
02-17-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 07:39 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841104
02-18-2026 04:26 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-2/18/2026
92507: Speech & Language Visit
02-18-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-19-2026 07:38 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-19-2026 08:04 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-19-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827927
02-19-2026 04:02 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-2/19/2026
OT-VIS: OT Visit
02-19-2026 04:45 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894627
02-19-2026 05:04 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-2/19/2026
92507: Speech & Language Visit
02-19-2026 05:04 PMAlexander GonzalezAlexander is CHECKED IN for:
5:00PM-2/19/2026
92507: Speech & Language Visit
02-22-2026 04:01 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-23-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 02-26-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 04:03 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 02-23-2026 at 4:30 PM, and on 02-25-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-22-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-23-2026 07:37 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-23-2026 07:57 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-23-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841070
02-23-2026 04:30 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-2/23/2026
92507: Speech & Language Visit
02-23-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892913
02-24-2026 12:33 PMRachael Haduckhi!! i was wondering if you wanted to come in today at 5:30pm for a make-up session? it is later in the day! if it's too difficult, we can plan for next week!
02-24-2026 02:56 PMAlexander GonzalezAlexander (Prim) Replied: Hello! Sorry for the late reply if we can still do it then I can take him at 5:30! (:
02-24-2026 03:54 PMRachael Haduckit's still available! i'll schedule him for today at 5:30!
02-24-2026 05:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898576
02-24-2026 05:26 PMAlexander GonzalezAlexander is CHECKED IN for:
5:30PM-2/24/2026
92507: Speech & Language Visit
02-24-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-25-2026 07:39 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
02-25-2026 01:55 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I am currently on the west side I got a flat tire and waiting for a tow truck, I'll try to make it to his therapy but I'll keep you updated
02-25-2026 02:52 PMRachael Haduckoh no! I hope you are able to get it fixed soon! but take your time and keep me updated!
02-25-2026 04:03 PMRachael Haduckhi! just checking in to see how things are going? :)
02-25-2026 04:04 PMAlexander GonzalezAlexander (Prim) Replied: Hello! We are currently still stuck here we've been waiting for a tow truck still :(
02-25-2026 04:04 PMRachael Haduckoh no I'm so sorry :( I can cancel and we can plan for a make-up session for next week!
02-25-2026 04:08 PMRachael HaduckRachael Haduck CANCELLED:
4:30PM-2/25/2026
92507: Speech & Language Visit
02-25-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-26-2026 07:38 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
02-26-2026 10:37 AMRachael Haduckhi!! if you are open to it, I can possibly see Alex today at 5:30pm. I'm just waiting to see if a patient will move up to my 4:30pm cancellation spot. He would just have to wait 30-minutes after ot to be seen. I will let you know if they agree and then you can let me know if that works fro you!
02-26-2026 01:39 PMAlexander GonzalezAlexander (Prim) Replied: Were you able to have them move up? :)
02-26-2026 02:02 PMRachael Haduckhi! still waiting on a response :(
02-26-2026 02:06 PMRachael Haduckparent just agreed! I'll put Alex down for 5:30 :) sorry that is has to be 30 minutes after ot!
02-26-2026 02:08 PMAlexander GonzalezAlexander (Prim) Replied: Yay! It's okay! :)
02-26-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827928
02-26-2026 04:02 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-2/26/2026
OT-VIS: OT Visit
02-26-2026 04:04 PMClaudia ApplewhiteGood afternoon. This is Claudia, I am an occupational therapist here at New Beginnings. I am reaching out because Alexander will be due for an OT re-evaluation next week so he will continue to have authorization from insurance. I have an available appointment on Wednesday, 3/4 @ 3. Would this work for you?
02-26-2026 04:08 PMAlexander GonzalezAlexander (Prim) Replied: Hello! By any chance do you have anything open for Monday?
02-26-2026 04:15 PMClaudia ApplewhiteI can see him on Monday at 5 when he has his OT appointment?
02-26-2026 04:17 PMAlexander GonzalezAlexander (Prim) Replied: If it's possible please :)
02-26-2026 04:21 PMClaudia ApplewhiteYes, that works. Thank you,
02-26-2026 04:21 PMAlexander GonzalezAlexander (Prim) Replied: Liked β€œYes, that works. Thank you,”
02-26-2026 05:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899711
02-26-2026 05:20 PMAlexander GonzalezAlexander is CHECKED IN for:
5:30PM-2/26/2026
92507: Speech & Language Visit
03-01-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-02-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-01-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-05-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-01-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 03-02-2026 at 4:30 PM, and on 03-04-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-01-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-01-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-02-2026 07:36 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech/Feeding Reevaluation appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-02-2026 07:52 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-02-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892914
03-03-2026 09:13 AMRachael Haduckhi! just checking in to confirm you would like to complete a make-up session today at 5:30pm? :) if so, I will get him scheduled!

if I get an early cancellations after 4:00pm, I will let you know :)
03-03-2026 10:53 AMAlexander GonzalezAlexander (Prim) Replied: Yes please thank you! And if there is earlier after 3 then that would also be great! (:
03-03-2026 11:04 AMRachael Haduckif I am able to move my Thursday patient from 3:30 to 4, would you be able to come in on Thursday at 3:30 so he is then back to back with ot??
03-03-2026 11:04 AMRachael HaduckI can reach out and ask parent!
03-03-2026 11:06 AMAlexander GonzalezAlexander (Prim) Replied: I wouldn't be more than likely just because tomorrow I start my new job and I think we are off at 3:30. I let Leslie know that this week I'll find out the schedule of my job and usually I'm off at 3:30 but if they try keeping me later then I would quit only because his therapy is really important to us
03-03-2026 11:06 AMAlexander GonzalezAlexander (Prim) Replied: I was able to today because I haven't started yet sorry :(
03-03-2026 11:18 AMRachael Haduckno worries, I understand! I will schedule him for today at 5:30!
03-03-2026 05:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902322
03-03-2026 05:28 PMAlexander GonzalezAlexander is CHECKED IN for:
5:30PM-3/3/2026
92507: Speech & Language Visit
03-03-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-04-2026 07:38 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-04-2026 10:57 AMLeslie BurciagaHi, good morning. I wanted to check in and see if you had any update with your new job?
03-04-2026 02:28 PMAlexander GonzalezAlexander (Prim) Replied: Hello! So Friday is when I'll begin training and I believe I'll still be off at 3:30 at least for the next two weeks until an actual schedule gets sent out
03-04-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841106
03-04-2026 04:26 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-3/4/2026
92507: Speech & Language Visit
03-04-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
03-05-2026 07:38 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
03-05-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827929
03-05-2026 03:58 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-3/5/2026
OT-VIS: OT Visit
03-06-2026 01:05 PMAlexander GonzalezAlexander (Prim) Replied: Hi Leslie so turns out no I won't be doing the job so if you'd like to schedule him anytime during these next two weeks we are available ☺️
03-06-2026 01:06 PMAlexander GonzalezAlexander (Prim) Replied: Hello Lupita! I'm not sure if you already have a schedule for these next two weeks of spring break but Alexander is available anytime :)
03-06-2026 01:10 PMLeslie BurciagaHi!!
03-06-2026 01:10 PMLeslie BurciagaI can see him at 3pm next week if that’s ok?
03-06-2026 01:11 PMAlexander GonzalezAlexander (Prim) Replied: Yeah of course!
03-06-2026 01:53 PMGuadalupe KeyHello! Of course for next week I have Monday at 8, Tuesday at 11 and Wednesday at 8 or 2. Idk if any of those work for you, and if possible we can do an extra one since we are behind from when we had to do the hold :(
03-06-2026 01:57 PMGuadalupe Keysorry not Wednesday at 2 :(
03-06-2026 02:47 PMAlexander GonzalezAlexander (Prim) Replied: I can do any of those times :)
03-06-2026 04:09 PMGuadalupe KeyWould you like to do Monday at 8 and Tuesday at 11?
03-06-2026 04:18 PMAlexander GonzalezAlexander (Prim) Replied: Yeah of course!
03-06-2026 07:45 PMGuadalupe KeyPerfect!! Thank you!!
03-08-2026 10:03 AMGuadalupe KeyHi good morning! I had a 10 open up for tomorrow, do you want to keep the 8 am for tomorrow or do the 10 instead?
03-08-2026 10:29 AMAlexander GonzalezAlexander (Prim) Replied: Good morning! We can do 10 :)
03-08-2026 10:29 AMGuadalupe KeyHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-09-2026 at 10:00 AM, and on 03-10-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-12-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 03-09-2026 at 4:30 PM, and on 03-11-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-08-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
03-09-2026 07:36 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-09-2026 07:48 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
03-09-2026 09:45 AMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892915
03-09-2026 10:04 AMAlexander GonzalezAlexander is CHECKED IN for:
10:00AM-3/9/2026
OT-VIS: OT Visit
03-09-2026 10:45 AMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841072
03-09-2026 11:24 AMRachael HaduckWednesday: 9:00, 10:30, 11:00, 11:30, 12:00

Thursday, if able to move up: 11:00, 11:30. 12:00, 12:30
03-09-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings πŸ™‚
03-09-2026 11:35 PMAlexander GonzalezAlexander (Prim) Replied: I can do 12:30 Thursday and I'll ask Leslie if there's a time in between there :)
03-09-2026 11:35 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-10-2026 08:02 AMRachael Haduckdo you want to bump up early on wednesday as well?
03-10-2026 08:04 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings πŸ™‚
03-10-2026 10:45 AMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904152
03-10-2026 10:56 AMAlexander GonzalezAlexander is CHECKED IN for:
11:00AM-3/10/2026
OT-VIS: OT Visit
03-10-2026 11:05 AMAlexander GonzalezAlexander (Prim) Replied: Wednesday I can do 11 am :)
03-10-2026 11:13 AMRachael Haduckis it okay if we push down by 15-minutes? my 10:30am patient requested a 45-minute session for tomorrow. If they show up early, and I can start early, I can probably see Alex sooner than 11:15! sorry!!
03-10-2026 11:13 AMAlexander GonzalezAlexander (Prim) Replied: You're okay! Yeah of course we can do that! (:
03-10-2026 12:03 PMGuadalupe KeyHi!! We had a really good session today. We focused a lot on social skills and sharing. At first, he preferred to play by himself and didn’t want to share with anyone, but I introduced a preferred toy (puzzles), which caught his interest. After that, he began sharing and engaging in play with both another peer and me.

His behavior has also improvedβ€”there was no hitting during the session, and he did not become upset. We also worked on the ABCs, and he is making great attempts to produce many of the letter sounds.

I wanted to let you know that I won’t be here next Monday. Would it be possible for me to see him next Friday at 2 instead?
03-10-2026 01:01 PMAlexander GonzalezAlexander (Prim) Replied: Loved β€œHi!! We had a really good session today. We focused a lot on social skills and sharing. At first, he preferred to play by himself and didn’t want to share with anyone, but I introduced a preferred toy (puzzles), which caught his interest. After that, he began sharing and engaging in play with both another peer and me.

His behavior has also improvedβ€”there was no hitting during the session, and he did not become upset. We also worked on the ABCs, and he is making great attempts to produce many of the letter sounds.

I wanted to let you know that I won’t be here next Monday. Would it be possible for me to see him next Friday at 2 instead?”
03-10-2026 01:01 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course we can do next Friday at 2! Thank you so much! :)
03-10-2026 01:22 PMGuadalupe Keyperfect!! Thank you (:
03-10-2026 02:07 PMRachael Haduckthank you!! I will mov him up :)
03-10-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings πŸ™‚
03-11-2026 07:40 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings πŸ™‚
03-11-2026 10:14 AMRachael Haduckhi! so sorry, I am good today to see Alex at 11:00am, not 11:15am :) I misread my schedule and confused myself!!!
03-11-2026 10:30 AMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841107
03-11-2026 10:59 AMAlexander GonzalezAlexander is RUNNING LATE for:
10:45AM-3/11/2026
92507: Speech & Language Visit
03-11-2026 11:10 AMAlexander GonzalezAlexander (Prim) Replied: Im here :)
03-11-2026 06:25 PMAlexander GonzalezAlexander (Prim) Replied: Hi Rachael! I'm so sorry but I wanted to see if you have anything available for Friday? They just moved up the delivery date to tomorrow for our fridge between 11:00am and 3pm :(
03-11-2026 06:25 PMAlexander GonzalezAlexander (Prim) Replied: Hi Leslie! I'm so sorry but I wanted to see if you have anything available for Friday? They just moved up the delivery date to tomorrow for our fridge between 11:00am and 3pm :(
03-11-2026 06:27 PMRachael HaduckHi! I’m sorry, I won’t be in-office on Friday:( but we do have a new hire. Her name is Lauryn, she’s an SLPA. If you’re interested, he can complete the make-up with her :) otherwise, I’ll be in next Friday for make-ups!
03-11-2026 06:29 PMLeslie BurciagaHello, unfortunately I do not. We can cancel and reschedule for a later time
03-11-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings πŸ™‚
03-11-2026 06:30 PMLeslie BurciagaLeslie Burciaga CANCELLED:
2:00PM-3/12/2026
OT-VIS: OT Visit
03-11-2026 06:30 PMLeslie BurciagaLeslie Burciaga CANCELLED:
2:00PM-3/12/2026
OT-VIS: OT Visit
03-11-2026 06:30 PMAlexander GonzalezAlexander (Prim) Replied: I can do the makeup with her and anymore others he need I can do with you next week :)
03-11-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings πŸ™‚
03-11-2026 06:31 PMRachael HaduckSounds perfect! I’ll send her and front office a message so she can reach out to you and schedule for Friday :)
03-11-2026 06:31 PMAlexander GonzalezAlexander (Prim) Replied: Thank you so much!
03-11-2026 06:32 PMAlexander GonzalezAlexander (Prim) Replied: I'm available all next week anytime morning or afternoon except Friday only in the morning since Alexander has a dentist appointment at 4pm
03-12-2026 12:10 PMLauryn BarlowGood afternoon, my name is Lauryn, and I will be the Speech Language Pathologist Assistant working with Alexander this Friday, 3/13. I have availability from 9 am- 3 pm. Please let me know which time will work best for you. Thank you and I look forward to meeting you both!
03-12-2026 12:55 PMAlexander GonzalezAlexander (Prim) Replied: Hello Lauryn! We can do 9am if that's okay with you! :)
03-12-2026 01:12 PMLauryn BarlowGreat! I will see you then! I am at the same office location as Rachael! :)
03-12-2026 01:17 PMLeslie BurciagaHello, next week I can see him Wednesday at 12pm to make-up today’s appointment. :) please let me know if that works for you.
03-12-2026 01:17 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course thank you! (:
03-12-2026 01:18 PMLeslie BurciagaPerfect thank you!
03-12-2026 06:30 PMLauryn BarlowHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 07:37 AMLauryn BarlowHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 08:45 AMLauryn BarlowAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906850
03-13-2026 08:59 AMAlexander GonzalezAlexander is CHECKED IN for:
9:00AM-3/13/2026
92507: Speech & Language Visit
03-15-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-20-2026 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-15-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-18-2026 at 12:00 PM, and on 03-19-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-15-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 03-16-2026 at 4:30 PM, and on 03-18-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-15-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-15-2026 06:53 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I just wanted to let you know Alexander is in the hospital and just got tested positive for flu type b and strep throat so he went be able to go in this week, I'm not sure if there needs to be a doctors note :(
03-15-2026 06:53 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:54 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I just wanted to let you know Alexander is in the hospital and just got tested positive for flu type b and strep throat so he went be able to go in this week, I'm not sure if there needs to be a doctors note :(
03-15-2026 06:54 PMLeslie BurciagaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:54 PMAlexander GonzalezAlexander (Prim) Replied: Hello! I just wanted to let you know Alexander is in the hospital and just got tested positive for flu type b and strep throat so he went be able to go in this week, I'm not sure if there needs to be a doctors note :(
03-15-2026 06:54 PMGuadalupe KeyHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:55 PMLeslie BurciagaHello, thank you for letting me know! Hope he feels better soon!!
03-15-2026 06:56 PMLeslie BurciagaLeslie Burciaga CANCELLED:
4:00PM-3/19/2026
OT-VIS: OT Visit
03-15-2026 06:57 PMLeslie BurciagaLeslie Burciaga CANCELLED:
12:00PM-3/18/2026
OT-VIS: OT Visit
03-15-2026 06:57 PMLeslie BurciagaLeslie Burciaga CANCELLED:
12:00PM-3/18/2026
OT-VIS: OT Visit
03-15-2026 06:57 PMLeslie BurciagaLeslie Burciaga CANCELLED:
12:00PM-3/18/2026
OT-VIS: OT Visit
03-15-2026 06:57 PMLeslie BurciagaLeslie Burciaga CANCELLED:
12:00PM-3/18/2026
OT-VIS: OT Visit
03-15-2026 08:23 PMRachael HaduckHi! I am so sorry to hear :( I hope he begins to feel better soon! Take the week off, I will get sessions canceled :)
03-15-2026 08:24 PMRachael HaduckRachael Haduck CANCELLED:
4:30PM-3/16/2026
92507: Speech & Language Visit
03-15-2026 08:25 PMRachael HaduckRachael Haduck CANCELLED:
4:30PM-3/18/2026
92507: Speech & Language Visit
03-16-2026 07:41 AMGuadalupe KeyHello! Oh no worries mom!! I hope he feels better :(
03-16-2026 11:26 AMGuadalupe KeyGuadalupe Key CANCELLED:
2:00PM-3/20/2026
OT-VIS: OT Visit
03-17-2026 03:37 PMLeslie BurciagaHello, I hope all is well with Alexander and that he’s recovering quickly.

I wanted to touch base regarding my upcoming maternity leave, which I will be taking in about 4–6 weeks. Currently, Alexander is scheduled with me on Thursdays at 4 PM; however, there is no availability at or after 4 PM with any therapist, as all after-school time slots are fully booked.

Because of this, I wanted to see if you might be available for a 2 PM appointment on either Wednesdays or Fridays. This change would be permanent.

Additionally, there will be a transition to another therapist during my leave. The therapist who takes over his care at that time will remain his permanent therapist moving forward, along with the new 2 PM schedule.

I want to make sure Alexander continues receiving consistent care and is able to maintain his therapy schedule of 2x per week.

Please let me know what works best for you. Thank you so much for your understanding and flexibility.
03-17-2026 03:44 PMAlexander GonzalezAlexander (Prim) Replied: Thank you for letting me know Leslie! I can go ahead and let Alexander's school know that I would pull him from school on Wednesday for therapy. So if you can then yes please (:
03-17-2026 03:49 PMLeslie BurciagaOk perfect! Ms. Lupita is actually available on Wednesdays at 2 PM, so this won’t be a huge change for him. Also, I will continue seeing him on Thursdays at 4 PM up until I leave. πŸ™‚
03-17-2026 04:23 PMLeslie BurciagaHello, I hope all is well with Alexander and that he’s recovering quickly.

I wanted to touch base regarding my upcoming maternity leave, which I will be taking in about 4–6 weeks. Currently, Alexander is scheduled with me on Thursdays at 4 PM; however, there is no availability at or after 4 PM with any therapist, as all after-school time slots are fully booked.

Because of this, I wanted to see if you might be available for a 2 PM appointment on either Wednesdays or Fridays. This change would be permanent.

Additionally, there will be a transition to another therapist during my leave. The therapist who takes over his care at that time will remain his permanent therapist moving forward, along with the new 2 PM schedule.

I want to make sure Alexander continues receiving consistent care and is able to maintain his therapy schedule of 2x per week.

Please let me know what works best for you. Thank you so much for your understanding and flexibility.
03-18-2026 08:17 AMRachael Haduckgood morning! I saw the messages with OT and wanted to check in/offer an 1:30pm on Wednesdays followed by OT at 2:00pm when Leslie goes on maternity leave? Unfortunately my 3:00pm is taken :( but this way, Alex/you don't have to wait until 4:30pm on Wednesday's to be seen for speech! :)
03-22-2026 04:00 PMGuadalupe KeyHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-23-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 04:01 PMLeslie BurciagaHi, this is a just a reminder that Gonzalez, Alexander has a Occupational Therapy appointment on 03-26-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Gonzalez, Alexander has a Speech Therapy appointment on 03-23-2026 at 4:30 PM, and on 03-25-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 05:16 PMAlexander GonzalezAlexander (Prim) Replied: Hello, omg I thought I had replied back! I am so sorry but yes I'll let Alexander's school know that Wednesday's he'll be getting out early :)
03-22-2026 05:16 PMRachael HaduckHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-22-2026 06:30 PMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-23-2026 07:36 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-23-2026 07:49 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-23-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841074
03-23-2026 04:22 PMAlexander GonzalezAlexander is CHECKED IN for:
4:30PM-3/23/2026
92507: Speech & Language Visit
03-23-2026 04:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892917
03-24-2026 11:59 AMLeslie Burciaga Hello, I have an appointment available today at 4 for a make-up if you are available to bring Alexander?
03-24-2026 12:29 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course!
03-24-2026 12:34 PMLeslie BurciagaPerfect, see you all later :)
03-24-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913476
03-24-2026 04:01 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-3/24/2026
OT-VIS: OT Visit
03-24-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-24-2026 06:34 PMGuadalupe KeyHello! I was wondering if I could see Alexander tomorrow at 4. I know he gets seen at 4:30 for speech, so I can do a 30 minute session if thats okay?
03-24-2026 06:34 PMAlexander GonzalezAlexander (Prim) Replied: Yes of course!
03-24-2026 06:35 PMGuadalupe Keyperfect!!! Thank you (:
03-25-2026 07:38 AMRachael HaduckHi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-25-2026 08:02 AMGuadalupe KeyHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
03-25-2026 03:45 PMGuadalupe KeyAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913781
03-25-2026 04:05 PMAlexander GonzalezAlexander is CHECKED IN for:
4:00PM-3/25/2026
OT-VIS: OT Visit
03-25-2026 04:15 PMRachael HaduckAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=841109
03-25-2026 06:30 PMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
03-26-2026 07:37 AMLeslie BurciagaHi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
03-26-2026 03:45 PMLeslie BurciagaAlexander Gonzalez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827932
03-26-2026 04:03 PMRachael HaduckHaduck, Rachael: Dear parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions.


Kindest,
Rachael, CCC-SLP
03-26-2026 04:04 PMRachael HaduckHaduck, Rachael: Dear parents,

This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions.


Kindest,
Rachael, CCC-SLP
03-26-2026 06:08 PMGuadalupe KeyHello,

I hope you’re doing well. I wanted to let you know that I will need to leave earlier than usual next Monday, as it is my son’s birthday and we have plans to celebrate in the evening.

For next week, I am available on Wednesday at 2:00 PM. Please let me know if that time works for you, or if you would prefer to reschedule for a different time the following week.

Thank you for your understanding, and I apologize for any inconvenience. (:
03-26-2026 06:09 PMGuadalupe KeyGuadalupe Key CANCELLED:
5:00PM-3/30/2026
OT-VIS: OT Visit