Patient Name: Anthony

Patient Information:

Patient ID: 9705
Patient First Name: Anthony
Patient Date of Birth: 09-11-2013
Gender: male
Assigned Office: NB1 east side
Primary Care Physician: Hassan, Salloum
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Haduck, Rachael
FD - Feeding Therapy:
OT - Occupational Therapy: Valdivia, Daniel
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23461Active03-02-202608-28-2026Wellpoint Texas Inc006250
22901Active12-15-202506-12-2026Wellpoint Texas Inc52000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2593012-01-2025Speech Initial EvaluationF80.2, F84.0
Speech Background History: Anthony is a 12-year, 2-month old male who was seen at New Beginnings Pediatrics on December 1, 2025 from 9:00am to 10:00am for an initial speech and language evaluation. Anthony was accompanied by his mother who served as his primary informant regarding Anthony's medical history. Anthony was referred due to parental and physician concerns with his receptive and expressive language skills. Currently, Anthony produces β€œmom” verbally but primarily communicates using his schools AAC device with program LAMP, generating approximately 20 functional words/phrases (e.g., ramen, yes, no, I want coke). Anthony previously received speech therapy services; however, it has been two years since he last participated in intervention. There are no concerns with fluency, voice, or feeding at this time. Anthony's primary language is English, therefore, this evaluation was conducted in English. Subsequently, Anthony has a diagnosis of Autism Spectrum Disorder (ASD) Level 3 since age 3. He was born at 39-weeks via vaginal delivery, weighing 7lbs 2oz, and required six separate blood transfusions in the neonatal period. No other hospitalizations reported. His vision and hearing are within normal limits, with no current concerns or impairments reported. There is no history of surgical procedures.
Speech Medical History:
Speech Medications: Anthony currently takes Clonidine 0.2 mg nightly to support management of ADHD-related symptoms and improve sleep regulation.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Severe delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Follows verbal command with cues, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor use of eye contact, Poor vocabulary, Problems with organization and relevance, Repetitiveness, Self abusive, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Pragmatics refers to the social use of language, including the ability to engage in effective communication, understand social cues, and adjust language based on context and audience. In a speechΒ­-language assessment, evaluating pragmatics involves observing a child's ability to initiate and maintain conversations, take turns, interpret nonverbal cues, and use language appropriately in different social situations. Difficulties with pragmatics can manifest as challenges in social interactions, problemΒ­-solving, and understanding figurative language. Anthony demonstrates significantly reduced pragmatic communication skills. He presents with fleeting eye contact, limited ability to engage in reciprocal social interaction, and difficulty separating from his parent, which interferes with his ability to participate independently in structured tasks. His attention and engagement are highly inconsistent, with brief periods of participation followed by avoidance behaviors or disengagement. These factors collectively impact his functional communication, social interaction, and overall participation in therapeutic activities.
Speech Diagnosis/Impressions: Anthony is a 12-year, 2-month old male who is demonstrating a Severe-Profound Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Level 3 Autism Spectrum Disorder (F84.0). These deficits impact Anthony's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Anthony receives services 2x/week for up to 60Β­minute 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. Anthony 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 Anthony'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 Anthony 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, Anthony 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.
Speech Diagnosis/Impressions: Anthony is a 12-year, 2-month old male who is demonstrating a Severe-Profound Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Level 3 Autism Spectrum Disorder (F84.0). These deficits impact Anthony's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Anthony receives services 2x/week for up to 60Β­minute 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. Anthony 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 Anthony'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 Anthony 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, Anthony 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.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
57572
Plan Date: 12-01-2025
Speech Assessment Summary: Anthony is a 12-year, 2-month old male who is demonstrating a Severe-Profound Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Level 3 Autism Spectrum Disorder (F84.0). These deficits impact Anthony's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Anthony receives services 2x/week for up to 60Β­minute 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. Anthony 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 Anthony'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 Anthony 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, Anthony 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.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with therapy is good, prognosis without therapy is guarded. Anthony will be discharged from speech therapy when all of his goals are met and he receives a standard score above Β­1.5 standard deviations for all impairments, indicating that his expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating his Home Management Intervention Program at home. The frequency of therapy sessions will be 2x/week for 30Β­-45 minutes.
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, Anthony 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 Anthony 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, Anthony 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
Augmentative Communication#1.1: Within 6 months, Anthony will increase his ability to use 1-2 symbols/signs 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.
Augmentative Communication#1.2: Within 6 months, Anthony 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, Anthony 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, Anthony 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, Anthony 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, Anthony 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
491404
Note Date: 03-25-2026
Subjective:
Assessment of Goals/Response to Treatment: #1.1: Within 6 months, Anthony will increase his ability to use 1-2 symbols/signs 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. - Utilized clinician SGD with program TDsnap. Clinician modeled up to 3-symbol combinations for target 'I want __, want ___.' Anthony imitated in all opportunities. He IND requested using targets in 20/20 opportunities given MOD verbal and gestural cues to support device navigation. #1.2: Within 6 months, Anthony 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. - Utilized clinician SGD with program TDsnap. Clinician modeled labeling using 1-2 symbol combinations (i.e., color + noun). Anthony imitated in all opportunities. He IND requested using targets in 15/20 opportunities given MOD verbal and gestural cues to support device navigation. Direct models/corrections provided as needed.
Plans:
Additional Notes:

Occupational Therapy Evaluation:

IDDateTypeEvaluation Diagnosis
416802-11-2026Occupational Initial EvaluationF84.0
Occupational Background History: Anthony is a 12.4 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 mother's report child was born at (weeks 38 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: Clonidine .2 mg 1x a day
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.), Body Awareness, Cooperative, Endurance, Problem Solving, Self-Control, Sensory Process/Mod, Social Interaction, Visual Motor 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 30 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: Anthony is a 12-year, 5-month-old male who participated in this occupational therapy evaluation to determine his current level of function. Information was gathered via parent report, skilled clinical observation, and standardized assessment. During the evaluation, Anthony presented as distractible and active, requiring numerous prompts to maintain cooperation and demonstrating moderate delays in his response rate. He appeared socially withdrawn with poor awareness of others and his environment, which may have contributed to the questionable reliability of some assessment scores. A comprehensive review of findings indicates profound and significant deficits across multiple functional domains, including fine motor coordination, sensory processing and regulation, activities of daily living (ADLs), and social-emotional skills. These deficits pervasively impact his ability to safely and independently participate in age-appropriate occupations at home, in school, and within the community. Formal assessment of motor skills using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2), revealed profound deficits in fine motor control. Anthony achieved a Fine Manual Control composite standard score of 20, which is more than -3.0 standard deviations below the mean and falls at the less than 1st percentile for his age. Subtest analysis further highlights the severity of this delay, with both Fine Motor Precision and Fine Motor Integration yielding age equivalencies of less than 4 years. This represents a quantifiable developmental delay of over 101 months, far exceeding the six-month criterion for a significant delay. These profound fine motor deficits directly compromise his functional independence in both academic and self-care settings. He is unable to produce legible handwriting at a functional speed, manipulate classroom tools effectively, or participate in detailed science labs. These deficits are further compounded by his significant delays in Activities of Daily Living, where he requires Moderate to Maximal Assistance for most dressing and hygiene tasks and is fully dependent on caregivers for managing fasteners, shoe tying, toileting, and using a knife. These self-care skills, typically mastered between ages 6 and 8, reflect a functional delay of approximately four to seven years, significantly impeding his personal independence and safety. Underlying many of these functional challenges are significant deficits in sensory processing and self-regulation. Through skilled clinical observation and caregiver report, it was determined that Anthony exhibits sensory defensiveness to auditory and tactile stimuli, contributing to his avoidance of grooming routines and difficulty tolerating various clothing textures. His poor ability to self-regulate in response to environmental demands results in low frustration tolerance, emotional outbursts, and controlling behaviors, creating safety concerns and requiring constant caregiver support. These sensory and regulatory challenges severely impact his social participation. His play skills are characterized by a preference for solitary engagement and an inability to engage in cooperative play, with functional performance estimated to be between -2.0 and -3.0 standard deviations below his peers, representing a delay of greater than 72 months. Functionally, this combination of deficits prevents him from initiating and maintaining conversations, forming peer relationships, collaborating on academic tasks, and participating in community activities, leading to social isolation. Based on the objective data from standardized testing and comprehensive clinical assessment, skilled occupational therapy services are medically necessary to address Anthony’s profound deficits in fine motor coordination, sensory modulation, self-care independence, and social-emotional regulation. The magnitude of his delays, which exceed 101 months in key areas, places him at significant risk for continued functional regression and a widening of the developmental gap relative to his peers without skilled intervention. Ongoing occupational therapy is required to remediate these measurable deficits, improve his ability to perform daily living tasks, enhance safety through improved self-regulation, and promote age-appropriate social and academic participation. Due to the profound severity of his deficits across all domains, the significant safety concerns related to his poor self-regulation and ADL dependence, and the pervasive impact on his functional independence, it is recommended that Anthony receive occupational therapy two (2) times per week. This intensive frequency is medically justified to provide the necessary support to address foundational skill deficits, prevent further functional decline, and close the substantial gap between his current performance and age-expected abilities, thereby maximizing his potential for a successful transition into adolescence and adulthood.

Occupational Therapy Plan of Care:

IDPlan of Care
5263
Plan Date: 02-11-2026
Occupational Assessment Summary: Anthony is a 12-year, 5-month-old male who participated in this occupational therapy evaluation to determine his current level of function. Information was gathered via parent report, skilled clinical observation, and standardized assessment. During the evaluation, Anthony presented as distractible and active, requiring numerous prompts to maintain cooperation and demonstrating moderate delays in his response rate. He appeared socially withdrawn with poor awareness of others and his environment, which may have contributed to the questionable reliability of some assessment scores. A comprehensive review of findings indicates profound and significant deficits across multiple functional domains, including fine motor coordination, sensory processing and regulation, activities of daily living (ADLs), and social-emotional skills. These deficits pervasively impact his ability to safely and independently participate in age-appropriate occupations at home, in school, and within the community. Formal assessment of motor skills using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2), revealed profound deficits in fine motor control. Anthony achieved a Fine Manual Control composite standard score of 20, which is more than -3.0 standard deviations below the mean and falls at the less than 1st percentile for his age. Subtest analysis further highlights the severity of this delay, with both Fine Motor Precision and Fine Motor Integration yielding age equivalencies of less than 4 years. This represents a quantifiable developmental delay of over 101 months, far exceeding the six-month criterion for a significant delay. These profound fine motor deficits directly compromise his functional independence in both academic and self-care settings. He is unable to produce legible handwriting at a functional speed, manipulate classroom tools effectively, or participate in detailed science labs. These deficits are further compounded by his significant delays in Activities of Daily Living, where he requires Moderate to Maximal Assistance for most dressing and hygiene tasks and is fully dependent on caregivers for managing fasteners, shoe tying, toileting, and using a knife. These self-care skills, typically mastered between ages 6 and 8, reflect a functional delay of approximately four to seven years, significantly impeding his personal independence and safety. Underlying many of these functional challenges are significant deficits in sensory processing and self-regulation. Through skilled clinical observation and caregiver report, it was determined that Anthony exhibits sensory defensiveness to auditory and tactile stimuli, contributing to his avoidance of grooming routines and difficulty tolerating various clothing textures. His poor ability to self-regulate in response to environmental demands results in low frustration tolerance, emotional outbursts, and controlling behaviors, creating safety concerns and requiring constant caregiver support. These sensory and regulatory challenges severely impact his social participation. His play skills are characterized by a preference for solitary engagement and an inability to engage in cooperative play, with functional performance estimated to be between -2.0 and -3.0 standard deviations below his peers, representing a delay of greater than 72 months. Functionally, this combination of deficits prevents him from initiating and maintaining conversations, forming peer relationships, collaborating on academic tasks, and participating in community activities, leading to social isolation. Based on the objective data from standardized testing and comprehensive clinical assessment, skilled occupational therapy services are medically necessary to address Anthony’s profound deficits in fine motor coordination, sensory modulation, self-care independence, and social-emotional regulation. The magnitude of his delays, which exceed 101 months in key areas, places him at significant risk for continued functional regression and a widening of the developmental gap relative to his peers without skilled intervention. Ongoing occupational therapy is required to remediate these measurable deficits, improve his ability to perform daily living tasks, enhance safety through improved self-regulation, and promote age-appropriate social and academic participation. Due to the profound severity of his deficits across all domains, the significant safety concerns related to his poor self-regulation and ADL dependence, and the pervasive impact on his functional independence, it is recommended that Anthony receive occupational therapy two (2) times per week. This intensive frequency is medically justified to provide the necessary support to address foundational skill deficits, prevent further functional decline, and close the substantial gap between his current performance and age-expected abilities, thereby maximizing his potential for a successful transition into adolescence and adulthood.
Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support
Occupational Treatment Plan: Anthony is a 12-year, 5-month-old male who participated in this occupational therapy evaluation to determine his current level of function. Information was gathered via parent report, skilled clinical observation, and standardized assessment. During the evaluation, Anthony presented as distractible and active, requiring numerous prompts to maintain cooperation and demonstrating moderate delays in his response rate. He appeared socially withdrawn with poor awareness of others and his environment, which may have contributed to the questionable reliability of some assessment scores. A comprehensive review of findings indicates profound and significant deficits across multiple functional domains, including fine motor coordination, sensory processing and regulation, activities of daily living (ADLs), and social-emotional skills. These deficits pervasively impact his ability to safely and independently participate in age-appropriate occupations at home, in school, and within the community. Formal assessment of motor skills using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2), revealed profound deficits in fine motor control. Anthony achieved a Fine Manual Control composite standard score of 20, which is more than -3.0 standard deviations below the mean and falls at the less than 1st percentile for his age. Subtest analysis further highlights the severity of this delay, with both Fine Motor Precision and Fine Motor Integration yielding age equivalencies of less than 4 years. This represents a quantifiable developmental delay of over 101 months, far exceeding the six-month criterion for a significant delay. These profound fine motor deficits directly compromise his functional independence in both academic and self-care settings. He is unable to produce legible handwriting at a functional speed, manipulate classroom tools effectively, or participate in detailed science labs. These deficits are further compounded by his significant delays in Activities of Daily Living, where he requires Moderate to Maximal Assistance for most dressing and hygiene tasks and is fully dependent on caregivers for managing fasteners, shoe tying, toileting, and using a knife. These self-care skills, typically mastered between ages 6 and 8, reflect a functional delay of approximately four to seven years, significantly impeding his personal independence and safety. Underlying many of these functional challenges are significant deficits in sensory processing and self-regulation. Through skilled clinical observation and caregiver report, it was determined that Anthony exhibits sensory defensiveness to auditory and tactile stimuli, contributing to his avoidance of grooming routines and difficulty tolerating various clothing textures. His poor ability to self-regulate in response to environmental demands results in low frustration tolerance, emotional outbursts, and controlling behaviors, creating safety concerns and requiring constant caregiver support. These sensory and regulatory challenges severely impact his social participation. His play skills are characterized by a preference for solitary engagement and an inability to engage in cooperative play, with functional performance estimated to be between -2.0 and -3.0 standard deviations below his peers, representing a delay of greater than 72 months. Functionally, this combination of deficits prevents him from initiating and maintaining conversations, forming peer relationships, collaborating on academic tasks, and participating in community activities, leading to social isolation. Based on the objective data from standardized testing and comprehensive clinical assessment, skilled occupational therapy services are medically necessary to address Anthony’s profound deficits in fine motor coordination, sensory modulation, self-care independence, and social-emotional regulation. The magnitude of his delays, which exceed 101 months in key areas, places him at significant risk for continued functional regression and a widening of the developmental gap relative to his peers without skilled intervention. Ongoing occupational therapy is required to remediate these measurable deficits, improve his ability to perform daily living tasks, enhance safety through improved self-regulation, and promote age-appropriate social and academic participation. Due to the profound severity of his deficits across all domains, the significant safety concerns related to his poor self-regulation and ADL dependence, and the pervasive impact on his functional independence, it is recommended that Anthony receive occupational therapy two (2) times per week. This intensive frequency is medically justified to provide the necessary support to address foundational skill deficits, prevent further functional decline, and close the substantial gap between his current performance and age-expected abilities, thereby maximizing his potential for a successful transition into adolescence and adulthood.
Occupational Long Term Goals:
CategoryGoal Description
Self CareWithin 6 months, Anthony will independently don a shirt with correct orientation and alignment with no more than 3 verbal prompts in 4 out of 5 trials to improve self-care skills. Currently mother is dressing Anthony.
Self CareWithin 6 months, Anthony will brush his teeth for the full 2-minute duration using a timer, covering all tooth surfaces , with no more than minimal assistance in 4 out of 5 opportunities to increase independence with self-care skills. Currently Anthony will tolerate having his teeth brushed but he is not brushing them himself.
Self CareWithin 6 months, Anthony will independently don his pants with minimal assistance in 4 out of 5 opportunities to increase independence with self-care skills. Currently mother is donning Anthony's pants.
Sensory Issues/Self RegulationWithin 6 months, through use of sensorimotor play, Anthony will initiate play with another person for 3 minutes for 4 consecutive sessions to increase social interaction skills. Currently Anthony is not initiating play with others preferring to play on his own.
Occupational Short Term Goals:
CategoryGoal Description
Self CareWithin 3 months, Anthony will independently don a shirt with correct orientation and alignment with moderate assistance in 3 out of 5 trials to improve self-care skills. Currently mother is dressing Anthony.
Self CareWithin 3 months, Anthony will brush his teeth for the full 2-minute duration using a timer, covering all tooth surfaces , with no more than moderate assistance in 3 out of 5 opportunities to increase independence with self-care skills. Currently Anthony will tolerate having his teeth brushed but he is not brushing them himself.
Self CareWithin 3 months, Anthony will independently don his pants with moderate assistance in 3 out of 5 opportunities to increase independence with self-care skills. Currently mother is donning Anthony's pants.
Sensory Issues/Self RegulationWithin 3 months, through use of sensorimotor play, Anthony will initiate play with another person for 1 minute for 4 consecutive sessions to increase social interaction skills. Currently Anthony is not initiating play with others preferring to play on his own.

Occupational Therapy Soap Note/Visit:

IDSoap Note
147995
Note Date: 03-25-2026
Subjective: Patient completed all required tasks,Patient was alert and cooperative,Patient was alert and oriented,Patient was eager to participate,Patient was friendly and cooperative,
Assessment of Goals/Response to Treatment: Anthony presented to the session alert, oriented, and cooperative, demo'ing excellent engagement and motivation throughout all therapeutic activities. Skilled OT services were to address ADLs, FM coordination, cognitive integration, and psychosocial skills through structured and task-based interventions. Significant progress was noted in UBD, as Anthony I manipulated all 5 fasteners on a front-opening shirt to don and doff the garment in 1/1 opportunity, demo'ing improved B integration, FM coordination, and sequencing. LBD was also addressed, c Anthony I donning and doffing shorts in 2/2 trials, indicating improved motor planning and I c lower body ADLs. To target oral hygiene and sustained attention, Anthony participated in a simulated tooth-brushing task, achieving ~90% accuracy in cleaning a 3-D model. He req. mod verbal cues to sustain engagement for the full 2-minute duration, indicating continued need for support c attention. Cognitive and FM skills were further addressed through completion of two 24-piece puzzles. Anthony req. min cues for problem-solving and mod physical A, targeting B integration and crossing midline. Overall, Anthony demos significant progress in ADL I, particularly in dressing tasks, c continued need for intervention targeting sustained attention and consistency across functional activities. He continues to benefit from skilled OT services to further improve I and participation in daily routines.
Plans: Continue with current Plan of Care,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
84762092523: Artic & Language Eval12-01-2025 09:00 AM12-01-2025 10:00 AMRachael HaduckNB1 east sideCompleted
85920492507: Speech & Language Visit12-19-2025 08:30 AM12-19-2025 09:00 AMRachael HaduckNB1 east sideCompleted
85734492507: Speech & Language Visit01-05-2026 08:30 AM01-05-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86323292507: Speech & Language Visit01-06-2026 08:30 AM01-06-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86361992507: Speech & Language Visit01-07-2026 08:30 AM01-07-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86443892507: Speech & Language Visit01-13-2026 08:30 AM01-13-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86434192507: Speech & Language Visit01-14-2026 08:30 AM01-14-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86434392507: Speech & Language Visit01-28-2026 08:30 AM01-28-2026 09:00 AMRachael HaduckNB1 east sideCompleted
87993592507: Speech & Language Visit01-30-2026 08:15 AM01-30-2026 08:45 AMRachael HaduckNB1 east sideCompleted
86434492507: Speech & Language Visit02-04-2026 08:30 AM02-04-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86431592507: Speech & Language Visit02-09-2026 08:30 AM02-09-2026 09:00 AMRachael HaduckNB1 east sideCompleted
88721297167: OT Evaluation02-11-2026 09:00 AM02-11-2026 10:00 AMClaudia ApplewhiteNB1 east sideCompleted
86434792507: Speech & Language Visit02-25-2026 08:30 AM02-25-2026 09:00 AMRachael HaduckNB1 east sideCompleted
86431892507: Speech & Language Visit03-02-2026 08:30 AM03-02-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899580OT-VIS: OT Visit03-02-2026 09:00 AM03-02-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86434892507: Speech & Language Visit03-04-2026 08:30 AM03-04-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899618OT-VIS: OT Visit03-04-2026 09:00 AM03-04-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
90587192507: Speech & Language Visit03-13-2026 08:30 AM03-13-2026 09:00 AMLauryn BarlowNB1 east sideCompleted
899581OT-VIS: OT Visit03-13-2026 09:00 AM03-13-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86432092507: Speech & Language Visit03-16-2026 08:30 AM03-16-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899582OT-VIS: OT Visit03-16-2026 09:00 AM03-16-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86434992507: Speech & Language Visit03-17-2026 08:30 AM03-17-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899646OT-VIS: OT Visit03-17-2026 09:00 AM03-17-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86435092507: Speech & Language Visit03-18-2026 08:30 AM03-18-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899647OT-VIS: OT Visit03-18-2026 09:00 AM03-18-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86432192507: Speech & Language Visit03-23-2026 08:30 AM03-23-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899583OT-VIS: OT Visit03-23-2026 09:00 AM03-23-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted
86435192507: Speech & Language Visit03-25-2026 08:30 AM03-25-2026 09:00 AMRachael HaduckNB1 east sideCompleted
899648OT-VIS: OT Visit03-25-2026 09:00 AM03-25-2026 10:00 AMDaniel ValdiviaNB1 east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
85734392507: Speech & Language Visit12-15-2025 02:00 PM12-15-2025 02:30 PMRachael HaduckNB1 east sideCanceled
85737992507: Speech & Language Visit12-17-2025 02:00 PM12-17-2025 02:30 PMRachael HaduckNB1 east sideCanceled
85738092507: Speech & Language Visit01-07-2026 02:00 PM01-07-2026 02:30 PMRachael HaduckNB1 east sideCanceled
86431192507: Speech & Language Visit01-12-2026 08:30 AM01-12-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86431292507: Speech & Language Visit01-19-2026 08:30 AM01-19-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86454592507: Speech & Language Visit01-20-2026 08:30 AM01-20-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86434292507: Speech & Language Visit01-21-2026 08:30 AM01-21-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86431392507: Speech & Language Visit01-26-2026 08:30 AM01-26-2026 09:00 AMRachael HaduckNB1 east sideCanceled
87348997167: OT Evaluation01-29-2026 04:00 PM01-29-2026 05:00 PMClaudia ApplewhiteNB1 east sideCanceled
86431492507: Speech & Language Visit02-02-2026 08:30 AM02-02-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86434592507: Speech & Language Visit02-11-2026 08:30 AM02-11-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86431692507: Speech & Language Visit02-16-2026 08:30 AM02-16-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86434692507: Speech & Language Visit02-18-2026 08:30 AM02-18-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86431992507: Speech & Language Visit03-09-2026 08:30 AM03-09-2026 09:00 AMRachael HaduckNB1 east sideCanceled
86435392507: Speech & Language Visit04-08-2026 08:30 AM04-08-2026 09:00 AMRachael HaduckNB1 east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
86432292507: Speech & Language Visit03-30-2026 08:30 AM03-30-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899584OT-VIS: OT Visit03-30-2026 09:00 AM03-30-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432392507: Speech & Language Visit03-31-2026 08:30 AM03-31-2026 09:00 AMRachael HaduckNB1 east sideScheduled
86435292507: Speech & Language Visit04-01-2026 08:30 AM04-01-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899649OT-VIS: OT Visit04-01-2026 09:00 AM04-01-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899650OT-VIS: OT Visit04-08-2026 09:00 AM04-08-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899585OT-VIS: OT Visit04-10-2026 09:00 AM04-10-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432492507: Speech & Language Visit04-13-2026 08:30 AM04-13-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899586OT-VIS: OT Visit04-13-2026 09:00 AM04-13-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86435492507: Speech & Language Visit04-15-2026 08:30 AM04-15-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899651OT-VIS: OT Visit04-15-2026 09:00 AM04-15-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432592507: Speech & Language Visit04-20-2026 08:30 AM04-20-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899587OT-VIS: OT Visit04-20-2026 09:00 AM04-20-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86435592507: Speech & Language Visit04-22-2026 08:30 AM04-22-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899652OT-VIS: OT Visit04-22-2026 09:00 AM04-22-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432692507: Speech & Language Visit04-27-2026 08:30 AM04-27-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899588OT-VIS: OT Visit04-27-2026 09:00 AM04-27-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899653OT-VIS: OT Visit04-29-2026 09:00 AM04-29-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432792507: Speech & Language Visit05-04-2026 08:30 AM05-04-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899589OT-VIS: OT Visit05-04-2026 09:00 AM05-04-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899654OT-VIS: OT Visit05-06-2026 09:00 AM05-06-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
864328S9152: Reevaluation05-11-2026 08:30 AM05-11-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899590OT-VIS: OT Visit05-11-2026 09:00 AM05-11-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899655OT-VIS: OT Visit05-13-2026 09:00 AM05-13-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86432992507: Speech & Language Visit05-18-2026 08:30 AM05-18-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899591OT-VIS: OT Visit05-18-2026 09:00 AM05-18-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899656OT-VIS: OT Visit05-20-2026 09:00 AM05-20-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86433092507: Speech & Language Visit05-25-2026 08:30 AM05-25-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899592OT-VIS: OT Visit05-25-2026 09:00 AM05-25-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899657OT-VIS: OT Visit05-27-2026 09:00 AM05-27-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86433192507: Speech & Language Visit06-01-2026 08:30 AM06-01-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899593OT-VIS: OT Visit06-01-2026 09:00 AM06-01-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899658OT-VIS: OT Visit06-03-2026 09:00 AM06-03-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
86433292507: Speech & Language Visit06-08-2026 08:30 AM06-08-2026 09:00 AMRachael HaduckNB1 east sideScheduled
899594OT-VIS: OT Visit06-08-2026 09:00 AM06-08-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899659OT-VIS: OT Visit06-10-2026 09:00 AM06-10-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899595OT-VIS: OT Visit06-15-2026 09:00 AM06-15-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899661OT-VIS: OT Visit06-17-2026 09:00 AM06-17-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899596OT-VIS: OT Visit06-22-2026 09:00 AM06-22-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899662OT-VIS: OT Visit06-24-2026 09:00 AM06-24-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899597OT-VIS: OT Visit06-29-2026 09:00 AM06-29-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899663OT-VIS: OT Visit07-01-2026 09:00 AM07-01-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899598OT-VIS: OT Visit07-06-2026 09:00 AM07-06-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899664OT-VIS: OT Visit07-08-2026 09:00 AM07-08-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899599OT-VIS: OT Visit07-13-2026 09:00 AM07-13-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899665OT-VIS: OT Visit07-15-2026 09:00 AM07-15-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899600OT-VIS: OT Visit07-20-2026 09:00 AM07-20-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899666OT-VIS: OT Visit07-22-2026 09:00 AM07-22-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899601OT-VIS: OT Visit07-27-2026 09:00 AM07-27-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899667OT-VIS: OT Visit07-29-2026 09:00 AM07-29-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899602OT-VIS: OT Visit08-03-2026 09:00 AM08-03-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899668OT-VIS: OT Visit08-05-2026 09:00 AM08-05-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899603OT-VIS: OT Visit08-10-2026 09:00 AM08-10-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899669OT-VIS: OT Visit08-12-2026 09:00 AM08-12-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899604OT-VIS: OT Visit08-17-2026 09:00 AM08-17-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899670OT-VIS: OT Visit08-19-2026 09:00 AM08-19-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899605OT-VIS: OT Visit08-24-2026 09:00 AM08-24-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled
899671OT-VIS: OT Visit08-26-2026 09:00 AM08-26-2026 10:00 AMDaniel ValdiviaNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
02-26-2026Shekinah VelasquezOT auth approved starting 03/02/2026 - 08/28/2026 2x/ week = 52 visits (208 units). Therapist pending
02-20-2026Shekinah VelasquezOT auth request submitted to Wellpoint via fax. Pending approval
02-19-2026Shekinah VelasquezReceived all signatures needed, missing THsteps. Fax sent to PCP requesting THsteps
02-13-2026Shekinah VelasquezOT IE paperwork sent to PCP via fax. Pending signatures and THsteps
12-17-2025Julie MoraParent of Anthony Lopez called to cancel today's 2:00 appointment. She is running errands and will not make it to appointment.
12-11-2025Avery FontenotST Auth starting 12/15/2025 to 06/12/2026 for 2x/wk = 52 visits. Therapist notified.
12-09-2025Avery FontenotFaxed auth to Wellpoint. Pending approval.
12-09-2025Avery FontenotCalled eastside office regarding THSTEPS. They said they will fax them over.
12-08-2025Avery FontenotFaxed ST Request to Eastside office. Pending.
09-10-2025Julie MoraParent emailed, parent ID, insurance card and a referral. Asked parent to request a referral from PCP. The referral received was from Behavior health.
09-10-2025Avery FontenotMom called office back regarding a missed call from us and we were checking in to see if she was having trouble completing intake forms and she was having trouble uploading her ID, INS, and Referral. Gave her Julies email so she can send that information and we can upload it manually, so she can finish the registration.

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
03-09-202692507Haduck, Rachael
02-18-202692507Haduck, 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
02-02-202692507Haduck, 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
01-29-202697167Applewhite, Claudia
01-26-202692507Haduck, Rachael
01-21-202692507Haduck, Rachael
01-20-202692507Haduck, Rachael
01-19-202692507Haduck, Rachael
01-12-202692507Haduck, Rachael
01-07-202692507Haduck, Rachael
12-17-202592507Haduck, Rachael
12-15-202592507Haduck, Rachael

Paient Messages Admin:

DatePosted ByMessage
09-04-2025 12:38 PMAvery FontenotPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2158
09-04-2025 12:48 PMAvery FontenotPatient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-05-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-06-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-07-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-08-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
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
09-09-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-09-2025 12:13 PMAvery FontenotPatient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-10-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-11-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-12-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-12-2025 02:35 PMJulie MoraThank you for the documents you emailed. I have uploaded them to the registration. Please go back into the registration to finish completing our intake documents. Thank you
09-13-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-14-2025 08:35 AMShekinah VelasquezPatient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2158
09-14-2025 10:40 AMShekinah VelasquezAnthony 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=9705&type=1&wid=278
11-11-2025 12:58 PMAvery FontenotHi, it looks like we need to reschedule your Speech Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9705
11-12-2025 10:54 AMAvery FontenotHi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9705
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 02:53 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.
12-11-2025 02:02 PMShekinah VelasquezHi, Anthony 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=9705&tid=141
12-12-2025 09:49 AMJulie MoraHi, it looks like we need to reschedule your Occupational Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/otevaluation.aspx?pid=9705
12-12-2025 09:51 AMJulie MoraAnthony has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9705&type=3&wid=434
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
01-14-2026 08:35 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
01-14-2026 09:28 AMShekinah VelasquezAnthony has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9705&type=3&wid=489
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’™
01-28-2026 11:57 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=863619
01-30-2026 08:35 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
01-31-2026 08:35 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-01-2026 08:35 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-02-2026 08:36 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
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!
02-03-2026 08:35 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
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’™
02-04-2026 08:36 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-04-2026 08:36 AMShekinah VelasquezSchedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-05-2026 08:36 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-06-2026 08:36 AMShekinah VelasquezSchedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9705
02-11-2026 10:50 AMAvery FontenotHi, it looks like we need to reschedule your Physical Therapy Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/ptevaluation.aspx?pid=9705
02-11-2026 11:52 AMJulie MoraAnthony has been added to our Physical Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9705&type=4&wid=553
02-11-2026 12:02 PMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=887212
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=9705
02-18-2026 04:16 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/
02-26-2026 12:14 PMShekinah VelasquezHi, Anthony as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Daniel https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9705&tid=140
03-02-2026 11:04 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899580
03-04-2026 11:58 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899618
03-09-2026 01:53 PMJulie MoraJulie DELETED Patient from Physical Services
03-09-2026 01:53 PMJulie MoraJulie DELETED Patient from Physical Services
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=9705
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/
03-13-2026 10:44 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899581
03-16-2026 10:31 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899582
03-17-2026 09:55 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899646
03-18-2026 12:59 PMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899647
03-23-2026 09:21 AMStephen TulliusStephen DELETED Patient from Physical Wait List
03-23-2026 10:29 AMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899583
03-25-2026 12:15 PMShekinah VelasquezThis is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=899648

Paient Messages Therapist:

DatePosted ByMessage
11-12-2025 11:12 AMKatelyn VeraHi, my name is Katelyn, with New Beginnings, and I will be performing your child's Speech 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=9705&tid=51
11-12-2025 11:12 AMAnthony LopezAnthony SCHEDULED:
2:00PM-12/1/2025
92523: Speech Evaluation
11-20-2025 09:40 AMRachael HaduckDear Family of Anthony Lopez,

This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Anthony's speech-language evaluation. I was told you would like a morning appointment. I have 12/1/2025 at 9:00am open if you are interested. If that day and time does not work for you, I have a few other morning availabilities.

I look forward to hearing from you!


Kindest,

Rachael, CCC-SLP
11-20-2025 10:34 AMAnthony LopezAnthony (Prim) Replied: Yes pls
11-20-2025 04:16 PMAnthony LopezAnthony (Prim) Replied: I would like to get the 9:00am slot for December 1st
11-21-2025 08:08 AMRachael HaduckPerfect, let me get him scheduled :)
11-30-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
12-01-2025 07:56 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
12-01-2025 08:32 AMRachael HaduckGood morning! My office is located in 1510 building A. When you pull into the parking lot you will see a large stone sign to your right that reads '1510 Building A.' Turn right, I am the building on the left.
12-01-2025 08:45 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847620
12-01-2025 08:56 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-12/1/2025
92523: Artic & Language Eval
12-11-2025 03:54 PMRachael HaduckHello! This is Rachael, CCC-SLP with New Beginnings Pediatrics, Anthony's evaluating therapist. I have been assigned Anthony and was reaching out to get him scheduled. He was approved for 2x/week . Let me know you available days and times so I can get him scheduled :)
12-11-2025 03:55 PMAnthony LopezAnthony (Prim) Replied: Hello! what do u have available for?
12-11-2025 03:56 PMRachael HaduckAre you looking for morning or after school? Then I can tell you my availability.
12-11-2025 03:56 PMAnthony LopezAnthony (Prim) Replied: Well I would preferably want after school
12-11-2025 03:57 PMAnthony LopezAnthony (Prim) Replied: But if that's not possible in the morning
12-11-2025 04:40 PMRachael HaduckThe latest end-of-day I can offer is Monday and Wednesday at 2:00pm or Monday at 2:00pm and Thursday at 2:30pm.
12-11-2025 04:42 PMAnthony LopezAnthony (Prim) Replied: What about mornings
12-11-2025 04:48 PMAnthony LopezAnthony (Prim) Replied: I'll take Monday and Wednesday at 2:00 can u pls advise the front office to have a attendance letter for the amount of therapy he'll be having on those dates and times every week pls
12-11-2025 05:16 PMRachael Haduckfor mornings I can offer:
- Monday: 8:30am
- Tuesday: 8:00am, 8:30am
- Wednesday: 8:30am

We can offer a written note for school each session or front office can provide his authorization period with his days and times of therapy.
12-12-2025 08:11 AMAnthony LopezAnthony (Prim) Replied: Hello good morning! I would like to pick at Monday and Wednesday at 2 pls
12-12-2025 08:11 AMRachael 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.
12-12-2025 10:50 AMRachael HaduckPerfect, I will be him scheduled. He will begin this Monday.
12-14-2025 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 12-15-2025 at 2:00 PM, and on 12-17-2025 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-14-2025 05:16 PMAnthony LopezAnthony (Prim) Replied: Yes
12-14-2025 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.
12-14-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings πŸ™‚
12-15-2025 05:50 AMAnthony LopezAnthony (Prim) Replied: Hello good morning! I'm sorry to bother you so early but I needed to see if we can cancel for today at 2? My son started with diarrhea and just needed to keep him home from school and therapy thank you
12-15-2025 05:50 AMRachael 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.
12-15-2025 07:01 AMRachael HaduckI will get him canceled. Feel better, Anthony!
12-15-2025 07:05 AMAnthony LopezAnthony (Prim) Replied: Thank you πŸ™ so sorry 😞
12-15-2025 07:58 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings πŸ™‚
12-15-2025 08:40 AMRachael HaduckRachael Haduck CANCELLED:
2:00PM-12/15/2025
92507: Speech & Language Visit
12-16-2025 03:43 PMRachael HaduckHello! Would you like to come in on Friday 12/19 for a make-up session?
12-16-2025 04:05 PMAnthony LopezAnthony (Prim) Replied: At what time
12-16-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 08:02 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings πŸ™‚
12-17-2025 08:02 AMRachael HaduckI have 8:30am, 1:30pm, 2:00pm, 3:00pm, 3:30pm, 4:00pm, 4:30pm available.
12-17-2025 08:03 AMAnthony LopezAnthony (Prim) Replied: 8:30 for Friday?
12-17-2025 08:04 AMRachael Haduckyes, those are all available make-up openings I have left on Friday.
12-17-2025 08:04 AMAnthony LopezAnthony (Prim) Replied: I'll take the 8:30 pls
12-17-2025 08:43 AMRachael HaduckPerfect, I have him scheduled for 8:30am on Friday
12-17-2025 08:46 AMAnthony LopezAnthony (Prim) Replied: Okay 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 11:38 AMRachael HaduckRachael Haduck CANCELLED:
2:00PM-12/17/2025
92507: Speech & Language Visit
12-18-2025 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
12-19-2025 07:41 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
12-19-2025 07:41 AMAnthony LopezAnthony (Prim) Replied: Yes thank you
12-19-2025 07:41 AMRachael 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.
12-19-2025 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859204
12-19-2025 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-12/19/2025
92507: Speech & Language Visit
12-19-2025 08:25 AMRachael HaduckI’m located where we completed Anthony’s evaluation! :)
12-19-2025 08:27 AMAnthony LopezAnthony (Prim) Replied: Okay πŸ‘
12-19-2025 08:27 AMRachael 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.
12-19-2025 10:11 AMAnthony LopezAnthony (Prim) Replied: When were u going to be off again? I forgot
12-19-2025 10:11 AMRachael 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.
12-19-2025 11:29 AMRachael HaduckDecember 22nd through January 2nd. I will send out a mass message again later today reminding families :)
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
01-02-2026 01:16 PMAnthony LopezAnthony (Prim) Replied: Hello Happy New Years!! I have to reschedule for next Wednesday at 2.. I have an appointment and I can't miss it thank you
01-02-2026 01:16 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.
01-02-2026 06:44 PMRachael HaduckHello! Does Tuesday at 8:00am work well for a make-up session?
01-02-2026 06:51 PMAnthony LopezAnthony (Prim) Replied: Yes
01-02-2026 06:51 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.
01-02-2026 07:22 PMRachael Haduckwould you also like to complete one additional make-up on Wednesday the 7th at 8:30am or Thursday the 8th at 2:30pm, 4:00pm, or 4:30pm?
01-02-2026 07:23 PMRachael HaduckRachael Haduck CANCELLED:
2:00PM-1/7/2026
92507: Speech & Language Visit
01-02-2026 07:28 PMAnthony LopezAnthony (Prim) Replied: Sorry to make sudden schedule changes but was wondering if u had sessions for more like in the mornings instead of 2:00 it conflicts with the dismissal times
01-02-2026 07:28 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.
01-02-2026 07:59 PMRachael HaduckI can offer you:

Monday: 8:30am
Tuesday: 8:00am, 8:30am
Wednesday: 8:30am

Or, I can offer you as early at Monday through Thursday 7:00am and 7:30am to provide the opportunity to have session before school starts for the day.
01-02-2026 08:01 PMAnthony LopezAnthony (Prim) Replied: Monday and Wednesday at 8:30 pls
01-02-2026 08:01 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.
01-02-2026 08:01 PMAnthony LopezAnthony (Prim) Replied: All I need is a school note and I'm set
01-02-2026 08:01 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 01:17 PMRachael HaduckCertainly, I will change him to mondays and Wednesdays at 8:30am
01-04-2026 02:57 PMAnthony LopezAnthony (Prim) Replied: Yes on Monday 1/12/26 I will need to reschedule because my daughter had a dental appointment
01-04-2026 02:57 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 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 01-05-2026 at 8:30 AM, and on 01-06-2026 at 8:00 AM, and on 01-07-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-04-2026 04:04 PMAnthony LopezAnthony (Prim) Replied: I thought it was gonna be mondays and Wednesdays at 8:30 I see a 3rd day
01-04-2026 04:04 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 04:06 PMRachael HaduckYou accepted Tuesday 1/6 as a make-up session
01-04-2026 04:06 PMAnthony LopezAnthony (Prim) Replied: Makeup session for 1/12/26?
01-04-2026 04:06 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 06:10 PMRachael HaduckIt was for Wednesday 1/7
01-04-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-05-2026 07:50 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-05-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857344
01-05-2026 08:25 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/5/2026
92507: Speech & Language Visit
01-05-2026 09:06 AMRachael HaduckHello! I checked Anthony's auth and he has 12 make-up sessions to complete within his authorization period. To confirm, you would like to cancel 1/12 due to doctors and complete a make-up session 1/13 at 8:30am? for 1/12 I can also offer an after school appointment time at 3:30pm so instead of canceling, we can move his scheduled time down.
01-05-2026 09:35 AMAnthony LopezAnthony (Prim) Replied: The appointment for 1/13/26 at 8:30 is fine.. the one for 1/12/26 at 3:30 wouldn't work for me it's during dismissal times from school we only have one car and I have to pick up my nephews from school
01-05-2026 09:38 AMRachael Haduckno worries! lets plan for another make-up session on Tuesday 1/20 at 8:30am?
01-05-2026 09:39 AMRachael HaduckRachael Haduck CANCELLED:
8:30AM-1/12/2026
92507: Speech & Language Visit
01-05-2026 09:39 AMAnthony LopezAnthony (Prim) Replied: Okay πŸ‘
01-05-2026 05:54 PMAnthony LopezAnthony (Prim) Replied: Hello sorry to bug after hours was just wondering what time is the make up appointment tomorrow? Was it 8? Or 8:30?
01-05-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-05-2026 07:38 PMRachael Haduck8:30am :)
01-06-2026 08:00 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-06-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863232
01-06-2026 08:19 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/6/2026
92507: Speech & Language Visit
01-06-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-07-2026 07:58 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-07-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863619
01-07-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/7/2026
92507: Speech & Language Visit
01-07-2026 03:53 PMAnthony LopezAnthony (Prim) Replied: Hello which appointment am I supposed to confirm for? Tuesday at 8:30?
01-07-2026 04:48 PMRachael Haduckyes
01-11-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 01-13-2026 at 8:30 AM, and on 01-14-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-11-2026 05:31 PMAnthony LopezAnthony (Prim) Replied: Yes
01-11-2026 05:31 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.
01-12-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-13-2026 08:00 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-13-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864438
01-13-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/13/2026
92507: Speech & Language Visit
01-13-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-14-2026 07:57 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-14-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864341
01-14-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/14/2026
92507: Speech & Language Visit
01-14-2026 01:19 PMClaudia ApplewhiteGood afternoon. My name is Claudia Applewhite, I am an occupational therapist here at New Beginnings. We received a referral for an OT evaluation for Anthony and I am reaching out to schedule it. I have an available appointment on 1/20 @ 2 pm. Would this work for you?
01-14-2026 02:07 PMAnthony LopezAnthony (Prim) Replied: For the Zaragoza location?
01-14-2026 02:21 PMClaudia ApplewhiteYes, 1512 N Zaragoza Suite C-1.
01-14-2026 02:23 PMAnthony LopezAnthony (Prim) Replied: That's the latest u have?
01-14-2026 02:28 PMClaudia ApplewhiteThat is all I have for next week. I have a 4 pm appt available on 1/29?
01-14-2026 02:32 PMAnthony LopezAnthony (Prim) Replied: Yes thank you πŸ™
01-14-2026 03:20 PMClaudia ApplewhiteGreat. we will see you on the 29th at 4. You are welcome.
01-14-2026 09:06 PMAnthony LopezAnthony (Prim) Replied: Hello good evening I was wondering how ur schedule looked like in the afternoon?
01-14-2026 09:06 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.
01-14-2026 09:21 PMRachael Haduckhi! for a make-up session?
01-14-2026 09:22 PMAnthony LopezAnthony (Prim) Replied: No... I think I seem to remember not too long ago when we were trying to figure out the schedule for him that u mentioned times... one option was at 4?
01-14-2026 09:22 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.
01-15-2026 08:17 AMRachael HaduckUnfortunately, my evenings are fully booked. my latest evening opening is a 3:00pm on Tuesdays and Thursdays, and a temporary 3:30pm opening on Tuesday and Wednesday while my patient is on hold for the next 2-3 weeks.
01-18-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 01-19-2026 at 8:30 AM, and on 01-20-2026 at 8:30 AM, and on 01-21-2026 at 8:30 AM. 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 Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-18-2026 11:16 PMAnthony LopezAnthony (Prim) Replied: Hello I'm writting this message to let u know that Anthony won't be able to make it tomorrow morning at 8:30a.m because he's been suffering of diarrhea all day and idk if it's a stomach bug my apologies
01-18-2026 11:16 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.
01-19-2026 07:50 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-19-2026 08:00 AMRachael HaduckRachael Haduck CANCELLED:
8:30AM-1/19/2026
92507: Speech & Language Visit
01-19-2026 03:14 PMRachael Haduckhello! I wanted to check in and see how Anthony is doing? And if you would like to come in or cancel session tomorrow?
01-19-2026 04:31 PMAnthony LopezAnthony (Prim) Replied: Hello! Thank you for checking up on him, he hasn't had another accident yet but I'm still on the look out because I thought he was done yesterday but this morning he went again
01-19-2026 04:37 PMRachael HaduckNo worries! Let me know my tonight/tomorrow morning no later than 7:00am if you need to cancel again :)
01-19-2026 04:38 PMAnthony LopezAnthony (Prim) Replied: Okay thank you πŸ™
01-19-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-19-2026 06:33 PMAnthony LopezAnthony (Prim) Replied: No he's still isn't feeling well πŸ˜” would like to cancel but for sure will be going on Wednesday
01-19-2026 06:34 PMRachael Haduckno worries, I will get session canceled! Feel better, Anthony!
01-19-2026 06:34 PMRachael HaduckRachael Haduck CANCELLED:
8:30AM-1/20/2026
92507: Speech & Language Visit
01-20-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-20-2026 08:52 PMAnthony LopezAnthony (Prim) Replied: Hello good evening! Just txting to let you know that Anthony is still a lil under the weather poor thing hasn't let me feel his stomach
01-20-2026 08:52 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.
01-20-2026 08:53 PMRachael HaduckOh no I’m so sorry to hear he’s still so sick :( I will get session canceled.

Hopefully you can get him to eat/drink ginger and peppermint. That will help with an upset stomach!
01-20-2026 08:54 PMRachael HaduckRachael Haduck CANCELLED:
8:30AM-1/21/2026
92507: Speech & Language Visit
01-20-2026 08:55 PMAnthony LopezAnthony (Prim) Replied: Really? Let me try that.. I haven't had problem with him eating or drinking anything it's just so uncomfortable for him when he does go #2
01-20-2026 08:55 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.
01-20-2026 08:58 PMRachael HaduckYes, it helps with bloating and cramps to help settle the stomach and indigestion.
01-20-2026 08:58 PMAnthony LopezAnthony (Prim) Replied: Thank you πŸ™
01-20-2026 08:58 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.
01-25-2026 03:42 PMAnthony LopezAnthony (Prim) Replied: Hello good afternoon! I'm messaging to let u know about tomorrow scheduled therapy session that the kids will be having a 2hr delay start for school.. I will have to be watching my nephews and my son so therefore I can't make it.. will like to reschedule for Tuesday
01-25-2026 03:42 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.
01-25-2026 04:03 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 01-26-2026 at 8:30 AM, and on 01-28-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-25-2026 04:04 PMAnthony LopezAnthony (Prim) Replied: No to Monday, yes to Wednesday
01-25-2026 04:04 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.
01-25-2026 04:08 PMRachael HaduckNo worries, I will get session canceled
01-25-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-25-2026 08:34 PMRachael HaduckRachael Haduck CANCELLED:
8:30AM-1/26/2026
92507: Speech & Language Visit
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 02:48 PMRachael Haduckhi! I wanted to check in and see if you want to come in tomorrow and complete a make-up session at 8:00 or 8:30am?
01-26-2026 02:50 PMAnthony LopezAnthony (Prim) Replied: Yes at 8:00
01-26-2026 02:58 PMRachael HaduckI am so sorry, I misread my schedule and do not have those times available. Are you able to do Thursday at 7:45am, or Friday at 8:15am?
01-26-2026 03:33 PMAnthony LopezAnthony (Prim) Replied: Friday at 8:15
01-26-2026 04:43 PMRachael Haduckperfect, he is scheduled.
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 Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-28-2026 07:51 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
01-28-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864343
01-28-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-1/28/2026
92507: Speech & Language Visit
01-28-2026 11:52 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864343
01-28-2026 06:30 PMClaudia ApplewhiteHi, this is a just a reminder that Anthony has a Occupational Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 07:51 AMClaudia ApplewhiteHi, this is a just a reminder that Anthony has a Occupational Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 08:30 AMAnthony LopezAnthony (Prim) Replied: Excuse me I need to reschedule the appointment an emergency dental visit came up
01-29-2026 09:42 AMClaudia ApplewhiteGood morning. No worries. Thank you for letting me know. I will send you a message shortly with other available appointments if you would like to reschedule.
01-29-2026 09:44 AMClaudia ApplewhiteClaudia Applewhite CANCELLED:
4:00PM-1/29/2026
97167: OT Evaluation
01-29-2026 01:38 PMClaudia ApplewhiteHi. I have an available appointment on Tues, 2/3, at 3 pm for Anthony's OT evaluation. Would this work for you?
01-29-2026 02:22 PMAnthony LopezAnthony (Prim) Replied: No it wouldn't I have other kids to pick up for school
01-29-2026 02:59 PMClaudia ApplewhiteOkay, how about 1 pm on the 2/3?
01-29-2026 02:59 PMAnthony LopezAnthony (Prim) Replied: I can't on that date
01-29-2026 03:11 PMClaudia ApplewhiteI have the following dates available next week: Please let me know if any of them work for you.
2/2 @ 11
2/4 @ 12
2/5 @ 10
01-29-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:15 AM. See you soon! - New Beginnings πŸ™‚
01-30-2026 07:37 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:15 AM. See you soon! - New Beginnings πŸ™‚
01-30-2026 08:00 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879935
01-30-2026 08:06 AMAnthony LopezAnthony is CHECKED IN for:
8:15AM-1/30/2026
92507: Speech & Language Visit
01-30-2026 09:27 AMAnthony LopezAnthony (Prim) Replied: 2/5@10
01-30-2026 02:11 PMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=879935
01-30-2026 05:46 PMRachael Haduckhello! just a friendly reminder to please sign Anthony's session notes on 1/28 and 1/30 :) I will resend the links. please let me know if you are having a difficult time receiving them!
02-01-2026 01:52 PMRachael HaduckHello! Friendly reminder to please sign Anthony's notes from 1/28 and 1/30, thank you :)
02-01-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 02-04-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
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 08:50 AMAnthony LopezAnthony (Prim) Replied: Yes
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 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.


Kindest,
Rachael, CCC-SLP
02-03-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-04-2026 07:49 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-04-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864344
02-04-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-2/4/2026
92507: Speech & Language Visit
02-04-2026 08:47 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864344
02-05-2026 03:53 PMClaudia ApplewhiteGood afternoon. This is Claudia OT here at New Beginnings. I apologize about scheduling confusion, for some reason I did not get the message. I have an available appt next Wed, 2/11, @ 9 am. Would this work for you?
02-05-2026 04:10 PMAnthony LopezAnthony (Prim) Replied: That's fine
02-05-2026 05:08 PMClaudia ApplewhitePerfect. Thank you.
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 04:03 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 02-09-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 04:48 PMAnthony LopezAnthony (Prim) Replied: Yes
02-08-2026 04:48 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.
02-08-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-09-2026 07:46 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-09-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864315
02-09-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-2/9/2026
92507: Speech & Language Visit
02-09-2026 08:41 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864315
02-10-2026 05:39 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
02-10-2026 06:30 PMClaudia ApplewhiteHi, this is a just a reminder that Anthony has a Occupational Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
02-11-2026 07:59 AMClaudia ApplewhiteHi, this is a just a reminder that Anthony has a Occupational Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
02-11-2026 08:45 AMClaudia ApplewhiteAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887212
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 02:55 PMAnthony LopezAnthony (Prim) Replied: Hello! I'm writing you to let you know March 9th Anthony Lopez won't be able to attend speech that day.. have a prior appointment with my daughter that cannot be rescheduled thank you πŸ™
02-13-2026 02:55 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 10:43 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
02-14-2026 10:44 AMRachael HaduckNo worries, I will get that session canceled! I will be reaching out tomorrow for make-ups :)
02-15-2026 04:02 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 02-18-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-16-2026 07:20 PMRachael HaduckGood evening! Sorry to be reaching out so late but would you be interested in a make-up session tomorrow at 8:30am?
02-16-2026 07:24 PMAnthony LopezAnthony (Prim) Replied: Yes that's fine
02-16-2026 07:51 PMAnthony LopezAnthony (Prim) Replied: Sorry not tomorrow i have to take my sister to the ER to get checked out... we only have one vehicle
02-16-2026 07:51 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.
02-16-2026 07:51 PMRachael Haduckthank you! he is scheduled :)
02-16-2026 07:51 PMRachael HaduckI'm so sorry to hear!! I will get session canceled. I hope all is well!
02-16-2026 07:52 PMAnthony LopezAnthony (Prim) Replied: Thank you πŸ™
02-16-2026 07:52 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.
02-17-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-17-2026 10:08 PMAnthony LopezAnthony (Prim) Replied: Hello sorry for the late txt just informing you I'm canceling tomorrow.. my nephew has broken out in a rash and needs to be check by the pediatrician so sorry
02-17-2026 10:08 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.
02-18-2026 07:44 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-18-2026 07:46 AMAnthony LopezAnthony (Prim) Replied: Hello sorry for the late txt just informing you I'm canceling tomorrow.. my nephew has broken out in a rash and needs to be check by the pediatrician so sorry
02-18-2026 08:03 AMRachael HaduckRachael Haduck CANCELLED:
8:30AM-2/18/2026
92507: Speech & Language Visit
02-20-2026 08:59 AMAnthony LopezAnthony (Prim) Replied: Good morning Mrs. Rachel I was wondering if our Monday appointment can be rescheduled to possibly Tuesday or Thursday
02-20-2026 08:59 AMRachael 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.
02-21-2026 01:47 PMAnthony LopezAnthony (Prim) Replied: Good afternoon Mrs. Rachel I was wondering if our Monday 2/23/26 appointment can be rescheduled to possibly Tuesday or Thursday
02-21-2026 01:47 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.
02-22-2026 10:34 AMRachael Haduckgood morning! I will get session canceled. Unfortunately I will be out on tuesday 2/24 in the morning, but I can offer you Friday, 2/27 at 8:00am!
02-22-2026 10:34 AMAnthony LopezAnthony (Prim) Replied: That's fine thank you πŸ™
02-22-2026 10:34 AMRachael 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.
02-22-2026 10:35 AMRachael Haduckperfect I will get you scheduled.
02-22-2026 04:03 PMRachael HaduckHi, this is a just a reminder that Lopez, Anthony has a Speech Therapy appointment on 02-25-2026 at 8:30 AM, and on 02-27-2026 at 8:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 04:05 PMAnthony LopezAnthony (Prim) Replied: Yes
02-22-2026 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.
02-23-2026 03:36 PMRachael Haduckhi! am I able to move your Friday session down by 15-minutes (8:15 instead of 8:00) to allow for a back-to-back session?
02-23-2026 03:39 PMAnthony LopezAnthony (Prim) Replied: Back to back session? I thought he only had one on Friday? Or is it to make up for last week
02-23-2026 03:40 PMRachael Haducksorry for the confusion, it is for another patient of mine
02-23-2026 03:50 PMAnthony LopezAnthony (Prim) Replied: Oh okay
02-23-2026 04:30 PMRachael Haduckis that okay?
02-23-2026 04:33 PMAnthony LopezAnthony (Prim) Replied: To keep Anthony at 8?
02-23-2026 04:35 PMRachael Haduckjust for Friday's make-up to begin at 8:15am instead of 8:00am so I am able to allow a back-to-back for another patient
02-23-2026 04:47 PMAnthony LopezAnthony (Prim) Replied: Oh okay yeah that's fine
02-23-2026 04:47 PMAnthony LopezAnthony (Prim) Replied: So at 8:15
02-24-2026 12:37 PMRachael Haduckyes! next Tuesday, 3/3 would you like to have an additional make-up session? I can put anthony in for 8:30am
02-24-2026 12:49 PMAnthony LopezAnthony (Prim) Replied: Okay
02-24-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-25-2026 07:20 AMAnthony LopezAnthony (Prim) Replied: Hello good morning Mrs. Rachel I'm just informing you that this Friday session needs to be canceled.. we're having trouble with our family vehicle so it's not being used we were lended a small car.. on Friday my sister needs to get labs and all 4 kids and my sister aren't gonna fit so therefore we can't make it I'm so sorry
02-25-2026 07:45 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
02-25-2026 08:02 AMRachael Haduckthanks for letting me know!
02-25-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864347
02-25-2026 08:53 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864347
02-26-2026 07:30 AMRachael Haduckif it is not too short notice, my 8:30am canceled today if you would like to come in!
02-26-2026 12:17 PMDaniel ValdiviaGood afternoon, this is Daniel Valdivia, a Certified Occupational Therapy Assistant at New Beginnings. I will be seeing Anthony for his OT sessions and was hoping we can connect to schedule appointments for him. Claudia had mentioned to me that you were hoping to get appointments Monday and Wednesday at 9, right after his speech, do those times and days still work?
02-26-2026 01:11 PMAnthony LopezAnthony (Prim) Replied: Yes that's fine
02-26-2026 01:12 PMAnthony LopezAnthony (Prim) Replied: March 9 I have a prior appointment at 9 with my daughter but other than that okay πŸ‘
02-26-2026 01:17 PMDaniel ValdiviaOkay, no worries! For that week, I can move his appointment from March 9th to March 10th at the same time, if that works for you. I also have some later availability on March 9th if you’d prefer to keep it that day. I just want to make sure he doesn’t miss his visit that week. Please let me know what works best for you.
02-26-2026 01:18 PMAnthony LopezAnthony (Prim) Replied: Yes what makeup day do u have available
02-26-2026 01:22 PMDaniel ValdiviaSo for that week I have the following days and times available:
Monday (3/9): 11, 4, 5
Tuesday (3/10): 9, 12
Friday (3/13): 9, 11, 12, 2

Let me know which of these days/times work so I may move the appointment to that day
02-26-2026 01:23 PMAnthony LopezAnthony (Prim) Replied: Tuesday and Friday at 9 pls
02-26-2026 01:25 PMAnthony LopezAnthony (Prim) Replied: For that week
02-26-2026 01:26 PMDaniel ValdiviaOkay, just so I’m on the same page, would you like me to still see him on Wednesday (3/11) at 9:00 AM, in addition to Tuesday and Friday? Or would you prefer that we move the Monday and Wednesday visits to Tuesday and Friday for that week instead? Just let me know what works best for you.
02-26-2026 02:31 PMAnthony LopezAnthony (Prim) Replied: For that week I like to get Wednesday and Friday at 9 pls
02-26-2026 02:38 PMDaniel ValdiviaOk perfect! I moved those appointments. I look forward to meeting you and Anthony on Monday!!
02-26-2026 02:39 PMAnthony LopezAnthony (Prim) Replied: Awesome! Can't wait 😊
03-01-2026 04:02 PMDaniel ValdiviaHi, this is a just a reminder that Lopez, Anthony has a Occupational Therapy appointment on 03-02-2026 at 9:00 AM, and on 03-04-2026 at 9:00 AM. 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 Lopez, Anthony has a Speech Therapy appointment on 03-02-2026 at 8:30 AM, and on 03-04-2026 at 8:30 AM. 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 Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-01-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-02-2026 07:41 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-02-2026 07:58 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-02-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864318
03-02-2026 08:30 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/2/2026
92507: Speech & Language Visit
03-02-2026 08:38 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864318
03-02-2026 08:41 AMDaniel ValdiviaGood morning, I might be running a little late today. I accidentally locked myself outside my house without my car keys
03-02-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899580
03-02-2026 08:45 AMAnthony LopezAnthony (Prim) Replied: Would u like to cancel?
03-02-2026 08:45 AMDaniel ValdiviaNo it’s ok I just got someone to come open my house I’ll be there shortly!
03-02-2026 08:46 AMAnthony LopezAnthony (Prim) Replied: Okay πŸ‘
03-03-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-03-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-04-2026 07:42 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-04-2026 07:58 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-04-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864348
03-04-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/4/2026
92507: Speech & Language Visit
03-04-2026 08:33 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864348
03-04-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899618
03-04-2026 08:45 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/4/2026
OT-VIS: OT Visit
03-08-2026 04:02 PMDaniel ValdiviaHi, this is a just a reminder that Lopez, Anthony has a Occupational Therapy appointment on 03-11-2026 at 9:00 AM, and on 03-13-2026 at 9:00 AM. 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 Lopez, Anthony has a Speech Therapy appointment on 03-09-2026 at 8:30 AM, and on 03-11-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-08-2026 04:04 PMAnthony LopezAnthony (Prim) Replied: Hello I'm txting to remind you that Anthony isn't going to therapy tomorrow I canceled ahead of time
03-08-2026 04:04 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.
03-08-2026 06:10 PMRachael HaduckThank you for the reminder, I'll get session canceled.
03-08-2026 06:12 PMRachael HaduckRachael Haduck CANCELLED:
8:30AM-3/9/2026
92507: Speech & Language Visit
03-09-2026 09:42 AMRachael Haduckgood morning! are you able to come in tomorrow at 8:30am for a make-up session?
03-09-2026 10:04 AMAnthony LopezAnthony (Prim) Replied: Do u have anything for Friday it's cause I have a ot session at 9
03-09-2026 10:18 AMRachael HaduckI was not planning on coming in Friday, however, would you be open to a make-up session with another therapist? Her name is Lauryn and she an SLPA.
03-09-2026 10:29 AMAnthony LopezAnthony (Prim) Replied: That's fine for this one time if that's okay with u
03-09-2026 10:41 AMRachael Haduckyes, when she comes in, let me check with her and see if she is open to it
03-09-2026 02:54 PMLauryn BarlowGood afternoon, this is Lauryn. I am the Speech Language Pathologist Assistant who will be seeing Anthony on Friday at 8:30 am for his make up session. If you have any concerns or questions you can reach out to me if needed. I look forward to meeting you both!
03-10-2026 10:24 AMAnthony LopezAnthony (Prim) Replied: Morning I'm txting to let you know that on April 6 I have 2 appointments back to back for my daughter and myself.. need to cancel the session thank you πŸ™
03-10-2026 10:24 AMAnthony LopezAnthony (Prim) Replied: Morning I'm txting to let you know that on April 6 I have 2 appointments back to back for my daughter and myself.. need to cancel the session thank you πŸ™
03-10-2026 10:26 AMDaniel ValdiviaGood morning, no worries! Could we reschedule thar=t appointment to another date that week?
03-10-2026 10:26 AMAnthony LopezAnthony (Prim) Replied: Friday at 9?
03-10-2026 10:27 AMDaniel ValdiviaYes that works for me! I will move the appointment, thank you!
03-10-2026 10:27 AMAnthony LopezAnthony (Prim) Replied: Okay thank you πŸ™
03-10-2026 10:28 AMDaniel ValdiviaI will see him April 10th instead of the 6th, thank you again
03-10-2026 12:08 PMRachael Haduckhi! I will be out of office the week the 6th. are you open to completing it on Tuesday, 3/31 at 8:30am?
03-10-2026 01:45 PMAnthony LopezAnthony (Prim) Replied: Okay
03-10-2026 02:30 PMAnthony LopezAnthony (Prim) Replied: Hello for Wednesday 2 errands came up during 8:30 and 9:00 was wondering if you have anything for Thursday available?
03-10-2026 02:30 PMAnthony LopezAnthony (Prim) Replied: Hello for Wednesday 2 errands came up during 8:30 and 9:00 was wondering if you have anything for Thursday available?
03-10-2026 02:35 PMDaniel ValdiviaFor this week no I am sorry I do not. I can see him next week on Tuesday if that works for you
03-10-2026 02:35 PMAnthony LopezAnthony (Prim) Replied: Okay πŸ‘
03-10-2026 02:38 PMRachael Haduckhi! on Thursday I can only do 7:45am :( is he on break at all? or when does that start?
03-10-2026 02:39 PMRachael Haduckbut I can do next Tuesday at 8:30am
03-10-2026 02:39 PMAnthony LopezAnthony (Prim) Replied: That's fine next Tuesday
03-10-2026 02:40 PMAnthony LopezAnthony (Prim) Replied: I've already made arrangements with speech they'll be at 8:30
03-10-2026 02:46 PMRachael Haducki moved wednesdays session to next tuesday at 8:30am! :)
03-10-2026 02:47 PMAnthony LopezAnthony (Prim) Replied: Thank you so much I didn't know how I was going to be able to do it with one car and everyone having something at 8:30 or 9
03-10-2026 02:47 PMRachael Haduckwould you also like to schedule a make-up for friday 3/20 so he can possibly have an ot-st back-to-back session? I can offer 8:00 or 8:30am
03-10-2026 02:47 PMRachael HaduckI understand!
03-10-2026 02:49 PMAnthony LopezAnthony (Prim) Replied: He only has OT at 9 mondays and Wednesdays he didn't mention anything for the 20th
03-10-2026 02:51 PMDaniel ValdiviaOk, I should be able to see him at 9 I just need to move some things around but I will let you know!
03-10-2026 03:18 PMAnthony LopezAnthony (Prim) Replied: Thank you truly I'm sorry for it he inconvenience we only have one vehicle and sometimes appointments interfere with his therapies
03-10-2026 03:23 PMDaniel ValdiviaNo worries I completely understand! I'm going to cancel tomorrow just so you don't get the reminders but if my 9 next week opens I will let you know and move tomorrows appointment to that time
03-10-2026 03:51 PMDaniel ValdiviaOk, I moved tomorrows appointment to next Tuesday at 9!
03-12-2026 12:59 PMRachael HaduckHi! I wanted to reach out regarding Anthony’s attendance and make-up sessions. At this time, Anthony has 12 make-up sessions that need to be completed within his current authorization period. Many of these accumulated due to illness and doctor’s appointments, which is completely understandable. However, it is very important that make-up sessions are completed when they are offered. Insurance and New Beginnings typically expect families to maintain about a 90% attendance rate in order to avoid any potential reduction in approved therapy sessions.

I also want to note that the number of make-up sessions Anthony needs to complete for OT may be different from speech, as each discipline tracks attendance separately. I completely understand that the car situation can make scheduling very difficult right now :( , but if possible, please try your best to attend our schedule make-up sessions when they are available.

I want to make it as easy as possible with the availability I have, as well as Lauryn's being more flexible than me. :) Please let me know if you have any questions or concerns! I'm here to help in any way I can!!
03-12-2026 01:26 PMRachael Haduckif are able to come tomorrow for that make-up session with Lauryn, that would be wonderful :) it helps reduce 12 make-ups to 11 :)! I know make-ups and all these scheduled appointments can be extremely overwhelming so anything to help reduce stress, I am here!
03-12-2026 02:08 PMAnthony LopezAnthony (Prim) Replied: Perfect
03-12-2026 02:09 PMAnthony LopezAnthony (Prim) Replied: I already told Lauryn yes to tomorrow
03-12-2026 02:13 PMRachael Haduckthank you for confirming that with me :) Anthony will have fun with her tomorrow!
03-12-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-12-2026 06:30 PMLauryn BarlowHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 07:34 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 07:36 AMLauryn BarlowHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-13-2026 08:15 AMLauryn BarlowAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905871
03-13-2026 08:22 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/13/2026
92507: Speech & Language Visit
03-13-2026 08:25 AMLauryn BarlowPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=905871
03-13-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899581
03-13-2026 08:52 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/13/2026
OT-VIS: OT Visit
03-15-2026 04:02 PMDaniel ValdiviaHi, this is a just a reminder that Lopez, Anthony has a Occupational Therapy appointment on 03-16-2026 at 9:00 AM, and on 03-17-2026 at 9:00 AM, and on 03-18-2026 at 9:00 AM. 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 Lopez, Anthony has a Speech Therapy appointment on 03-16-2026 at 8:30 AM, and on 03-17-2026 at 8:30 AM, and on 03-18-2026 at 8:30 AM. 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 Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-15-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-16-2026 07:39 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-16-2026 07:50 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-16-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864320
03-16-2026 08:29 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/16/2026
92507: Speech & Language Visit
03-16-2026 08:38 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864320
03-16-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899582
03-16-2026 08:59 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/16/2026
OT-VIS: OT Visit
03-16-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-16-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-17-2026 07:42 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-17-2026 07:54 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-17-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864349
03-17-2026 08:31 AMAnthony LopezAnthony is RUNNING LATE for:
8:30AM-3/17/2026
92507: Speech & Language Visit
03-17-2026 08:31 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/17/2026
92507: Speech & Language Visit
03-17-2026 08:36 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864349
03-17-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899646
03-17-2026 08:49 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/17/2026
OT-VIS: OT Visit
03-17-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-17-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-18-2026 07:41 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-18-2026 07:51 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-18-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864350
03-18-2026 08:30 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/18/2026
92507: Speech & Language Visit
03-18-2026 08:41 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864350
03-18-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899647
03-18-2026 08:54 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/18/2026
OT-VIS: OT Visit
03-18-2026 06:13 PMAnthony LopezAnthony (Prim) Replied: Hello im txting you to let u know that on April 6th anthony therapy needs to be rescheduled for another day possibly Tuesday?
03-18-2026 06:28 PMDaniel ValdiviaHi yes, we had rescheduled that appointment to Friday, April 10. Does that still work for you?
03-18-2026 07:11 PMAnthony LopezAnthony (Prim) Replied: Oh yes sorry i forgot lol im sorry
03-22-2026 04:02 PMDaniel ValdiviaHi, this is a just a reminder that Lopez, Anthony has a Occupational Therapy appointment on 03-23-2026 at 9:00 AM, and on 03-25-2026 at 9:00 AM. 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 Lopez, Anthony has a Speech Therapy appointment on 03-23-2026 at 8:30 AM, and on 03-25-2026 at 8:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-22-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-22-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-23-2026 07:40 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-23-2026 07:52 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-23-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864321
03-23-2026 08:28 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/23/2026
92507: Speech & Language Visit
03-23-2026 08:35 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864321
03-23-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899583
03-23-2026 08:47 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/23/2026
OT-VIS: OT Visit
03-24-2026 06:30 PMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-24-2026 06:30 PMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-25-2026 07:42 AMRachael HaduckHi, this is a just a reminder that Anthony has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings πŸ™‚
03-25-2026 07:50 AMDaniel ValdiviaHi, this is a just a reminder that Anthony has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
03-25-2026 08:15 AMRachael HaduckAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864351
03-25-2026 08:15 AMAnthony LopezAnthony is CHECKED IN for:
8:30AM-3/25/2026
92507: Speech & Language Visit
03-25-2026 08:35 AMRachael HaduckPatient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9705&Appt=864351
03-25-2026 08:45 AMDaniel ValdiviaAnthony Lopez : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899648
03-25-2026 08:49 AMAnthony LopezAnthony is CHECKED IN for:
9:00AM-3/25/2026
OT-VIS: OT Visit
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
03-27-2026 09:02 PMAnthony LopezAnthony (Prim) Replied: Hello sorry for the late txt just letting you know that this monday i wont be able to take anthony to therapy because i have to be at a social security appointment thats mandatory thank you!
03-27-2026 09:02 PMDaniel ValdiviaHi, 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.
03-27-2026 09:02 PMAnthony LopezAnthony (Prim) Replied: Hello sorry for the late txt just letting you know that this monday i wont be able to take anthony to therapy because i have to be at a social security appointment thats mandatory thank you!
03-27-2026 09:02 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.