Patient Name: Leylah

Patient Information:

Patient ID: 9726
Patient First Name: Leylah
Patient Date of Birth: 07-23-2022
Gender: Female
Assigned Office: NB1 east side
Primary Care Physician: Stanley O, Usen
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Medina, Norma
FD - Feeding Therapy:
OT - Occupational Therapy:
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
22547Active11-10-202505-08-2026Superior Health Plan52000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2562310-09-2025Speech Initial EvaluationF80.2, F84.0, F90.9
Speech Background History: Leylah is a 3-year, 2-month-old female referred for a comprehensive speech and language evaluation due to concerns with her ability to communicate her wants and needs effectively. Background information was obtained through parent interview, review of developmental history, and formal testing using the Preschool Language Scales, Fifth Edition (PLS-5) in English, as English is her dominant language. Leylah was born at 37 weeks gestation due to low amniotic fluid. According to her mother, she was delayed in all developmental areas. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Leylah passed both her vision and hearing screenings. She is currently not on any medications and attends a Head Start program. Her mother shared that concerns regarding her communication development began around 18 months of age. Leylah was previously enrolled in speech therapy for approximately two to three months at Action Care and later received an additional two months of occupational therapy through OT for TOTS, as well as four months of physical therapy. Despite early intervention, her mother continues to express significant concerns about her communication skills and safety awareness. Her mother reported that Leylah often does not understand the consequences of her actions, which may place her at risk in daily environments.
Speech Medical History:
Speech Medications:
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Interactive, Responds to greetings, Understands nuances of language,
Speech Communication Weaknesses: Difficult to understand, Immediate echolalia, Irrelevent replies to questions, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Use of jargon,
Speech Background Summary:
Speech Diagnosis/Impressions: Leylah is a 3-year, 2-month-old female referred for a comprehensive speech and language evaluation due to concerns with her ability to communicate her wants and needs effectively. Background information was obtained through parent interview, review of developmental history, and formal testing using the Preschool Language Scales, Fifth Edition (PLS-5) in English, as English is her dominant language. Leylah was born at 37 weeks gestation due to low amniotic fluid. According to her mother, she was delayed in all developmental areas. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Leylah passed both her vision and hearing screenings. She is currently not on any medications and attends a Head Start program. Her mother shared that concerns regarding her communication development began around 18 months of age. Leylah was previously enrolled in speech therapy for approximately two to three months at Action Care and later received an additional two months of occupational therapy through OT for TOTS, as well as four months of physical therapy. Despite early intervention, her mother continues to express significant concerns about her communication skills and safety awareness. Her mother reported that Leylah often does not understand the consequences of her actions, which may place her at risk in daily environments. During the evaluation, Leylah presented as active and engaged in play-based tasks but demonstrated limited verbal output and reduced intelligibility. She currently uses approximately 20 words and primarily communicates using single-word utterances (e.g., β€œhi,” β€œbye,” β€œopen it,” β€œwater,” β€œapple”) per mother's report. She also utilizes nonverbal communication strategies such as hand-leading, pointing, and bringing items to caregivers to express her wants and needs. On the Preschool Language Scales, Fifth Edition (PLS-5), Leylah received a raw score of 15, a standard score of 50, a percentile rank of 1, and an age equivalent of 11 months in the area of Auditory Comprehension. In Expressive Communication, she obtained a raw score of 22, a standard score of 64, a percentile rank of 1, and an age equivalent of 1 year and 5 months. Her Total Language Score yielded a standard score of 54, a percentile rank of 1, and an age equivalent of 1 year and 2 months. These results indicate that Leylah demonstrates a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, with overall language abilities functioning significantly below age expectations. For comparison, by 3 years of age, children are typically expected to understand simple β€œwho,” β€œwhat,” and β€œwhere” questions, follow two-step related directions (e.g., β€œGet your shoes and put them on”), and understand most common objects and actions in their environment. Expressively, children this age often use sentences of 3–4 words, have an expressive vocabulary of approximately 900–1,000 words, and can be understood by familiar listeners most of the time. They also begin to use pronouns, ask simple questions, and combine words for different communicative purposes such as requesting, labeling, and commenting. Compared to these milestones, Leylah’s language skills are well below age expectations. She demonstrates strengths in her ability to respond to her name, respond to the word β€œno,” look toward people or objects that her caregiver points to, demonstrate joint attention, and use gestures or vocalizations to request objects. However, she exhibits significant difficulty engaging in functional, relational, and self-directed play, following familiar one-step directions even with gestures, and identifying familiar objects within a group. Expressively, she has difficulty naming objects, using words for a variety of pragmatic functions, producing two-word combinations, and labeling common pictures or actions. Overall, findings from formal testing, parent interview, and clinical observation reveal that Leylah presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER. It is medically and educationally necessary for her to receive ongoing speech and language therapy to improve her ability to understand and express language, enhance her social interactions, and ensure safety and independence across daily environments.
Speech Diagnosis/Impressions: Leylah is a 3-year, 2-month-old female referred for a comprehensive speech and language evaluation due to concerns with her ability to communicate her wants and needs effectively. Background information was obtained through parent interview, review of developmental history, and formal testing using the Preschool Language Scales, Fifth Edition (PLS-5) in English, as English is her dominant language. Leylah was born at 37 weeks gestation due to low amniotic fluid. According to her mother, she was delayed in all developmental areas. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Leylah passed both her vision and hearing screenings. She is currently not on any medications and attends a Head Start program. Her mother shared that concerns regarding her communication development began around 18 months of age. Leylah was previously enrolled in speech therapy for approximately two to three months at Action Care and later received an additional two months of occupational therapy through OT for TOTS, as well as four months of physical therapy. Despite early intervention, her mother continues to express significant concerns about her communication skills and safety awareness. Her mother reported that Leylah often does not understand the consequences of her actions, which may place her at risk in daily environments. During the evaluation, Leylah presented as active and engaged in play-based tasks but demonstrated limited verbal output and reduced intelligibility. She currently uses approximately 20 words and primarily communicates using single-word utterances (e.g., β€œhi,” β€œbye,” β€œopen it,” β€œwater,” β€œapple”) per mother's report. She also utilizes nonverbal communication strategies such as hand-leading, pointing, and bringing items to caregivers to express her wants and needs. On the Preschool Language Scales, Fifth Edition (PLS-5), Leylah received a raw score of 15, a standard score of 50, a percentile rank of 1, and an age equivalent of 11 months in the area of Auditory Comprehension. In Expressive Communication, she obtained a raw score of 22, a standard score of 64, a percentile rank of 1, and an age equivalent of 1 year and 5 months. Her Total Language Score yielded a standard score of 54, a percentile rank of 1, and an age equivalent of 1 year and 2 months. These results indicate that Leylah demonstrates a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, with overall language abilities functioning significantly below age expectations. For comparison, by 3 years of age, children are typically expected to understand simple β€œwho,” β€œwhat,” and β€œwhere” questions, follow two-step related directions (e.g., β€œGet your shoes and put them on”), and understand most common objects and actions in their environment. Expressively, children this age often use sentences of 3–4 words, have an expressive vocabulary of approximately 900–1,000 words, and can be understood by familiar listeners most of the time. They also begin to use pronouns, ask simple questions, and combine words for different communicative purposes such as requesting, labeling, and commenting. Compared to these milestones, Leylah’s language skills are well below age expectations. She demonstrates strengths in her ability to respond to her name, respond to the word β€œno,” look toward people or objects that her caregiver points to, demonstrate joint attention, and use gestures or vocalizations to request objects. However, she exhibits significant difficulty engaging in functional, relational, and self-directed play, following familiar one-step directions even with gestures, and identifying familiar objects within a group. Expressively, she has difficulty naming objects, using words for a variety of pragmatic functions, producing two-word combinations, and labeling common pictures or actions. Overall, findings from formal testing, parent interview, and clinical observation reveal that Leylah presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER. It is medically and educationally necessary for her to receive ongoing speech and language therapy to improve her ability to understand and express language, enhance her social interactions, and ensure safety and independence across daily environments.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
56841
Plan Date: 10-09-2025
Speech Assessment Summary: Leylah is a 3-year, 2-month-old female referred for a comprehensive speech and language evaluation due to concerns with her ability to communicate her wants and needs effectively. Background information was obtained through parent interview, review of developmental history, and formal testing using the Preschool Language Scales, Fifth Edition (PLS-5) in English, as English is her dominant language. Leylah was born at 37 weeks gestation due to low amniotic fluid. According to her mother, she was delayed in all developmental areas. There are no reported difficulties with sleeping, breathing, feeding, or swallowing. Leylah passed both her vision and hearing screenings. She is currently not on any medications and attends a Head Start program. Her mother shared that concerns regarding her communication development began around 18 months of age. Leylah was previously enrolled in speech therapy for approximately two to three months at Action Care and later received an additional two months of occupational therapy through OT for TOTS, as well as four months of physical therapy. Despite early intervention, her mother continues to express significant concerns about her communication skills and safety awareness. Her mother reported that Leylah often does not understand the consequences of her actions, which may place her at risk in daily environments. During the evaluation, Leylah presented as active and engaged in play-based tasks but demonstrated limited verbal output and reduced intelligibility. She currently uses approximately 20 words and primarily communicates using single-word utterances (e.g., β€œhi,” β€œbye,” β€œopen it,” β€œwater,” β€œapple”) per mother's report. She also utilizes nonverbal communication strategies such as hand-leading, pointing, and bringing items to caregivers to express her wants and needs. On the Preschool Language Scales, Fifth Edition (PLS-5), Leylah received a raw score of 15, a standard score of 50, a percentile rank of 1, and an age equivalent of 11 months in the area of Auditory Comprehension. In Expressive Communication, she obtained a raw score of 22, a standard score of 64, a percentile rank of 1, and an age equivalent of 1 year and 5 months. Her Total Language Score yielded a standard score of 54, a percentile rank of 1, and an age equivalent of 1 year and 2 months. These results indicate that Leylah demonstrates a PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, with overall language abilities functioning significantly below age expectations. For comparison, by 3 years of age, children are typically expected to understand simple β€œwho,” β€œwhat,” and β€œwhere” questions, follow two-step related directions (e.g., β€œGet your shoes and put them on”), and understand most common objects and actions in their environment. Expressively, children this age often use sentences of 3–4 words, have an expressive vocabulary of approximately 900–1,000 words, and can be understood by familiar listeners most of the time. They also begin to use pronouns, ask simple questions, and combine words for different communicative purposes such as requesting, labeling, and commenting. Compared to these milestones, Leylah’s language skills are well below age expectations. She demonstrates strengths in her ability to respond to her name, respond to the word β€œno,” look toward people or objects that her caregiver points to, demonstrate joint attention, and use gestures or vocalizations to request objects. However, she exhibits significant difficulty engaging in functional, relational, and self-directed play, following familiar one-step directions even with gestures, and identifying familiar objects within a group. Expressively, she has difficulty naming objects, using words for a variety of pragmatic functions, producing two-word combinations, and labeling common pictures or actions. Overall, findings from formal testing, parent interview, and clinical observation reveal that Leylah presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER. It is medically and educationally necessary for her to receive ongoing speech and language therapy to improve her ability to understand and express language, enhance her social interactions, and ensure safety and independence across daily environments.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement in the area of her impairments is good with continues and consistent speech therapy and parental support. Leylah will be discharged when she achieves a standard score above 1 standard deviations from the mean for all impairments, indicating that her speech and language skills will be in the average range and she will have met all longΒ­ term therapy goal.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive LanguageWithin 1 year, Leylah will utilize age appropriate receptive language skills in order to communicate effectively with family and peers with 80% accuracy.
Expressive LanguageWithin 1 year, Leylah will utilize age appropriate expressive language skills in order to communicate effectively with family and peers with 80% accuracy.
Speech and Language Short Term Goals:
CategoryGoal Description
Receptive LanguageIn 6 months, utilizing early language therapy, Leylah will follow one-step directions with visual and verbal cues in structured and play-based activities with 30% accuracy across three consecutive sessions to support comprehension and participation in daily routines.
Receptive LanguageIn 6 months, utilizing early language therapy, Leylah will identify familiar objects, pictures, or actions from a field of two with 30% accuracy using visual and verbal prompts to increase receptive vocabulary and comprehension of familiar concepts.
Expressive LanguageIn 6 months, utilizing early language therapy, Leylah will request preferred items or actions during structured and play-based activities with 30% accuracy to encourage functional communication to express wants and needs effectively.
Expressive LanguageIn 6 months, utilizing early language therapy, Leylah will imitate environmental sounds, words, or short phrases during structured play or daily routines with 30% accuracy given maximal verbal and visual cues to promote imitation and expands expressive vocabulary.
Play/SocializationIn 6 months, utilizing early language therapy, Leylah will engage in reciprocal play routines (e.g., turn-taking, joint attention, shared play) with the therapist or caregiver for 2 minutes with visual/verbal support in 3 consecutive sessions to help build early social communication skills necessary for meaningful interactions.

Speech and Language Soap Note/Visit:

IDSoap Note
491539
Note Date: 03-26-2026
Subjective:
Assessment of Goals/Response to Treatment: Leylah requested preferred items or actions during structured and play-based activities with 10% accuracy to encourage functional communication to express wants and needs effectively. Leylah imitated environmental sounds, words, or short phrases during structured play or daily routines with 10% accuracy given maximal verbal and visual cues to promote imitation and expands expressive vocabulary.
Plans: Continue with current Plan of Care,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
81894092523: Artic & Language Eval10-09-2025 01:00 PM10-09-2025 02:00 PMLailani ChehedehNB1 east sideCompleted
83776892507: Speech & Language Visit11-13-2025 03:00 PM11-13-2025 03:30 PMNorma MedinaNB1 east sideCompleted
83776992507: Speech & Language Visit11-20-2025 03:00 PM11-20-2025 03:30 PMNorma MedinaNB1 east sideCompleted
83644392507: Speech & Language Visit11-24-2025 10:00 AM11-24-2025 10:30 AMNorma MedinaNB1 east sideCompleted
847720NB001: Supervision11-25-2025 09:00 AM11-25-2025 09:30 AMVictoria ChaconNB2 far east sideCompleted
83777092507: Speech & Language Visit11-25-2025 09:00 AM11-25-2025 09:30 AMNorma MedinaNB1 east sideCompleted
84738692507: Speech & Language Visit12-02-2025 05:00 PM12-02-2025 05:30 PMNorma MedinaNB1 east sideCompleted
85068692507: Speech & Language Visit12-03-2025 03:30 PM12-03-2025 04:00 PMNorma MedinaNB1 east sideCompleted
83777192507: Speech & Language Visit12-04-2025 03:00 PM12-04-2025 03:30 PMNorma MedinaNB1 east sideCompleted
84738892507: Speech & Language Visit12-09-2025 05:00 PM12-09-2025 05:30 PMNorma MedinaNB1 east sideCompleted
83777292507: Speech & Language Visit12-11-2025 03:00 PM12-11-2025 03:30 PMNorma MedinaNB1 east sideCompleted
85225392507: Speech & Language Visit01-06-2026 05:00 PM01-06-2026 05:30 PMNorma MedinaNB1 east sideCompleted
83777692507: Speech & Language Visit01-08-2026 03:00 PM01-08-2026 03:30 PMNorma MedinaNB1 east sideCompleted
85225492507: Speech & Language Visit01-13-2026 05:00 PM01-13-2026 05:30 PMNorma MedinaNB1 east sideCompleted
83777792507: Speech & Language Visit01-15-2026 03:00 PM01-15-2026 03:30 PMNorma MedinaNB1 east sideCompleted
83777892507: Speech & Language Visit01-22-2026 03:00 PM01-22-2026 03:30 PMNorma MedinaNB1 east sideCompleted
85225692507: Speech & Language Visit01-27-2026 05:00 PM01-27-2026 05:30 PMNorma MedinaNB1 east sideCompleted
83777992507: Speech & Language Visit01-29-2026 03:00 PM01-29-2026 03:30 PMNorma MedinaNB1 east sideCompleted
87810492507: Speech & Language Visit02-02-2026 03:00 PM02-02-2026 03:30 PMNorma MedinaNB1 east sideCompleted
87810592507: Speech & Language Visit02-09-2026 03:00 PM02-09-2026 03:30 PMNorma MedinaNB1 east sideCompleted
85225892507: Speech & Language Visit02-10-2026 05:00 PM02-10-2026 05:30 PMNorma MedinaNB1 east sideCompleted
87810692507: Speech & Language Visit02-16-2026 03:00 PM02-16-2026 03:30 PMNorma MedinaNB1 east sideCompleted
892198NB001: Supervision02-16-2026 03:00 PM02-16-2026 03:30 PMVictoria ChaconNB2 far east sideCompleted
85225992507: Speech & Language Visit02-17-2026 05:00 PM02-17-2026 05:30 PMNorma MedinaNB1 east sideCompleted
89252792507: Speech & Language Visit02-18-2026 03:30 PM02-18-2026 04:00 PMNorma MedinaNB1 east sideCompleted
87810792507: Speech & Language Visit02-23-2026 03:00 PM02-23-2026 03:30 PMNorma MedinaNB1 east sideCompleted
85226092507: Speech & Language Visit02-24-2026 05:00 PM02-24-2026 05:30 PMNorma MedinaNB1 east sideCompleted
85226292507: Speech & Language Visit03-10-2026 04:30 PM03-10-2026 05:00 PMNorma MedinaNB1 east sideCompleted
87811092507: Speech & Language Visit03-16-2026 03:00 PM03-16-2026 03:30 PMNorma MedinaNB1 east sideCompleted
85226392507: Speech & Language Visit03-17-2026 04:30 PM03-17-2026 05:00 PMNorma MedinaNB1 east sideCompleted
85226492507: Speech & Language Visit03-24-2026 04:30 PM03-24-2026 05:00 PMNorma MedinaNB1 east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
83644192507: Speech & Language Visit11-10-2025 12:30 PM11-10-2025 01:00 PMNorma MedinaNB1 east sideCanceled
838556NB001: Supervision11-10-2025 12:30 PM11-10-2025 01:00 PMVictoria ChaconNB2 far east sideCanceled
83644292507: Speech & Language Visit11-17-2025 12:30 PM11-17-2025 01:00 PMNorma MedinaNB1 east sideCanceled
83644492507: Speech & Language Visit12-01-2025 12:30 PM12-01-2025 01:00 PMNorma MedinaNB1 east sideCanceled
83644592507: Speech & Language Visit12-08-2025 12:30 PM12-08-2025 01:00 PMNorma MedinaNB1 east sideCanceled
85311192507: Speech & Language Visit12-16-2025 05:00 PM12-16-2025 05:30 PMNorma MedinaNB1 east sideCanceled
83777392507: Speech & Language Visit12-18-2025 03:00 PM12-18-2025 03:30 PMNorma MedinaNB1 east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
90668292507: Speech & Language Visit03-30-2026 03:00 PM03-30-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85226592507: Speech & Language Visit03-31-2026 05:00 PM03-31-2026 05:30 PMNorma MedinaNB1 east sideScheduled
91452492507: Speech & Language Visit04-06-2026 03:00 PM04-06-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85226692507: Speech & Language Visit04-07-2026 05:00 PM04-07-2026 05:30 PMNorma MedinaNB1 east sideScheduled
91452592507: Speech & Language Visit04-13-2026 03:00 PM04-13-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85226792507: Speech & Language Visit04-14-2026 05:00 PM04-14-2026 05:30 PMNorma MedinaNB1 east sideScheduled
91452692507: Speech & Language Visit04-20-2026 03:00 PM04-20-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85226892507: Speech & Language Visit04-21-2026 05:00 PM04-21-2026 05:30 PMNorma MedinaNB1 east sideScheduled
91452792507: Speech & Language Visit04-27-2026 03:00 PM04-27-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85226992507: Speech & Language Visit04-28-2026 05:00 PM04-28-2026 05:30 PMNorma MedinaNB1 east sideScheduled
91452892507: Speech & Language Visit05-04-2026 03:00 PM05-04-2026 03:30 PMNorma MedinaNB1 east sideScheduled
85227092507: Speech & Language Visit05-05-2026 05:00 PM05-05-2026 05:30 PMNorma MedinaNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
10-30-2025Shekinah VelasquezSt auth approved starting 11/10/2025 - 05/08/2026 2x/week = 52 visits. therapist assigned and notified.
10-29-2025Shekinah VelasquezST auth request submitted to SHP via NIA. Pending Approval.
10-29-2025Avery FontenotCalled office regarding missing signatures. They stated the will tell doctor to sign and fax it back to us. Pending.
10-14-2025Avery FontenotSent request for signatures to PCP via Courier. Pending.
09-16-2025Avery FontenotPt shows end date with EPH on 08/31/2025

Paient Missed Visit Notes:

DateServiceTherapistDescription
12-18-202592507Medina, Norma
12-16-202592507Medina, Norma
12-08-202592507Medina, Norma
12-01-202592507Medina, Norma
12-01-202592507Medina, Norma
11-17-202592507Medina, Norma
11-17-202592507Medina, Norma
11-10-202592507Medina, Norma
11-10-202592507Medina, Norma
11-10-2025NB001Chacon, Victoria

Paient Messages Admin:

DatePosted ByMessage
09-12-2025 01:25 PMAsbel GuajardoPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2195
09-12-2025 01:38 PMShekinah VelasquezSchedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9726
09-12-2025 01:38 PMShekinah VelasquezLeylah 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=9726&type=1&wid=277
10-30-2025 12:46 PMShekinah VelasquezSantos, Leylah has been assigned a therapist.
11-13-2025 12:47 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.
12-23-2025 02:06 PMStephen TulliusDear Families,

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

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

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

With warmest regards,

Stephen Tullius
New Beginnings Pediatric Therapy Services
01-20-2026 12:11 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’™
01-20-2026 05:33 PMJulie 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=9726
01-21-2026 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=9726
01-21-2026 08:39 AMShekinah VelasquezLeylah 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=9726&type=3&wid=511
02-03-2026 03:53 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us.
πŸ“… February 7th, 2026
⏰ 4:30 PM
πŸ“ Esperanza Acosta Moreno Public Library
We’d love to see you there! πŸ’™


🌟 ‘EstÑn invitados! 🌟
AcompÑñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros.
πŸ“… 7 de febrero de 2026
⏰ 4:30 p.m.
πŸ“ Biblioteca PΓΊblica Esperanza Acosta Moreno
Β‘Esperamos verlos! πŸ’™
02-16-2026 05:27 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:49 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=9726
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/
03-09-2026 07:23 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=9726
03-11-2026 05:40 PMStephen TulliusHello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

DatePosted ByMessage
10-07-2025 05:24 PMLailani ChehedehHi Mrs. Santos, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Leylah's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information.
So when you have an opportunity can you answer these questions for me:

1.) Any complications with pregnancy or birth?
2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)?
3.) developmental milestones met within normal limits? or delayed?
4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils?
5.) medications?
6.) education? (i.e., day care, preschool)
7.) vision or hearing issues?
8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths.
9.) when did your concerns begin?
10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.)
11) Dominate Language ? English or Spanish ?
10-08-2025 08:12 AMLeylah SantosLeylah (Prim) Replied: Hello!
1.) No
2.) No
3.) Delayed
4.) No
5.) No
6.) Headstart
7.) No
8.) Leylah is delayed in speech, she doesn't understand certain things like other 3 year olds
9.) She has been delayed in every area since she was an infant
10.) She has had previous speech therapy
11.) English and SOME Spanish

10-08-2025 06:30 PMLailani ChehedehHi, this is a just a reminder that Leylah has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings πŸ™‚
10-09-2025 07:50 AMLailani ChehedehHi, this is a just a reminder that Leylah has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings πŸ™‚
10-09-2025 12:11 PMLeylah SantosLeylah (Prim) Replied: What's the address?
10-09-2025 12:11 PMLailani ChehedehHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-09-2025 12:38 PMLailani Chehedeh1512 N Zaragoza C-1
10-09-2025 12:45 PMLailani ChehedehLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818940
10-09-2025 12:53 PMLeylah SantosLeylah is CHECKED IN for:
1:00PM-10/9/2025
92523: Artic & Language Eval
11-03-2025 02:59 PMNorma MedinaGood Afternoon, this is Norma and I will be Leylah’s speech therapist. Leylah was approved for 2x a week for 30 minutes
Currently I have Mondays at 12:30pm and Thursdays at 12pm
We can start next week
Let me know if this works for you :)
11-04-2025 07:06 AMLeylah SantosLeylah (Prim) Replied: Hi, I'll get back to you. I need to let Leylahs school know since the time of speech therapy does interfere with her school time. I'll get back to you in about an hour.
11-04-2025 08:01 AMLeylah SantosLeylah (Prim) Replied: They said it was fine. But I just need like a letter that states the days and hour that Leylah will be taking therapy.

Also I was wondering if there was any way that she could get therapy for 1 day a week for 1 hour? Or it has to be 2 days for 30 minutes?
11-04-2025 01:46 PMNorma MedinaHello! We can definitely provide you with a school note specifying days and times she will attend therapy. Insurance approved for 2x a week and that is currently what her current authorization covers. I can try and ask if we can lower to 1x a week because of school but I can’t guarantee it bc the 2x a week was what was approved and recommended
11-04-2025 01:54 PMLeylah SantosLeylah (Prim) Replied: Okay that's fine. Can the note be emailed to me? That way I can give it to the school so that can have it on file for next week already
11-04-2025 02:04 PMNorma MedinaYes of course. Will it be the email on file? Or you’re welcome to resend it :)
11-04-2025 02:11 PMLeylah SantosLeylah (Prim) Replied: I have no idea what email I have on file πŸ˜… but can you send it to this one..

Santosjas0310@icloud.com
11-04-2025 02:37 PMNorma MedinaI will have that sent right over. Please confirm when you receive please. It should be no later than by the end of today.
Look forward to meeting you all!! :)
11-05-2025 02:49 PMLeylah SantosLeylah (Prim) Replied: Hi sorry to bother you but I didn't get the email. I'm not sure if it iCloud (sometimes it does that) but you could send it to this one please...
Jasmine@scotsdale.org
Hopefully that works.
11-06-2025 08:21 AMNorma MedinaGood Morning! Let me tell the office of the new email address and get back to you! I will make sure they are able to send it today or tomorrow because I did let them know we will be starting therapy next week;)
11-06-2025 11:40 AMNorma MedinaHi! I’m reaching out once more to offer you a new time that just became available to me. I can also do Thursday at 3pm instead of 12pm
11-06-2025 02:59 PMNorma MedinaHi! It’s Norma, Leylah’s speech therapist. They let me know you were trying to reach me
11-06-2025 03:04 PMLeylah SantosLeylah (Prim) Replied: Yes! I accidentally deleted your messages and I didn't save your number πŸ˜… sorry about that! (I saved your number already tho)

But if the 3pm is still available I will take it.
11-06-2025 03:40 PMNorma MedinaIt happens! No worries :)
I will go ahead and give you the Thursdays at 3pm.
The school note will excuse her for Mondays at 12;30pm
I hope this works out better for you :)
11-06-2025 03:48 PMLeylah SantosLeylah (Prim) Replied: Can the note also state the appointment for Thursday since I will have to take her out school ?
11-06-2025 04:10 PMNorma MedinaOh yes of course :)
11-06-2025 04:15 PMLeylah SantosLeylah (Prim) Replied: Thank you! πŸ™πŸΌ
11-09-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 11-10-2025 at 12:30 PM, and on 11-13-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-09-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings πŸ™‚
11-09-2025 06:54 PMLeylah SantosLeylah (Prim) Replied: Hi! I'm going to have to cancel the appointment tomorrow. Leylah tested positive for flu and she also has an ear infection that has really been kicking her butt.
11-09-2025 06:54 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 09:41 PMNorma MedinaHello! Sorry for the late response. No worries, I hope Leylah recovers soon. I will check back later to see how she is doing. I will keep her scheduled for Thursday but you let me know how she’s doing. Thank you for letting me know:)
11-09-2025 09:41 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-11/10/2025
92507: Speech & Language Visit
11-09-2025 09:41 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-11/10/2025
92507: Speech & Language Visit
11-10-2025 11:26 AMVictoria ChaconVictoria Chacon CANCELLED:
12:30PM-11/10/2025
NB001: Supervision
11-12-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
11-13-2025 07:56 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
11-13-2025 08:21 AMNorma MedinaGood Morning! πŸ’›
I hope Leylah is feeling better. Let me know if we are good for today’s session or if we start next week:)
11-13-2025 08:25 AMLeylah SantosLeylah (Prim) Replied: Good morning! Yes we are good for today
11-13-2025 02:12 PMLeylah SantosLeylah (Prim) Replied: Zaragoza location correct ?
11-13-2025 02:20 PMNorma MedinaYes :)
1512 N Zaragoza Suite C1
11-13-2025 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837768
11-13-2025 02:57 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-11/13/2025
92507: Speech & Language Visit
11-16-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 11-17-2025 at 12:30 PM, and on 11-20-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-16-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings πŸ™‚
11-16-2025 08:10 PMLeylah SantosLeylah (Prim) Replied: I'll still be out of town tomorrow
11-16-2025 08:10 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-16-2025 08:24 PMNorma MedinaHello! I have cancelled the session. I will see Leylah Thursday. Thank you;)
11-16-2025 08:24 PMLeylah SantosLeylah (Prim) Replied: Thank you!
11-16-2025 08:24 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-16-2025 08:24 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-11/17/2025
92507: Speech & Language Visit
11-16-2025 08:24 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-11/17/2025
92507: Speech & Language Visit
11-19-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
11-20-2025 07:52 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
11-20-2025 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837769
11-20-2025 02:55 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-11/20/2025
92507: Speech & Language Visit
11-23-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 11-24-2025 at 10:00 AM, and on 11-25-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-23-2025 04:04 PMLeylah SantosLeylah (Prim) Replied: Yes
11-23-2025 04:04 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-23-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings πŸ™‚
11-24-2025 07:46 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings πŸ™‚
11-24-2025 09:45 AMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=836443
11-24-2025 10:01 AMLeylah SantosLeylah is CHECKED IN for:
10:00AM-11/24/2025
92507: Speech & Language Visit
11-24-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings πŸ™‚
11-25-2025 07:50 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings πŸ™‚
11-25-2025 08:45 AMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837770
11-25-2025 08:54 AMLeylah SantosLeylah is CHECKED IN for:
9:00AM-11/25/2025
92507: Speech & Language Visit
11-30-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 12-01-2025 at 12:30 PM, and on 12-02-2025 at 5:00 PM, and on 12-04-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
11-30-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings πŸ™‚
12-01-2025 07:49 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings πŸ™‚
12-01-2025 12:04 PMLeylah SantosLeylah (Prim) Replied: Hi Norma. Just wanted to let you know, I won't be able to make it today
12-01-2025 12:07 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-12/1/2025
92507: Speech & Language Visit
12-01-2025 12:07 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-12/1/2025
92507: Speech & Language Visit
12-01-2025 12:07 PMNorma MedinaHello! Thank you for letting me know:)
12-01-2025 01:30 PMNorma MedinaNorma Medina CANCELLED:
12:30PM-12/8/2025
92507: Speech & Language Visit
12-01-2025 01:48 PMNorma MedinaHello! I just had a cancel for Wednesday at 330pm. I can schedule her then for a makeup of today. Will she be able to come tomorrow at 5pm?
Let me know before 6pm today so I can schedule accordingly
Thanks!! :)
12-01-2025 04:32 PMLeylah SantosLeylah (Prim) Replied: Yes to both.
12-01-2025 05:02 PMNorma MedinaSounds good! Thank you !
12-01-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-02-2025 07:59 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-02-2025 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847386
12-02-2025 05:00 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-12/2/2025
92507: Speech & Language Visit
12-02-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings πŸ™‚
12-03-2025 08:00 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings πŸ™‚
12-03-2025 03:15 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=850686
12-03-2025 03:18 PMLeylah SantosLeylah is CHECKED IN for:
3:30PM-12/3/2025
92507: Speech & Language Visit
12-03-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
12-04-2025 07:50 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
12-04-2025 02:25 PMLeylah SantosLeylah (Prim) Replied: Hi, I just wanted to confirm that Layla had an appointment right now at three?
12-04-2025 02:25 PMNorma MedinaHii:) thats correct
12-04-2025 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837771
12-04-2025 02:48 PMLeylah SantosLeylah (Prim) Replied: I'm here
12-04-2025 02:50 PMNorma MedinaPerfect! Be right out! :)
12-07-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 12-08-2025 at 12:30 PM, and on 12-09-2025 at 5:00 PM, and on 12-11-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-07-2025 04:37 PMLeylah SantosLeylah (Prim) Replied: Please cancel the one for tomorrow at 12:30.
12-07-2025 04:37 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-08-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-09-2025 07:54 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
12-09-2025 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847388
12-09-2025 05:03 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-12/9/2025
92507: Speech & Language Visit
12-09-2025 05:03 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-12/9/2025
92507: Speech & Language Visit
12-09-2025 05:03 PMLeylah SantosLeylah (Prim) Replied: I'm here. I'm changing Leylahs diaper
12-10-2025 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
12-11-2025 07:48 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
12-11-2025 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837772
12-11-2025 02:52 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-12/11/2025
92507: Speech & Language Visit
12-14-2025 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 12-16-2025 at 5:00 PM, and on 12-18-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
12-15-2025 12:28 PMLeylah SantosLeylah (Prim) Replied: Hi, just wanted to cancel this week's speech therapy sessions. There is a lot of activities going on for the kids and work Christmas parties, etc. I'm busy this week so sorry for the inconvenience.
12-15-2025 01:09 PMNorma MedinaHi! No worries! I hope you and your family have safe and beautiful holidays!
We will be closed for the next two weeks. I will see Lelyah on our return, which for her will be Tuesday Jan 6th at 5pm
12-15-2025 01:10 PMNorma MedinaNorma Medina CANCELLED:
5:00PM-12/16/2025
92507: Speech & Language Visit
12-15-2025 01:11 PMNorma MedinaNorma Medina CANCELLED:
3:00PM-12/18/2025
92507: Speech & Language Visit
01-04-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 01-06-2026 at 5:00 PM, and on 01-08-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-05-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-06-2026 07:50 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-06-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852253
01-06-2026 04:56 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-1/6/2026
92507: Speech & Language Visit
01-06-2026 04:56 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-1/6/2026
92507: Speech & Language Visit
01-07-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 07:45 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-08-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837776
01-08-2026 02:51 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-1/8/2026
92507: Speech & Language Visit
01-11-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 01-13-2026 at 5:00 PM, and on 01-15-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-12-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-13-2026 07:51 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-13-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852254
01-13-2026 05:03 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-1/13/2026
92507: Speech & Language Visit
01-13-2026 05:06 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-1/13/2026
92507: Speech & Language Visit
01-14-2026 07:21 AMLeylah SantosLeylah (Prim) Replied: Good morning Norma, I was wondering if you had anything available between 3:30-5 on Mondays (to permanently replace thursdays at 3) ?
01-14-2026 08:44 AMNorma MedinaHi! At the moment, I dont have Mondays available at that time, but let me see if I can swap her if I ask one of my other parents to switch.
I’ll still see her tomorrow? :)
01-14-2026 08:48 AMLeylah SantosLeylah (Prim) Replied: No if not that's fine. We will see you tomorrow. Thank you
01-14-2026 09:00 AMNorma MedinaThank you! I’ll try my best to swap for Monday :)
01-14-2026 09:28 AMLeylah SantosLeylah (Prim) Replied: Thank you!
01-14-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 07:43 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-15-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837777
01-15-2026 03:00 PMLeylah SantosLeylah (Prim) Replied: I'm running late πŸ€¦πŸ½β€β™€οΈ
01-15-2026 03:02 PMLeylah SantosLeylah is RUNNING LATE for:
3:00PM-1/15/2026
92507: Speech & Language Visit
01-15-2026 03:03 PMLeylah SantosLeylah (Prim) Replied: It's saying I'll be there in 8 minutes. Not sure if that is too late already ?
01-15-2026 03:06 PMNorma MedinaHi! I can wait, as long as its in the next 5 minutes
01-15-2026 05:00 PMLeylah SantosLeylah (Prim) Replied: What was the name of the song ??
01-15-2026 05:32 PMNorma MedinaHello! The name of the song is β€œ walking in the jungle” by super simple songs
The fax number is (915)855-0751

:D
01-15-2026 05:33 PMLeylah SantosLeylah (Prim) Replied: Thank you!
01-18-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 01-20-2026 at 5:00 PM, and on 01-22-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-19-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-20-2026 07:49 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-20-2026 11:53 AMNorma MedinaHi! I wont be in today. I woke up a bit sick. I’ll see you all Thursday:)
01-20-2026 11:58 AMLeylah SantosLeylah (Prim) Replied: Awe, Hope you feel better! See you on Thursday!
01-21-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 07:42 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-22-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837778
01-22-2026 02:53 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-1/22/2026
92507: Speech & Language Visit
01-25-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 01-27-2026 at 5:00 PM, and on 01-29-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
01-26-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-27-2026 07:46 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
01-27-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852256
01-27-2026 04:58 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-1/27/2026
92507: Speech & Language Visit
01-28-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 07:40 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
01-29-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837779
01-29-2026 02:56 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-1/29/2026
92507: Speech & Language Visit
02-01-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 02-02-2026 at 3:00 PM, and on 02-03-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-01-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-02-2026 07:52 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-02-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878104
02-02-2026 02:53 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-2/2/2026
92507: Speech & Language Visit
02-02-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-03-2026 07:47 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-03-2026 04:37 PMLeylah SantosLeylah (Prim) Replied: Norma I'm going to have to cancel. I just got off from work and I'm not going to make it in time. Can we reschedule for another day this week?
02-03-2026 04:44 PMNorma MedinaHi, no worries! I can do Thursday at 4:30pm
02-03-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852257
02-03-2026 08:48 PMLeylah SantosLeylah (Prim) Replied: I can't do this Thursday πŸ˜“
02-03-2026 08:48 PMNorma MedinaHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-04-2026 08:58 AMNorma MedinaHi! Good morning
No worries, we can figure it out for next week
02-08-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 02-09-2026 at 3:00 PM, and on 02-10-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-08-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-09-2026 07:53 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-09-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878105
02-09-2026 03:02 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-2/9/2026
92507: Speech & Language Visit
02-09-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-10-2026 07:47 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-10-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852258
02-10-2026 04:59 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-2/10/2026
92507: Speech & Language Visit
02-15-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 02-16-2026 at 3:00 PM, and on 02-17-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-15-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-16-2026 07:45 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-16-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878106
02-16-2026 03:01 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-2/16/2026
92507: Speech & Language Visit
02-16-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-17-2026 07:44 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-17-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852259
02-17-2026 05:01 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-2/17/2026
92507: Speech & Language Visit
02-17-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 07:59 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings πŸ™‚
02-18-2026 03:15 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892527
02-18-2026 03:17 PMLeylah SantosLeylah is CHECKED IN for:
3:30PM-2/18/2026
92507: Speech & Language Visit
02-22-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 02-23-2026 at 3:00 PM, and on 02-24-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
02-22-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-23-2026 07:46 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
02-23-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878107
02-23-2026 02:57 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-2/23/2026
92507: Speech & Language Visit
02-23-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-24-2026 07:42 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
02-24-2026 04:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852260
02-24-2026 04:51 PMLeylah SantosLeylah (Prim) Replied: Hi Norma we are running late. My kids took forever to get out from tutoring.
02-24-2026 05:06 PMLeylah SantosLeylah is CHECKED IN for:
5:00PM-2/24/2026
92507: Speech & Language Visit
02-24-2026 05:08 PMLeylah SantosLeylah (Prim) Replied: I'm here
02-24-2026 05:58 PMNorma MedinaJust a reminder, we wont have therapy next week! See you all soon!
03-08-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 03-10-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-09-2026 02:53 PMLeylah SantosLeylah (Prim) Replied: Hi, Leylah doesn't have therapy today?
03-09-2026 03:00 PMNorma MedinaHi! Not today, but I do have her scheduled tomorrow!
03-09-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-10-2026 07:41 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings πŸ™‚
03-10-2026 01:21 PMNorma MedinaHi! I will be avaible to see Leylah at 4:30pm today if you were interested in something earlier today :)
03-10-2026 01:22 PMLeylah SantosLeylah (Prim) Replied: Yes that works
03-10-2026 01:42 PMNorma MedinaPerfect! See you here :)
03-10-2026 04:15 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852262
03-10-2026 04:22 PMLeylah SantosLeylah is CHECKED IN for:
4:30PM-3/10/2026
92507: Speech & Language Visit
03-15-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 03-16-2026 at 3:00 PM, and on 03-17-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-15-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings πŸ™‚
03-16-2026 07:42 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings πŸ™‚
03-16-2026 02:45 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878110
03-16-2026 02:57 PMLeylah SantosLeylah is CHECKED IN for:
3:00PM-3/16/2026
92507: Speech & Language Visit
03-16-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-17-2026 07:40 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-17-2026 04:15 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852263
03-18-2026 03:20 PMNorma MedinaHi! I know you had mentioned not being out of town Monday. I will be out as well. I have a doctors appointment in the afternoon. Forgot to about it .I will see Leylah Tuesday only next week :)
03-18-2026 03:22 PMLeylah SantosLeylah (Prim) Replied: Loved β€œHi! I know you had mentioned not being out of town Monday. I will be out as well. I have a doctors appointment in the afternoon. Forgot to about it .I will see Leylah Tuesday only next week :)”
03-18-2026 03:22 PMLeylah SantosLeylah (Prim) Replied: Okay thanks for letting me know ! πŸ‘πŸΌπŸ™πŸΌ
03-22-2026 04:00 PMNorma MedinaHi, this is a just a reminder that Santos, Leylah has a Speech Therapy appointment on 03-24-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings πŸ™‚
03-23-2026 06:30 PMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-24-2026 07:40 AMNorma MedinaHi, this is a just a reminder that Leylah has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings πŸ™‚
03-24-2026 04:15 PMNorma MedinaLeylah Santos : Time to check in at New Beginnings πŸ™‚ Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852264