New Beginnings | NB1-Office

Patient Name: Sarai

Patient Information:

Patient ID: 9784

Patient First Name: Sarai

Patient Date of Birth: 12-07-2018

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Andres, Boadella

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy:

OT - Occupational Therapy: Key, Guadalupe

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23460	Active	02-16-2026	08-14-2026	Superior Health Plan	0	0	625	0
23585	Active	03-17-2026	04-17-2026	Superior Health Plan	0	0	0	1

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26326	02-09-2026	Speech Initial Evaluation	F84.0, F80.2
Speech Background History: Sarai is a 7 year, 3 month old female who was seen on the above date for an initial evaluation per referral of PCP to determine her current level of functioning and if skilled speech intervention is warranted at this time. Sarai was accompanied by her mother, who provided pertinent verbal and written information referenced in this report. English is the primary language in the home and in the academic setting. Parent reported their main concerns revolve around Sarai’s expressive language skills.
Speech Medical History: Sarai has a medical diagnosis of Autism Spectrum Disorder, ADHD, and a learning disorder. Per parent report, Sarai has a history of feeding difficulties and previously required a nasogastric (NG) tube. Parent reported that Sarai received a gastrostomy tube (G-tube) approximately one month ago to support nutritional intake.
Speech Medications:
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Follows verbal command with cues, Responds to greetings, Takes turns,
Speech Communication Weaknesses: Actively avoids eye contact, Diminished vocabulary, Problems with organization and relevance, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Pragmatic language skills were assessed through clinical observation during structured tasks and conversational interaction. Sarai demonstrated the ability to participate in structured activities and responded to examiner prompts and direct questions. She demonstrated emerging skills in responding to conversational partners and engaging in structured interactions when provided with support. Sarai’s verbal responses were primarily limited to 1–2 word utterances, and she did not consistently produce complete sentences during conversational exchanges without prompting. Sarai demonstrated reduced independence with conversational initiation and relied on examiner prompts to participate in verbal exchanges. She did not consistently elaborate on responses or maintain conversational exchanges across multiple turns without prompting. Overall, Sarai demonstrated emerging pragmatic language skills with continued need to improve utterance length, conversational initiation, and conversational reciprocity to support effective communication with peers and adults. Speech therapy in the area of pragmatics is warranted to support the development of age-appropriate social communication skills necessary for functional communication across settings.
Speech Diagnosis/Impressions: Based on standardized assessments, parent interview, and skilled clinical observation, Sarai presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Sarai’s communication skills are significantly below age expectations. Without skilled speech-language intervention, Sarai’s safety risk is elevated, as her limited receptive language skills may impact her ability to understand directions and safety commands, and her expressive language deficits may prevent her from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in English, as this is Sarai’s primary language of exposure, to ensure effective skill acquisition and generalization within her natural environment.
Speech Diagnosis/Impressions: Based on standardized assessments, parent interview, and skilled clinical observation, Sarai presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Sarai’s communication skills are significantly below age expectations. Without skilled speech-language intervention, Sarai’s safety risk is elevated, as her limited receptive language skills may impact her ability to understand directions and safety commands, and her expressive language deficits may prevent her from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in English, as this is Sarai’s primary language of exposure, to ensure effective skill acquisition and generalization within her natural environment.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

58555

Plan Date: 02-09-2026

Speech Assessment Summary: Based on standardized assessments, parent interview, and skilled clinical observation, Sarai presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Sarai's communication skills are significantly below age expectations. Without skilled speech-language intervention, Sarai safety risk is elevated, as her limited receptive language skills may impact her ability to understand directions and safety commands, and her expressive language deficits may prevent him from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in English, as this is Sarai's primary language of exposure, to ensure effective skill acquisition and generalization within her natural environment.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	Within 12 months, Sarai will improve her pragmatic language skills to engage in meaningful and socially appropriate interactions by demonstrating improved conversational skills with 80% accuracy.
Expressive Language	Within 12 months, Sarai will utilize age appropriate receptive language skills 7 out of 10 trials, in order to increase understanding of communication with family, caregivers, and pee
Pragmatic Language	Within 12 months, Sarai will utilize age-appropriate pragmatic language skills with 80% accuracy in order to communicate effectively with family and peers regarding his wants and needs.

Speech and Language Short Term Goals:

Category	Goal Description
Pragmatic Language	Within 5 months, when engaged in an activity, Sarai will take turns appropriately during play and/or conversation with 60% accuracy with moderate multimodal cues across 3 consecutive sessions working towards improved communication competence with communication partners.
Pragmatic Language	Within 5 months, Sarai will increase ability to initiate conversations and respond to others’ initiation of conversation with 60% accuracy with moderate cues across 3 consecutive sessions to improve social interaction with peers, family, and adults
Expressive Language	Within 6 months, Sarai will produce grammatically appropriate utterances of at least 4 or more words to describe pictures, answer questions, or comment during structured therapy tasks with 50% accuracy across 3 consecutive sessions given moderate fading to minimal cues.
Expressive Language	Within 6 months, Sarai will produce grammatically complete simple sentences containing a subject, verb, and object (e.g., “The girl is running,” “He is eating lunch”) with 60% accuracy across 3 consecutive sessions given moderate fading to minimal cues.
Receptive Language	Within 6 months, Sarai will answer WH-questions (who, what, where, when, why) related to verbal statements, pictures, or short stories with 60% accuracy across 3 consecutive sessions given moderate fading to minimal cues.

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26337	02-17-2026	Feeding Initial Evaluation	R63.32, R13.10
Feeding Background History: Sarai Martinez is a 7-year-2-month -old female referred for a comprehensive feeding and swallowing evaluation due to chronic feeding difficulties, poor weight gain, reliance on enteral feeding support, and significant food selectivity. Parent report indicates that feeding has been a concern since early childhood. Although Sarai was born vaginally at 40 weeks gestation, she required NICU admission secondary to respiratory complications. Feeding difficulties persisted over time and significantly worsened in 2025 when she experienced weight loss down to 16 pounds, resulting in hospitalization for 15 days and subsequent placement of a nasogastric tube in November 2025, followed by PEG tube placement in January 2026 due to failure to thrive. A comprehensive reassessment was completed utilizing a bedside feeding evaluation and skilled mealtime observation to evaluate Sarai's current feeding and swallowing abilities, oral motor skills, mealtime behaviors, and overall safety during feeding.
Feeding Medical History: Sarai carries medical diagnoses of Autism Spectrum Disorder (Level 1), Attention-Deficit/Hyperactivity Disorder (ADHD), Learning Disability, Failure to Thrive, and Gastroesophageal Reflux Disease (GERD). Parent report indicates a history of daily vomiting and reflux prior to medical management.
Feeding Medications: Current medications include risperidone 0.25 mg, clonidine 0.3 mg (for sleep regulation), megestrol 4 mL twice daily (appetite stimulant), famotidine 5 mL twice daily (reflux management), and ADHD medication (recently changed). Parent reports that reflux is currently medically managed.
Feeding Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation.
Feeding Diagnosis/Impressions: Sarai presents with CHRONIC PEDIATRIC FEEDING DISORDER and MODERATE ORAL PHASE DYSPHAGIA, characterized by dependence on supplemental enteral nutrition via PEG tube, restricted dietary variety, sensory-based feeding aversions, immature munch chew pattern, limited tongue lateralization, reduced bolus control, rapid intake of preferred foods without pacing, and avoidance of mixed or soft textures. Despite recent increases in oral intake, feeding skill deficits and medical complexity continue to impact her ability to independently meet nutritional needs through oral feeding alone. Skilled feeding therapy is medically necessary to address oral motor immaturity, chewing inefficiency, limited lateralization, pacing deficits, sensory-based aversions, and gradual progression toward increased oral intake and reduced enteral reliance as medically appropriate. Intervention will target advancement through the Steps to Eating Hierarchy, desensitization to mixed textures, structured pacing strategies, oral motor skill development (rotary chewing, diagonal chew, lateralization, bolus formation), and caregiver training to support consistent feeding routines and safe progression of oral intake. Continued coordination with Gastroenterology is recommended to monitor growth and nutritional adequacy. Referral to ENT is recommended due to reported snoring and enlarged tonsils. Referral to Occupational Therapy is recommended to address sensory processing challenges impacting feeding tolerance and participation.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58627

Plan Date: 02-17-2026

Feeding Assessment Summary: Sarai presents with CHRONIC PEDIATRIC FEEDING DISORDER and MODERATE ORAL PHASE DYSPHAGIA, characterized by dependence on supplemental enteral nutrition via PEG tube, restricted dietary variety, sensory-based feeding aversions, immature munch chew pattern, limited tongue lateralization, reduced bolus control, rapid intake of preferred foods without pacing, and avoidance of mixed or soft textures. Despite recent increases in oral intake, feeding skill deficits and medical complexity continue to impact her ability to independently meet nutritional needs through oral feeding alone. Skilled feeding therapy is medically necessary to address oral motor immaturity, chewing inefficiency, limited lateralization, pacing deficits, sensory-based aversions, and gradual progression toward increased oral intake and reduced enteral reliance as medically appropriate. Intervention will target advancement through the Steps to Eating Hierarchy, desensitization to mixed textures, structured pacing strategies, oral motor skill development (rotary chewing, diagonal chew, lateralization, bolus formation), and caregiver training to support consistent feeding routines and safe progression of oral intake. Continued coordination with Gastroenterology is recommended to monitor growth and nutritional adequacy. Referral to ENT is recommended due to reported snoring and enlarged tonsils. Referral to Occupational Therapy is recommended to address sensory processing challenges impacting feeding tolerance and participation.

Feeding Rehabilitation Potential: Sarai demonstrates good rehabilitation potential for continued progress in feeding therapy. She has recently shown increased oral intake, emerging hunger awareness (requesting food independently), and the ability to verbalize food preferences and sensory experiences. Caregiver involvement is strong, and Sarai is currently followed by appropriate medical providers. With consistent skilled intervention targeting oral motor development, sensory tolerance, pacing, and structured feeding progression, improvement in chewing efficiency, dietary expansion, and gradual reduction of enteral reliance (as medically appropriate and directed by GI) is expected. Prognosis remains favorable given emerging oral participation and multidisciplinary support.

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Sarai will demonstrate improved tongue lateralization by moving the bolus from midline to the molar surfaces during mastication in 3 out of 10 opportunities across 3 consecutive sessions, in order to support efficient bolus formation and safe oral intake.
Feeding/Swallowing	In 6 months, Sarai will demonstrate emerging diagonal chewing across soft solid textures in 3 out of 10 opportunities across 3 consecutive sessions, to promote age-appropriate mastication and improve oral phase efficiency.
Feeding/Swallowing	In 6 months, Sarai will demonstrate improved pacing by taking controlled bite sizes and completing mastication prior to initiating the next bite in 3 out of 10 opportunities across 3 consecutive sessions, to reduce risk of overfilling and improve feeding coordination.
Feeding/Swallowing	In 6 months, Sarai will tolerate interaction nonpreferred foods at the level of the finger pads without distress (e.g., refusal, avoidance, withdrawal) in 3 out of 10 opportunities across 3 consecutive sessions, to support expansion of dietary variety.
Feeding/Swallowing	In 6 months, Sarai will tolerate interaction nonpreferred foods at the level of the hand palm without distress (e.g., refusal, avoidance, withdrawal) in 3 out of 10 opportunities across 3 consecutive sessions, to support expansion of dietary variety.
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Feeding Therapy Soap Note/Visit:

ID	Soap Note

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4100	01-22-2026	Occupational Initial Evaluation	F90.9, F84.0
Occupational Background History: Sarai is a 7.1 year old girl 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 40 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and seasonal allergies.
Occupational Medical History: 0. Sarai has a PEG tube for feedings. Mother reports Sarai was hospitalized in October 2025 due to vomiting every time she ate. Mother reports Sarai weighed 16 pounds at the time of hospitalization. Mother states doctors "were not sure" what was causing the vomiting.
Occupational Medications: Clonidine Risperidone Azstarys Famotidine
Occupational Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Moderate delays, Level of Activity: Passive, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Poor, Reliability of Scores: Questionable, Awarencess of Environmental Events: Occasionally, Social Interactions: Withdrawn, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths:
Occupational Communication Weaknesses: ADL's, Anxiety, Attention to Task, Behavior (defiance, resistance to authority, etc.), Cooperative, Endurance, Manual Dexterity, Motivated, Problem Solving, Self-Control, Self-Esteem, 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: Sarai is a 7-year, 2-month-old female who presents with a significant medical history including a PEG tube for feedings following a hospitalization for severe feeding intolerance. An evaluation of her functional and developmental status reveals profound and pervasive deficits across multiple domains that significantly impede her ability to participate in age-appropriate daily occupations. Based on objective testing, skilled clinical observation, and parent report, Sarai demonstrates substantial delays in fine motor control, sensory processing and modulation, activities of daily living (ADLs), and social-play skills. Formal assessment using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2) yielded a standard score of 30 on the Fine Manual Control composite, placing her at the 2nd percentile and more than -3.0 standard deviations below the mean for her age. This profound deficit is further detailed by age equivalency scores ranging from 4 years, 4 months to 4 years, 7 months, quantifying a fine motor delay of approximately 31 to 34 months. These deficits in fine motor precision and visual-motor integration directly impact her functional independence, hindering her ability to perform academic tasks such as handwriting and cutting, and critical self-care skills such as managing clothing fasteners and meal containers, where she demonstrates a functional delay of at least 14 to 26 months. Sarai's functional challenges are significantly compounded by sensory processing deficits, characterized by marked defensiveness to auditory, tactile, gustatory, and visual stimuli. This hypersensitivity results in poor self-regulation and frequent dysregulation, which interferes with her ability to sustain attention, tolerate essential grooming and dressing tasks, and participate in family mealtimes. These regulatory challenges are consistent with performance that would fall between -1.0 and -3.0 standard deviations below the mean and represent a delay of well over six months. Furthermore, her deficits extend into the social domain, where she demonstrates an inability to engage in cooperative or creative play and exhibits poor social reciprocity, reflecting a functional age equivalency delay of over 36 months. Throughout the evaluation, Sarai required numerous prompts to cooperate and presented with inconsistent attention and a withdrawn social demeanor, which may have impacted her optimal performance, though the results obtained are believed to be a valid representation of her current functional deficits. The cumulative impact of these interrelated deficits creates significant barriers to her independence at home engagement within the community. Based on the combination of standardized test scores indicating profound delays and skilled clinical observations confirming significant functional impairment across all environments, ongoing Occupational Therapy services are determined to be medically necessary. Sarai requires skilled intervention to remediate deficits in fine motor coordination, sensory modulation, self-care skills, and social participation to improve her functional independence and reduce safety concerns associated with poor self-regulation. Due to the profound severity of her fine motor deficits (2nd percentile), the pervasive impact of her sensory processing dysfunction on attention and behavior, and the substantial delays noted across self-care and social-play skills (exceeding 36 months), a higher intensity of intervention is warranted. Therefore, it is recommended that Sarai receive skilled Occupational Therapy two times per week. This frequency is necessary to provide consistent, intensive intervention required to address foundational deficits, develop effective self-regulation strategies, and prevent the significant gap between her functional abilities and those of her peers from widening further. Postponement of this intensive intervention places her at high risk for continued functional regression and increasing dependence on adult support for all aspects of her daily life.

Occupational Therapy Plan of Care:

Plan of Care

5294

Plan Date: 01-22-2026

Occupational Assessment Summary: Sarai is a 7-year, 2-month-old female who presents with a significant medical history including a PEG tube for feedings following a hospitalization for severe feeding intolerance. An evaluation of her functional and developmental status reveals profound and pervasive deficits across multiple domains that significantly impede her ability to participate in age-appropriate daily occupations. Based on objective testing, skilled clinical observation, and parent report, Sarai demonstrates substantial delays in fine motor control, sensory processing and modulation, activities of daily living (ADLs), and social-play skills. Formal assessment using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2) yielded a standard score of 30 on the Fine Manual Control composite, placing her at the 2nd percentile and more than -3.0 standard deviations below the mean for her age. This profound deficit is further detailed by age equivalency scores ranging from 4 years, 4 months to 4 years, 7 months, quantifying a fine motor delay of approximately 31 to 34 months. These deficits in fine motor precision and visual-motor integration directly impact her functional independence, hindering her ability to perform daily tasks such as handwriting and cutting, and critical self-care skills such as managing clothing fasteners and meal containers, where she demonstrates a functional delay of at least 14 to 26 months. Sarai's functional challenges are significantly compounded by sensory processing deficits, characterized by marked defensiveness to auditory, tactile, gustatory, and visual stimuli. This hypersensitivity results in poor self-regulation and frequent dysregulation, which interferes with her ability to sustain attention, tolerate essential grooming and dressing tasks, and participate in family mealtimes. These regulatory challenges are consistent with performance that would fall between -1.0 and -3.0 standard deviations below the mean and represent a delay of well over six months. Furthermore, her deficits extend into the social domain, where she demonstrates an inability to engage in cooperative or creative play and exhibits poor social reciprocity, reflecting a functional age equivalency delay of over 36 months. Throughout the evaluation, Sarai required numerous prompts to cooperate and presented with inconsistent attention and a withdrawn social demeanor, which may have impacted her optimal performance, though the results obtained are believed to be a valid representation of her current functional deficits. The cumulative impact of these interrelated deficits creates significant barriers to her independence at home engagement within the community. Based on the combination of standardized test scores indicating profound delays and skilled clinical observations confirming significant functional impairment across all environments, ongoing Occupational Therapy services are determined to be medically necessary. Sarai requires skilled intervention to remediate deficits in fine motor coordination, sensory modulation, self-care skills, and social participation to improve her functional independence and reduce safety concerns associated with poor self-regulation. Due to the profound severity of her fine motor deficits (2nd percentile), the pervasive impact of her sensory processing dysfunction on attention and behavior, and the substantial delays noted across self-care and social-play skills (exceeding 36 months), a higher intensity of intervention is warranted. Therefore, it is recommended that Sarai receive skilled Occupational Therapy two times per week. This frequency is necessary to provide consistent, intensive intervention required to address foundational deficits, develop effective self-regulation strategies, and prevent the significant gap between her functional abilities and those of her peers from widening further. Postponement of this intensive intervention places her at high risk for continued functional regression and increasing dependence on adult support for all aspects of her daily life.

Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support

Occupational Treatment Plan: Based on skilled clinical observation and parent report during an informal assessment, the patient, chronologically aged 7 years and 2 months, demonstrates significant deficits in social and play skills that fall well below age expectations. Performance is characterized by poor social reciprocity, including difficulty initiating and maintaining conversations and maintaining appropriate social distance. Her play skills are consistent with those of a much younger child, marked by an inability to share, engage in imitative or creative play, or cooperate with peers, indicating a functional age equivalency delay of over 36 months. While this informal assessment does not yield a standard score, the qualitative nature of these deficits is consistent with a performance that would fall more than -2.0 standard deviations below the mean. The substantial gap between the patient's current performance and age-appropriate expectations establishes a clear need for therapeutic intervention. Therefore, skilled Occupational Therapy services are medically necessary to remediate these deficits and improve his capacity for age-appropriate social and play participation. The identified deficits directly and negatively impact the patient's ability to independently participate in essential, age-appropriate daily activities. Functionally, she is unable to engage in cooperative group work, navigate the social dynamics, or form meaningful peer relationships, leading to social isolation. Her poor frustration tolerance and preference for solitary activities limit learning opportunities and increase her dependence on caregivers for co-regulation and activity structure. Without timely Occupational Therapy intervention, the patient is at significant risk for continued functional limitations, a widening developmental gap relative to her peers, reduced participation in educational and community environments, and increasing dependence on adult support. Delayed or absent intervention would impede the acquisition of foundational social-emotional and problem-solving skills necessary for achieving age-appropriate occupational performance and future independence.

Occupational Long Term Goals:

Category	Goal Description
Self Care	Within 6 months, Sarai complete dressing routine within 10 minutes, using 3 verbal/physical prompts, in 4 out of 5 opportunities to improve independence and daily routine participation. Currently Sarai is requiring max cues to complete dressing routines.
Sensory Issues/Self Regulation	Within 6 months, Sarai will participate in a therapist-led sensory processing activity for regulation and transition to a puzzle activity, remaining engaged for a total of 15 minutes, with 3 verbal/visual prompts, in 4 out of 5 sessions to improve self-regulation and visual motor integration skills. Currently Sarai requires max support for regulation which limits her ability to sit for visual motor integration tasks.
Self Care	Within 6 months, Sarai will tolerate and explore wet and sticky textures during therapist-guided sensory play activities, using hands or utensils, with no more than 3 signs of distress, in 4 out of 5 opportunities to improve self-care and feeding participation. Currently Sarai is demonstrating hypersensitivity to handling resulting in gagging and resistance to touching. This impacts food exploration limiting self help skills.
Self Care	Within 6 months, Sarai will independently tie shoes using a functional shoe-tying method within 2 minutes, requiring no more than 3 verbal cues, in 4/5 opportunities to increase independence with self-care tasks. Currently Sarai is requiring total assistance to tie her shoelaces.
Home Management Intervention Program	Within 6 months, caregiver will demonstrate consistent completion of the prescribed OT Home Exercise Program, completing activities daily as reported by caregiver and demonstrated in session to improve functional skill carryover.

Occupational Short Term Goals:

Category	Goal Description
Self Care	Within 3 months, Sarai complete dressing routine within 10 minutes, provided moderate prompts, in 3 out of 5 opportunities to improve independence and daily routine participation. Currently Sarai is requiring max cues to complete dressing routines.
Sensory Issues/Self Regulation	Within 3 months, Sarai will participate in a therapist-led sensory processing activity for regulation and transition to a puzzle activity, remaining engaged for a total of 8 minutes, with moderate support, in 4 out of 5 sessions to improve self-regulation and visual motor integration skills. Currently Sarai requires max support for regulation which limits her ability to sit for visual motor integration tasks.
Self Care	Within 3 months, Sarai will tolerate and explore wet and sticky textures during therapist-guided sensory play activities, using hands or utensils, with moderate support, in 3 out of 5 opportunities to improve self-care and feeding participation. Currently Sarai is demonstrating hypersensitivity to handling resulting in gagging and resistance to touching. This impacts food exploration limiting self help skills.
Self Care	Within 3 months, Sarai will independently tie shoes using a functional shoe-tying method within 2 minutes, requiring no more than moderate cues, in 3/5 opportunities to increase independence with self-care tasks. Currently Sarai is requiring total assistance to tie her shoelaces.

Occupational Therapy Soap Note/Visit:

Soap Note

148054

Note Date: 03-26-2026

Subjective: Patient completed all required tasks,

Assessment of Goals/Response to Treatment: Sarai actively participated in today’s skilled occupational therapy session, which emphasized improving self-regulation to support engagement in functional cognitive and visual-motor activities. The session began with a therapist-guided sensorimotor activity using “fake snow” to target tactile processing and regulation. With maximal verbal encouragement and therapist modeling, Sarai interacted with the unfamiliar texture using tools, showing early progress in tolerating non-preferred sensory input without signs of avoidance. Following the sensory activity, Sarai transitioned to a structured tabletop task. She was able to maintain attention for approximately four minutes with maximal support for regulation and sustained focus, demonstrating emerging progress toward her goal of engaging for eight minutes. During a visual-motor integration activity, Sarai worked on writing 10 sight words. This required maximal assistance, including hand-over-hand support for accurate letter formation and maximal verbal cues to help with sequencing letters for correct spelling. Throughout the session, Sarai required consistent support to initiate tasks, apply coping strategies, and maintain self-regulation. These observations highlight the continued need for skilled occupational therapy services to support her progress toward established goals.

Plans: Continue with current Plan of Care,

Additional Notes:

Physical Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
320	03-19-2026	Physical Initial Evaluation	M62.81
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent consented to physical therapy evaluation today. Parent participated in PT evaluation to provide pertinent information for the assessment. Patient is a 7 year 3 month old female referred to physical therapy with generalized weakness and shortness of breath with minimal activity. Patient was recently hospitalized for nausea and vomiting from antagonistic interaction. Parent reports they are weaning patient from medication because some making patient lethargic, causing hand tremors of unknown etiology. Medical history includes recent onset of hypertension, and chronic sleep disorder. Patient seen on March 19, 2026 for a scheduled physical therapy evaluation to assess current level of function. Mother reports, noticing onset of developmental concerns by age 3. Patient has been diagnosed with autism, ADHD and struggles academically in school due to possible dyslexia. Parental Report/Primary Concern/Goals: Parent would like to see child have more endurance because patient with shortness of breath and fatigues with minimal activity.
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent consented to physical therapy evaluation today. Parent participated in PT evaluation to provide pertinent information for the assessment. Patient is a 7 year 3 month old female referred to physical therapy with generalized weakness and shortness of breath with minimal activity. Patient was recently hospitalized for nausea and vomiting from antagonistic interaction. Parent reports they are weaning patient from medication because some making patient lethargic, causing hand tremors of unknown etiology. Medical history includes recent onset of hypertension, and chronic sleep disorder. Patient seen on March 19, 2026 for a scheduled physical therapy evaluation to assess current level of function. Mother reports, noticing onset of developmental concerns by age 3. Patient has been diagnosed with autism, ADHD and struggles academically in school due to possible dyslexia. Parental Report/Primary Concern/Goals: Parent would like to see child have more endurance because patient with shortness of breath and fatigues with minimal activity.
Physical Surgical History: PEG placement due to increase in vomiting
Physical Medical History: 0. ADHD, Autism, concerns for dyslexia, hand tremor, concerns with weight gain from nausea/vomitting requiring PEG placement, recent onset of HTN , sleep disorder
Physical Medications: Medication for sleep Clonidine (HTN) Aripiprazole (anti psychotic)
Patient/Family Education: Discussed the finding of the examination, reviewed the POC and goals with the parent. Discussed activities/strategies available to address current concerns and how to assist patient in achieving optimal developmental milestones. (Parent/caregiver) states understanding and agrees to provide support at home in order to progress outcomes for patient. Parent provided opportunity to ask questions and all questions were answered to the parent's satisfaction.
Physical Problem List:
Physical Therapy Assessment: Child assessed using a Standardized Assessment Clinical Observations: generalized weakness, decreased activity tolerance, limited balance Parental Report: to see patient not be short of breath and tolerate more activity. Patient is a 7-year, 3-month-old female referred to physical therapy secondary to generalized weakness and shortness of breath with minimal activity. She presents with significant deficits in gross motor function, including decreased strength, impaired balance, reduced coordination, decreased activity tolerance, and diminished kinesthetic awareness. These impairments negatively affect her ability to perform age-appropriate functional activities, participate in daily routines, and achieve developmental milestones, thereby impacting her overall quality of life. On standardized testing, patient scored at an age equivalence of less than 4 years old on the BOT-2, indicating well-below-average performance across all gross motor subdomains. These findings are consistent with substantial delays in gross motor development and demonstrate a severe impact on functional mobility and age-appropriate participation with peers. Patient requires skilled physical therapy services to address identified deficits, improve overall strength, flexibility, and active range of motion, enhance balance, coordination, endurance, and functional mobility, and support habilitation toward optimal developmental progress. Ongoing skilled intervention is medically necessary to maximize functional independence, promote participation in home, school, and community activities, and reduce the risk of further functional decline or long-term disability. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Goals: In 3 months, Patient will increase strength by 1 grade from baseline to improve functional mobility with balance, activity tolerance and age appropriate activity to promote overall strength In 3 months, Patient will tolerate 5 minutes of continuous light activity (stair climbing, stepping activity, climbing playground equipment, etc) at a safe heart rate, without reports of dizziness or elevated blood pressure above prescribed limits, 2 out of 4 trials to promote cardiovascular activity. In 3 months, Patient will catch a large ball thrown from 3 feet away with two hands, 5 consecutive successful catches in 3 out of 4 trials, demonstrating improved hand-eye coordination for play with family and peers. In 6 months, Patient will improve lower extremity strength and coordination to complete a shuttle run in less than 10 seconds, promoting timing, endurance, and agility, as measured by therapist-timed performance. In 6 months, Patient will participate in 10 minutes of age-appropriate aerobic activity (walking, obstacle course, or play) at a moderate intensity while maintaining safe vital signs, 4 out of 5 trials per week, as measured by therapist observation to promote activity tolerance. In 6 months, Patient will catch a medium-sized ball thrown from 6 feet away 8 out of 10 attempts, demonstrating improved coordination and participation in peer play activities to promote kinesthetic sense and spacial awareness.
Physical Therapy Recommendations: Physical Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Physical Therapy Plan of Care:

Plan of Care

219

Plan Date: 03-19-2026

Physical Assessment Summary: Self Care/ADLs: Types of Food: Table food 3-4 X per day g 3x per day Sleep Pattern/Cycle: Wakes up 4 times at night - gets up to eat at 1 or 2 am Dressing/Toileting: Independent w dressing Mobility & Transition: Locomotion: Limited jumping, Fair balance Complicating/Personal Factors Affecting the Plan of Care: Mechanism of injury/ Illness: Recent hospitalization Multiple Treatment Areas: Weakness, limited balance, decreased activity tolerance, developmental delay Patient age: 7 year 3 months Time since onset of injury/illness: First noticed at age 3 Medical History Review: High Complexity: The patient has a history of present problem with a history of 3 or more factors and/or comorbidities that impact the plan of care. Assessment: Child assessed using a Standardized Assessment Clinical Observations: generalized weakness, decreased activity tolerance, limited balance Parental Report: to see patient not be short of breath and tolerate more activity. Patient is a 7-year, 3-month-old female referred to physical therapy secondary to generalized weakness and shortness of breath with minimal activity. She presents with significant deficits in gross motor function, including decreased strength, impaired balance, reduced coordination, decreased activity tolerance, and diminished kinesthetic awareness. These impairments negatively affect her ability to perform age-appropriate functional activities, participate in daily routines, and achieve developmental milestones, thereby impacting her overall quality of life. On standardized testing, patient scored at an age equivalence of less than 4 years old on the BOT-2, indicating well-below-average performance across all gross motor subdomains. These findings are consistent with substantial delays in gross motor development and demonstrate a severe impact on functional mobility and age-appropriate participation with peers. Patient requires skilled physical therapy services to address identified deficits, improve overall strength, flexibility, and active range of motion, enhance balance, coordination, endurance, and functional mobility, and support habilitation toward optimal developmental progress. Ongoing skilled intervention is medically necessary to maximize functional independence, promote participation in home, school, and community activities, and reduce the risk of further functional decline or long-term disability. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Physical Rehabilitation Potential: Good. with consistent Physical Therapy and parental support

Physical Treatment Plan: .

Physical Long Term Goals:

Category	Goal Description
	In 6 months, Patient will catch a medium-sized ball thrown from 6 feet away 8 out of 10 attempts, demonstrating improved coordination and participation in peer play activities to promote kinesthetic sense and spacial awareness
	In 6 months, Patient will participate in 10 minutes of age-appropriate aerobic activity (walking, obstacle course, or play) at a moderate intensity while maintaining safe vital signs, 4 out of 5 trials per week, as measured by therapist observation to promote activity tolerance.
	In 6 months, Patient will improve lower extremity strength and coordination to complete a shuttle run in less than 10 seconds, promoting timing, endurance, and agility, as measured by therapist-timed performance.

Physical Short Term Goals:

Category	Goal Description
	In 3 months, Patient will catch a large ball thrown from 3 feet away with two hands, 5 consecutive successful catches in 3 out of 4 trials, demonstrating improved hand-eye coordination for play with family and peers.
	In 3 months, Patient will tolerate 5 minutes of continuous light activity (stair climbing, stepping activity, climbing playground equipment, etc) at a safe heart rate, without reports of dizziness or elevated blood pressure above prescribed limits, 2 out of 4 trials to promote cardiovascular activity.
	In 3 months, Patient will increase strength by 1 grade from baseline to improve functional mobility with balance, activity tolerance and age appropriate activity to promote overall strength

Completed Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
873251	97167: OT Evaluation	01-22-2026 03:00 PM	01-22-2026 04:00 PM	Claudia Applewhite	NB1 east side	Completed
886959	92523: Artic & Language Eval	02-09-2026 01:00 PM	02-09-2026 02:00 PM	Jazmin Lopez	NB1 east side	Completed
886945	92610: Feeding Evaluation	02-17-2026 05:00 PM	02-17-2026 06:00 PM	Teresa Serna	NB1 east side	Completed
901823	OT-VIS: OT Visit	03-16-2026 03:00 PM	03-16-2026 04:00 PM	Guadalupe Key	NB1 east side	Completed
901897	OT-VIS: OT Visit	03-18-2026 03:00 PM	03-18-2026 04:00 PM	Guadalupe Key	NB1 east side	Completed
909123	97163: PT Evaluation	03-19-2026 09:00 AM	03-19-2026 10:00 AM	Dolly Molina	NB1 east side	Completed
901824	OT-VIS: OT Visit	03-23-2026 03:00 PM	03-23-2026 04:00 PM	Guadalupe Key	NB1 east side	Completed
913091	OT-VIS: OT Visit	03-24-2026 10:00 AM	03-24-2026 11:00 AM	Guadalupe Key	NB1 east side	Completed
901898	OT-VIS: OT Visit	03-25-2026 03:00 PM	03-25-2026 04:00 PM	Guadalupe Key	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
872389	92610: Feeding Evaluation	01-27-2026 01:30 PM	01-27-2026 02:30 PM	Teresa Serna	NB1 east side	Canceled
878564	92523: Artic & Language Eval	01-29-2026 04:00 PM	01-29-2026 04:45 PM	Lailani Chehedeh	NB1 east side	Canceled
900697	OT-VIS: OT Visit	03-02-2026 08:00 AM	03-02-2026 09:00 AM	Guadalupe Key	NB1 east side	Canceled
900725	OT-VIS: OT Visit	03-04-2026 03:00 PM	03-04-2026 04:00 PM	Guadalupe Key	NB1 east side	Canceled
901822	OT-VIS: OT Visit	03-09-2026 03:00 PM	03-09-2026 04:00 PM	Guadalupe Key	NB1 east side	Canceled
901896	OT-VIS: OT Visit	03-11-2026 03:00 PM	03-11-2026 04:00 PM	Guadalupe Key	NB1 east side	Canceled
904280	OT-VIS: OT Visit	03-12-2026 03:00 PM	03-12-2026 04:00 PM	Guadalupe Key	NB1 east side	Canceled
908925	OT-VIS: OT Visit	03-20-2026 03:00 PM	03-20-2026 04:00 PM	Guadalupe Key	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
901825	OT-VIS: OT Visit	03-30-2026 03:00 PM	03-30-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901899	OT-VIS: OT Visit	04-01-2026 03:00 PM	04-01-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901826	OT-VIS: OT Visit	04-06-2026 03:00 PM	04-06-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901900	OT-VIS: OT Visit	04-08-2026 03:00 PM	04-08-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901827	OT-VIS: OT Visit	04-13-2026 03:00 PM	04-13-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901901	OT-VIS: OT Visit	04-15-2026 03:00 PM	04-15-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901828	OT-VIS: OT Visit	04-20-2026 03:00 PM	04-20-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901902	OT-VIS: OT Visit	04-22-2026 03:00 PM	04-22-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901829	OT-VIS: OT Visit	04-27-2026 03:00 PM	04-27-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901903	OT-VIS: OT Visit	04-29-2026 03:00 PM	04-29-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901830	OT-VIS: OT Visit	05-04-2026 03:00 PM	05-04-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901904	OT-VIS: OT Visit	05-06-2026 03:00 PM	05-06-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901831	OT-VIS: OT Visit	05-11-2026 03:00 PM	05-11-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901905	OT-VIS: OT Visit	05-13-2026 03:00 PM	05-13-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901832	OT-VIS: OT Visit	05-18-2026 03:00 PM	05-18-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901906	OT-VIS: OT Visit	05-20-2026 03:00 PM	05-20-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901833	OT-VIS: OT Visit	05-25-2026 03:00 PM	05-25-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901907	OT-VIS: OT Visit	05-27-2026 03:00 PM	05-27-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901834	OT-VIS: OT Visit	06-01-2026 03:00 PM	06-01-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901908	OT-VIS: OT Visit	06-03-2026 03:00 PM	06-03-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901835	OT-VIS: OT Visit	06-08-2026 03:00 PM	06-08-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901909	OT-VIS: OT Visit	06-10-2026 03:00 PM	06-10-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901836	OT-VIS: OT Visit	06-15-2026 03:00 PM	06-15-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901910	OT-VIS: OT Visit	06-17-2026 03:00 PM	06-17-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901837	OT-VIS: OT Visit	06-22-2026 03:00 PM	06-22-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901911	OT-VIS: OT Visit	06-24-2026 03:00 PM	06-24-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901838	OT-VIS: OT Visit	06-29-2026 03:00 PM	06-29-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901912	OT-VIS: OT Visit	07-01-2026 03:00 PM	07-01-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901839	OT-VIS: OT Visit	07-06-2026 03:00 PM	07-06-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901913	OT-VIS: OT Visit	07-08-2026 03:00 PM	07-08-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901840	OT-VIS: OT Visit	07-13-2026 03:00 PM	07-13-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901914	OT-VIS: OT Visit	07-15-2026 03:00 PM	07-15-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901841	OT-VIS: OT Visit	07-20-2026 03:00 PM	07-20-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
900726	OT-VIS: OT Visit	07-21-2026 08:00 AM	07-21-2026 09:00 AM	Guadalupe Key	NB1 east side	Scheduled
901915	OT-VIS: OT Visit	07-22-2026 03:00 PM	07-22-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901842	OT-VIS: OT Visit	07-27-2026 03:00 PM	07-27-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
900727	OT-VIS: OT Visit	07-28-2026 08:00 AM	07-28-2026 09:00 AM	Guadalupe Key	NB1 east side	Scheduled
901916	OT-VIS: OT Visit	07-29-2026 03:00 PM	07-29-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901843	OT-VIS: OT Visit	08-03-2026 03:00 PM	08-03-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
900728	OT-VIS: OT Visit	08-04-2026 08:00 AM	08-04-2026 09:00 AM	Guadalupe Key	NB1 east side	Scheduled
901917	OT-VIS: OT Visit	08-05-2026 03:00 PM	08-05-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
901844	OT-VIS: OT Visit	08-10-2026 03:00 PM	08-10-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled
900729	OT-VIS: OT Visit	08-11-2026 08:00 AM	08-11-2026 09:00 AM	Guadalupe Key	NB1 east side	Scheduled
901918	OT-VIS: OT Visit	08-12-2026 03:00 PM	08-12-2026 04:00 PM	Guadalupe Key	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-25-2026	Shekinah Velasquez	PT paperwork sent to PCP via fax. Pending signatures.
03-25-2026	Shekinah Velasquez	ST and FD auth request submitted to SHP via fax. Pending approval
03-16-2026	Guadalupe Key	Child reported to the therapist today that she is being bullied at school by both her teacher and other students. She stated that the teacher holds her hands down, yells at her, tells her she hates her, and refuses to help her. The child also reported that other students bother her and call her “dumb” because she struggles with her schoolwork. Mother was informed of the child’s statements and reported that she is aware of the situation and has already addressed these concerns with the teacher and the principal. However, according to the mother, both the teacher and principal deny the allegations and have not taken any action. Mother explained that the child missed half of the school year due to hospitalization and is currently behind academically and unable to read, which she believes is contributing to the bullying by peers. Mother was provided education on ways to address these concerns with the school district and was advised to document all communications and incidents in writing, as the allegations are serious and should be addressed appropriately. Mother was also educated about IEPs and 504 plans. According to the mother, the school has told her multiple times that IEP services can only be implemented for 45 minutes and cannot be extended. Mother further stated that she has provided documentation of the child’s Autism diagnosis to the school, but they have refused to include it in the child’s academic file. Mother was informed about other school districts that may better support the child’s needs and was encouraged to report and document all incidents that have occurred. Parents also reported that the child is currently being weaned off some medications after being hospitalized due to complications related to medication. The therapist observed that the child’s hands were shaking significantly while completing tasks and informed the parents. Parents stated that the shaking began about a week ago when the medication tapering started. They also reported that the doctor has stated that the child is “a handful” and that it is difficult to keep track of her condition. Mother was informed of other physicians who specialize in working with children with Autism and was advised that she has the right to report the doctor, as such statements are inappropriate
03-15-2026	Guadalupe Key	Therapist tried to communicate with parents during the week to check how Sarai is doing as she was in the hospital and no response. Therapist attempted to call and sent 2 messages to follow up and see if child is out of the hospital or if visits for the week need to be canceled and no response. First week was no call no show, second week child was in the hospital.
03-09-2026	Julie Mora	Parent called this morning to inform the front office that patient is currently in the hospital in intensive care, therefore she will not be attending therapy this week. Parent is hoping to be able to resume therapy next week. Therapist has been notified.
03-06-2026	Shekinah Velasquez	FD paperwork sent to PCP via fax. Pending signatures
03-04-2026	Guadalupe Key	second no call no show. Therapist sent a message to mom to confirm arrival. The therapist then called mom, and she stated she wouldn't be able to make it to therapy and that they will be here next week, Monday and Wednesday at 3
03-02-2026	Guadalupe Key	No call, no show. The therapist initially offered Mom two scheduling options: Mondays and Tuesdays at 8:00 a.m., or Mondays and Wednesdays at 3:00 p.m. Mom requested Mondays and Tuesdays at 8:00 a.m. The therapist scheduled the child for Monday at 8:00 a.m. and Tuesday at 8:00 a.m. for the upcoming week and notified Mom. At 8:04 a.m., the therapist sent a message asking Mom to confirm when the child arrived. At 8:20 a.m., Mom responded, requesting to move the appointment to 3:00 p.m. permanently because they were unable to attend the 8:00 a.m. session. The therapist informed Mom that, unfortunately, the 3:00 p.m. slots were not available for that week, as they had already been scheduled for other make-up sessions.
02-27-2026	Julie Mora	ST IE and POC submitted via fax for Dr signatures. Pending signatures.
02-26-2026	Shekinah Velasquez	OT auth starting 02/16/2026 - 08/14/2026 2x/ week = 52 visits (208 units). Therapist pending
02-19-2026	Shekinah Velasquez	OT additional information sent to SHP via fax. Pending determination
02-13-2026	Shekinah Velasquez	OT auth request submitted to SHP via fax. Pending approval
02-11-2026	Avery Fontenot	Received 2/3 of OT signatures. Called office regarding missing signatures, they said they will fax us the missing signature. Pending.
02-04-2026	Julie Mora	Called parent to reschedule previously cancelled IE for ST & FD. No answer, left a message for parent to call the front office.
01-29-2026	Lailani Chehedeh	On 1/29/26 at 12:40 PM, the speech therapist contacted the parent to confirm the scheduled speech evaluation at 4:00 PM, as the parent had not responded to previous messages from the evaluating therapist. During the call, the parent stated she was unaware of the scheduled evaluation. The speech therapist informed the parent that multiple reminder messages had been sent prior to today. The parent reported that she has a 3:00 PM appointment with a feeding tube specialist and would be unable to attend the 4:00 PM speech evaluation. She inquired about availability later today or tomorrow. The speech therapist explained that evaluations are scheduled by appointment only and that there was no availability for later today. The speech therapist also informed the parent that she would notify the front desk to coordinate rescheduling for another date. The parent expressed that scheduling has been difficult due to multiple pending evaluations for feeding therapy, speech therapy, and physical therapy. When asked if she would like to continue with the speech evaluation process, the parent stated yes. The speech evaluation was canceled for today due to scheduling conflicts.
12-18-2025	Shekinah Velasquez	Emailed Dr.'s office to request the corrected code on the FD referral. Pending response

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-20-2026	OT-VIS	Key, Guadalupe
03-12-2026	OT-VIS	Key, Guadalupe
03-11-2026	OT-VIS	Key, Guadalupe
03-09-2026	OT-VIS	Key, Guadalupe
03-04-2026	OT-VIS	Key, Guadalupe
03-02-2026	OT-VIS	Key, Guadalupe	Mom requested 8:00 a.m. appointments when scheduling. The therapist informed Mom that starting Monday, we could have our first appointment. Mom received the appointment confirmation, check-in information, and a message from the therapist but did not respond.
01-29-2026	92523	Chehedeh, Lailani	See Patient Note from 1/29/26 On today’s date at 12:40 PM, the speech therapist contacted the parent to confirm the scheduled speech evaluation at 4:00 PM, as the parent had not responded to previous messages from the evaluating therapist. During the call, the parent stated she was unaware of the scheduled evaluation. The speech therapist informed the parent that multiple reminder messages had been sent prior to today. The parent reported that she has a 3:00 PM appointment with a feeding tube specialist and would be unable to attend the 4:00 PM speech evaluation. She inquired about availability later today or tomorrow. The speech therapist explained that evaluations are scheduled by appointment only and that there was no availability for later today. The speech therapist also informed the parent that she would notify the front desk to coordinate rescheduling for another date. The parent expressed that scheduling has been difficult due to multiple pending evaluations for feeding therapy, speech therapy, and physical therapy. When asked if she would like to continue with the speech evaluation process, the parent stated yes. The speech evaluation was canceled for today due to scheduling conflicts.
01-27-2026	92610	Serna, Teresa
01-27-2026	92610	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
09-04-2025 01:40 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2159
10-09-2025 09:38 AM	Shekinah Velasquez	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2159
10-09-2025 10:14 AM	Julie Mora	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step3.aspx?sid=2159
10-09-2025 10:15 AM	Shekinah Velasquez	Sarai 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=9784&type=3&wid=325
10-09-2025 10:15 AM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
10-09-2025 10:16 AM	Shekinah Velasquez	Sarai 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=9784&type=3&wid=326
10-28-2025 03:48 PM	Julie Mora	Hello, this is Julie from New Beginnings. I called yesterday and left a message for you to contact the front office. The reason for my call is that we received a referral for Sarai for feeding therapy. Unfortunately, we will need a new referral that includes a feeding diagnosis code before we can proceed. Once we receive the updated referral, we’ll be happy to schedule Sarai’s feeding initial evaluation. The referral can be faxed to 915-855-0751. If you have any questions, please don’t hesitate to call us at 915-855-0601.
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:53 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-23-2026 08:50 AM	Julie Mora	Hi, it looks like we need to reschedule your Feeding Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/fdevaluation.aspx?pid=9784
01-23-2026 09:25 AM	Julie Mora	Hi, 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=9784
01-23-2026 09:25 AM	Julie Mora	Hi, it looks like we need to reschedule your Physical Therapy Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/ptevaluation.aspx?pid=9784
01-23-2026 09:37 AM	Julie Mora	Sarai 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/register/waitlist_status.aspx?pid=9784&type=1&wid=521
01-23-2026 09:37 AM	Julie Mora	Sarai 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=9784&type=4&wid=522
01-26-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-27-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-28-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-29-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 03:07 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 03:41 PM	Shekinah Velasquez	Sarai 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/Schedule/waitlist_status.aspx?pid=9784&type=4&wid=534
01-30-2026 03:46 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 03:46 PM	Shekinah Velasquez	Sarai 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/Schedule/waitlist_status.aspx?pid=9784&type=4&wid=535
01-30-2026 03:46 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-30-2026 03:47 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-31-2026 12:35 AM	Shekinah Velasquez	Sarai 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/Schedule/waitlist_status.aspx?pid=9784&type=4&wid=536
01-31-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-31-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
01-31-2026 09:03 AM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-03-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-03-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-03-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-04-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-04-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-04-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-05-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-05-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-05-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9784
02-05-2026 03:33 PM	Julie Mora	Sarai 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=9784&type=4&wid=545
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9784
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-26-2026 12:45 PM	Shekinah Velasquez	Hi, Sarai as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Guadalupe https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9784&tid=66
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9784
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-12-2026 10:58 AM	Teresa Serna	My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Sarai feeding evaluation. I’d like to move forward with scheduling her appointment. The evaluation typically lasts about an hour. I recommend arriving 15 minutes early to allow time for paperwork. Alternatively, I can email you the documents in advance so you can complete them ahead of time and bring them with you on the day of the evaluation. Please let me know what you would prefer. I currently have an opening on 1/27 at 9:30am and 1:30pm. Please let me know if this day/time works for you. If not, I’ll be happy to offer additional availability for the following week.
01-13-2026 10:40 AM	Teresa Serna	Mi nombre es Teresa Serna y seré la patóloga del habla y lenguaje (Speech-Language Pathologist) que realizará la evaluación de alimentación de Sarai. Me gustaría avanzar con la programación de su cita. La evaluación tiene una duración aproximada de una hora. Recomiendo llegar 15 minutos antes para contar con tiempo suficiente para completar el papeleo. Alternativamente, puedo enviarle los documentos por correo electrónico con anticipación para que pueda completarlos antes y traerlos el día de la evaluación. Por favor, indíqueme qué opción prefiere. Actualmente tengo disponibilidad el día 27 de enero a las 9:30 a. m. o a la 1:30 p. m. Por favor, hágame saber si alguna de estas fechas y horarios le funciona. En caso de que no sea posible, con gusto puedo ofrecerle disponibilidad adicional para la semana siguiente.
01-13-2026 01:08 PM	Sarai Martinez	Sarai (Prim) Replied: Si está bien Ala 130
01-13-2026 01:08 PM	Sarai Martinez	Sarai (Prim) Replied: Disculpe aquí es en new beginning o donde es para las therapies
01-13-2026 01:15 PM	Teresa Serna	Iré adelante y lo programaré para ese martes. Correcto es New Beginnings Aquí está la dirección para la cita: 1512 N Zaragoza Rd, Ste C-1, El Paso, TX 79936 Cuando tenga oportunidad, por favor responda las siguientes preguntas para que pueda prepararme para la evaluación: (1.) Nombre y fecha de nacimiento (2.) ¿Hubo complicaciones durante el embarazo o el parto? (3.) ¿Ha tenido enfermedades graves o accidentes desde su último chequeo? ¿Algún diagnóstico médico (por ejemplo, síndrome de Down, etc.)? (4.) ¿Ha sido hospitalizado(a) o ha tenido alguna cirugía? (5.) ¿Alcanzó los hitos del desarrollo dentro de los límites normales o con retraso? (6.) ¿Alergias conocidas? (7.) ¿Problemas para dormir o respirar? (¿Duerme entre 8–10 horas? ¿Se despierta varias veces por la noche? ¿Ronca? ¿Duerme con la boca abierta o cerrada? ¿Amígdalas agrandadas?) (8.) ¿Medicamentos actuales? (9.) ¿El pediatra ha expresado preocupación sobre el crecimiento o la nutrición? (10.) ¿Problemas gastrointestinales? (11.) En pocas palabras, describa sus preocupaciones respecto a la alimentación de su hijo(a).
01-13-2026 01:16 PM	Sarai Martinez	Sarai (Prim) Replied: Disculpe estoy en el trabajo pero horita qué salga le cont sto gracias
01-14-2026 12:21 PM	Sarai Martinez	Sarai (Prim) Replied: Saraí martinez 12/7/2018 no hubo complicaciones Durante el Parto Ella le han puesto el feeding tube en la nariz 3 veces me dijieron por qué no retenia el peso y casi no come tiene autismo 1 y adhd y poco learning disability batalla para aprender
01-14-2026 12:24 PM	Sarai Martinez	Sarai (Prim) Replied: Si horita le pusieron el tubito en el estómago y la operaron no a cresido normal eso me dijieron por rap le pusieron el tubo para comer en el estómago tiene problemas para dormir por eso toma clonidine 0.3 y risperidone 0.25 por la noche para dormir
01-14-2026 12:28 PM	Sarai Martinez	Sarai (Prim) Replied: Casi no duerme se levanta contentmente por eso toma para dormir el medivamento Nuevo risperidone 0.25 y clonidine 0.3
01-14-2026 12:31 PM	Sarai Martinez	Sarai (Prim) Replied: Si Ronca duerme con la Boca cerrada si hay preocuoaciones por el peso y casi no come por eso le pusieron el tubo en el estómago por que no retiene el peso no está creciendo bien aveces no le gusta la comida y su estómago no retenia la comida
01-14-2026 12:31 PM	Sarai Martinez	Sarai (Prim) Replied: Las medecinas Que toma son para el adhd pero la vamos a cambiar hoy mr la mandan
01-14-2026 12:34 PM	Sarai Martinez	Sarai (Prim) Replied: Y son risperidone 0.25 clonidine 0.3 megestrol 4ml dos veces al dia fatomidine 5 ml dos veces al dia y tomaba vyyanse 30 mg pero esa ya la camviaron ba a tomar una nueva medecina
01-14-2026 01:25 PM	Claudia Applewhite	Buenas tardes. Mi nombre es Claudia Applewhite y soy terapeuta ocupacional en New Beginnings. Recibimos una solicitud para una evaluación de terapia ocupacional para Sarai y me comunico para programarla. Tengo una cita disponible el 21 de enero a las 2 p. m. Funciona para usted?
01-14-2026 01:27 PM	Sarai Martinez	Sarai (Prim) Replied: Cree qué me la puedes dar en un juevee
01-14-2026 01:28 PM	Sarai Martinez	Sarai (Prim) Replied: Cree qué me la pueda dar el 22 es un jueves
01-14-2026 01:31 PM	Claudia Applewhite	El jueves 22 tengo cita disponible a las 3?
01-14-2026 01:31 PM	Sarai Martinez	Sarai (Prim) Replied: Si está bien muchas grcias
01-14-2026 01:32 PM	Claudia Applewhite	Perfecto. De nada.
01-21-2026 06:30 PM	Claudia Applewhite	Hi, this is a just a reminder that Sarai has a Occupational Evaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-22-2026 07:57 AM	Claudia Applewhite	Hi, this is a just a reminder that Sarai has a Occupational Evaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-22-2026 02:45 PM	Claudia Applewhite	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873251
01-24-2026 12:57 PM	Lailani Chehedeh	Hi Mrs. Martinez, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Sarai'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 ?
01-25-2026 02:11 PM	Teresa Serna	Hola (: me comento la oficina que no va poder ir a la cita esta semana. prefere una cita esta semana o la proxima?
01-25-2026 02:12 PM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-1/27/2026 92610: Feeding Evaluation
01-25-2026 02:12 PM	Teresa Serna	Teresa Serna CANCELLED: 1:30PM-1/27/2026 92610: Feeding Evaluation
01-26-2026 03:59 PM	Lailani Chehedeh	Hi Mrs. Martinez, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Sarai'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 ?
01-28-2026 08:56 AM	Lailani Chehedeh	Hi Mrs. Martinez, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Sarai'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 ?
01-28-2026 08:57 AM	Lailani Chehedeh	Hi Mrs. Martinez, my name is Lailani and I'm a speech language pathologist from New Beginnings. I will be conducting Sarai'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?
01-28-2026 08:57 AM	Lailani Chehedeh	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 ?
01-28-2026 01:17 PM	Teresa Serna	Hola, la oficina me comentó que se comunicó para reprogramar la evaluación. Para la próxima semana tengo los siguientes horarios disponibles: martes 1:30, jueves 12:30 Por favor, dígame cuál le queda mejor.
01-28-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Sarai has a Speech Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
01-29-2026 07:57 AM	Lailani Chehedeh	Hi, this is a just a reminder that Sarai has a Speech Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
01-29-2026 12:52 PM	Lailani Chehedeh	Lailani Chehedeh CANCELLED: 4:00PM-1/29/2026 92523: Artic & Language Eval
02-08-2026 06:30 PM	Jazmin Lopez	Hi, this is a just a reminder that Sarai has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 07:59 AM	Jazmin Lopez	Hi, this is a just a reminder that Sarai has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 12:45 PM	Jazmin Lopez	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=886959
02-09-2026 12:45 PM	Sarai Martinez	Sarai is CHECKED IN for: 1:00PM-2/9/2026 92523: Artic & Language Eval
02-16-2026 12:53 PM	Teresa Serna	Hola, para la evaluación de mañana por favor llegue 15 minutos antes de la cita programada para llenar el papeleo que se necesita completar para la evaluación. Para la evaluación, por favor traiga 2 alimentos no preferidos y agua para observar su reacción cuando se le presenten. Avíseme si tiene alguna pregunta. 🙂
02-16-2026 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Sarai has a Feeding Evaluation appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:59 AM	Teresa Serna	Hi, this is a just a reminder that Sarai has a Feeding Evaluation appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-17-2026 04:45 PM	Teresa Serna	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=886945
02-27-2026 10:33 AM	Guadalupe Key	Buenos dias, Mi nombre es Lupita y seré la terapeuta ocupacional que brindará servicios a Sarai. Ella ha sido aprobada para recibir terapia dos veces por semana. Actualmente tengo disponibilidad los Lunes y Miercoles a las 03:00 p. m. oh Lunes y Martes a las 08:00 a.m. Por favor, déjeme saber si estos días y horarios funcionan para usted. ¡Espero con gusto trabajar con Sarai! 😊
02-28-2026 04:38 PM	Guadalupe Key	¡Hola! Solo quería saber si recibieron mi mensaje de terapia ocupacional.
02-28-2026 04:38 PM	Guadalupe Key	Buenas tardes, Mi nombre es Lupita y seré la terapeuta ocupacional que brindará servicios a Sarai. Ella ha sido aprobada para recibir terapia dos veces por semana. Actualmente tengo disponibilidad los Lunes y Miercoles a las 03:00 p. m. oh Lunes y Martes a las 08:00 a.m. Por favor, déjeme saber si estos días y horarios funcionan para usted. ¡Espero con gusto trabajar con Sarai! 😊
02-28-2026 05:35 PM	Sarai Martinez	Sarai (Prim) Replied: Las queiro lunes y martes alas 8.09 de la mamma
02-28-2026 05:35 PM	Guadalupe Key	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-28-2026 05:35 PM	Sarai Martinez	Sarai (Prim) Replied: Alas 8.00 de la mañana
02-28-2026 05:35 PM	Guadalupe Key	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-28-2026 05:35 PM	Sarai Martinez	Sarai (Prim) Replied: Me avisa cuando empexamos
02-28-2026 05:35 PM	Guadalupe Key	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-28-2026 05:38 PM	Guadalupe Key	Perfecto! Podemos empezar este lunes!
03-01-2026 04:00 PM	Guadalupe Key	Hi, this is a just a reminder that Martinez, Sarai has a Occupational Therapy appointment on 03-02-2026 at 8:00 AM, and on 03-03-2026 at 8:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:45 AM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900697
03-02-2026 07:59 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 08:03 AM	Guadalupe Key	Hola! Me avisan cuando esten aqui (:
03-02-2026 08:18 AM	Sarai Martinez	Sarai (Prim) Replied: Me puede poner mirror las citas el lunes y mirvokrs alas 3.09
03-02-2026 08:19 AM	Sarai Martinez	Sarai (Prim) Replied: Es Que no la ba a poder lluevar en la mañana
03-02-2026 08:19 AM	Sarai Martinez	Sarai (Prim) Replied: Me dna hog la cita Ala 3.00
03-02-2026 08:20 AM	Sarai Martinez	Sarai (Prim) Replied: Ay Me avisa pot favor gravia s
03-02-2026 08:23 AM	Guadalupe Key	Guadalupe Key CANCELLED: 8:00AM-3/2/2026 OT-VIS: OT Visit
03-02-2026 08:27 AM	Guadalupe Key	Hola, esta semana no tengo disponible a las 3 ya que le di a alguien más esos cupos para esta semana, la siguiente semana si lo tengo disponible. Esta semana tengo ahora a las 10 am y mañana a las 11.
03-02-2026 08:27 AM	Sarai Martinez	Sarai (Prim) Replied: No queiro rn la tarde
03-02-2026 08:27 AM	Sarai Martinez	Sarai (Prim) Replied: Por Que no tengo quirk la liver
03-02-2026 08:28 AM	Sarai Martinez	Sarai (Prim) Replied: Y Que sea un Horario fijo
03-02-2026 08:28 AM	Sarai Martinez	Sarai (Prim) Replied: Necevito como aka 3.00
03-02-2026 08:28 AM	Sarai Martinez	Sarai (Prim) Replied: Por Que yo trabajo
03-02-2026 08:28 AM	Sarai Martinez	Sarai (Prim) Replied: Para Que me la llueve mi mama
03-02-2026 08:31 AM	Guadalupe Key	si el horario fijo seria hasta la siguiente semana ya que esta semana no tengo disponible a las 3 porque lo ofreci a alguien más para esta semana ya que habíamos dicho que a las 8 los lunes y martes asi q para esta semana ya la tenia puesta a las 8 Lunes y Martes.
03-02-2026 08:32 AM	Sarai Martinez	Sarai (Prim) Replied: A ok si grcias
03-02-2026 08:32 AM	Sarai Martinez	Sarai (Prim) Replied: No se apure es whe me la iba a lluevar el papa pero no me quiso ayudar al ultimo
03-02-2026 08:32 AM	Sarai Martinez	Sarai (Prim) Replied: Grcias
03-02-2026 08:32 AM	Sarai Martinez	Sarai (Prim) Replied: Y como yo trabajo
03-02-2026 08:37 AM	Guadalupe Key	La siguiente semana la pongo a las 3 pm permanente. Si gusta no sé si han hecho terapia por la computadora sería por Zoom, podría verla ahora y mañana por la computadora a las 10 ahora y a las 11 mañana asi no pierde las sesiones esta semana.
03-02-2026 01:59 PM	Guadalupe Key	Hola! La persona q tenia a las 3 no puede venir ahora, si gustan pueden venir ahora a las 3 yo se q es un poco tarde
03-02-2026 02:01 PM	Guadalupe Key	Hola! La persona q tenia a las 3 no puede venir ahora, si gustan pueden venir ahora a las 3 yo se q es un poco tarde
03-02-2026 02:01 PM	Guadalupe Key	Hola! La persona q tenia a las 3 no puede venir ahora, si gustan pueden venir ahora a las 3 yo se q es un poco tarde
03-02-2026 02:02 PM	Sarai Martinez	Sarai (Prim) Replied: Mija es Que estoy rn el trabajo y no me contesta mi mama
03-02-2026 02:02 PM	Sarai Martinez	Sarai (Prim) Replied: Yo creo no boy a poder hoy
03-02-2026 02:02 PM	Sarai Martinez	Sarai (Prim) Replied: Le hable al papa peor no me contesta s
03-02-2026 02:03 PM	Sarai Martinez	Sarai (Prim) Replied: Y no lluego yo mejor la otra semana así me big mas rapido yo o le enseno ami mama donde es
03-02-2026 02:03 PM	Sarai Martinez	Sarai (Prim) Replied: Gracias
03-02-2026 02:04 PM	Guadalupe Key	No se preocupe! En caso de algo me avisan si pueden por la computadora mañana :)
03-02-2026 02:04 PM	Guadalupe Key	si claro!! (:
03-02-2026 02:04 PM	Sarai Martinez	Sarai (Prim) Replied: Ok si yo le aviso gracias
03-03-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 07:59 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 02:45 PM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900725
03-04-2026 02:53 PM	Guadalupe Key	¡Hola! Me avisan cuando estén aquí (:
03-04-2026 03:09 PM	Guadalupe Key	Guadalupe Key CANCELLED: 3:00PM-3/4/2026 OT-VIS: OT Visit
03-04-2026 03:20 PM	Guadalupe Key	Hola, La próxima semana, ¿sería posible que Sarai asista lunes, martes y miércoles a las 3:00 pm? Esta semana no pude verla y eso puede afectar su porcentaje de asistencia. Es importante mantener al menos un 90% de asistencia para poder continuar con los servicios. También les recuerdo la importancia de avisar con anticipación cuando no puedan asistir a terapia. Cuando no recibimos aviso previo, se considera “no call, no show”, y después de 3 ausencias de este tipo, lamentablemente tenemos que dar de baja al paciente. Por favor, déjenme saber si esos días y horarios funcionan para ustedes.
03-08-2026 04:00 PM	Guadalupe Key	Hi, this is a just a reminder that Martinez, Sarai has a Occupational Therapy appointment on 03-09-2026 at 3:00 PM, and on 03-11-2026 at 3:00 PM, and on 03-12-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:53 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 08:25 AM	Guadalupe Key	Guadalupe Key CANCELLED: 3:00PM-3/12/2026 OT-VIS: OT Visit
03-09-2026 08:25 AM	Guadalupe Key	Guadalupe Key CANCELLED: 3:00PM-3/11/2026 OT-VIS: OT Visit
03-09-2026 08:26 AM	Guadalupe Key	Guadalupe Key CANCELLED: 3:00PM-3/9/2026 OT-VIS: OT Visit
03-09-2026 07:52 PM	Guadalupe Key	Hola! Solo quería ver cómo seguía Sarai?
03-12-2026 01:41 PM	Guadalupe Key	Hola! Como sigue Sarai? (:
03-15-2026 04:00 PM	Guadalupe Key	Hi, this is a just a reminder that Martinez, Sarai has a Occupational Therapy appointment on 03-16-2026 at 3:00 PM, and on 03-18-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:22 PM	Guadalupe Key	Hola! Quería saber cómo sigue Sarai? Eh estado tratando de comunicarme con ustedes para saber si ya salió del hospital pero no ah habido respuestas. Esta semana la podremos ver para terapia ocupacional oh tenemos q cancelar? Por favor déjeme saber
03-15-2026 04:48 PM	Guadalupe Key	Hola! Quería saber cómo sigue Sarai? Eh estado tratando de comunicarme con ustedes para saber si ya salió del hospital pero no ah habido respuestas. Esta semana la podremos ver para terapia ocupacional oh tenemos q cancelar? Por favor déjeme saber
03-15-2026 04:48 PM	Guadalupe Key	Hola! Quería saber cómo sigue Sarai? Eh estado tratando de comunicarme con ustedes para saber si ya salió del hospital pero no ah habido respuestas. Esta semana la podremos ver para terapia ocupacional oh tenemos q cancelar? Por favor déjeme saber
03-15-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:51 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 02:45 PM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901823
03-16-2026 04:37 PM	Guadalupe Key	El Paso Pediatric associates 1160 Saddle Bronc Dr El Paso, TX 79925 United States Dr. Coleman
03-17-2026 11:45 AM	Guadalupe Key	Hola! Les mandé el link de la cita de ayer si lo pudieran firmar por favor (:
03-17-2026 02:46 PM	Dolly Molina	Buenas trades, Mi nombre es Dolly Molina y soy fisioterapeuta en New Beginnings. Me comunico con usted para programar una cita de evaluación de fisioterapia. Estaré disponible el 19 de Marzo de 2026 a las 9:00 a.m. y espero que esta hora te funcione. Avíseme si está disponible en ese momento o si necesitamos encontrar una cita alternativa. Gracias, Dolly Molina PT MPT Terapeuta Física Nuevos comienzos
03-17-2026 04:12 PM	Sarai Martinez	Sarai (Prim) Replied: Ok si estabien
03-17-2026 05:14 PM	Dolly Molina	Muchas gracias. Lo tengo programado - 3/19/26 a las 9:00 am
03-17-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:52 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 08:14 AM	Guadalupe Key	Hola este es el link para firmar la nota de el Lunes porfavor (: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9784&app=901823
03-18-2026 02:45 PM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901897
03-18-2026 02:56 PM	Sarai Martinez	Sarai is CHECKED IN for: 3:00PM-3/18/2026 OT-VIS: OT Visit
03-18-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Sarai has a Physical Therapy Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:01 AM	Dolly Molina	Hi, this is a just a reminder that Sarai has a Physical Therapy Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:45 AM	Dolly Molina	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909123
03-19-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-20-2026 07:36 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-20-2026 12:46 PM	Guadalupe Key	Hola buenas tardes, le quería avisar que tendré que cancelar ahora. No me siento muy bien y para no arriesgar a enfermar a Sarai me tendré q ir a mi casa. Nos vemos el Lunes a las 3. Mil disculpas (:
03-20-2026 12:47 PM	Guadalupe Key	Guadalupe Key CANCELLED: 3:00PM-3/20/2026 OT-VIS: OT Visit
03-20-2026 01:21 PM	Sarai Martinez	Sarai (Prim) Replied: A ok si esta bien no se preocupe grcias
03-22-2026 04:00 PM	Guadalupe Key	Hi, this is a just a reminder that Martinez, Sarai has a Occupational Therapy appointment on 03-23-2026 at 3:00 PM, and on 03-25-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:53 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 02:45 PM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901824
03-23-2026 02:51 PM	Sarai Martinez	Sarai is CHECKED IN for: 3:00PM-3/23/2026 OT-VIS: OT Visit
03-23-2026 05:05 PM	Guadalupe Key	Hola! Mañana tengo un espacio a las 10 abierto no sé si pudieran venir a hacer una cita extra a esa hora? (:
03-23-2026 05:18 PM	Sarai Martinez	Sarai (Prim) Replied: Si estabien
03-23-2026 05:20 PM	Guadalupe Key	Gracias, nos vemos mañana! Me traí el papel de las palabras para practicar con ella :)
03-23-2026 05:20 PM	Sarai Martinez	Sarai (Prim) Replied: Ok
03-23-2026 06:31 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 08:10 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 09:45 AM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913091
03-24-2026 09:50 AM	Sarai Martinez	Sarai is CHECKED IN for: 10:00AM-3/24/2026 OT-VIS: OT Visit
03-24-2026 06:30 PM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:51 AM	Guadalupe Key	Hi, this is a just a reminder that Sarai has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 02:45 PM	Guadalupe Key	Sarai Martinez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901898
03-25-2026 02:54 PM	Sarai Martinez	Sarai is CHECKED IN for: 3:00PM-3/25/2026 OT-VIS: OT Visit