New Beginnings | NB1-Office

Patient Name: Noah

Patient Information:

Patient ID: 9786

Patient First Name: Noah

Patient Date of Birth: 07-06-2023

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Yezika, Delgado

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22930	Active	01-05-2026	07-03-2026	El Paso First Health Plans	0	26	0	0
22489	Active	10-27-2025	04-24-2026	El Paso First Health Plans	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25656	10-13-2025	Speech Initial Evaluation	F80.2, R62.50
Speech Background History: Noah is a 2 year 3 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Noah was accompanied by both his mothers, and both served as the informants. According to Ms. Guzman, who is the main caregiver, Noah has suffered numerous illnesses and had been diagnosed with torticollis and tongue and upper lip ties when he was 3 months old. Since that time, the tongue and lip ties were released and Noah began home health services for his occupational, physical and speech therapy needs. However, mothers were not pleased with the speech services thus the basis for the evaluation today. According to Ms. Guzman, Noah began using at least 4 words (mama, tortilla, tu, no), but suddenly stopped but, mothers could not recall the date. Since then, Noah has communicated via open mouth vowelizations, grunts, taking/grabbing item of desire, and just beginning to point to the item of interest. Both mothers are concerned with Noah’s developmental delays, Noah was evaluated by Dr. Fonseca recently who found “no signs of autism.” However, the family is seeking a second opinion from Dr. Schuttes, as well as a neurologist next month. Per parent report, Noah suffered from severe separation anxiety, has difficulties sleeping and remaining asleep, which has led to frequent night terrors and/or waking up crying as if in pain. Based on clinical observations, Noah’s current communication was characterized as open mouth verbalizations, smiles with agreement, use of babbling and jargon during play, and reaching/taking objects of desire to express his communication wants/needs. A typically developing child that is Noah’s age should have 25 to 100 words in their expressive vocabulary and use 1 word utterances consistently with 2 words emerging. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Based on Noah’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Noah was diagnosed with torticollis at 2 months of age, and shortly after that he was found to have an upper lip and tongue tie. The ties were released immediately due to the bottle-feeding issues Noah displayed. According to parents, they followed through with the recommended stretches to prevent regrowth. Parents claim Noah has suffered multiple illness ranging from upper respiratory infections, COVID, to the flu. Noah is on multiple medications to treat and prevent the reoccurrence of another upper respiratory infection.
Speech Medications: Noah is on multiple medications to treat and prevent the reoccurrence of another upper respiratory infection.
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Appropriate use of eye contact,
Speech Communication Weaknesses: Diminished vocabulary, Poor vocabulary, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Use of jargon,
Speech Background Summary: The evaluation took place at the therapy room table and floor. Noah required numerous redirection cues to engage with the assessment, and/or redirection from parents to not leave the room. Overall, Noah’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Noah is a 2 year 3 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Noah was accompanied by both his mothers, and both served as the informants. According to Ms. Guzman, who is the main caregiver, Noah has suffered numerous illnesses and had been diagnosed with torticollis and tongue and upper lip ties when he was 3 months old. Since that time, the tongue and lip ties were released and Noah began home health services for his occupational, physical and speech therapy needs. However, mothers were not pleased with the speech services thus the basis for the evaluation today. According to Ms. Guzman, Noah began using at least 4 words (mama, tortilla, tu, no), but suddenly stopped but, mothers could not recall the date. Since then, Noah has communicated via open mouth vowelizations, grunts, taking/grabbing item of desire, and just beginning to point to the item of interest. Both mothers are concerned with Noah’s developmental delays, Noah was evaluated by Dr. Fonseca recently who found “no signs of autism.” However, the family is seeking a second opinion from Dr. Schuttes, as well as a neurologist next month. Per parent report, Noah suffered from severe separation anxiety, has difficulties sleeping and remaining asleep, which has led to frequent night terrors and/or waking up crying as if in pain. Based on clinical observations, Noah’s current communication was characterized as open mouth verbalizations, smiles with agreement, use of babbling and jargon during play, and reaching/taking objects of desire to express his communication wants/needs. A typically developing child that is Noah’s age should have 25 to 100 words in their expressive vocabulary and use 1 word utterances consistently with 2 words emerging. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, SHY social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and RESISTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah required numerous redirection cues to engage with the assessment, and/or redirection from parents to not leave the room. Noah received the following standard scores on the PLS-5: Auditory Comprehension 63 (percentile: 1, age-equivalent: 1 year 2 months), Expressive Communication 54 (percentile: 1, age-equivalent: 0 years 8 months), and Total Language Score 55 (percentile: 1, age-equivalent: 0 years 11 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Noah presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive language score (PROFOUND), is more severe than his receptive language score (SEVERE). Noah would greatly benefit from speech therapy services that address the following: responding to his name, responding to "no" and "wait," following one step commands, relational play, imitating environmental/non-speech sounds, and imitating one to two syllable words. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Diagnosis/Impressions: Noah is a 2 year 3 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Noah was accompanied by both his mothers, and both served as the informants. According to Ms. Guzman, who is the main caregiver, Noah has suffered numerous illnesses and had been diagnosed with torticollis and tongue and upper lip ties when he was 3 months old. Since that time, the tongue and lip ties were released and Noah began home health services for his occupational, physical and speech therapy needs. However, mothers were not pleased with the speech services thus the basis for the evaluation today. According to Ms. Guzman, Noah began using at least 4 words (mama, tortilla, tu, no), but suddenly stopped but, mothers could not recall the date. Since then, Noah has communicated via open mouth vowelizations, grunts, taking/grabbing item of desire, and just beginning to point to the item of interest. Both mothers are concerned with Noah’s developmental delays, Noah was evaluated by Dr. Fonseca recently who found “no signs of autism.” However, the family is seeking a second opinion from Dr. Schuttes, as well as a neurologist next month. Per parent report, Noah suffered from severe separation anxiety, has difficulties sleeping and remaining asleep, which has led to frequent night terrors and/or waking up crying as if in pain. Based on clinical observations, Noah’s current communication was characterized as open mouth verbalizations, smiles with agreement, use of babbling and jargon during play, and reaching/taking objects of desire to express his communication wants/needs. A typically developing child that is Noah’s age should have 25 to 100 words in their expressive vocabulary and use 1 word utterances consistently with 2 words emerging. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, SHY social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and RESISTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah required numerous redirection cues to engage with the assessment, and/or redirection from parents to not leave the room. Noah received the following standard scores on the PLS-5: Auditory Comprehension 63 (percentile: 1, age-equivalent: 1 year 2 months), Expressive Communication 54 (percentile: 1, age-equivalent: 0 years 8 months), and Total Language Score 55 (percentile: 1, age-equivalent: 0 years 11 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Noah presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive language score (PROFOUND), is more severe than his receptive language score (SEVERE). Noah would greatly benefit from speech therapy services that address the following: responding to his name, responding to "no" and "wait," following one step commands, relational play, imitating environmental/non-speech sounds, and imitating one to two syllable words. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56907

Plan Date: 10-13-2025

Speech Assessment Summary: Noah is a 2 year 3 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Noah was accompanied by both his mothers, and both served as the informants. According to Ms. Guzman, who is the main caregiver, Noah has suffered numerous illnesses and had been diagnosed with torticollis and tongue and upper lip ties when he was 3 months old. Since that time, the tongue and lip ties were released and Noah began home health services for his occupational, physical and speech therapy needs. However, mothers were not pleased with the speech services thus the basis for the evaluation today. According to Ms. Guzman, Noah began using at least 4 words (mama, tortilla, tu, no), but suddenly stopped but, mothers could not recall the date. Since then, Noah has communicated via open mouth vowelizations, grunts, taking/grabbing item of desire, and just beginning to point to the item of interest. Both mothers are concerned with Noah’s developmental delays, Noah was evaluated by Dr. Fonseca recently who found “no signs of autism.” However, the family is seeking a second opinion from Dr. Schuttes, as well as a neurologist next month. Per parent report, Noah suffered from severe separation anxiety, has difficulties sleeping and remaining asleep, which has led to frequent night terrors and/or waking up crying as if in pain. Based on clinical observations, Noah’s current communication was characterized as open mouth verbalizations, smiles with agreement, use of babbling and jargon during play, and reaching/taking objects of desire to express his communication wants/needs. A typically developing child that is Noah’s age should have 25 to 100 words in their expressive vocabulary and use 1 word utterances consistently with 2 words emerging. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, SHY social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and RESISTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah required numerous redirection cues to engage with the assessment, and/or redirection from parents to not leave the room. Noah received the following standard scores on the PLS-5: Auditory Comprehension 63 (percentile: 1, age-equivalent: 1 year 2 months), Expressive Communication 54 (percentile: 1, age-equivalent: 0 years 8 months), and Total Language Score 55 (percentile: 1, age-equivalent: 0 years 11 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Noah presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive language score (PROFOUND), is more severe than his receptive language score (SEVERE). Noah would greatly benefit from speech therapy services that address the following: responding to his name, responding to "no" and "wait," following one step commands, relational play, imitating environmental/non-speech sounds, and imitating one to two syllable words. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement in the area of Noah’s impairments is good with consistent speech therapy. Noah will be discharged when he achieves a standard score above - 1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild-to-average range and he will have met all long-term therapy goals.

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.
Expressive Language	In 12 months, Noah will improve his expressive language skills in order to effectively communicate pain (i.e., tell his mom if stomach hurts) and safety issues (i.e., express when someone hits or bites him at school) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive Language	In 12 months, Noah will improve his receptive language skills in order to follow safety concerns (i.e., follow safety personnel) and provide vital information to emergency personnel (i.e., name) with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 months, during play-based activities, Noah will respond to his name by stopping an activity or turning toward the speaker with 30% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can respond in a moment of danger (i.e., responding to his name if he tries to run out to the street).
Receptive Language	In 6 months, during play-based activities, Noah will respond to "no" and "wait" by stopping an activity or turning toward the speaker with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can respond appropriately in a moment of danger (i.e., "no" when about to grab a knife).
Receptive Language	In 6 months, during play-based activities, Noah will follow one step commands with gestural cues with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote safety when provided commands related to safety (i.e. "Hold my hand" when crossing the street).
Play/Socialization	In 6 months, during play-based activities, Noah will practice relational play with 20% accuracy with decreasing multi-sensory cues across 3 out of 5 consecutive sessions in order to promote independence so that Noah can acquire age-appropriate pragmatic and play skills.
Expressive Language	In 6 months, during play-based activities, Noah will imitate environmental/non¬speech sounds with 20% accuracy with decreasing multi-sensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can express his needs and wants.
Expressive Language	In 6 months, during play-based activities, Noah will imitate one to two syllable words with 20% accuracy with decreasing multi-sensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can increase his expressive vocabulary.

Speech and Language Soap Note/Visit:

Soap Note

479266

Note Date: 12-17-2025

Subjective:

Assessment of Goals/Response to Treatment: In 6 months, during play-based activities, Noah will imitate environmental/non¬speech sounds with 20% accuracy with decreasing multi-sensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can express his needs and wants. - During play-based activities, clinician modeled many C-V combinations. Models include but are not limited to: mom, mommy, boo, pop, wow, woah, huh, uh-oh. Noah was observed to carryover in <5% of opportunities. He IND produced 'mm-hmm, ugh.' In 6 months, during play-based activities, Noah will imitate one to two syllable words with 20% accuracy with decreasing multi-sensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can increase his expressive vocabulary. - During play-based activities, clinician modeled many 1-2 words + signs for a variety of pragmatic functions. Utilized HOH when allowed. Models include but are not limited to: all done, go, more, please, help, pop, etc. Noah was observed to imitate in ~15% of opportunities. He IND signed "all done, more, help" given occasional verbal prompts.

Plans:

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25888	11-18-2025	Feeding Initial Evaluation	R63.32, F84.0, F90.2
Feeding Background History: Noah is a 2-year 4-month-old male who was referred by his pediatrician for a clinical feeding evaluation due to feeding difficulties and concerns. Noah’s mother served as the informant for the evaluation. Noah’s mother reported and provided documentation that Noah was diagnosed with autism (level 3), attention-deficit/hyperactivity disorder (ADHD-combined presentation), unspecified disruptive behavior disorder, and a global developmental delay by Dr. James Schutte in November 2025. Noah’s mother reported feeding concerns began around 6 months of age when transitioning from a bottle to purees. She reported that Noah underwent a frenectomy (lingual and labial) at 6 months old. His mother reported that he transitioned from puree to solids around 11 months old. Noah’s mother reported current concerns with Noah overstuffing foods resulting in him spitting out foods often. Additionally, she reported that he does not know how to utilize utensils, will not sit in highchair or at table during mealtimes, and will often throw food on the floor and eat it off the floor. Noah is currently receiving OT and PT at another clinic and ST at New Beginnings. Noah’s mother reported that he has previously received feeding therapy since he was a baby. Noah’s mother reported that his pediatrician does not have concerns regarding nutrition/growth.
Feeding Medical History: Noah’s mother reported no concerns with pregnancy or birth. She reported that Noah underwent a frenectomy (lingual and labial) at 6 months old. Noah’s mother reported that there are no know medical allergies, however, Noah does have a pineapple allergy. Additionally, Noah’s mother reported that he was born with a milk and soy allergy, however, has since been resolved. Noah was diagnosed with autism (level 3), attention-deficit/hyperactivity disorder (ADHD-combined presentation), unspecified disruptive behavior disorder, and a global developmental delay by Dr. James Schutte in November 2025.
Feeding Medications: Noah takes a daily multivitamin and hydroxyzine (3 ml) as needed.
Feeding Behavioral Observations: Attending Skills: Distractible, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Awarencess of Environmental Events: , Social Interactions: Usually,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary:
Feeding Diagnosis/Impressions: Based on the clinical feeding evaluation, parent report, and clinical data, Noah presents with moderate feeding difficulties. Feeding therapy is recommended as Noah presents with inadequate oral motor skills needed for adequate preparation of solids for safe swallowing during meals. Feeding therapy is to target lateralization, mastery of appropriate chewing skills (diagonal pattern/rotary chew), and pacing in order to allow for safe consumption of solids.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

57421

Plan Date: 11-18-2025

Feeding Assessment Summary: Based on the clinical feeding evaluation, parent report, and clinical data, Noah presents with moderate feeding difficulties. Feeding therapy is recommended as Noah presents with inadequate oral motor skills needed for adequate preparation of solids for safe swallowing during meals. Feeding therapy is to target lateralization, mastery of appropriate chewing skills (diagonal pattern/rotary chew), and pacing in order to allow for safe consumption of solids.

Feeding Progress to Date: Initial evaluation conducted.

Feeding Rehabilitation Potential: Rehabilitation potential is good with consistent feeding therapy and family support. Noah will be discharged from feeding therapy when he meets long term and short term therapy goals and demonstrates adequate feeding skills to orally prepare age-appropriate foods for safe swallowing.

Feeding Long Term Goals:

Category	Goal Description
Oral Motor/Articulation	In a years time, Noah will orally prepare foods in 9 out of 10 trials in order to increase swallow safety during mealtimes.

Feeding Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	In 6 months time, Noah will exhibit adequate tongue lateralization in 4/10 trials in order to orally prepare solids and limit pocketing to promote a safe swallow during meals.
Oral Motor/Articulation	In 6 months time, Noah will develop the emergence of appropriate chewing skills (diagonal/rotary chew pattern) when presented with solids in 4/10 trials to promote adequate preparation of solids for safe swallowing during meals.
Oral Motor/Articulation	In 6 months time, Noah will exhibit appropriate pacing by clearing the oral cavity before taking additional bites in 5/10 trials in order to allow for appropriate preparation for safe swallowing of foods.
Oral Motor/Articulation	In 6 months time, Noah will attend to meals with limited distractions in 4 out of 5 trials in order to allow for meals to be consumed in a timely and safe manner.
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 patient's feeding tasks in the home.

Feeding Therapy Soap Note/Visit:

ID	Soap Note

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
820568	92523: Artic & Language Eval	10-13-2025 04:00 PM	10-13-2025 05:00 PM	Annette Barron	NB2 far east side	Completed
839219	92610: Feeding Evaluation	11-18-2025 12:00 PM	11-18-2025 01:00 PM	Katelyn Vera	NB1 east side	Completed
844283	92507: Speech & Language Visit	11-24-2025 11:00 AM	11-24-2025 11:45 AM	Rachael Haduck	NB1 east side	Completed
844284	92507: Speech & Language Visit	12-01-2025 11:00 AM	12-01-2025 11:45 AM	Rachael Haduck	NB1 east side	Completed
844286	92507: Speech & Language Visit	12-15-2025 11:00 AM	12-15-2025 11:45 AM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
820569	92610: Feeding Evaluation	10-27-2025 10:45 AM	10-27-2025 11:45 AM	Jordan Orozco	NB2 far east side	Canceled
833239	92507: Speech & Language Visit	11-03-2025 10:45 AM	11-03-2025 11:30 AM	Gabriela Gallegos	NB2 far east side	Canceled
838139	92610: Feeding Evaluation	11-11-2025 02:15 PM	11-11-2025 03:15 PM	Katelyn Vera	NB1 east side	Canceled
844285	92507: Speech & Language Visit	12-08-2025 11:00 AM	12-08-2025 11:45 AM	Rachael Haduck	NB1 east side	Canceled
844287	92507: Speech & Language Visit	01-05-2026 11:00 AM	01-05-2026 11:45 AM	Rachael Haduck	NB1 east side	Canceled
858552	92526: Feeding Visit	01-06-2026 12:00 PM	01-06-2026 12:45 PM	Katelyn Vera	NB1 east side	Canceled
844288	92507: Speech & Language Visit	01-12-2026 11:00 AM	01-12-2026 11:45 AM	Rachael Haduck	NB1 east side	Canceled
858553	92526: Feeding Visit	01-13-2026 12:00 PM	01-13-2026 12:45 PM	Katelyn Vera	NB1 east side	Canceled
844289	92507: Speech & Language Visit	01-19-2026 11:00 AM	01-19-2026 11:45 AM	Rachael Haduck	NB1 east side	Canceled
858554	92526: Feeding Visit	01-20-2026 12:00 PM	01-20-2026 12:45 PM	Katelyn Vera	NB1 east side	Canceled
844290	92507: Speech & Language Visit	01-26-2026 11:00 AM	01-26-2026 11:45 AM	Rachael Haduck	NB1 east side	Canceled

Paient Notes:

Date	Posted By	Description
01-20-2026	Shekinah Velasquez	3rd no call no show in a row between Rachael and Katie. Final warning sent to parent, next appointment with a no call no show, patient will be discharged
01-20-2026	Katelyn Vera	1/20/26 feeding visit: 2nd no call, no show for feeding. Informed front office; 3rd warning/reminder of compliance policy message to be sent by front office.
01-19-2026	Rachael Haduck	ST: Second no call, no show. Informed front office, and reached out to parent.
01-13-2026	Katelyn Vera	1/13/26 feeding visit: No call, no show. Informed front office; 1st warning/reminder of compliance policy message to be sent by front office.
12-16-2025	Shekinah Velasquez	FD auth approved starting 01/05/2026 - 07/03/2026 1x/ week = 26 visits. Therapist notified.
12-11-2025	Shekinah Velasquez	FD auth request submitted to EPH. Pending approval
12-08-2025	Avery Fontenot	Called doctors office. No answer, Left message.
12-04-2025	Shekinah Velasquez	Received THsteps, pending FD signatures. Fax sent to Dr.
11-21-2025	Shekinah Velasquez	FD paperwork and THsteps requested via fax. Pending signatures
11-05-2025	Shekinah Velasquez	Parent called to request for feeding availability at NB1. Gave the parent our availability and then proceeded to ask for the transfer of clinics from NB2 to NB1. Spoke with Asbel and decided to transfer the patient completely to accommodate the times for both ST and FD. Patient will be called and start at NB1 for ST on 11/10/2025. Patient will also be scheduled for an FD evaluation at NB1. Both NB1 and NB2 are aware of the change.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
01-26-2026	92507	Haduck, Rachael
01-20-2026	92526	Vera, Katelyn	No call, no show
01-19-2026	92507	Haduck, Rachael
01-13-2026	92526	Vera, Katelyn	No call, no show
01-12-2026	92507	Haduck, Rachael
01-06-2026	92526	Vera, Katelyn	Noah Gomez 01-05-2026 08:26 PM Noah (Prim) Replied: Hello I'm so sorry for the late response but Abby other mom just had to get surgery today I've been in the hospital all day just got home but we won't be able to make it to therapy tomorrow
01-05-2026	92507	Haduck, Rachael
12-08-2025	92507	Haduck, Rachael	Just a friendly reminder that I will be out of office tomorrow, 12/8 and will return 12/9. If you have any questions or concerns, please do not hesitate to message me.
11-11-2025	92610	Vera, Katelyn	When reaching out for intake information on 11/10/25 mother informed therapist that pt had bronchitis. Eval rescheduled for 11/18 at 12pm.
11-03-2025	92507	Gallegos, Gabriela	Parent canceled session, conversation as follows, "Noah Gomez 11-02-2025 06:30 PM Noah (Prim) Replied: Ok no he's just had a lot of vomiting cough and congestion ??"
10-27-2025	92610	Orozco, Jordan
10-27-2025	92610	Orozco, Jordan

Paient Messages Admin:

Date	Posted By	Message
10-08-2025 01:50 PM	Asbel Guajardo	Hello, this is Asbel from New Beginnings Pediatric Speech Therapy Services. We received a referral for your child and wanted to check if you’re interested in starting services with us. If you have any questions, feel free to reply to this message or call us at 915-303-5177. Thank you!
10-09-2025 10:14 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2286
10-09-2025 10:16 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2286
10-09-2025 10:17 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2286
10-09-2025 03:58 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I see that you chose feeding as a therapy that is needed but I only have speech and occupational therapy on the referral.
10-09-2025 05:46 PM	Noah Gomez	Hello ok I'll call tomorrow morning and ask the Dr to fax it over.
10-10-2025 01:15 PM	Asbel Guajardo	Thank you! I did call the dr as well and let them know it has be specific for feeding.
10-23-2025 10:20 AM	Patsy Guajardo	Hello Ms. Guzman, This is Patsy from front office, Medicaid is requesting a change of provider form signed by you, I just send you a link with the form, will you please fill it in and sign it as soon as possible. Thank you!
10-29-2025 02:11 PM	Patsy Guajardo	Gomez, Noah has been assigned a therapist.
10-29-2025 02:28 PM	Noah Gomez	Hello
11-05-2025 04:32 PM	Shekinah Velasquez	Gomez, Noah has been assigned a therapist.
11-13-2025 11:45 AM	Shekinah Velasquez	Hi, Noah as been assigned a therapist for Feeding therapy. Here's a link to learn more about Katelyn https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9786&tid=51
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 02:52 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.
12-17-2025 11:11 AM	Avery Fontenot	Hello New Beginnings Parents, If you are receiving this message, we have noticed that we are missing some required documentation from you. At this time, we need a copy of your child’s Medicaid care plan insurance card. Please note that we are no longer accepting the traditional Medicaid card as valid insurance on file. We require the plan-specific Medicaid insurance card, such as (Superior, Molina, El Paso Health, Wellpoint, TMHP) If you do not have the physical card or are having trouble locating it, most Medicaid plans offer an online portal where you can access a digital E-card. If you already have your plan’s insurance card, please email a copy to afontenot@newbeginnings-elp.com Thank you so much for your cooperation, and happy holidays!
12-19-2025 10:58 AM	Noah Gomez	Hi good morning
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
01-13-2026 03:03 PM	Avery Fontenot	Dear Parent, We noticed you missed your therapeutic appointment at New Beginnings today. Please remember to inform us of any changes to your appointment at least 24 hours in advance or an hour ahead in case of emergencies. When appointments are missed without prior cancellation, our therapists are left with open slots. We appreciate your understanding and adherence to our no-call-no-show policy. As this is your first missed appointment, we expect you to schedule a makeup visit. To reschedule, send a direct message to your therapist on our messaging app.
01-19-2026 11:42 AM	Julie Mora	Dear Parent, We noticed you missed your therapeutic appointment at New Beginnings today. Please remember to inform us of any changes to your appointment at least 24 hours in advance or an hour ahead in case of emergencies. Our therapists are left with open slots when appointments are missed without prior cancellation. We appreciate your understanding and adherence to our no-call-no-show policy. As this is your second missed appointment, we expect you to schedule a makeup visit and respect our therapist’s time. To reschedule, send a direct message to your therapist on our messaging app.
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! 💙
01-20-2026 02:43 PM	Shekinah Velasquez	Dear Parent, We noticed you missed your therapeutic appointment at New Beginnings today. Please remember to inform us of any changes to your appointment at least 24 hours in advance or an hour ahead in case of emergencies. Our therapists are left with open slots when appointments are missed without prior cancellation. We appreciate your understanding and adherence to our no-call-no-show policy. As this is your third missed appointment, we expect you to schedule a makeup visit and respect our therapist’s time. Unfortunately, any more no-call-no-shows will result in immediate discharge from all therapy services and a letter to your pediatrician explaining the reason for your child′s discharge. To reschedule, send a direct message to your therapist on our messaging app.
01-21-2026 09:04 AM	Avery Fontenot	Hello New Beginnings Parents, If you are receiving this message, we have noticed that we are missing some required documentation from you. At this time, we need a copy of your child’s Medicaid care plan insurance card. Please note that we are no longer accepting the traditional Medicaid card as valid insurance on file. We require the plan-specific Medicaid insurance card, such as (Superior, Molina, El Paso Health, Wellpoint, TMHP) If you do not have the physical card or are having trouble locating it, most Medicaid plans offer an online portal where you can access a digital E-card. If you already have your plan’s insurance card, please email a copy to afontenot@newbeginnings-elp.com Thank you so much for your cooperation, and we hope you have a good rest of your week!
01-26-2026 01:06 PM	Avery Fontenot	Dear Parent, it is with great regret that we inform you that your child will be discharged from therapy at the end of this week. We have tried multiple times and in multiple ways to contact you to schedule therapy visits without your response and this will be Noah's 4th no call no show. Thank you for having allowed us to work with your child! Please call the front office at 915-855-0601 if you have any questions. Our discharge form will be forwarded to your pediatrician.
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! 💙
02-16-2026 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=9786
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 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=9786
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
10-09-2025 10:36 AM	Annette Barron	Hi, my name is Annette, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9786&tid=46
10-09-2025 10:36 AM	Noah Gomez	Noah SCHEDULED: 4:00PM-10/14/2025 92523: Speech Evaluation
10-09-2025 10:36 AM	Jordan Orozco	Hi, my name is Jordan, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9786&tid=63
10-09-2025 10:36 AM	Noah Gomez	Noah SCHEDULED: 1:00PM-10/27/2025 92610: Feeding Evaluation
10-09-2025 10:44 AM	Annette Barron	Good morning. My name is Annette from New Beginnings, and I will be completing Noah's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. I see that you scheduled Noah for his evaluation on Tuesday at 4 PM. However, I have a preexisting patient that comes in at that time. I can offer you one of these available times/days: Monday at 4 PM, Tuesday at 12 PM, Wednesday at 11 AM, or Friday at 11 AM. Please let me know which day/time would work best for you next week. Thank you.
10-09-2025 11:34 AM	Jordan Orozco	Good morning! This is Jordan from New Beginnings. I’ll be completing your child’s feeding evaluation. Unfortunately, the automated system did not reflect my availability correctly, as I have a recurring patient on Mondays at 1:00 PM. Would it be possible to reschedule for another day or time that week? I may even have an earlier opening if you’re interested. I look forward to meeting and working with you!
10-09-2025 12:04 PM	Noah Gomez	Noah (Prim) Replied: Hello ok no problem would that be this coming Monday?
10-09-2025 12:06 PM	Annette Barron	Yes, I have an opening for the speech evaluation this Monday, October 13th at 4 PM.
10-09-2025 12:06 PM	Noah Gomez	Noah (Prim) Replied: Ok I'm sorry and Tuesday u don't have a 4pm ?
10-09-2025 12:08 PM	Annette Barron	No I do not. The automated system did not reflect my availability correctly as I have a patient at that time.
10-09-2025 12:22 PM	Noah Gomez	Noah (Prim) Replied: Ok no worries I just need something preferably on a Monday or something after 3pm
10-09-2025 12:23 PM	Annette Barron	Would you like to schedule Noah's speech evaluation for this Monday at 4 PM?
10-09-2025 12:25 PM	Noah Gomez	Noah (Prim) Replied: I'm trying to see if my wife can reschedule her appointment at 3:30 to something earlier let me get back to u in a few if that's ok
10-09-2025 12:25 PM	Annette Barron	Sure, not a problem.
10-09-2025 12:36 PM	Noah Gomez	Noah (Prim) Replied: Ok yes sorry about that we will do Monday at 4
10-09-2025 12:37 PM	Annette Barron	Great. Noah is scheduled for a speech evaluation on Monday, October 13th, at 4 PM. When you come in, we will review medical history, and then we will do the evaluation. What are your concerns? Is Noah not using enough words, and/or difficult to understand?
10-09-2025 12:41 PM	Noah Gomez	Noah (Prim) Replied: Ok perfect thank you! We have tons of concerns 😞. He is 2 years and 3 months old and he doesn't talk. He used to say Mama, tortilla, tu, and no but then he just stopped talking. Not even Mama anymore. He does have a lot of developmental delays. And alot of sensory. And also separation anxiety
10-09-2025 12:42 PM	Noah Gomez	Noah (Prim) Replied: There's tons of things that I have concerns about but then main thing is his speech.
10-09-2025 12:43 PM	Noah Gomez	Noah (Prim) Replied: He has gotten evaluated by Dr. Fonseca and was told he has no signs of being Autistic, we have Dr. Shuttes this coming week for a second opinion and he has an appointment with the neurologist as well next month.
10-09-2025 12:45 PM	Annette Barron	OK, thank you for the information. I am going to send you a medical history questionnaire which will provide me with a little more insight into Noah's development. It will be a long text message with 9 questions. If you do not receive the message, please let me know immediately so I can breakdown the message into smaller messages with the questions.
10-09-2025 12:45 PM	Annette Barron	Speech History Questionnaire for Noah G.: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)? 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? 5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils? 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? 7.) Which language(s) is the child exposed to regularly? 8.) Vision or hearing issues? 9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
10-09-2025 01:10 PM	Noah Gomez	Noah (Prim) Replied: 1. Noah Jaxon Gomez 2.wife had preaclamsia no NICU. 3.He was diagnosed with torticolls. 4. Crawled at almost 1, walked at 16 months, still has trouble feeding himself, stuffs his mouth and won't use utensils. 5.He has a lot of times when he don't sleep wakes up crying and yelling at night will last hours awake.its rare when he sleeps 8 hours. He snores and sleeps with mouth open. 6. He stays him with me no school or day care. He has in home therapy for OT and PT. Since he was like 6 months old. He was also receiving speech but we are not happy with that part. 7.mostly English and some Spanish. 8.not that we know of. 9.we have concern about him not being able to talk. And his speech regressions. He has been through a lot of test and therapist and still nothing. We are thinking alot of his meltdowns and behavioral issues come from not being able to express himself.
10-09-2025 01:12 PM	Noah Gomez	Noah (Prim) Replied: Forgot dob sorry 7-6-2023
10-09-2025 01:12 PM	Noah Gomez	Noah (Prim) Replied: Born at 35 weeks
10-09-2025 02:40 PM	Annette Barron	Thank you so much for the information. I look forward to meeting you all Monday afternoon.
10-09-2025 05:47 PM	Noah Gomez	Noah (Prim) Replied: ❤️ to “ Thank you so much for the information. I look forward to meeting you all Monday afternoon. ”
10-10-2025 09:10 AM	Jordan Orozco	Good morning, this is Jordan from New Beginnings! I am just sending a follow up message as I’ll be completing Noah’s feeding evaluation. Unfortunately, the automated system did not reflect my availability correctly, as I have a recurring patient on Mondays at 1:00 PM. Would it be possible to reschedule for another day or time that week of 10-27-2025? I may even have an earlier opening the week prior if you’re interested. I look forward to meeting and working with you!
10-10-2025 10:24 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning I was told yesterday that I needed to get a referral they didn't put it was supposed to be for both speech and feeding
10-10-2025 10:24 AM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-10-2025 10:24 AM	Noah Gomez	Noah (Prim) Replied: Im waiting on a call back from the Drs office right now
10-10-2025 10:24 AM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-10-2025 10:30 AM	Jordan Orozco	Oh okay, no problem! Let me know what the Dr’s office says and I will touch base with the front office next week to be sure we have that referral in so we can schedule Noah’s feeding evaluation.
10-12-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
10-12-2025 06:31 PM	Noah Gomez	Noah (Prim) Replied: Yes thank you 😊 see you tomorrow
10-12-2025 06:31 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-13-2025 07:53 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
10-13-2025 07:53 AM	Noah Gomez	Noah (Prim) Replied: Hello see you soon
10-13-2025 03:24 PM	Noah Gomez	Noah (Prim) Replied: Hello can I have the address plz
10-13-2025 03:26 PM	Annette Barron	Yes. We are at 3551 Rich Beem, Ste B
10-13-2025 03:26 PM	Noah Gomez	Noah (Prim) Replied: Ok thank you see u soon
10-13-2025 03:45 PM	Annette Barron	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820568
10-14-2025 12:07 PM	Annette Barron	Good afternoon. Here is a brief summary from yesterday’s evaluation. Noah has been diagnosed with a severe to profound mixed receptive-expressive speech disorder, where his expressive language skills are more severe than his receptive language skills. Noah would greatly benefit from speech therapy services that address the following: responding to his name, responding to "no" and "wait," following one step commands, relational play, imitating environmental/non¬speech sounds, and imitating one to two syllable words. Once all paperwork has been submitted, signed and authorization has been approved, the treating therapist will reach out to you to begin speech therapy services. Please allow for 2-4 weeks in order for the authorization to begin. If you have any questions, please let me know. Thank you.
10-14-2025 12:41 PM	Noah Gomez	Noah (Prim) Replied: Hi good afternoon thank u so much. Is it something that can be worked on and he will be able to talk?
10-14-2025 01:10 PM	Annette Barron	The goals I have set are beginning steps to aid in Noah’s speech and language development. Consistent therapy and practice will help Noah improve his skills.
10-16-2025 02:20 PM	Jordan Orozco	Hello! The front office gave me clearance to schedule Noah’s feeding evaluation. Would next week on Thursday October 23rd at 11:30am work for you and Noah? :)
10-16-2025 03:02 PM	Noah Gomez	Noah (Prim) Replied: Hello that's great thank you ☺️ Would you have anything for a Monday or something after 3pm
10-16-2025 04:28 PM	Jordan Orozco	Would 10:45AM work for this upcoming Monday October 20th? There is feeding intake paperwork to complete - do you have access to a printer to print and bring them completed? I might also be able to do Monday October 27th at 10:45AM.
10-17-2025 10:19 AM	Noah Gomez	Noah (Prim) Replied: Hi sorry for the late response Monday the 27th would be prefct
10-17-2025 10:19 AM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-20-2025 11:48 AM	Jordan Orozco	Good morning! Great so Monday October 27th at 10:45AM works for you all? Also I do have feeding intake paperwork that will need to be completed prior to the evaluation. Do you have access to a printer? :)
10-20-2025 08:32 PM	Noah Gomez	Noah (Prim) Replied: No we don't have a printer
10-20-2025 08:32 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-20-2025 08:32 PM	Noah Gomez	Noah (Prim) Replied: ❤️ to “ Good morning! Great so Monday October 27th at 10:45AM works for you all? Also I do have feeding intake paperwork that will need to be completed prior to the evaluation. Do you have access to a printer? :) ”
10-20-2025 08:32 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-21-2025 11:04 AM	Jordan Orozco	No worries, are you able to pick up the paperwork from our clinic prior to the evaluation? The reason I ask is the paperwork is pretty long and we require it to be completed before the evaluation.
10-21-2025 11:10 AM	Noah Gomez	Noah (Prim) Replied: If u wanna send it to me and I can see if my neighbor can print it out for me plz
10-21-2025 11:33 AM	Jordan Orozco	Okay, great! What is a good email address?
10-21-2025 11:34 AM	Noah Gomez	Noah (Prim) Replied: gomezashlee253@gmail.com
10-21-2025 04:15 PM	Jordan Orozco	Great, I will send that over in just a moment. Before I do, can you describe your concerns with Noah’s feeding/swallowing? This way I ensure to send you the appropriate paperwork.
10-21-2025 04:43 PM	Noah Gomez	Noah (Prim) Replied: Hi yes our biggest concerns are that he does not like to use utensils to eat and when he does he does not know how to use them properly he likes to eat all the food from the floor he'll throw his food on the floor and then he eats it like he'll like get on his knees and eat it from the floor like that or you serve him food in a plate and he just throws it on the floor and then he'll eat it from the floor textures and all that I mean he's fine he eats almost everything and anything that I give him he eats fruits vegetables meat chicken but that's our biggest concern is that he likes to throw the food on the floor get on his knees and just eat it from the floor like that or if not he'll just he'll serve him like a plate of cereal or something and he gets the cereal throes it on the floor and then he just eats it from the floor where it's all scattered but that's our main concerns
10-22-2025 10:35 AM	Jordan Orozco	Okay thank you for this information. I sent you the forms, did you receive them? My email is jallyssabeth23@gmail.com
10-22-2025 11:14 AM	Noah Gomez	Noah (Prim) Replied: Yes just received it thank you
10-22-2025 11:44 AM	Jordan Orozco	Great! Please bring those completed with you to the evaluation as well as a complete meal and drink for Noah. Please be sure the meal you pack has at least 5 different foods with different textures.:)
10-22-2025 12:08 PM	Noah Gomez	Noah (Prim) Replied: Ok sounds good thank you see you soon
10-22-2025 12:49 PM	Jordan Orozco	See you :)
10-26-2025 04:52 PM	Jordan Orozco	Good evening, just a gentle reminder to please bring all feeding intake paperwork completed as well as food items and a drink for Noah. See you tomorrow at 10:45AM. Our system will send a automated reminder momentarily. :)
10-26-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Noah has a Feeding Evaluation appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-26-2025 06:56 PM	Noah Gomez	Noah (Prim) Replied: Hi yes see you tomorrow 😊 thank you
10-26-2025 06:56 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-27-2025 07:50 AM	Jordan Orozco	Hi, this is a just a reminder that Noah has a Feeding Evaluation appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-27-2025 09:03 AM	Noah Gomez	Noah (Prim) Replied: Hello good morning I'm so sorry to reply back in such a short notice. I woke up with the news my cousin passed away last night 😭
10-27-2025 09:04 AM	Noah Gomez	Noah (Prim) Replied: She had been fighting cancer and didn't make it to today. Would we be able to reschedule for Noah . I'm very sorry
10-27-2025 09:37 AM	Jordan Orozco	Hello, thank you for letting me know. I have cancelled the evaluation. I am very sorry for your loss. I am keeping you all in my prayers. I can keep you posted on the next available opening for a feeding evaluation.
10-27-2025 09:37 AM	Jordan Orozco	Jordan Orozco CANCELLED: 10:45AM-10/27/2025 92610: Feeding Evaluation
10-27-2025 09:37 AM	Jordan Orozco	Jordan Orozco CANCELLED: 10:45AM-10/27/2025 92610: Feeding Evaluation
10-30-2025 03:44 PM	Gabriela Gallegos	Good afternoon! This is Ms. Gabby from New Beginnings Far East location - I am texting you from our patient portal which is a secure texting only system. I have been assigned as Noah’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet him and the family! We may begin our speech services! I have an opening next week on Monday at 10:45AM. Would this work for his 1st initial session with me?
10-30-2025 05:25 PM	Noah Gomez	Noah (Prim) Replied: ❤️ to “ Good afternoon! This is Ms. Gabby from New Beginnings Far East location - I am texting you from our patient portal which is a secure texting only system. I have been assigned as Noah’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet him and the family! We may begin our speech services! I have an opening next week on Monday at 10:45AM. Would this work for his 1st initial session with me? ”
10-30-2025 05:26 PM	Noah Gomez	Noah (Prim) Replied: Hello ok great I'm glad we can start!!! Thank you so much and what day would that be I'm sorry
10-31-2025 07:56 AM	Gabriela Gallegos	Good morning, it would be Monday 11/3/25 @ 10:45am
10-31-2025 08:05 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning yes we will take it
10-31-2025 08:05 AM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-31-2025 08:11 AM	Gabriela Gallegos	Thank you for confirming, I will schedule him in. See you next week =]
10-31-2025 08:28 AM	Noah Gomez	Noah (Prim) Replied: Thank you 😊 see you soon
10-31-2025 08:28 AM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-31-2025 08:59 AM	Jordan Orozco	Hello, I am following up to schedule Noah’s feeding evaluation for next week. I see that he is scheduled for speech therapy Monday. Unfortunately I cannot schedule his feeding evaluation or therapy on the same day as speech. Next week I can offer a feeding evaluation on Thursday at 11:30AM, would this work?
10-31-2025 09:02 AM	Noah Gomez	Noah (Prim) Replied: Hello good morning I'm sorry I thought I had text u back that day. Unfortunately we can only do Mondays or any day after 3pm
10-31-2025 09:02 AM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-31-2025 09:14 AM	Jordan Orozco	Unfortunately speech and feeding cannot occur on the same day. How would you like to proceed?
10-31-2025 09:18 AM	Jordan Orozco	My apologies I misread your message. I also don’t have any availability after 3:00 p.m. on other days, as those after school slots are currently filled. If Noah qualifies for feeding therapy, please note that an after 3:00 p.m. appointment is not guaranteed. Our front office does inform families during the referral intake process that we do not have any after school availability at this time. How would you like to proceed?
10-31-2025 09:43 AM	Noah Gomez	Noah (Prim) Replied: No yes I understand but we did let them know that we are available on Monday or any other day after 3pm can I call the Zaragoza office and see if they have any availability for Mondays?
10-31-2025 09:43 AM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-31-2025 11:46 AM	Jordan Orozco	Yes ma’am of course. Feel free to call them and see if they have availability. If not, the other option we can offer is to rotate therapy services every other week. So one week would be speech on Mondays and one week would be feeding on Mondays. Let me know. :)
10-31-2025 01:54 PM	Noah Gomez	Noah (Prim) Replied: Ok sounds great Ill let you know ASAP thank u so much
10-31-2025 01:54 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 11-03-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:07 PM	Noah Gomez	Noah (Prim) Replied: Hi good afternoon Noah has the cold can we still take him
11-02-2025 04:07 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 06:26 PM	Gabriela Gallegos	Hi, as long as he doesn't have a fever within the last 24 hrs. If he does then I would ask you to please keep him home. Let me know what you want to do =)
11-02-2025 06:30 PM	Noah Gomez	Noah (Prim) Replied: Ok no he's just had a lot of vomiting cough and congestion 😔
11-02-2025 06:30 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-02-2025 06:42 PM	Gabriela Gallegos	I think it would be best if we give him a couple of days to recovery. with vomiting, coughing and congestion I don't think he would perform at his best for his first initial speech session. I will reschedule tomorrow session
11-02-2025 07:20 PM	Noah Gomez	Noah (Prim) Replied: Ok that's fine thank you
11-02-2025 07:20 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-02-2025 10:00 PM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:45AM-11/3/2025 92507: Speech & Language Visit
11-04-2025 03:03 PM	Jordan Orozco	Hello! I am just following up to see if you spoke with the front office at the other location and if you are still interested in a feeding evaluation and doing biweekly therapy services since Monday is your only available day and we do not have after school slots open at this time? :)
11-04-2025 05:57 PM	Noah Gomez	Noah (Prim) Replied: Hello I'm sorry I will call tomorrow Noah got sick and been super busy with him
11-04-2025 05:57 PM	Noah Gomez	Noah (Prim) Replied: I will definitely call tomorrow
11-05-2025 08:48 AM	Jordan Orozco	No worries, let me know. Hope he feels better!
11-06-2025 10:07 AM	Rachael Haduck	Dear family of Noah Gomez, This is Rachael, CCC-SLP, with New Beginnings Pediatrics. I’m reaching out to schedule Noah for speech therapy services. Please let me know your preferred days and times, and I’ll be happy to get him added to the schedule. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
11-06-2025 10:39 AM	Noah Gomez	Noah (Prim) Replied: Hello good morning. Ok sounds great Noah has in home therapy for PT he has it Wednesdays at 11am Then he has OT on Tuesday and Thursday at 2 pm
11-06-2025 10:44 AM	Rachael Haduck	Perfect, I will get him scheduled fro 1:30pm :)
11-06-2025 10:46 AM	Rachael Haduck	Apologies, he is allowed 1x/week for 45 minutes. Would you prefer tuesday or thursday?
11-06-2025 10:48 AM	Noah Gomez	Noah (Prim) Replied: Would you be available for Fridays?
11-06-2025 10:49 AM	Noah Gomez	Noah (Prim) Replied: Tuesday and Thursday he has OT at 2 I won't make it back on time if you schedule me at 1:30
11-06-2025 10:49 AM	Noah Gomez	Noah (Prim) Replied: Or those days are fine just earlier than 1:30
11-06-2025 10:51 AM	Rachael Haduck	Apologies, he is allowed 1x/week for 45 minutes. Would you prefer tuesday or thursday?
11-06-2025 10:55 AM	Rachael Haduck	Unfortunately, I do not work Fridays. I work Monday through Thursday, 8:00am-6:00pm. Let me know you availability and I can let you know what I have available :) if you would like Thursday, he can be scheduled before or after OT- beginings as early as 1:15pm or after as early at 2:45pm. Tuesday would have to be before OT as early as 1:15pm.
11-06-2025 11:07 AM	Noah Gomez	Noah (Prim) Replied: Ok what about Thursdays at 3:45?
11-06-2025 03:27 PM	Rachael Haduck	The earliest on a Thursday I can do is 3:15pm. Would that work for you? We can do 2:45 or 3:00pm so it follows after OT, assuming it is either a 45 or 60-minute session.
11-06-2025 04:33 PM	Katelyn Vera	Hello, this is Katie from New Beginnings. I am the SLP that will be conducting Noah's feeding evaluation. My next availability is Tuesday (11/18) at 4pm. Please let me know if this works for you. I will be reaching out next week to gather some intake information from you.
11-07-2025 10:02 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning I'm sorry for the late response I'm sorry I don't think we are quite understanding each other. He has occupational therapy Tuesdays and Thursdays Tuesdays is at 1:00 p.m. to 2:00 p.m. Thursdays is 2:00 p.m. to 3:00 p.m. I will not make it from Socorro almost sanelizario area to Zaragoza by 3:15 or 2:45
11-07-2025 10:02 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 10:04 AM	Noah Gomez	Noah (Prim) Replied: Hello good morning yes that works for us. Thank you so much see you soon
11-07-2025 10:04 AM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 10:05 AM	Noah Gomez	Noah (Prim) Replied: I'm sorry we have an appointment that day I just saw it
11-07-2025 10:05 AM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 10:06 AM	Noah Gomez	Noah (Prim) Replied:
11-07-2025 10:06 AM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 11:45 AM	Rachael Haduck	Apologies for the misunderstanding. Can you please provide me with alternative times and days so we can best coordinate a good session time? Thank you!
11-07-2025 02:07 PM	Katelyn Vera	Hello, thank you for letting me know. I am not sure if you sent a picture but I am not able to receive it on my end through our messaging system. I have this Tuesday 11/11 at 2:15 available if that works for you.
11-07-2025 02:16 PM	Noah Gomez	Noah (Prim) Replied: Ok yes that would work thank you so much
11-07-2025 02:16 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 02:16 PM	Noah Gomez	Noah (Prim) Replied: See u on Tuesday
11-07-2025 02:16 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 02:17 PM	Noah Gomez	Noah (Prim) Replied: I'm thinking Tuesdays?
11-07-2025 02:17 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 02:24 PM	Katelyn Vera	Okay I will schedule the evaluation for 11/11 at 2:15. Have a great weekend!
11-07-2025 05:33 PM	Rachael Haduck	Hello! Unfortunately speech and feeding services cannot be scheduled on the same day due to insurance purposes, is there another day and time that works for you?
11-09-2025 11:02 AM	Noah Gomez	Noah (Prim) Replied: Monday?
11-09-2025 11:02 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 06:50 PM	Rachael Haduck	I have Monday availability :) What times are you available?
11-09-2025 07:52 PM	Noah Gomez	Noah (Prim) Replied: Anything after 10am. Tomorrow he has the Dr he seems to be getting worse he's not eating or going pee and his cough is really bad.
11-09-2025 07:52 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 07:53 PM	Noah Gomez	Noah (Prim) Replied: ❤️ to “ Okay I will schedule the evaluation for 11/11 at 2:15. Have a great weekend! ”
11-09-2025 07:53 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-10-2025 08:56 AM	Rachael Haduck	Thank you for letting me know. I’m so sorry to hear that Noah isn’t feeling well, I hope he is able to feel better soon! Just to let you know my availability — I have openings on Mondays at 11:00 a.m., 12:30 p.m., 1:00 p.m., and 1:30 p.m. All are able to be scheduled as 45-minute sessions. :) Wishing Noah a speedy recovery!
11-10-2025 12:12 PM	Katelyn Vera	Good Afternoon, this is Katie from New Beginnings. I tried giving you a call right now to gather some intake information. Would you be available for a call around 3pm today?
11-10-2025 12:23 PM	Noah Gomez	Noah (Prim) Replied: Hi yes I'm so sorry we work at the doctor with Noah but yes I will be available at 3:00 p.m. and I'll be waiting for your call thank you
11-10-2025 03:24 PM	Katelyn Vera	Katelyn Vera CANCELLED: 2:15PM-11/11/2025 92610: Feeding Evaluation
11-10-2025 03:43 PM	Katelyn Vera	Hello, per our phone conversation I am rescheduling tomorrow's feeding evaluation to 11/18 at 12pm so Noah can recover. For the evaluation please bring a meal that he prefers with different textures. Out address is 1512 N Zaragoza ste C1, El Paso, TX 79936. Also since he was recently seen by a different provider we will need you to sign a change of provider document and we would need a discharge report from the previous provider. Do you happen to have this document?
11-11-2025 04:43 PM	Katelyn Vera	Hello, I just wanted to confirm if you received my message yesterday regarding the discharge report from the previous provider for feeding therapy.
11-11-2025 04:49 PM	Noah Gomez	Noah (Prim) Replied: Hello yes I'm sorry but yes we will be there
11-13-2025 12:15 PM	Noah Gomez	Noah (Prim) Replied: Hello is this the document that was needed
11-13-2025 12:17 PM	Noah Gomez	Noah (Prim) Replied:
11-13-2025 03:19 PM	Katelyn Vera	Hello, unfortunately I am not able to receive pictures or documents through our messaging app. Can you please send it to svelasquez@newbeginnings-elp.com at your earliest convenience
11-17-2025 12:21 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP with New Beginnings Pediatrics following up to schedule Noah for speech services. Would like to move forward with Mondays? If so, my availability for morning is: 8:30, 9:00, 9:30, 10:00, 11:00, 11:30. Afternoons: 1:00, 1:30, 2:00. I look forward to hearing from you!
11-17-2025 12:22 PM	Noah Gomez	Noah (Prim) Replied: Hello yes we can do Mondays at 11 am that works perfect
11-17-2025 12:23 PM	Rachael Haduck	Perfect, I will get him scheduled :)
11-17-2025 03:08 PM	Noah Gomez	Noah (Prim) Replied: Thank you
11-17-2025 05:40 PM	Katelyn Vera	Good Evening, just a reminder to bring the food items we discussed for the evaluation tomorrow. Please arrive 15 minutes before the appointment as there is some paperwork to fill out.
11-17-2025 05:49 PM	Noah Gomez	Noah (Prim) Replied: Hello yes we will see you tomorrow 😊
11-17-2025 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-17-2025 08:14 PM	Noah Gomez	Noah (Prim) Replied: Yes be there! Thank you
11-17-2025 08:14 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-18-2025 07:57 AM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-18-2025 08:37 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning yes see you soon
11-18-2025 11:45 AM	Katelyn Vera	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839219
11-18-2025 11:54 AM	Noah Gomez	Noah is CHECKED IN for: 12:00PM-11/18/2025 92610: Feeding Evaluation
11-23-2025 04:01 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 11-24-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:42 PM	Noah Gomez	Noah (Prim) Replied: Yes
11-23-2025 04:42 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-23-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-23-2025 06:55 PM	Noah Gomez	Noah (Prim) Replied: Hi yes see you tomorrow
11-23-2025 06:55 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-24-2025 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
11-24-2025 07:59 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning I have a question
11-24-2025 08:01 AM	Rachael Haduck	Good morning! What is your question?
11-24-2025 08:28 AM	Noah Gomez	Noah (Prim) Replied: Will I be able to go in with him I had totally forgot to ask. Since he does have separation anxiety and he's never been to a clinic for therapy
11-24-2025 08:48 AM	Rachael Haduck	Yes, parents are always welcomed to sit-in on sessions.
11-24-2025 08:54 AM	Noah Gomez	Noah (Prim) Replied: Ok great thank you see you soon
11-24-2025 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844283
11-24-2025 11:00 AM	Rachael Haduck	I am located in Building A, 1510 building A. it is located on the right side of the parking lot. When you pull in, there is a sign that reads 1510 Building A to your right. Turn right there.
11-24-2025 11:01 AM	Noah Gomez	Noah (Prim) Replied: Yes I'm here
11-30-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 12-01-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:08 PM	Noah Gomez	Noah (Prim) Replied: Yes
11-30-2025 04:08 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-30-2025 07:01 PM	Noah Gomez	Noah (Prim) Replied: 👍 to “ Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂 ”
11-30-2025 07:01 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-01-2025 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-01-2025 07:58 AM	Noah Gomez	Noah (Prim) Replied: Thanks!
12-01-2025 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844284
12-01-2025 11:01 AM	Noah Gomez	Noah is CHECKED IN for: 11:00AM-12/1/2025 92507: Speech & Language Visit
12-07-2025 08:26 AM	Rachael Haduck	Good morning! I hope you had a great weekend. I’m reaching out to let you know I will be taking a personal day tomorrow, so I will need to cancel our session. I’m sorry for the short notice and can offer you these days and times as a make-up: 1) Tuesday 12/9: 11:30am 2) Thursday 12/11: 11:00am Thank you for your understanding, and if you have any questions please do not hesitate to reach out. Kindest, Rachael, CCC-SLP
12-07-2025 08:58 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning no worries these days he already has other therapies. Well there make ups he's having. I'm sorry
12-07-2025 08:58 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 12-08-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-07-2025 06:33 PM	Rachael Haduck	Haduck, Rachael: Just a friendly reminder that I will be out of office tomorrow, 12/8 and will return 12/9. If you have any questions or concerns, please do not hesitate to message me.
12-07-2025 06:55 PM	Rachael Haduck	Let me know days and times that work for you this week so maybe we can get something scheduled :)
12-08-2025 11:20 AM	Rachael Haduck	Hello! Does early morning work for you? If so, I have an 8:00am and 8:30am availability tomorrow.
12-09-2025 10:28 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning Rachel
12-09-2025 10:28 AM	Noah Gomez	Noah (Prim) Replied: I'm sorry for the late response Noah has not been having it this week
12-09-2025 10:29 AM	Rachael Haduck	I'm sorry to hear he is having a rough week! Thank you for letting me know.
12-09-2025 10:32 AM	Noah Gomez	Noah (Prim) Replied: No no problem he hasn't been cooperating with his therapist he's not sleeping i just called to set up an appointment with his Dr and with the neurologist again 😞
12-14-2025 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 12-15-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:03 PM	Noah Gomez	Noah (Prim) Replied: Yes
12-14-2025 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-14-2025 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-15-2025 07:47 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-15-2025 09:31 AM	Noah Gomez	Noah (Prim) Replied: See you soon
12-15-2025 10:27 AM	Noah Gomez	Noah (Prim) Replied: We are here 😁
12-15-2025 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844286
12-15-2025 11:13 AM	Rachael Haduck	Housing: - city of el paso affordable housing https://www.elpasotexas.gov/community-and-human-development/neighborhood-development/housing-programs/ Funds: - autism speaks https://www.autismspeaks.org/autism-grants-families - autism society of texas https://www.texasautismsociety.org/autism-society-of-texas-el-paso/ Finances: - food banks - food halls
12-15-2025 11:15 AM	Rachael Haduck	- angel tree - habitat for humanity - salvation army
12-15-2025 11:18 AM	Rachael Haduck	- social services
12-16-2025 12:18 PM	Katelyn Vera	Good Morning, this is Katie from New Beginnings. We received the authorization to begin feeding therapy starting the week of 1/5/26. As we discussed in the evaluation I will schedule him for Tuesdays (starting 1/6/26) at 12:00pm. For that appointment, please bring in what he would typically eat for lunch. Please let me know if you have any questions :)
12-16-2025 12:19 PM	Noah Gomez	Noah (Prim) Replied: Hello good afternoon yes thank you so much for that I was actually going to call and ask the status today
12-16-2025 12:20 PM	Noah Gomez	Noah (Prim) Replied: And you would be his therapist?
12-16-2025 12:20 PM	Noah Gomez	Noah (Prim) Replied: Just asking so I can write it name on my calendar
12-16-2025 12:21 PM	Katelyn Vera	You're welcome! And yes, I will be seeing him for the feeding visits.
12-16-2025 12:21 PM	Noah Gomez	Noah (Prim) Replied: Ok thank you so much see you soon 😊
12-16-2025 12:22 PM	Noah Gomez	Noah (Prim) Replied: Hi good afternoon Rachel this is Ashley Noah's mother I was just letting you know for Friday we actually do have appointments for Friday so I won't be able to do that makeup
12-16-2025 12:23 PM	Rachael Haduck	No worries at all, thank you for letting me know!
12-16-2025 12:23 PM	Noah Gomez	Noah (Prim) Replied: I have appointments I had a well today tomorrow Thursday and Friday we are completely booked for the remainder of the week I only have Saturday and Sunday available but I know you don't work on those days and then for the following week I know I think you're going to be out so again we have appointment on Monday and then Tuesday and then the rest of the week well it's going to be I guess they're everyone's out on vacation so let me know what other options we have thank you have a great day
12-16-2025 12:24 PM	Noah Gomez	Noah (Prim) Replied: And I did reach out to those links that you sent me I emailed them well I called and then I emailed them because they were requiring some information so hopefully we will go from there I'm waiting for an answer and then see what happens thank you very much
12-16-2025 12:51 PM	Katelyn Vera	You're welcome! I will see you all on Tuesday January 6th for our first feeding therapy visit. Happy Holidays! :)
12-16-2025 02:28 PM	Noah Gomez	Noah (Prim) Replied: ❤️ to “ You're welcome! I will see you all on Tuesday January 6th for our first feeding therapy visit. Happy Holidays! :) ”
12-16-2025 02:28 PM	Noah Gomez	Noah (Prim) Replied: Thank you likewise
12-17-2025 09:49 AM	Rachael Haduck	Holiday Closure & Out-of-Office Notice Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
12-19-2025 11:00 AM	Noah Gomez	Noah (Prim) Replied: Hi good morning I'm just letting all of Noah's therapist we rushed him in to the hospital last night he was with fever of 105 he has flu A. They told us he would be like that a few days that flu A is hitting kids like covid 😔 he's been with very high fevers and vomiting. We are currently with his Dr RN for a follow up but he's burning in fever again
12-19-2025 11:00 AM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-19-2025 11:00 AM	Noah Gomez	Noah (Prim) Replied: I will keep everyone updated
12-19-2025 11:00 AM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-19-2025 05:30 PM	Rachael Haduck	Holiday Closure & Out-of-Office Notice* Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
12-19-2025 05:30 PM	Rachael Haduck	Holiday Closure & Out-of-Office Notice* Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. New Beginnings will be closed from December 24th through January 2nd in observance of the holiday season, however, I will be out of the office from December 22nd through January 2nd and will respond to messages upon my return. I wish you and your families a joyful and restful holiday season and look forward to welcoming you back in the new year! Kindest, Rachael, CCC-SLP
12-25-2025 07:50 PM	Rachael Haduck	Hello! Merry Christmas! I just saw your message regarding Noah and wanted to check in and see how he, and all of you are doing?
12-26-2025 02:35 PM	Noah Gomez	Noah (Prim) Replied: Hello merry Christmas thank you! Sorry Noah had a Drs appointment today they gave him some steroids for his cough. He still has a lot of cough but no fevers
12-26-2025 02:35 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Gomez, Noah has a Feeding Therapy appointment on 01-06-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Noah Gomez	Noah (Prim) Replied: Yes
01-04-2026 04:02 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 01-05-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:03 PM	Noah Gomez	Noah (Prim) Replied: Yes
01-04-2026 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 05:33 PM	Noah Gomez	Noah (Prim) Replied: Hello Rachel
01-04-2026 05:33 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 05:34 PM	Noah Gomez	Noah (Prim) Replied: Good afternoon
01-04-2026 05:34 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 05:35 PM	Noah Gomez	Noah (Prim) Replied: I wanted to let you know that Abby has been hospitalized since Friday and she just lmk that tomorrow she's going into surgery the blood clots have started to travel up her leg so she's going into surgery tomorrow morning
01-04-2026 05:35 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:12 PM	Rachael Haduck	I’m so sorry to hear that- praying for a safe and quick surgery! Please keep me updated🩷 I will get Noah’s session canceled.
01-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-04-2026 07:26 PM	Noah Gomez	Noah (Prim) Replied: Yes I will thank you so much I thought and prayed so much that I would start this year better 😭
01-04-2026 07:26 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 10:04 PM	Rachael Haduck	Rachael Haduck CANCELLED: 11:00AM-1/5/2026 92507: Speech & Language Visit
01-05-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 08:26 PM	Noah Gomez	Noah (Prim) Replied: Hello I'm so sorry for the late response but Abby other mom just had to get surgery today I've been in the hospital all day just got home but we won't be able to make it to therapy tomorrow
01-05-2026 08:26 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 08:40 PM	Katelyn Vera	Good Evening, thank you for letting me know. I will go ahead and cancel tomorrow’s appointment and we can make it up at a later time. I hope everything is okay!
01-05-2026 08:50 PM	Katelyn Vera	Katelyn Vera CANCELLED: 12:00PM-1/6/2026 92526: Feeding Visit
01-11-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Gomez, Noah has a Feeding Therapy appointment on 01-13-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 01-12-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:43 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844288
01-12-2026 11:10 AM	Rachael Haduck	Hello! Checking in to see if you are on your way?
01-12-2026 11:20 AM	Rachael Haduck	Rachael Haduck CANCELLED: 11:00AM-1/12/2026 92507: Speech & Language Visit
01-12-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 07:55 AM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 11:45 AM	Katelyn Vera	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858553
01-13-2026 12:11 PM	Katelyn Vera	Hello, I hope all is well. I am just reaching out to see if you were on your way for our feeding therapy appointment.
01-13-2026 12:22 PM	Katelyn Vera	Katelyn Vera CANCELLED: 12:00PM-1/13/2026 92526: Feeding Visit
01-18-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Gomez, Noah has a Feeding Therapy appointment on 01-20-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 01-19-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:41 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844289
01-19-2026 11:10 AM	Rachael Haduck	hello! Just checking in to see if you are on your way? :)
01-19-2026 11:17 AM	Rachael Haduck	Rachael Haduck CANCELLED: 11:00AM-1/19/2026 92507: Speech & Language Visit
01-19-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
01-20-2026 07:52 AM	Katelyn Vera	Hi, this is a just a reminder that Noah has a Feeding Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
01-20-2026 11:45 AM	Katelyn Vera	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858554
01-20-2026 12:07 PM	Katelyn Vera	Good Afternoon! I am just reaching out to see if you are on your way for our feeding session.
01-20-2026 12:22 PM	Katelyn Vera	Katelyn Vera CANCELLED: 12:00PM-1/20/2026 92526: Feeding Visit
01-25-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Gomez, Noah has a Feeding Therapy appointment on 01-27-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Gomez, Noah has a Speech Therapy appointment on 01-26-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:39 AM	Rachael Haduck	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 10:45 AM	Rachael Haduck	Noah Gomez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844290
01-26-2026 12:04 PM	Rachael Haduck	Rachael Haduck CANCELLED: 11:00AM-1/26/2026 92507: Speech & Language Visit