New Beginnings | NB1-Office

Patient Name: Naomi

Patient Information:

Patient ID: 9823

Patient First Name: Naomi

Patient Date of Birth: 03-06-2024

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Huma, Lodhi

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Escobedo, Berenice

FD - Feeding Therapy:

OT - Occupational Therapy: Hinton, Alexia

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23580	Active	03-16-2026	09-11-2026	El Paso First Health Plans	0	0	625	0
23661	Active	03-16-2026	09-11-2026	El Paso First Health Plans	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26042	01-15-2026	Speech Initial Evaluation	F80.2
Speech Background History: Naomi is a 1-year, 10-month old female who was seen at New Beginnings Pediatrics on January 15, 2026 from 2:30pm to 3:30pm for an initial speech and language evaluation. Naomi was accompanied by her mother who served as her primary informant regarding Naomi's medical history. Parents report there is a history of speech and language delays within the family, stating her song, Naomi's brother currently receives both speech and occupation therapy through New Beginnings Pediatrics. Naomi was referred due to parental and physician concerns with her receptive and expressive language skills. Currently, Naomi produces approximately 15-words (what's that, apple, mommy). She is reported to have an increase in language and imitation within recent months. There are no concerns with fluency, voice, or feeding at this time. Naomi primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: There is no significant medical history or chronic conditions. Naomi was born at 40 weeks’ gestation via vaginal delivery, weighing 6lbs, 12oz, with no reported complications or perinatal concerns. Naomi's vision and hearing are within normal limits (WNL), with no current concerns or impairments noted. There is no history of allergies. No other surgical procedures or hospitalizations are reported in her history.
Speech Medications: Naomi s not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Mild delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Follows verbal command with cues, Interactive, Makes requests, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor vocabulary, Problems with organization and relevance, Unable to answer questions, Unable to participate in a conversation, Unintelligible, Use of jargon, Word finding difficulties,
Speech Background Summary: Pragmatics refers to the social use of language, including the ability to engage in effective communication, understand social cues, and adjust language based on context and audience. In a speech-language assessment, evaluating pragmatics involves observing a child's ability to initiate and maintain conversations, take turns, interpret nonverbal cues, and use language appropriately in different social situations. Difficulties with pragmatics can manifest as challenges in social interactions, problem-solving, and understanding figurative language. Naomi demonstrates emerging pragmatic skills, showing appropriate eye contact and engagement during social interactions actively engaging in formal and informal social exchanges; however, exhibits fleeting attention to both verbal and nonverbal cues. She requires occasional verbal, gestural, and tactile prompts to respond to basic commands.
Speech Diagnosis/Impressions: Naomi is a 1-year, 10-month old female who is demonstrating a Moderate-Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Naomi's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Naomi receives services 1x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Naomi is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 1x/week for 6 months is recommended due to the Naomi's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Naomi is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Naomi will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Diagnosis/Impressions: Naomi is a 1-year, 10-month old female who is demonstrating a Moderate-Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Naomi's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Naomi receives services 1x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Naomi is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 1x/week for 6 months is recommended due to the Naomi's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Naomi is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Naomi will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

57995

Plan Date: 01-15-2026

Speech Assessment Summary: Naomi is a 1-year, 10-month old female who is demonstrating a Moderate-Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Naomi's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Naomi receives services 1x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Naomi is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 1x/week for 6 months is recommended due to the Naomi's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Naomi is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Naomi will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with skilled speech-language therapy is good; prognosis without therapy is guarded. Naomi presents with a moderate to severe receptive-expressive language delay, requiring ongoing intervention to improve her ability to comprehend and express language effectively across daily environments. He will be discharged from therapy when all goals are met and he achieves standard scores above 1.5 standard deviations for all targeted areas, indicating expressive and receptive language abilities within the mild or average range. Parents will be responsible for implementing Naomi's Home Management Intervention Program to support generalization of therapy targets. The evaluation was completed in English, and all treatment sessions will be conducted in English. It is recommended that Naomi receive speech language therapy no less than 1x/week for 30–45 minutes per session to maximize functional communication outcomes and ensure continued progress toward her rehabilitation 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	#1: By discharge, Naomi will improve her expressive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Receptive Language	#2: By discharge, Naomi will improve her receptive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Naomi will increase her ability to use 2-3 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving her functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Naomi will increase her ability to label a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Naomi will produce a variety of C-V combinations (CVC, CVCV, CVCVC) using age appropriate consonants with 30% accuracy across 3 consecutive sessions, improving her overall speech sound production skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Naomi will increase her ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving her receptive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.2: Within 3 months, Naomi will increase her ability to identify a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.

Speech and Language Soap Note/Visit:

ID	Soap Note

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4076	01-20-2026	Occupational Initial Evaluation	R62.50
Occupational Background History: Naomi is a 19 month old girl who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Both parents were present in order to serve as the primary informants throughout the evaluation. Per mother's report child was born full term. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does have history of aggression and self injurious behaviors. Parents report that Naomi will pull her hair out, hit herself, hit others, throw objects when upset. Parents report child becomes frustrated quickly and requires max A to self regulate.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications:
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With some prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Shy, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Postural Stability/Trunk Support, ROM, Tone,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Grasp, Manual Dexterity, Self-Control, Sensory Process/Mod, Social Interaction,
Occupational Background Summary: Naomi struggles with self regulation skills leading to adverse behaviors, also impacting daily routines and social interactions. During assessment child was observed with weak grasp patterns in BUE with spillage, impulsivity and very limited attention. Currently demonstrates limited tolerance to tabletop activities and structured play.
Occupational Diagnosis/Impressions: Naomi is a 1-year and 7-month-old (19-month-old) female who presents for this occupational therapy evaluation to determine her current functional abilities. Based on formal and informal assessment, caregiver report, and clinical observation, Naomi demonstrates significant developmental delays that adversely impact her functional participation in age-appropriate occupations. Standardized testing reveals substantial deficits in fine motor and visual-motor integration. On the Peabody Developmental Motor Scales, Second Edition (PDMS-2), Naomi achieved a standard score of 5 on the Grasping subtest, placing her at the 5th percentile and between -2.0 and -3.0 standard deviations below the mean for her age. This score corresponds to an age equivalency of 9 months, representing a significant 12-month delay. On the Visual-Motor Integration subtest, she also obtained a standard score of 5, which falls at the 5th percentile and -1.67 standard deviations below the mean, reflecting an age equivalency of 14 months and a 7-month delay. Both of these documented age-equivalency delays are greater than six months, and the standard scores fall well below the 50th percentile, confirming a quantifiable developmental lag. These objective deficits manifest functionally as pronounced difficulties with manual dexterity, bilateral coordination, and purposeful object manipulation required for play and self-care. Her grasp patterns are immature, and she struggles to engage in constructive play, such as stacking blocks or attempting to use a crayon, leading to observable frustration. Her play skills are qualitatively well below age expectations, characterized by primitive "dump and go" patterns and a lack of imitative or symbolic play, which limits her learning opportunities. Furthermore, significant challenges with sensory processing and self-regulation directly impede her attention and social participation. As reported by her parents and observed during the evaluation, Naomi is distractible, impulsive, and becomes quickly frustrated, resulting in maladaptive behaviors including aggression towards others, self-injurious actions such as hair pulling and hitting herself, and throwing objects. She requires maximal assistance from caregivers to regulate her emotional responses, which severely limits her independence and ability to engage in social interactions with peers. The combination of these fine motor, visual-motor, and sensory-regulatory deficits results in a significant functional impairment across all domains, creating a barrier to her ability to learn, play, and perform daily living skills safely and effectively. The comprehensive findings of this evaluation confirm the medical necessity for skilled occupational therapy services to address Naomi's significant, measurable deficits. Ongoing intervention is required to improve fine motor coordination, visual-motor integration, sensory processing, and self-regulation skills to reduce functional limitations and support age-appropriate independence in play, social participation, and self-care. Due to the severity of her delays, including a 12-month gap in grasping skills, and the presence of significant safety concerns related to aggressive and self-injurious behaviors, it is recommended that Naomi receive occupational therapy two (2) times per week. This intensive frequency is justified to provide consistent intervention aimed at mitigating safety risks, establishing effective self-regulation strategies, and remediating foundational motor deficits to prevent the developmental gap from widening and to foster the acquisition of critical life skills.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

5173

Plan Date: 01-20-2026

Occupational Assessment Summary: Naomi is a 1-year and 7-month-old (19-month-old) female who presents for this occupational therapy evaluation to determine her current functional abilities. Based on formal and informal assessment, caregiver report, and clinical observation, Naomi demonstrates significant developmental delays that adversely impact her functional participation in age-appropriate occupations. Standardized testing reveals substantial deficits in fine motor and visual-motor integration. On the Peabody Developmental Motor Scales, Second Edition (PDMS-2), Naomi achieved a standard score of 5 on the Grasping subtest, placing her at the 5th percentile and between -2.0 and -3.0 standard deviations below the mean for her age. This score corresponds to an age equivalency of 9 months, representing a significant 12-month delay. On the Visual-Motor Integration subtest, she also obtained a standard score of 5, which falls at the 5th percentile and -1.67 standard deviations below the mean, reflecting an age equivalency of 14 months and a 7-month delay. Both of these documented age-equivalency delays are greater than six months, and the standard scores fall well below the 50th percentile, confirming a quantifiable developmental lag. These objective deficits manifest functionally as pronounced difficulties with manual dexterity, bilateral coordination, and purposeful object manipulation required for play and self-care. Her grasp patterns are immature, and she struggles to engage in constructive play, such as stacking blocks or attempting to use a crayon, leading to observable frustration. Her play skills are qualitatively well below age expectations, characterized by primitive "dump and go" patterns and a lack of imitative or symbolic play, which limits her learning opportunities. Furthermore, significant challenges with sensory processing and self-regulation directly impede her attention and social participation. As reported by her parents and observed during the evaluation, Naomi is distractible, impulsive, and becomes quickly frustrated, resulting in maladaptive behaviors including aggression towards others, self-injurious actions such as hair pulling and hitting herself, and throwing objects. She requires maximal assistance from caregivers to regulate her emotional responses, which severely limits her independence and ability to engage in social interactions with peers. The combination of these fine motor, visual-motor, and sensory-regulatory deficits results in a significant functional impairment across all domains, creating a barrier to her ability to learn, play, and perform daily living skills safely and effectively. The comprehensive findings of this evaluation confirm the medical necessity for skilled occupational therapy services to address Naomi's significant, measurable deficits. Ongoing intervention is required to improve fine motor coordination, visual-motor integration, sensory processing, and self-regulation skills to reduce functional limitations and support age-appropriate independence in play, social participation, and self-care. Due to the severity of her delays, including a 12-month gap in grasping skills, and the presence of significant safety concerns related to aggressive and self-injurious behaviors, it is recommended that Naomi receive occupational therapy two (2) times per week. This intensive frequency is justified to provide consistent intervention aimed at mitigating safety risks, establishing effective self-regulation strategies, and remediating foundational motor deficits to prevent the developmental gap from widening and to foster the acquisition of critical life skills.

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Transition	Within 6 months, Naomi will be able to initiate 3/4 nonpreferred tasks with 3 or less verbal cues across 4/5 sessions in order to increase task independence. Currently requires Total A to initiate and terminate task
Sensory Issues/Self Regulation	Within 6 months, Naomi will reduce self-injurious behaviors (e.g., head banging, hitting self) by using calming sensory input,to remain safe during distress in 4 out of 5 observed opportunities with MOD A. Currently requires total A for self regulation (pulls out hair, hits self and others)
Attention	Within 6 months, Naomi will engage in a shared activity with therapist (e.g., toy play, book, movement activity) for 2 consecutive minutes with MOD A for modeling in 4 out of 5 opportunities. Currently demonstrates 5-10 second attention before fleeing
Sensory Issues/Self Regulation	Within 6 months, Naomi will engage in reciprocal play activity with atleast 1 peer with no aggressive behaviors present during the 10 minute activity with MOD A to redirect behaviors. Currently prefers to play alone with aggressive behaviors present

Occupational Short Term Goals:

Category	Goal Description
Transition	Within 3 months, Naomi will be able to initiate 2/3 nonpreferred tasks with 5 or less verbal cues across 3 sessions in order to increase task independence. Currently requires Total A to initiate and terminate task
Sensory Issues/Self Regulation	Within 3 months, Naomi will reduce self-injurious behaviors (e.g., head banging, hitting self) by using calming sensory input,to remain safe during distress in 3 out of 4 observed opportunities with MAX A. Currently requires total A for self regulation (pulls out hair, hits self and others)
Attention	Within 3 months, Naomi will engage in a shared activity with therapist (e.g., toy play, book, movement activity) for 1 minute with MOD A for modeling in 4 out of 5 opportunities. Currently demonstrates 5-10 second attention before fleeing
Sensory Issues/Self Regulation	Within 3 months, Naomi will engage in reciprocal play activity with atleast 1 peer with no aggressive behaviors present during the 5 minute activity with MOD A to redirect behaviors. Currently prefers to play alone with aggressive behaviors present

Occupational Therapy Soap Note/Visit:

Soap Note

147952

Note Date: 03-25-2026

Subjective: Patient completed all required tasks,

Assessment of Goals/Response to Treatment: Pt continues to require MAX A for initiation and termination of tasks, consistent w/ current LOF. During non-preferred FM activity, pt required 9 VC and PA to initiate, demonstrating decreased intrinsic motivation, impaired exec functioning, and limited task initiation skills, remaining below goal of =5 cues. Once engaged, pt required continuous cueing to sustain participation and complete activity. During structured block-stacking activity targeting bilateral integration, crossing midline, and eye-hand coordination, pt demo improved sustained attn, engaging for up to 20 sec in 2/5 trials w/ MAX VC and PA, compared to prior baseline of 5–10 sec. Despite improvement, pt required frequent redirection due to distractibility and decreased task persistence. Motor performance characterized by decreased coordination, inconsistent force grading, and need for PA to align and stabilize objects during stacking. Pt exhibited multiple episodes of dysregulation throughout session, including SIB (head hitting), increased agitation, and difficulty w/ transitions, particularly during presentation of non-preferred tasks. These episodes required immediate MAX VC and PA to ensure safety. Therapist implemented co-regulation strategies including deep pressure input and proprioceptive activities, resulting in partial de-escalation and return to task in 1/3 opportunities. Pt demonstrated limited ability to independently utilize learned coping strategies, requiring full therapist support for regulation. During psychosocial intervention, pt was provided opportunity for parallel play in proximity to peer. Pt required constant MAX A to inhibit aggressive impulses and maintain safe behaviors. Pt unable to engage in reciprocal interaction or shared attention, indicating deficits in social participation, impulse control, and emotional regulation. Pt demonstrates minimal but measurable progress in sustained attn; however, continues to present w/ significant deficits in self-regulation, safety awareness, impulse control, exec functioning, and social participation. Persistent SIB and aggressive bx, particularly during non-preferred tasks and transitions, significantly impact functional performance and safety. Pt remains highly dependent on MAX A for task initiation, regulation, and participation.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
872253	92523: Artic & Language Eval	01-15-2026 02:30 PM	01-15-2026 03:30 PM	Rachael Haduck	NB1 east side	Completed
872371	97167: OT Evaluation	01-20-2026 03:00 PM	01-20-2026 04:00 PM	Saul Tercero Jr.	NB1 east side	Completed
909121	OT-VIS: OT Visit	03-18-2026 04:00 PM	03-18-2026 05:00 PM	Alexia Hinton	NB1 east side	Completed
909572	OT-VIS: OT Visit	03-24-2026 04:00 PM	03-24-2026 05:00 PM	Alexia Hinton	NB1 east side	Completed
909632	OT-VIS: OT Visit	03-25-2026 10:00 AM	03-25-2026 11:00 AM	Alexia Hinton	NB1 east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913868	OT-VIS: OT Visit	03-30-2026 12:00 PM	03-30-2026 01:00 PM	Alexia Hinton	NB1 east side	Scheduled
914789	92507: Speech & Language Visit	03-31-2026 03:30 PM	03-31-2026 04:00 PM	Berenice Escobedo	NB1 east side	Scheduled
913721	OT-VIS: OT Visit	03-31-2026 04:00 PM	03-31-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913299	OT-VIS: OT Visit	04-01-2026 02:00 PM	04-01-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914790	92507: Speech & Language Visit	04-07-2026 03:00 PM	04-07-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909574	OT-VIS: OT Visit	04-07-2026 04:00 PM	04-07-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913300	OT-VIS: OT Visit	04-08-2026 02:00 PM	04-08-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914791	92507: Speech & Language Visit	04-14-2026 03:00 PM	04-14-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909575	OT-VIS: OT Visit	04-14-2026 04:00 PM	04-14-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913301	OT-VIS: OT Visit	04-15-2026 02:00 PM	04-15-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914792	92507: Speech & Language Visit	04-21-2026 03:00 PM	04-21-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909576	OT-VIS: OT Visit	04-21-2026 04:00 PM	04-21-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913302	OT-VIS: OT Visit	04-22-2026 02:00 PM	04-22-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914793	92507: Speech & Language Visit	04-28-2026 03:00 PM	04-28-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909577	OT-VIS: OT Visit	04-28-2026 04:00 PM	04-28-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913303	OT-VIS: OT Visit	04-29-2026 02:00 PM	04-29-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914794	92507: Speech & Language Visit	05-05-2026 03:00 PM	05-05-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909578	OT-VIS: OT Visit	05-05-2026 04:00 PM	05-05-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913304	OT-VIS: OT Visit	05-06-2026 02:00 PM	05-06-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914795	92507: Speech & Language Visit	05-12-2026 03:00 PM	05-12-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909579	OT-VIS: OT Visit	05-12-2026 04:00 PM	05-12-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913305	OT-VIS: OT Visit	05-13-2026 02:00 PM	05-13-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914796	92507: Speech & Language Visit	05-19-2026 03:00 PM	05-19-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909580	OT-VIS: OT Visit	05-19-2026 04:00 PM	05-19-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913306	OT-VIS: OT Visit	05-20-2026 02:00 PM	05-20-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914797	92507: Speech & Language Visit	05-26-2026 03:00 PM	05-26-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909581	OT-VIS: OT Visit	05-26-2026 04:00 PM	05-26-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913307	OT-VIS: OT Visit	05-27-2026 02:00 PM	05-27-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914798	92507: Speech & Language Visit	06-02-2026 03:00 PM	06-02-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909582	OT-VIS: OT Visit	06-02-2026 04:00 PM	06-02-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913308	OT-VIS: OT Visit	06-03-2026 02:00 PM	06-03-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914799	92507: Speech & Language Visit	06-09-2026 03:00 PM	06-09-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909583	OT-VIS: OT Visit	06-09-2026 04:00 PM	06-09-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913309	OT-VIS: OT Visit	06-10-2026 02:00 PM	06-10-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914800	92507: Speech & Language Visit	06-16-2026 03:00 PM	06-16-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909584	OT-VIS: OT Visit	06-16-2026 04:00 PM	06-16-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913310	OT-VIS: OT Visit	06-17-2026 02:00 PM	06-17-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914801	92507: Speech & Language Visit	06-23-2026 03:00 PM	06-23-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909585	OT-VIS: OT Visit	06-23-2026 04:00 PM	06-23-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913311	OT-VIS: OT Visit	06-24-2026 02:00 PM	06-24-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914802	92507: Speech & Language Visit	06-30-2026 03:00 PM	06-30-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909586	OT-VIS: OT Visit	06-30-2026 04:00 PM	06-30-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913312	OT-VIS: OT Visit	07-01-2026 02:00 PM	07-01-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914803	92507: Speech & Language Visit	07-07-2026 03:00 PM	07-07-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909587	OT-VIS: OT Visit	07-07-2026 04:00 PM	07-07-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913313	OT-VIS: OT Visit	07-08-2026 02:00 PM	07-08-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914804	92507: Speech & Language Visit	07-14-2026 03:00 PM	07-14-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909588	OT-VIS: OT Visit	07-14-2026 04:00 PM	07-14-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913314	OT-VIS: OT Visit	07-15-2026 02:00 PM	07-15-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914805	92507: Speech & Language Visit	07-21-2026 03:00 PM	07-21-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909589	OT-VIS: OT Visit	07-21-2026 04:00 PM	07-21-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913315	OT-VIS: OT Visit	07-22-2026 02:00 PM	07-22-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914806	92507: Speech & Language Visit	07-28-2026 03:00 PM	07-28-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909590	OT-VIS: OT Visit	07-28-2026 04:00 PM	07-28-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913316	OT-VIS: OT Visit	07-29-2026 02:00 PM	07-29-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914807	92507: Speech & Language Visit	08-04-2026 03:00 PM	08-04-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909591	OT-VIS: OT Visit	08-04-2026 04:00 PM	08-04-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913317	OT-VIS: OT Visit	08-05-2026 02:00 PM	08-05-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914808	92507: Speech & Language Visit	08-11-2026 03:00 PM	08-11-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909592	OT-VIS: OT Visit	08-11-2026 04:00 PM	08-11-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913318	OT-VIS: OT Visit	08-12-2026 02:00 PM	08-12-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914809	92507: Speech & Language Visit	08-18-2026 03:00 PM	08-18-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909593	OT-VIS: OT Visit	08-18-2026 04:00 PM	08-18-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913319	OT-VIS: OT Visit	08-19-2026 02:00 PM	08-19-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914810	92507: Speech & Language Visit	08-25-2026 03:00 PM	08-25-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909594	OT-VIS: OT Visit	08-25-2026 04:00 PM	08-25-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913320	OT-VIS: OT Visit	08-26-2026 02:00 PM	08-26-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914811	92507: Speech & Language Visit	09-01-2026 03:00 PM	09-01-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909595	OT-VIS: OT Visit	09-01-2026 04:00 PM	09-01-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913321	OT-VIS: OT Visit	09-02-2026 02:00 PM	09-02-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled
914812	92507: Speech & Language Visit	09-08-2026 03:00 PM	09-08-2026 03:30 PM	Berenice Escobedo	NB1 east side	Scheduled
909596	OT-VIS: OT Visit	09-08-2026 04:00 PM	09-08-2026 05:00 PM	Alexia Hinton	NB1 east side	Scheduled
913322	OT-VIS: OT Visit	09-09-2026 02:00 PM	09-09-2026 03:00 PM	Alexia Hinton	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-26-2026	Shekinah Velasquez	OT auth approved starting 03/16/2026 - 09/11/2026 1x/ week = 26 visits. Therapist notified
03-17-2026	Julie Mora	OT auth approval, Ref# 0000768138, 03/16/26 to 09/11/26, 2x/week = 208 units, therapist has been notified.
03-12-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval
03-12-2026	Shekinah Velasquez	OT auth request submitted to EPH. Pending approval
02-11-2026	Avery Fontenot	Called office regarding missing THSTEPS they said they would fax it over to us. Pending.
01-22-2026	Avery Fontenot	Faxed ST paperwork to PCP and requested THSTEPS. Pending.
01-22-2026	Avery Fontenot	Called office to make sure they received paperwork and they said they are working on it right now.
01-21-2026	Avery Fontenot	Faxed OT paperwork and requested THSTEPS to PCP. Pending.
11-24-2025	Julie Mora	Spoke to parent about our ST availability of 9-1. Parent will call back by the end of the day after speaking with dad.

Paient Messages Admin:

Date	Posted By	Message
10-30-2025 04:11 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2353
11-03-2025 10:05 AM	Shekinah Velasquez	Naomi has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9823&type=1&wid=345
11-03-2025 10:05 AM	Shekinah Velasquez	Naomi has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9823&type=3&wid=346
11-13-2025 12:45 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
11-19-2025 12:06 PM	Julie Mora	Hello, this is Julie from New Beginnings. I am going over Naomi's registration and noticed we are pending ST and OT referrals. Could you please request a referral for both Speech Therapy (ST) and Occupational Therapy (OT), including the appropriate diagnosis codes, from your primary care provider (PCP) at your earliest convenience? This will allow us to complete the registration process and prevent any delays when it is time to release your name from our waiting list. Please email the referrals to jmora@newbeginnings-elp.com. If you have any questions you can contact us at 915-855-0601. Thank you
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!
12-23-2025 02:04 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
01-07-2026 10:34 AM	Julie Mora	Good morning, I hope this message finds you well in the New Year. We are currently preparing to release some patients from our Speech Therapy waiting list, and before doing so, we would like to inform you of our available treatment times. At this time, we do not have any after-school appointments available. However, we do have daytime availability between 9:00 a.m. and 1:00 p.m. Please note that we are unable to guarantee a specific treatment time at this moment, as scheduling will be finalized once insurance approvals are received. If these times work for you, please message us to confirm your interest, and we will send you a scheduling link to arrange an initial evaluation. Thank you, and we look forward to hearing from you. Kind regards, New Beginnings Front Office
01-08-2026 03:37 PM	Avery Fontenot	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9823
01-20-2026 12:09 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! 💙
01-21-2026 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!
02-03-2026 03:51 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 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 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=9823
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
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=9823
03-11-2026 05:39 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/
03-17-2026 09:22 AM	Shekinah Velasquez	Hi, Naomi as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Berenice https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9823&tid=131
03-17-2026 09:22 AM	Shekinah Velasquez	Hi, Naomi as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Alexia https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9823&tid=133

Paient Messages Therapist:

Date	Posted By	Message
01-12-2026 04:39 PM	Rachael Haduck	Dear Family of Naomi Corona, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Naomi for her speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get her scheduled. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
01-12-2026 04:45 PM	Naomi Corona	Naomi (Prim) Replied: Hi good afternoon, our son has speech & OT all week. Would we be able to schedule around his appointments so we don't have to go back & forth ? 🙏🏼
01-12-2026 04:50 PM	Rachael Haduck	Can you tell me his therapy days and times? I'll check my availability and see if I can make that work :)
01-12-2026 05:16 PM	Naomi Corona	Naomi (Prim) Replied: 01/13 - OT @ 3pm & speech @ 4pm 01/14 - OT @ 2pm & speech @ 3pm 01/15- speech @ 3:30 & OT @ 4pm 01/16- OT @ 4pm
01-12-2026 05:19 PM	Rachael Haduck	is this a consistent schedule for next week as well?
01-12-2026 05:22 PM	Naomi Corona	Naomi (Prim) Replied: No his usual days are tuesdays and Thursday's same times
01-12-2026 05:22 PM	Rachael Haduck	If so I can offer you Tuesday, 1/30 from 3:00-4:00pm, however, I am in a separate building from where you currently receive services.
01-12-2026 05:25 PM	Naomi Corona	Naomi (Prim) Replied: We can actually do something in the morning too , we would've just preferred something with our son's schedule but if it can't be done no biggie! 🤗😇
01-12-2026 05:27 PM	Rachael Haduck	are you able to come in for his evaluation on 1/30 at 3:00pm? Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed? This information helps me select the most appropriate testing materials, and gives me a general understanding of frequency per-week. :)
01-12-2026 05:29 PM	Rachael Haduck	her* apologies, I was thinking of your son when typing!
01-12-2026 05:39 PM	Naomi Corona	Naomi (Prim) Replied: We actually would appreciate if we could get her seen this week as dad is in town & he wouldn't be in town that week😩
01-13-2026 08:37 AM	Rachael Haduck	I understand. The best I can offer you to closely accommodate your current session times this week is Thursday, 1/15 from 2:30-3:30pm. I would need at least one parent present for the duration of the evaluation :)
01-13-2026 08:47 AM	Naomi Corona	Naomi (Prim) Replied: That works for us!
01-13-2026 09:12 AM	Rachael Haduck	perfect, I will get her scheduled! To note, I am located in a seperate building from all the other SLPs. I am located in 1510 Zaragoza Building A. When you first pull into the parking lot, I am located to the right with a large sign that reads "1510 Zaragoza Building A."
01-13-2026 09:21 AM	Naomi Corona	Naomi (Prim) Replied: Got it we'll see you soon 🙏🏼
01-13-2026 09:21 AM	Naomi Corona	Naomi (Prim) Replied: Thank you
01-13-2026 01:09 PM	Saul Tercero Jr.	Good afternoon, this is Saul Tercero the occupational therapist from New Beginnings. I wanted to reach out to set up the evaluation for Naomi for next week. I know Aidan comes with Lexi on Tuesday 1/20 at 3pm and I do have a slot open at that same time next week. Would that work for you all as well?
01-13-2026 03:08 PM	Naomi Corona	Naomi (Prim) Replied: Hi good afternoon! Would there be any availability this week by any chance? If not , then yes we will definitely take the slot! 😇
01-13-2026 04:07 PM	Saul Tercero Jr.	Unfortunately, not this week were all booked up, but I can offer more slots for next week if that one doesn't work for you all if needed.
01-13-2026 04:37 PM	Naomi Corona	Naomi (Prim) Replied: No that's fine that day works!😇
01-14-2026 09:33 AM	Saul Tercero Jr.	Sounds great, see you all next week Thank you
01-14-2026 03:07 PM	Rachael Haduck	Hello! I wanted to reach out ahead of the evaluation to learn more about your primary concerns for Naomi. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed? This information helps me select the most appropriate testing materials. :)
01-14-2026 03:09 PM	Naomi Corona	Naomi (Prim) Replied: Language ,Articulation & social skills would be our concerns 🙏🏼
01-14-2026 03:16 PM	Rachael Haduck	thank you :)
01-14-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Naomi has a Speech Evaluation appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
01-15-2026 08:03 AM	Rachael Haduck	Hi, this is a just a reminder that Naomi has a Speech Evaluation appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
01-15-2026 02:15 PM	Rachael Haduck	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=872253
01-15-2026 02:29 PM	Naomi Corona	Naomi is CHECKED IN for: 2:30PM-1/15/2026 92523: Artic & Language Eval
01-19-2026 01:42 PM	Rachael Haduck	hi! I'm about to submit Naomi's eval but need to confirm how you want her scheduled- 2x/week for 30-45min or 1x/week for 45-60min
01-19-2026 06:30 PM	Saul Tercero Jr.	Hi, this is a just a reminder that Naomi has a Occupational Evaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-19-2026 06:48 PM	Rachael Haduck	hi! I need to submit Naomi's eval and need to confirm how you want her scheduled- 2x/week for 30-45min or 1x/week for 45-60min?
01-19-2026 07:15 PM	Naomi Corona	Naomi (Prim) Replied: Hi so sorry I didn't see the message! By any chance would we be able to get back to you before tomorrow's over? We are actually going to see grandma & grandpa tomorrow in the morning to talk over the kids schedule in person
01-19-2026 07:29 PM	Rachael Haduck	That’s okay. Would you be able to tell me before 10:00am tomorrow?
01-19-2026 09:28 PM	Naomi Corona	Naomi (Prim) Replied: Yes ma'am!
01-19-2026 09:28 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.
01-20-2026 08:03 AM	Saul Tercero Jr.	Hi, this is a just a reminder that Naomi has a Occupational Evaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-20-2026 09:29 AM	Naomi Corona	Naomi (Prim) Replied: Hi good morning we would like to start her off with once a week for now until grandma gets better from her knee surgery 🙏🏼
01-20-2026 09:30 AM	Rachael Haduck	perfect, 30-45 or 45-60 minutes?
01-20-2026 09:31 AM	Naomi Corona	Naomi (Prim) Replied: 30-45 please
01-20-2026 09:32 AM	Rachael Haduck	will do :)
01-20-2026 02:45 PM	Saul Tercero Jr.	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=872371
02-01-2026 10:06 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP
02-02-2026 12:56 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP 02-01-2026 02:11 PM Office Location Change
03-17-2026 09:47 AM	Alexia Hinton	Good morning, it's Lexi. I just received authorization to start treating Naomi as of yesterday. :) will she be able to start this week or until next week?
03-17-2026 09:51 AM	Naomi Corona	Naomi (Prim) Replied: Good morning This week works!
03-17-2026 09:54 AM	Alexia Hinton	For the is week I have tomorrow at 9am or 4pm And Thursday at 9am
03-17-2026 10:02 AM	Naomi Corona	Naomi (Prim) Replied: Would those times be for this week only?
03-17-2026 10:09 AM	Alexia Hinton	Yes. Then starting next week I’ll work in her permanent time slots based on what works for you guys :)
03-17-2026 10:24 AM	Alexia Hinton	So starting next week on Tuesdays I can put her at 4pm because she’ll have speech at 3pm. And it’ll be perfect when I get Aiden back because I’ll be swapping with their speech times. You won’t make a lot of trips. Then for her second visit on Wednesdays I can put her for 2pm then Aiden at 3pm ?
03-17-2026 10:25 AM	Alexia Hinton	Or I can try to switch with another parent and put her 3pm Wednesdays and Aiden at 4pm ?
03-17-2026 11:23 AM	Berenice Escobedo	Good afternoon. We have authorization for Naomi starting this week. I have 3:00 tomorrow, only for this week. Does that work ?
03-17-2026 04:28 PM	Naomi Corona	Naomi (Prim) Replied: We can do tomorrow at 4 pm😇
03-17-2026 04:37 PM	Alexia Hinton	Yes ma'am. Thank you so much :))
03-17-2026 04:59 PM	Naomi Corona	Naomi (Prim) Replied: Question, Would she be going in once a week?
03-17-2026 04:59 PM	Alexia Hinton	For OT she is 2x a week
03-17-2026 05:02 PM	Alexia Hinton	I can schedule her same days as Aiden. Which will be Tuesdays Naomi at 4pm ( Aiden 3pm) Wednesdays Naomi at 3pm ( Aiden 4pm)
03-17-2026 06:30 PM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:17 AM	Berenice Escobedo	Good morning. It didn’t let me schedule her but the office will take care of that in a bit, that is why you didn’t get the reminder today. I will see her at 3:00
03-18-2026 08:03 AM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 11:44 AM	Berenice Escobedo	Good morning. I am going to apologize, but it was an error. We only received OT authorization not Speech. It should arrive soon, so I won't be able to see her today.
03-18-2026 11:51 AM	Naomi Corona	Naomi (Prim) Replied: Oh no! That's okay thank you for letting us know
03-18-2026 03:45 PM	Alexia Hinton	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909121
03-18-2026 03:59 PM	Naomi Corona	Naomi is CHECKED IN for: 4:00PM-3/18/2026 OT-VIS: OT Visit
03-18-2026 06:28 PM	Naomi Corona	Naomi (Prim) Replied: Hey Mrs Lexi Aiden's not feeling too well so we'll be taking him to the doctor tomorrow so we won't be able to make it for Naomi's appointment! 🥲
03-18-2026 06:30 PM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:17 PM	Alexia Hinton	Thank you for letting me know. For that visit can I reschedule it to next week ? Monday at 12pm ?
03-18-2026 07:50 PM	Naomi Corona	Naomi (Prim) Replied: Yes that works!
03-18-2026 07:50 PM	Alexia Hinton	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.
03-22-2026 04:02 PM	Alexia Hinton	Hi, this is a just a reminder that Corona, Naomi has a Occupational Therapy appointment on 03-23-2026 at 12:00 PM, and on 03-24-2026 at 4:00 PM, and on 03-25-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
03-22-2026 09:13 PM	Naomi Corona	Naomi (Prim) Replied: Hey Mrs Lexi! Aiden had the flu and isn't feeling too well yet Are we able to move the make up appointment to another date please ? 🙏🏼
03-22-2026 09:13 PM	Alexia Hinton	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.
03-22-2026 09:15 PM	Alexia Hinton	Yes of course will Thursday at 12 be good ?
03-22-2026 09:21 PM	Naomi Corona	Naomi (Prim) Replied: Yes that works! Thank you🙏🏼🙏🏼
03-22-2026 09:21 PM	Alexia Hinton	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.
03-23-2026 06:31 PM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:06 AM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 09:19 AM	Alexia Hinton	Good morning :)). Is it ok if I move Naomi appointment up to 1pm today ? If not its ok :))
03-24-2026 09:44 AM	Naomi Corona	Naomi (Prim) Replied: Hi good morning I asked Granpa & he said he wouldn't be able to take us at that time 😩
03-24-2026 09:45 AM	Alexia Hinton	Not a problem ☺️☺️☺️ I will see you guys at 4pm.
03-24-2026 03:45 PM	Alexia Hinton	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909572
03-24-2026 04:09 PM	Naomi Corona	Naomi (Prim) Replied: If you need me to stay in there with her it's okay I can go in lol
03-24-2026 04:13 PM	Alexia Hinton	Lol it’s ok don’t worry. This is one of her goals so it’s perfect for me to target. She calmed down a little with the fishes
03-24-2026 05:23 PM	Naomi Corona	Naomi (Prim) Replied: For tomorrow 10 am works!
03-24-2026 06:30 PM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:56 AM	Alexia Hinton	Hi, this is a just a reminder that Naomi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 09:45 AM	Alexia Hinton	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909632
03-25-2026 10:03 AM	Naomi Corona	Naomi is CHECKED IN for: 10:00AM-3/25/2026 OT-VIS: OT Visit
03-25-2026 10:58 AM	Alexia Hinton	HIII real quick is it ok if I move Naomi appointment to next week instead ? I have 12pm Monday or Thursday ?
03-25-2026 10:59 AM	Naomi Corona	Naomi (Prim) Replied: Yes we can do Monday!
03-25-2026 11:04 AM	Alexia Hinton	Awesome thank you :))
03-26-2026 12:44 PM	Berenice Escobedo	Hi good afternoon. I received authorization for Naomi. I have openings for tomorrow morning or mid-day if if works for you. 9:00 and 1:30 tomorrow. I will put her on my schedule for Tuesday.
03-26-2026 02:56 PM	Naomi Corona	Naomi (Prim) Replied: Hi would we be able to move Aiden's appointment to Monday ?
03-26-2026 03:07 PM	Naomi Corona	Naomi (Prim) Replied: If not it's okay we can still make it today at 4 😇
03-26-2026 03:16 PM	Berenice Escobedo	Hi, I am sorry I don't have any available slots on Monday. I will be out next week Wed. and Thurs. my daughter is having surgery
03-26-2026 03:17 PM	Naomi Corona	Naomi (Prim) Replied: Oh yes I remember it's okay we can still make it today 😇
03-26-2026 03:17 PM	Naomi Corona	Naomi (Prim) Replied: Well do 9 am for Naomi tomorrow 😇
03-26-2026 06:30 PM	Berenice Escobedo	Hi, this is a just a reminder that Naomi has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 07:37 AM	Berenice Escobedo	Hi, this is a just a reminder that Naomi has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 08:45 AM	Berenice Escobedo	Naomi Corona : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=914600
03-27-2026 09:08 AM	Berenice Escobedo	She is playing no crying. Here is a little picture for some peace of mind.
03-27-2026 09:09 AM	Berenice Escobedo	https://st-pros.com/newbeginnings/documents/03272026090924-IMG_5584.jpeg
03-27-2026 12:09 PM	Berenice Escobedo	HI, for next week, I will be scheduling Naomi at 3:30 instead of 3:00. I need to squeeze in a patient at 3;00 this next week.