New Beginnings | NB1-Office

Patient Name: Ava

Patient Information:

Patient ID: 9828

Patient First Name: Ava

Patient Date of Birth: 07-05-2020

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Crystal, Martinez

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barlow, Lauryn

FD - Feeding Therapy:

OT - Occupational Therapy: Valdivia, Daniel

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23434	Active	02-23-2026	08-21-2026	Superior Health Plan	52	0	0	0
23438	Active	02-23-2026	08-21-2026	Superior Health Plan	0	0	625	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26242	01-13-2026	Speech Initial Evaluation	F80.2
Speech Background History: Ava is a 5 year, 6 month old child with a history of a full-term pregnancy and no reported prenatal, perinatal, or postnatal complications. Developmental milestones for gross motor skills were reportedly achieved early, as Ava walked and crawled at an early age. Ava’s mother reported concerns regarding Ava’s communication skills beginning at an early age, specifically related to delayed language development. Ava is currently homeschooled and receives one-on-one services through the public school system. Mother reported concerns related to Ava’s previous school placement and stated she no longer felt comfortable returning Ava to that setting. Mother expressed ongoing concerns regarding Ava’s social communication skills, noting that Ava frequently prefers to play independently, demonstrates limited use of functional and meaningful words, and often produces scripted or repetitive speech rather than spontaneous language. These communication difficulties impact Ava’s ability to effectively express wants and needs, engage in age-appropriate interactions, and participate in daily routines. Ava has been diagnosed with Autism Spectrum Disorder and Speech Impairment through the school district. Mother’s primary concerns include Ava’s limited functional communication, reduced spontaneous language, and decreased engagement in meaningful verbal interactions across environments
Speech Medical History:
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Follows verbal command with cues,
Speech Communication Weaknesses: Delayed echolalia, Difficult to understand, Diminished vocabulary,
Speech Background Summary:
Speech Diagnosis/Impressions: Ava is a 5 year, 6 month old child who presents with a severe receptive and expressive language disorder as evidenced by significantly below age-level performance on standardized assessment measures, clinical observation, and caregiver report. Ava’s language abilities demonstrate a substantial deviation from expected developmental norms for a child of her chronological age. Ava exhibits limited comprehension of spoken language without the use of visual or verbal cues, minimal spontaneous and functional expressive language, and impaired social communication skills, including reduced joint attention and initiation of interaction. These deficits significantly restrict Ava’s ability to effectively communicate basic wants and needs, follow daily routines, participate in learning activities, and engage in age-appropriate social interactions across environments. The severity of Ava’s communication impairment results in frequent communication breakdowns, which reportedly lead to significant frustration and unsafe behaviors when she is unable to express herself effectively. These functional and safety concerns underscore the necessity for skilled intervention. Without direct, ongoing speech-language therapy provided by a licensed speech-language pathologist, Ava is at high risk for continued communication failure, increased maladaptive behaviors, and limited progress toward functional independence. Based on the severity, persistence, and functional impact of Ava’s receptive and expressive language deficits, skilled speech-language therapy is medically necessary to address impairments that cannot be adequately managed through caregiver support.
Speech Diagnosis/Impressions: Ava is a 5 year, 6 month old child who presents with a severe receptive and expressive language disorder as evidenced by significantly below age-level performance on standardized assessment measures, clinical observation, and caregiver report. Ava’s language abilities demonstrate a substantial deviation from expected developmental norms for a child of her chronological age. Ava exhibits limited comprehension of spoken language without the use of visual or verbal cues, minimal spontaneous and functional expressive language, and impaired social communication skills, including reduced joint attention and initiation of interaction. These deficits significantly restrict Ava’s ability to effectively communicate basic wants and needs, follow daily routines, participate in learning activities, and engage in age-appropriate social interactions across environments. The severity of Ava’s communication impairment results in frequent communication breakdowns, which reportedly lead to significant frustration and unsafe behaviors when she is unable to express herself effectively. These functional and safety concerns underscore the necessity for skilled intervention. Without direct, ongoing speech-language therapy provided by a licensed speech-language pathologist, Ava is at high risk for continued communication failure, increased maladaptive behaviors, and limited progress toward functional independence. Based on the severity, persistence, and functional impact of Ava’s receptive and expressive language deficits, skilled speech-language therapy is medically necessary to address impairments that cannot be adequately managed through caregiver support.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58380

Plan Date: 01-13-2026

Speech Assessment Summary: Ava is a 5 year, 6 month old child who presents with a severe receptive and expressive language disorder as evidenced by significantly below age-level performance on standardized assessment measures, clinical observation, and caregiver report. Ava’s language abilities demonstrate a substantial deviation from expected developmental norms for a child of her chronological age. Ava exhibits limited comprehension of spoken language without the use of visual or verbal cues, minimal spontaneous and functional expressive language, and impaired social communication skills, including reduced joint attention and initiation of interaction. These deficits significantly restrict Ava’s ability to effectively communicate basic wants and needs, follow daily routines, participate in learning activities, and engage in age-appropriate social interactions across environments. The severity of Ava’s communication impairment results in frequent communication breakdowns, which reportedly lead to significant frustration and unsafe behaviors when she is unable to express herself effectively. These functional and safety concerns underscore the necessity for skilled intervention. Without direct, ongoing speech-language therapy provided by a licensed speech-language pathologist, Ava is at high risk for continued communication failure, increased maladaptive behaviors, and limited progress toward functional independence. Based on the severity, persistence, and functional impact of Ava’s receptive and expressive language deficits, skilled speech-language therapy is medically necessary to address impairments that cannot be adequately managed through caregiver support.

Speech Rehabilitation Potential: Good. Prognosis for improvement is good. Ava demonstrates emerging communication skills and has strong caregiver support, which are positive indicators for progress. With consistent, skilled speech-language therapy and carryover of strategies across environments, Ava is expected to make measurable gains in functional communication and participation in daily routines

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	Ava will improve receptive and expressive language skills to increase functional communication, social engagement, and participation in daily routines across environments, as evidenced by achieving targeted short-term goals with at least 80% accuracy across three consecutive therapy sessions.
Expressive Language	Ava will increase her ability to communicate wants, needs, and ideas using developmentally appropriate verbal and nonverbal communication in 4 out of 5 opportunities with minimal cues across structured and unstructured activities to reduce frustration and support safety.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, Ava will follow familiar one-step directions without visual or verbal cues in structured and unstructured activities with 80% accuracy across three consecutive therapy sessions to improve receptive language and participation in daily routines
Play/Socialization	In 6 months Ava will appropriately engage and turn take with therapist/play partner with 60% accuracy with minimal to no cueing, across 3 consecutive sessions to assist with pragmatic language and engagement with familiar and unfamiliar people.
Receptive Language	In 6 months time Ava will identify/label common objects and/or match common object to picture with 60% accuracy and minimal cues, across 3 consecutive sessions to assist with expressive language skills.
Expressive Language	In 6 months Ava will independently use total communication methods (i.e. vocalizations/ASL/gestures) imitate/produce modeled first words, environmental, animal, and exclamatory sounds with 60% accuracy across 3 consecutive sessions
Expressive Language	In 6 months, Ava will imitate/produce 1-2 word utterances via total communication (gestures, signs, verbal expression, AAC, etc.,) during activity with 60% accuracy, with minimal to no cues across 3 consecutive sessions to assist with requesting wants/needs
Play/Socialization	In 6 months Ava will appropriately transition between activities/toys/locations with 60% accuracy with minimal cueing across 3 consecutive sessions to minimize tantrums and increase joint attention to tasks.

Speech and Language Soap Note/Visit:

Soap Note

491253

Note Date: 03-24-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: 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. - N/A Within 6 months, Ava will follow familiar one-step directions without visual or verbal cues in structured and unstructured activities with 80% accuracy across three consecutive therapy sessions to improve receptive language and participation in daily routines. - Ava followed familiar one-step directions with moderate visual, verbal, gestural cues, and hand-on-hand assistance in structured and unstructured activities with 40% accuracy. In 6 months time Ava will identify/label common objects and/or match common object to picture with 60% accuracy and minimal cues, across 3 consecutive sessions to assist with expressive language skills. - Ava identified/labeled common objects and matched common objects (colored dino toys) to pictures (colors) with 40% accuracy and moderate-maximum multimodal cues and hand-over-hand assistance. In 6 months, Ava will imitate/produce 1-2 word utterances via total communication (gestures, signs, verbal expression, AAC, etc.,) during activity with 60% accuracy, with minimal to no cues across 3 consecutive sessions to assist with requesting wants/needs. - Ava imitated/produced 1-2 word utterances via total communication (gestures, signs, verbal expression, AAC, etc.,) during activity with 20% accuracy, with maximum multimodal cues and hand-over-hand assistance. In 6 months Ava will appropriately transition between activities/toys/locations with 60% accuracy with minimal cueing across 3 consecutive sessions to minimize tantrums and increase joint attention to tasks. - Ava appropriately transitioned between activities/toys/locations with 30% accuracy with moderate-maximum multimodal cueing and hand-over-hand assistance.

Plans: Continue with current Plan of Care,Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4183	02-04-2026	Occupational Initial Evaluation	F84.0
Occupational Background History: Ava is a 5.6 year old girl who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. (Parent), was present in order to serve as the primary informant throughout the evaluation. Per (parent's) report child was born at 40 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Poor, Reliability of Scores: Questionable, Awarencess of Environmental Events: Rarely, Social Interactions: Withdrawn, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths:
Occupational Communication Weaknesses: Self-Esteem, Endurance, ADL's, Attention to Task, Cooperative, Problem Solving, Self-Control, Sensory Process/Mod, Social Interaction, Visual Motor Skills,
Occupational Background Summary: Child demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 20 seconds before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection.
Occupational Diagnosis/Impressions: Diagnosis/Impressions Ava is a 5-year, 7-month-old female who presents with significant global developmental delays impacting her functional participation across all areas of occupation, including activities of daily living, school-related tasks, social participation, and play. Formal, standardized assessment utilizing the Peabody Developmental Motor Scales, Second Edition (PDMS-2) reveals severe deficits in motor skills. Performance on the Grasping and Visual-Motor Integration subtests yielded standard scores of 3, which is more than -2.0 standard deviations below the mean and places the patient in the 1st percentile. These scores are well below the 50th percentile and correspond to age equivalencies of 20-26 months and 21 months, respectively, indicating a profound developmental delay of approximately 41 to 46 months. The reliability of these scores is considered questionable due to significant distractibility and difficulty with cooperation observed during the evaluation; however, the results are consistent with clinical observations of functional performance. These severe fine motor and visual-motor deficits directly and pervasively impede Ava's ability to participate independently in age-appropriate activities. Functionally, she is unable to perform essential self-care tasks, requiring assistance with handwashing, self-feeding with utensils, and managing clothing fasteners for dressing and toileting. These self-care skills reflect a delay of at least 19-31 months. Her inability to hold a crayon with a functional grasp, copy simple shapes, or cut with scissors prevents meaningful participation in typical kindergarten readiness activities, impacting her ability to engage in the educational curriculum. Her dependence on caregivers for these fundamental routines compromises the development of motor planning, coordination, and functional independence. Compounding these motor deficits are significant challenges in sensory processing and emotional regulation. Based on caregiver report and clinical observation, Ava presents with a sensory-seeking profile, characterized by a constant need for movement, crashing into objects, and seeking intense proprioceptive input. This is coupled with poor self-regulation, manifesting as frequent emotional outbursts, significant difficulty transitioning between activities, and an inability to calm independently following overstimulation. These underlying sensory and regulatory challenges severely impact her attending skills, which were observed to be highly distractible, and impair her ability to engage in cooperative play. She demonstrates a preference for solitary play, poor initiation of peer interactions, and difficulty with sharing, reflecting play and social skills that are significantly more than six months below her chronological age and which limit her ability to form friendships and participate in cooperative learning environments. The combination of severe, quantifiable fine and visual-motor delays, significant sensory dysregulation, and profound functional deficits in self-care, play, and social participation renders the patient unable to function at an age-appropriate level. The pervasiveness and severity of these deficits establish a clear medical necessity for skilled Occupational Therapy intervention to reduce these deficits, improve safety, and support functional independence. Therefore, ongoing Occupational Therapy is medically necessary and recommended at a frequency of two (2) sessions per week. This intensive frequency is justified by the profound severity of the patient's delays, with standardized scores falling more than -2.0 standard deviations below the mean and age-equivalent deficits exceeding 40 months. The patient's functional impairments cross all domains of occupation, creating safety concerns related to poor environmental awareness and sensory-seeking behaviors, and requiring significant adult assistance for basic self-care and participation. Without intensive, skilled intervention, the significant gap between her functional abilities and those of her peers is expected to widen, leading to further functional limitations and limiting her potential for future independence in home, school, and community environments.

Occupational Therapy Plan of Care:

Plan of Care

5280

Plan Date: 02-04-2026

Occupational Assessment Summary: Diagnosis/Impressions Ava is a 5-year, 7-month-old female who presents with significant global developmental delays impacting her functional participation across all areas of occupation, including activities of daily living, school-related tasks, social participation, and play. Formal, standardized assessment utilizing the Peabody Developmental Motor Scales, Second Edition (PDMS-2) reveals severe deficits in motor skills. Performance on the Grasping and Visual-Motor Integration subtests yielded standard scores of 3, which is more than -2.0 standard deviations below the mean and places the patient in the 1st percentile. These scores are well below the 50th percentile and correspond to age equivalencies of 20-26 months and 21 months, respectively, indicating a profound developmental delay of approximately 41 to 46 months. The reliability of these scores is considered questionable due to significant distractibility and difficulty with cooperation observed during the evaluation; however, the results are consistent with clinical observations of functional performance. These severe fine motor and visual-motor deficits directly and pervasively impede Ava's ability to participate independently in age-appropriate activities. Functionally, she is unable to perform essential self-care tasks, requiring assistance with handwashing, self-feeding with utensils, and managing clothing fasteners for dressing and toileting. These self-care skills reflect a delay of at least 19-31 months. Her inability to hold a crayon with a functional grasp, copy simple shapes, or cut with scissors prevents meaningful participation in typical kindergarten readiness activities, impacting her ability to engage in the educational curriculum. Her dependence on caregivers for these fundamental routines compromises the development of motor planning, coordination, and functional independence. Compounding these motor deficits are significant challenges in sensory processing and emotional regulation. Based on caregiver report and clinical observation, Ava presents with a sensory-seeking profile, characterized by a constant need for movement, crashing into objects, and seeking intense proprioceptive input. This is coupled with poor self-regulation, manifesting as frequent emotional outbursts, significant difficulty transitioning between activities, and an inability to calm independently following overstimulation. These underlying sensory and regulatory challenges severely impact her attending skills, which were observed to be highly distractible, and impair her ability to engage in cooperative play. She demonstrates a preference for solitary play, poor initiation of peer interactions, and difficulty with sharing, reflecting play and social skills that are significantly more than six months below her chronological age and which limit her ability to form friendships and participate in cooperative learning environments. The combination of severe, quantifiable fine and visual-motor delays, significant sensory dysregulation, and profound functional deficits in self-care, play, and social participation renders the patient unable to function at an age-appropriate level. The pervasiveness and severity of these deficits establish a clear medical necessity for skilled Occupational Therapy intervention to reduce these deficits, improve safety, and support functional independence. Therefore, ongoing Occupational Therapy is medically necessary and recommended at a frequency of two (2) sessions per week. This intensive frequency is justified by the profound severity of the patient's delays, with standardized scores falling more than -2.0 standard deviations below the mean and age-equivalent deficits exceeding 40 months. The patient's functional impairments cross all domains of occupation, creating safety concerns related to poor environmental awareness and sensory-seeking behaviors, and requiring significant adult assistance for basic self-care and participation. Without intensive, skilled intervention, the significant gap between her functional abilities and those of her peers is expected to widen, leading to further functional limitations and limiting her potential for future independence in home, school, and community environments.

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

Occupational Treatment Plan: Diagnosis/Impressions Ava is a 5-year, 7-month-old female who presents with significant global developmental delays impacting her functional participation across all areas of occupation, including activities of daily living, school-related tasks, social participation, and play. Formal, standardized assessment utilizing the Peabody Developmental Motor Scales, Second Edition (PDMS-2) reveals severe deficits in motor skills. Performance on the Grasping and Visual-Motor Integration subtests yielded standard scores of 3, which is more than -2.0 standard deviations below the mean and places the patient in the 1st percentile. These scores are well below the 50th percentile and correspond to age equivalencies of 20-26 months and 21 months, respectively, indicating a profound developmental delay of approximately 41 to 46 months. The reliability of these scores is considered questionable due to significant distractibility and difficulty with cooperation observed during the evaluation; however, the results are consistent with clinical observations of functional performance. These severe fine motor and visual-motor deficits directly and pervasively impede Ava's ability to participate independently in age-appropriate activities. Functionally, she is unable to perform essential self-care tasks, requiring assistance with handwashing, self-feeding with utensils, and managing clothing fasteners for dressing and toileting. These self-care skills reflect a delay of at least 19-31 months. Her inability to hold a crayon with a functional grasp, copy simple shapes, or cut with scissors prevents meaningful participation in typical kindergarten readiness activities, impacting her ability to engage in the educational curriculum. Her dependence on caregivers for these fundamental routines compromises the development of motor planning, coordination, and functional independence. Compounding these motor deficits are significant challenges in sensory processing and emotional regulation. Based on caregiver report and clinical observation, Ava presents with a sensory-seeking profile, characterized by a constant need for movement, crashing into objects, and seeking intense proprioceptive input. This is coupled with poor self-regulation, manifesting as frequent emotional outbursts, significant difficulty transitioning between activities, and an inability to calm independently following overstimulation. These underlying sensory and regulatory challenges severely impact her attending skills, which were observed to be highly distractible, and impair her ability to engage in cooperative play. She demonstrates a preference for solitary play, poor initiation of peer interactions, and difficulty with sharing, reflecting play and social skills that are significantly more than six months below her chronological age and which limit her ability to form friendships and participate in cooperative learning environments. The combination of severe, quantifiable fine and visual-motor delays, significant sensory dysregulation, and profound functional deficits in self-care, play, and social participation renders the patient unable to function at an age-appropriate level. The pervasiveness and severity of these deficits establish a clear medical necessity for skilled Occupational Therapy intervention to reduce these deficits, improve safety, and support functional independence. Therefore, ongoing Occupational Therapy is medically necessary and recommended at a frequency of two (2) sessions per week. This intensive frequency is justified by the profound severity of the patient's delays, with standardized scores falling more than -2.0 standard deviations below the mean and age-equivalent deficits exceeding 40 months. The patient's functional impairments cross all domains of occupation, creating safety concerns related to poor environmental awareness and sensory-seeking behaviors, and requiring significant adult assistance for basic self-care and participation. Without intensive, skilled intervention, the significant gap between her functional abilities and those of her peers is expected to widen, leading to further functional limitations and limiting her potential for future independence in home, school, and community environments.

Occupational Long Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	Within 6 months, through use of sensorimotor play, Ava will initiate play with another person for 5 consecutive turns for 4 consecutive sessions to increase social interaction skills. Currently Ava is not participating in play with others which negatively impact ability for imitation and learning.
Sensory Issues/Self Regulation	Within 6 months, Ava will engage in therapist led activities designed to provide proprioceptive input 75% of the time for calming and neurologically organizing. Currently Ava is requiring mod support for proprioceptive input.
Self Care	Within 6 months, Ava will independently complete the handwashing routine for at least 20 seconds in the correct sequence with no more than 3 verbal or visual prompts in 4 out of 5 opportunities, to improve self-care independence. Currently Ava is requiring max assistance to complete handwashing routine.
Sensory Integration	Within 6 months, Ava will engage in activity with various tactile media for 3 minute with minimal aversion provided visual demonstration to decrease hypersensitivity. Currently Ava will request her hand be wiped or washed after handling wet, grainy, or mushy textures.

Occupational Short Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	Within 3 months, through use of sensorimotor play, Ava will initiate play with another person for 3 consecutive turns with moderate support for 4 consecutive sessions to increase social interaction skills. Currently Ava is not participating in play with others which negatively impact ability for imitation and learning.
Sensory Issues/Self Regulation	Within 3 months, Ava will engage in therapist led activities designed to provide proprioceptive input 50% of the time for calming and neurologically organizing. Currently Ava is requiring mod support for proprioceptive input.
Self Care	Within 3 months, Ava will independently complete the handwashing routine for at least 20 seconds in the correct sequence with moderate assistance in 3 out of 5 opportunities, to improve self-care independence. Currently Ava is requiring max assistance to complete handwashing routine.
Sensory Integration	Within 3 months, Ava will engage in activity with various tactile media for 1 minute with minimal aversion provided visual demonstration to decrease hypersensitivity. Currently Ava will request her hand be wiped or washed after handling wet, grainy, or mushy textures.

Occupational Therapy Soap Note/Visit:

Soap Note

147480

Note Date: 03-19-2026

Subjective: Patient completed all required tasks,Patient was alert and cooperative,Patient was alert and oriented,Patient was eager to participate,Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Ava presented to the session alert, oriented, and c a cooperative and eager demeanor, actively participating in all therapeutic activities. Skilled OT services were provided to address psychosocial skills, sensory processing, cognitive integration, and ADL performance through structured, play-based interventions. Social reciprocity was addressed through parallel play alongside 1 peer in both the therapy gym and therapy room. Ava demo'ed appropriate engagement in both environments, indicating progress in foundational skills needed for future turn-taking and cooperative play. When signs of frustration emerged, Ava demo’ed positive coping strategies by accepting deep pressure input and utilizing the crash pad for proprioceptive input, effectively returning to a regulated state. Ava demo’ed only 1 instance of head hitting during the session when frustrated/dysregulated, indicating improved self-regulation compared to prior sessions. Sensory processing skills also showed improvement, as she engaged in a tactile activity (shaving cream) for >1 minute without signs of aversion or dysregulation. FM and VM integration were targeted through a pegboard activity, during which Ava sustained attention to the task but req. HOHA to manipulate pegs. In addressing ADLs, Ava completed a handwashing task for ~20 seconds req. mod verbal cues and HOHA to ensure proper sequencing and thoroughness, indicating emerging participation in self-care routines. Overall, Ava demos measurable progress in sensory regulation, social participation, and emerging ADL skills. She continues to benefit from skilled OT services to further develop I c self-care tasks, improve consistency c regulation, and advance social engagement skills.

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
868621	92523: Artic & Language Eval	01-13-2026 02:00 PM	01-13-2026 03:00 PM	Stephanie Escobar	NB1 east side	Completed
883269	97167: OT Evaluation	02-04-2026 11:00 AM	02-04-2026 12:00 PM	Claudia Applewhite	NB1 east side	Completed
895740	92507: Speech & Language Visit	02-23-2026 09:30 AM	02-23-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
895741	92507: Speech & Language Visit	02-25-2026 09:30 AM	02-25-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
896929	NB001: Supervision	02-25-2026 09:30 AM	02-25-2026 10:00 AM	Stephanie Escobar	NB2 far east side	Completed
897431	OT-VIS: OT Visit	02-26-2026 09:00 AM	02-26-2026 10:00 AM	Daniel Valdivia	NB1 east side	Completed
896727	92507: Speech & Language Visit	03-02-2026 09:30 AM	03-02-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
896728	92507: Speech & Language Visit	03-03-2026 09:30 AM	03-03-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
897743	OT-VIS: OT Visit	03-03-2026 10:00 AM	03-03-2026 11:00 AM	Daniel Valdivia	NB1 east side	Completed
897432	OT-VIS: OT Visit	03-05-2026 09:00 AM	03-05-2026 10:00 AM	Daniel Valdivia	NB1 east side	Completed
896729	92507: Speech & Language Visit	03-10-2026 09:30 AM	03-10-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
897744	OT-VIS: OT Visit	03-10-2026 10:00 AM	03-10-2026 11:00 AM	Daniel Valdivia	NB1 east side	Completed
905815	NB001: Supervision	03-11-2026 09:30 AM	03-11-2026 10:00 AM	Stephanie Escobar	NB2 far east side	Completed
896731	92507: Speech & Language Visit	03-11-2026 09:30 AM	03-11-2026 10:00 AM	Lauryn Barlow	NB1 east side	Completed
897433	OT-VIS: OT Visit	03-12-2026 09:00 AM	03-12-2026 10:00 AM	Daniel Valdivia	NB1 east side	Completed
897434	OT-VIS: OT Visit	03-19-2026 09:00 AM	03-19-2026 10:00 AM	Daniel Valdivia	NB1 east side	Completed
902668	92507: Speech & Language Visit	03-19-2026 10:00 AM	03-19-2026 10:30 AM	Lauryn Barlow	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
902633	92507: Speech & Language Visit	03-17-2026 09:30 AM	03-17-2026 10:00 AM	Lauryn Barlow	NB1 east side	Canceled
897514	OT-VIS: OT Visit	03-24-2026 09:00 AM	03-24-2026 10:00 AM	Daniel Valdivia	NB1 east side	Canceled
902634	92507: Speech & Language Visit	03-24-2026 10:00 AM	03-24-2026 10:30 AM	Lauryn Barlow	NB1 east side	Canceled
897435	OT-VIS: OT Visit	03-26-2026 09:00 AM	03-26-2026 10:00 AM	Daniel Valdivia	NB1 east side	Canceled
902669	92507: Speech & Language Visit	03-26-2026 10:00 AM	03-26-2026 10:30 AM	Lauryn Barlow	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
897515	OT-VIS: OT Visit	03-31-2026 09:00 AM	03-31-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902635	92507: Speech & Language Visit	03-31-2026 10:00 AM	03-31-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897436	OT-VIS: OT Visit	04-02-2026 09:00 AM	04-02-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902670	92507: Speech & Language Visit	04-02-2026 10:00 AM	04-02-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897516	OT-VIS: OT Visit	04-07-2026 09:00 AM	04-07-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902636	92507: Speech & Language Visit	04-07-2026 10:00 AM	04-07-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897437	OT-VIS: OT Visit	04-09-2026 09:00 AM	04-09-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902671	92507: Speech & Language Visit	04-09-2026 10:00 AM	04-09-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897517	OT-VIS: OT Visit	04-14-2026 09:00 AM	04-14-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902637	92507: Speech & Language Visit	04-14-2026 10:00 AM	04-14-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897438	OT-VIS: OT Visit	04-16-2026 09:00 AM	04-16-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902672	92507: Speech & Language Visit	04-16-2026 10:00 AM	04-16-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897518	OT-VIS: OT Visit	04-21-2026 09:00 AM	04-21-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902638	92507: Speech & Language Visit	04-21-2026 10:00 AM	04-21-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897439	OT-VIS: OT Visit	04-23-2026 09:00 AM	04-23-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902673	92507: Speech & Language Visit	04-23-2026 10:00 AM	04-23-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897519	OT-VIS: OT Visit	04-28-2026 09:00 AM	04-28-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902639	92507: Speech & Language Visit	04-28-2026 10:00 AM	04-28-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897440	OT-VIS: OT Visit	04-30-2026 09:00 AM	04-30-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902674	92507: Speech & Language Visit	04-30-2026 10:00 AM	04-30-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897520	OT-VIS: OT Visit	05-05-2026 09:00 AM	05-05-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902640	92507: Speech & Language Visit	05-05-2026 10:00 AM	05-05-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897441	OT-VIS: OT Visit	05-07-2026 09:00 AM	05-07-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902675	92507: Speech & Language Visit	05-07-2026 10:00 AM	05-07-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897521	OT-VIS: OT Visit	05-12-2026 09:00 AM	05-12-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902641	92507: Speech & Language Visit	05-12-2026 10:00 AM	05-12-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897442	OT-VIS: OT Visit	05-14-2026 09:00 AM	05-14-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902676	92507: Speech & Language Visit	05-14-2026 10:00 AM	05-14-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897522	OT-VIS: OT Visit	05-19-2026 09:00 AM	05-19-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902642	92507: Speech & Language Visit	05-19-2026 10:00 AM	05-19-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897443	OT-VIS: OT Visit	05-21-2026 09:00 AM	05-21-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902677	92507: Speech & Language Visit	05-21-2026 10:00 AM	05-21-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897523	OT-VIS: OT Visit	05-26-2026 09:00 AM	05-26-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902643	92507: Speech & Language Visit	05-26-2026 10:00 AM	05-26-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897444	OT-VIS: OT Visit	05-28-2026 09:00 AM	05-28-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902678	92507: Speech & Language Visit	05-28-2026 10:00 AM	05-28-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897524	OT-VIS: OT Visit	06-02-2026 09:00 AM	06-02-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902644	92507: Speech & Language Visit	06-02-2026 10:00 AM	06-02-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897445	OT-VIS: OT Visit	06-04-2026 09:00 AM	06-04-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902679	92507: Speech & Language Visit	06-04-2026 10:00 AM	06-04-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897525	OT-VIS: OT Visit	06-09-2026 09:00 AM	06-09-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902645	92507: Speech & Language Visit	06-09-2026 10:00 AM	06-09-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897446	OT-VIS: OT Visit	06-11-2026 09:00 AM	06-11-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902680	92507: Speech & Language Visit	06-11-2026 10:00 AM	06-11-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897526	OT-VIS: OT Visit	06-16-2026 09:00 AM	06-16-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902646	92507: Speech & Language Visit	06-16-2026 10:00 AM	06-16-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897447	OT-VIS: OT Visit	06-18-2026 09:00 AM	06-18-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902681	92507: Speech & Language Visit	06-18-2026 10:00 AM	06-18-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897527	OT-VIS: OT Visit	06-23-2026 09:00 AM	06-23-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902647	92507: Speech & Language Visit	06-23-2026 10:00 AM	06-23-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897448	OT-VIS: OT Visit	06-25-2026 09:00 AM	06-25-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902682	92507: Speech & Language Visit	06-25-2026 10:00 AM	06-25-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897528	OT-VIS: OT Visit	06-30-2026 09:00 AM	06-30-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902648	92507: Speech & Language Visit	06-30-2026 10:00 AM	06-30-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897449	OT-VIS: OT Visit	07-02-2026 09:00 AM	07-02-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902683	92507: Speech & Language Visit	07-02-2026 10:00 AM	07-02-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897529	OT-VIS: OT Visit	07-07-2026 09:00 AM	07-07-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902649	92507: Speech & Language Visit	07-07-2026 10:00 AM	07-07-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897450	OT-VIS: OT Visit	07-09-2026 09:00 AM	07-09-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902684	92507: Speech & Language Visit	07-09-2026 10:00 AM	07-09-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897530	OT-VIS: OT Visit	07-14-2026 09:00 AM	07-14-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902650	92507: Speech & Language Visit	07-14-2026 10:00 AM	07-14-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897451	OT-VIS: OT Visit	07-16-2026 09:00 AM	07-16-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902685	92507: Speech & Language Visit	07-16-2026 10:00 AM	07-16-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897531	OT-VIS: OT Visit	07-21-2026 09:00 AM	07-21-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902651	92507: Speech & Language Visit	07-21-2026 10:00 AM	07-21-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897452	OT-VIS: OT Visit	07-23-2026 09:00 AM	07-23-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902686	92507: Speech & Language Visit	07-23-2026 10:00 AM	07-23-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897532	OT-VIS: OT Visit	07-28-2026 09:00 AM	07-28-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902652	92507: Speech & Language Visit	07-28-2026 10:00 AM	07-28-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897453	OT-VIS: OT Visit	07-30-2026 09:00 AM	07-30-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902687	92507: Speech & Language Visit	07-30-2026 10:00 AM	07-30-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897533	OT-VIS: OT Visit	08-04-2026 09:00 AM	08-04-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902653	92507: Speech & Language Visit	08-04-2026 10:00 AM	08-04-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897454	OT-VIS: OT Visit	08-06-2026 09:00 AM	08-06-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902688	92507: Speech & Language Visit	08-06-2026 10:00 AM	08-06-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897534	OT-VIS: OT Visit	08-11-2026 09:00 AM	08-11-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902654	92507: Speech & Language Visit	08-11-2026 10:00 AM	08-11-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897455	OT-VIS: OT Visit	08-13-2026 09:00 AM	08-13-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902689	92507: Speech & Language Visit	08-13-2026 10:00 AM	08-13-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897535	OT-VIS: OT Visit	08-18-2026 09:00 AM	08-18-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902655	92507: Speech & Language Visit	08-18-2026 10:00 AM	08-18-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled
897456	OT-VIS: OT Visit	08-20-2026 09:00 AM	08-20-2026 10:00 AM	Daniel Valdivia	NB1 east side	Scheduled
902690	92507: Speech & Language Visit	08-20-2026 10:00 AM	08-20-2026 10:30 AM	Lauryn Barlow	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-23-2026	Shekinah Velasquez	OT auth starting 02/23/2026 - 08/21/2026 2x/ week = 52 visits (208 units). Therapist pending.
02-20-2026	Shekinah Velasquez	ST auth approved starting 02/23/2026 - 08/21/2026 2x/ week = 52 visits. Therapist assigned and notified
02-19-2026	Julie Mora	Parent, Amanda Fisher, called to update her contact phone number to (347) 849-9235.
02-16-2026	Shekinah Velasquez	OT auth request submitted to SHP via fax. Pending approval
02-16-2026	Shekinah Velasquez	ST auth request submitted to SHP via fax. Pending approval.
02-11-2026	Avery Fontenot	Wrong PCP was input to patients profile. Refaxed to correct PCP.
02-09-2026	Shekinah Velasquez	OT IE paperwork sent to PCP via fax. Pending signatures

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-26-2026	92507	Barlow, Lauryn	The parent updated the therapist 15 hours before the scheduled appointment.
03-26-2026	OT-VIS	Valdivia, Daniel
03-24-2026	92507	Barlow, Lauryn	The parent notified the therapist that they would not make it to the appointment 12 hours before scheduled time.
03-24-2026	OT-VIS	Valdivia, Daniel
03-24-2026	OT-VIS	Valdivia, Daniel
03-17-2026	92507	Barlow, Lauryn

Paient Messages Admin:

Date	Posted By	Message
11-05-2025 10:45 AM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2371
11-05-2025 11:03 AM	Shekinah Velasquez	Ava 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=9828&type=1&wid=350
11-05-2025 11:04 AM	Shekinah Velasquez	Ava 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=9828&type=3&wid=351
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
11-25-2025 02:51 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 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
01-07-2026 06:54 PM	Ava Billy	Hello yes I am interested.
01-08-2026 09:13 AM	Julie Mora	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=9828
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! 💙
01-29-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9828
01-30-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9828
01-31-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9828
02-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9828
02-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9828
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 05:27 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=9828
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/
02-20-2026 02:13 PM	Shekinah Velasquez	Hi, Ava as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Lauryn https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9828&tid=144
02-23-2026 03:56 PM	Shekinah Velasquez	Hi, Ava as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Daniel https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9828&tid=140
03-09-2026 07:23 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=9828
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-08-2026 09:28 AM	Stephanie Escobar	Hi, my name is Stephanie, 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=9828&tid=125
01-08-2026 09:28 AM	Ava Billy	Ava SCHEDULED: 2:00PM-1/13/2026 92523: Speech Evaluation
01-12-2026 06:30 PM	Stephanie Escobar	Hi, this is a just a reminder that Ava has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
01-12-2026 07:00 PM	Ava Billy	Ava (Prim) Replied: Thank you.
01-13-2026 08:05 AM	Stephanie Escobar	Hi, this is a just a reminder that Ava has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 08:06 AM	Ava Billy	Ava (Prim) Replied: Yes we will be there. Thank you.
01-13-2026 01:45 PM	Stephanie Escobar	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868621
01-13-2026 01:59 PM	Ava Billy	Ava is CHECKED IN for: 2:00PM-1/13/2026 92523: Artic & Language Eval
01-28-2026 02:15 PM	Claudia Applewhite	Good afternoon, my name is Claudia Applewhite, I am an occupational therapist here at New Beginnings. I have received a referral for OT evaluation for Ava and I wanted to schedule that with you. I have an available appointment next Wed, 2/4, at 3 pm. Does this work for you?
01-28-2026 02:42 PM	Ava Billy	Ava (Prim) Replied: Hello sorry I won't be able to make that appointment. If you have any morning appointments that would be best, my kids dismissal from school between 3:00pm - 3:30pn
01-28-2026 02:51 PM	Claudia Applewhite	Okay. How about Wednesday, 2/4, at 11?
01-28-2026 03:45 PM	Ava Billy	Ava (Prim) Replied: That works for me.
02-02-2026 09:21 AM	Claudia Applewhite	Great. We will see you on Wednesday, 2/4 @ 11. Our building is B-1.
02-03-2026 06:30 PM	Claudia Applewhite	Hi, this is a just a reminder that Ava has a Occupational Evaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-03-2026 06:31 PM	Ava Billy	Ava (Prim) Replied: We will be there. Thank you .
02-04-2026 08:01 AM	Claudia Applewhite	Hi, this is a just a reminder that Ava has a Occupational Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-04-2026 10:45 AM	Claudia Applewhite	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883269
02-04-2026 10:49 AM	Ava Billy	Ava is CHECKED IN for: 11:00AM-2/4/2026 97167: OT Evaluation
02-20-2026 03:27 PM	Lauryn Barlow	Good morning, my name is Lauryn, and I will be the Speech Language Pathologist Assistant working with Ava. We just received authorization from insurance to begin services. Ava was approved for the frequency of 2x a week starting the week of 02/23/26. I would like to go ahead and get her scheduled in for her set times every week. I heard you would like times during the middle of the day. These are the days and times that I have available: Monday 8am-4pm, Tuesday & Thursday 1:30pm-4pm, and Wednesday 8am-6pm. Please let me know which of these times works best for you. Thank you and I look forward to meeting you both!
02-20-2026 05:04 PM	Ava Billy	Ava (Prim) Replied: Can we do Monday and Wednesday at 9:30am?
02-20-2026 09:09 PM	Lauryn Barlow	Yes! Let's do it! I will see you two on Monday at 9:30am then! Address: 1510 N Zaragoza B1-4.
02-21-2026 07:17 AM	Ava Billy	Ava (Prim) Replied: Liked “Yes! Let's do it! I will see you two on Monday at 9:30am then! Address: 1510 N Zaragoza B1-4.”
02-22-2026 04:03 PM	Lauryn Barlow	Hi, this is a just a reminder that Billy, Ava has a Speech Therapy appointment on 02-23-2026 at 9:30 AM, and on 02-25-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 05:46 PM	Ava Billy	Ava (Prim) Replied: Yes
02-22-2026 05:46 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-23-2026 08:00 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-23-2026 09:15 AM	Lauryn Barlow	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=895740
02-23-2026 09:24 AM	Ava Billy	Ava is CHECKED IN for: 9:30AM-2/23/2026 92507: Speech & Language Visit
02-23-2026 04:01 PM	Daniel Valdivia	Good afternoon, this is Daniel Valdivia, a Certified Occupational Therapy Assistant at New Beginnings. I will be seeing Ava for her OT sessions and was hoping we can connect to schedule appointments for her. I will attach the days and times I currently have open, please let me know if any of these work so we can try to get her scheduled ASAP. Thank you! Monday: 11, 12, 1 Tuesday: 9, 10, 11, 12, 1 Wednesday: 8, 12, 1 Thursday: 9, 12
02-23-2026 10:33 PM	Ava Billy	Ava (Prim) Replied: She has speech on Mondays and Wednesdays at 9:30am at the same location. If we can get her in before or after with not too long wait in between, that would be really helpful because she also gets speech and ot from the district on Thursdays. If that is not possible, I'll take Tues & Thurs 9am...
02-23-2026 10:33 PM	Daniel Valdivia	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-24-2026 07:30 AM	Daniel Valdivia	So I unfortunately don’t have anything open before or after her speech appointments. But if Tuesday and Thursday at 9 work for you I can schedule her for those days and times if you’d like
02-24-2026 07:32 AM	Ava Billy	Ava (Prim) Replied: That is fine. Thank you.
02-24-2026 07:52 AM	Daniel Valdivia	Perfect! I can start seeing her today if you’d like but if it is too last minute we can start Thursday
02-24-2026 07:54 AM	Ava Billy	Ava (Prim) Replied: It'll be better for us to start Thursday. What building is it in?
02-24-2026 07:55 AM	Daniel Valdivia	Ok sounds good. It is in the same building as her speech
02-24-2026 08:01 AM	Ava Billy	Ava (Prim) Replied: Ok. Thanks, see you then.
02-24-2026 12:22 PM	Daniel Valdivia	Hi, I noticed that Ava is scheduled for speech the next two Tuesdays at 9:30. Would you like to move those OT appointments to 10:00 AM, right after speech, so she can continue receiving both services that week and not fall behind? This will only affect the Tuesday appointments for the next two weeks. After that it will be Tuesdays at 9. Please let me know if that works and if there are any questions :)
02-24-2026 12:23 PM	Ava Billy	Ava (Prim) Replied: That works fine. Thank you.
02-24-2026 12:25 PM	Daniel Valdivia	Perfect! I will move her next two Tuesday appointments to 10 AM, we will start the 9 AMs on Tuesdays on March 17th. I look forward to meeting you both on Thursday!
02-24-2026 12:36 PM	Ava Billy	Ava (Prim) Replied: Liked “Perfect! I will move her next two Tuesday appointments to 10 AM, we will start the 9 AMs on Tuesdays on March 17th. I look forward to meeting you both on Thursday!”
02-24-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-25-2026 08:00 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-25-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 08:03 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 08:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897431
02-26-2026 08:49 AM	Ava Billy	Ava is CHECKED IN for: 9:00AM-2/26/2026 OT-VIS: OT Visit
02-27-2026 09:54 AM	Daniel Valdivia	Hi, with spring break coming up I am trying to get when everyone is off so I can adjust my schedule accordingly and offer make-ups/extra visits. If you could please get back to me as soon as you can with the dates Ava will be off that would be great! Thank you!!
02-27-2026 09:55 AM	Ava Billy	Ava (Prim) Replied: Hello, Ava is homeschooled.
02-27-2026 09:56 AM	Daniel Valdivia	I am so sorry. I do remember you saying that it just slipped my mind! Thank you for the reminder
02-27-2026 09:56 AM	Ava Billy	Ava (Prim) Replied: Liked “I am so sorry. I do remember you saying that it just slipped my mind! Thank you for the reminder”
03-01-2026 04:02 PM	Daniel Valdivia	Hi, this is a just a reminder that Billy, Ava has a Occupational Therapy appointment on 03-03-2026 at 10:00 AM, and on 03-05-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Billy, Ava has a Speech Therapy appointment on 03-02-2026 at 9:30 AM, and on 03-03-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:55 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-02-2026 09:15 AM	Lauryn Barlow	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896727
03-02-2026 10:09 AM	Daniel Valdivia	Hi, I just talked to Lauryn and we were able to get Ava in on the same day. She can be seen y both of us on Tuesdays and Thursdays with OT at 9 and speech at 10. This won't be able to start till the week of March 15th if that works for you
03-02-2026 10:49 AM	Ava Billy	Ava (Prim) Replied: Yes that works thanks
03-02-2026 10:53 AM	Ava Billy	Ava (Prim) Replied: Thank you.
03-02-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-02-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 08:01 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-03-2026 08:02 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 09:15 AM	Lauryn Barlow	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896728
03-03-2026 09:20 AM	Ava Billy	Ava is CHECKED IN for: 9:30AM-3/3/2026 92507: Speech & Language Visit
03-03-2026 09:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897743
03-04-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:55 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 08:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897432
03-05-2026 08:54 AM	Ava Billy	Ava is CHECKED IN for: 9:00AM-3/5/2026 OT-VIS: OT Visit
03-08-2026 04:02 PM	Daniel Valdivia	Hi, this is a just a reminder that Billy, Ava has a Occupational Therapy appointment on 03-10-2026 at 10:00 AM, and on 03-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Billy, Ava has a Speech Therapy appointment on 03-10-2026 at 9:30 AM, and on 03-11-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-09-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:56 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:56 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 09:15 AM	Lauryn Barlow	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896729
03-10-2026 09:15 AM	Ava Billy	Ava is CHECKED IN for: 9:30AM-3/10/2026 92507: Speech & Language Visit
03-10-2026 09:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897744
03-10-2026 02:52 PM	Daniel Valdivia	Hi for next Tuesday only, could we keep the same schedule? Ava would be seen by speech at 9:30 and then OT at 10
03-10-2026 03:36 PM	Ava Billy	Ava (Prim) Replied: Yes that is fine
03-10-2026 03:45 PM	Daniel Valdivia	Thank you so much!
03-10-2026 04:20 PM	Ava Billy	Ava (Prim) Replied: Liked “Thank you so much!”
03-10-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:51 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-11-2026 09:15 AM	Lauryn Barlow	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896731
03-11-2026 09:15 AM	Ava Billy	Ava is CHECKED IN for: 9:30AM-3/11/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:51 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 08:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897433
03-12-2026 09:00 AM	Ava Billy	Ava is RUNNING LATE for: 9:00AM-3/12/2026 OT-VIS: OT Visit
03-15-2026 04:02 PM	Daniel Valdivia	Hi, this is a just a reminder that Billy, Ava has a Occupational Therapy appointment on 03-17-2026 at 10:00 AM, and on 03-19-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Billy, Ava has a Speech Therapy appointment on 03-17-2026 at 9:30 AM, and on 03-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-16-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 09:48 PM	Ava Billy	Ava (Prim) Replied: Hello. Ran into some car issues and won't be able to keep Ava's appointment tomorrow.
03-16-2026 09:48 PM	Daniel Valdivia	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.
03-16-2026 09:48 PM	Ava Billy	Ava (Prim) Replied: Hello. Ran into some car issues and won't be able to keep Ava's appointment tomorrow.
03-16-2026 09:48 PM	Lauryn Barlow	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.
03-16-2026 09:49 PM	Daniel Valdivia	Hi, no worries! Hope the car gets fixed soon! I will cancel the appointment and get with tomorrow to see if we can schedule a makeup
03-16-2026 09:50 PM	Daniel Valdivia	Daniel Valdivia CANCELLED: 10:00AM-3/17/2026 OT-VIS: OT Visit
03-16-2026 09:50 PM	Daniel Valdivia	Daniel Valdivia CANCELLED: 10:00AM-3/17/2026 OT-VIS: OT Visit
03-16-2026 09:50 PM	Ava Billy	Ava (Prim) Replied: Thank you.
03-16-2026 09:50 PM	Daniel Valdivia	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.
03-16-2026 10:02 PM	Lauryn Barlow	Good evening, that is unfortunate. I hope the car issues are solved soon! I will go ahead and cancel our session. We can go ahead and speak about a makeup session when we see each other on Thursday.
03-16-2026 10:03 PM	Ava Billy	Ava (Prim) Replied: Thank you.
03-16-2026 10:03 PM	Lauryn Barlow	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.
03-16-2026 10:05 PM	Lauryn Barlow	Lauryn Barlow CANCELLED: 9:30AM-3/17/2026 92507: Speech & Language Visit
03-17-2026 02:56 PM	Daniel Valdivia	Hi, I was just wondering what your availability for next week was like to do a makeup for todays visit
03-17-2026 05:18 PM	Ava Billy	Ava (Prim) Replied: Hi My car won't be getting serviced until Tuesday. I will be able to make Thursday schedule. But I'm unsure moving forward right now.
03-17-2026 06:29 PM	Daniel Valdivia	Ok no worries! We can worry about the scheduling once your car is fixed and you’re not having to worry about transportation to the clinic
03-17-2026 07:14 PM	Ava Billy	Ava (Prim) Replied: Thank you.
03-18-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:51 AM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:52 AM	Ava Billy	Ava (Prim) Replied: Isn't OT at 10? Speech 9:30?
03-19-2026 07:53 AM	Ava Billy	Ava (Prim) Replied: Speech is at 9:30am and OT at 10:00am correct?
03-19-2026 07:55 AM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:00 AM	Daniel Valdivia	I have Ava for OT at 9 I don't have a permanent slot at 10 for us to do 9:30 and 10
03-19-2026 08:03 AM	Ava Billy	Ava (Prim) Replied: I'll be there at 9
03-19-2026 08:45 AM	Daniel Valdivia	Ava Billy : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897434
03-19-2026 09:00 AM	Ava Billy	Ava is CHECKED IN for: 9:00AM-3/19/2026 OT-VIS: OT Visit
03-22-2026 04:02 PM	Daniel Valdivia	Hi, this is a just a reminder that Billy, Ava has a Occupational Therapy appointment on 03-24-2026 at 9:00 AM, and on 03-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Billy, Ava has a Speech Therapy appointment on 03-24-2026 at 10:00 AM, and on 03-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:31 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 06:31 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 09:32 PM	Ava Billy	Ava (Prim) Replied: Hello. I won't be able to make this session.
03-23-2026 09:32 PM	Daniel Valdivia	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 09:32 PM	Daniel Valdivia	No worries, I will cancel the appointment
03-23-2026 09:33 PM	Daniel Valdivia	Daniel Valdivia CANCELLED: 9:00AM-3/24/2026 OT-VIS: OT Visit
03-23-2026 09:33 PM	Daniel Valdivia	Daniel Valdivia CANCELLED: 9:00AM-3/24/2026 OT-VIS: OT Visit
03-23-2026 09:35 PM	Ava Billy	Ava (Prim) Replied: Hello I won't be able to make this session.
03-23-2026 09:35 PM	Lauryn Barlow	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 09:53 PM	Lauryn Barlow	Thank you for letting me know, I will go ahead and cancel the appointment. Will you be available Friday morning to schedule one of our make up sessions?
03-23-2026 09:54 PM	Ava Billy	Ava (Prim) Replied: I'm not sure. I will follow up with you tomorrow.
03-23-2026 09:54 PM	Lauryn Barlow	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 09:55 PM	Lauryn Barlow	Lauryn Barlow CANCELLED: 10:00AM-3/24/2026 92507: Speech & Language Visit
03-24-2026 07:46 AM	Lauryn Barlow	Okay, thank you!
03-25-2026 06:30 PM	Daniel Valdivia	Hi, this is a just a reminder that Ava has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Ava has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 06:47 PM	Ava Billy	Ava (Prim) Replied: Hi. I won't have my vehicle until Friday. We will be able to resume sessions on Tuesday.
03-25-2026 06:47 PM	Ava Billy	Ava (Prim) Replied: Hi. I won't have my vehicle until Friday. We will be able to resume sessions on Tuesday.
03-25-2026 06:51 PM	Daniel Valdivia	Ok no worries! Thank you for keeping me updated. I can get with you on Tuesday to schedule make-ups so she does not fall behind!
03-25-2026 06:51 PM	Daniel Valdivia	Daniel Valdivia CANCELLED: 9:00AM-3/26/2026 OT-VIS: OT Visit
03-25-2026 06:53 PM	Ava Billy	Ava (Prim) Replied: Thank you.
03-25-2026 07:02 PM	Lauryn Barlow	No worries, I'm glad to hear that you are getting your vehicle back. We'll talk about make-ups when we see each other on Tuesday. Thank you for keeping me updated!
03-25-2026 07:02 PM	Ava Billy	Ava (Prim) Replied: Thank you.
03-25-2026 07:05 PM	Lauryn Barlow	Lauryn Barlow CANCELLED: 10:00AM-3/26/2026 92507: Speech & Language Visit