New Beginnings | NB1-Office

Patient Name: Joshua

Patient Information:

Patient ID: 9840

Patient First Name: Joshua

Patient Date of Birth: 05-15-2014

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Katherine, Zamperini

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Chacon, Victoria

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22831	Active	12-08-2025	06-05-2026	Tricare Prime	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25914	12-02-2025	Speech Initial Evaluation	F80.0, R49.8
Speech Background History: The patient is an 11 year old male referred for a speech-language evaluation by his pediatrician due to ongoing concerns regarding his speech quality. His mother was present and provided pertinent case history information throughout the assessment. Mother stated patient was previously diagnosed with ADHD. She reported that the patient previously underwent surgical intervention in September, including a tonsillectomy, adenoidectomy, and correction of a deviated septum. These procedures were completed to address sleep apnea, chronic snoring, and persistent open-mouth breathing. According to the mother, all related medical concerns resolved following surgery; however, she remains concerned that the patient continues to speak with a resonance pattern similar to when he was congested and breathing through his mouth. Enlarged tonsils, adenoids, or a deviated septum can obstruct normal airflow and alter the resonance of speech, often contributing to hyponasality, muffled vocal quality, or speech characteristic of chronic mouth breathing. While surgical intervention typically improves airflow and normal resonance balance, some individuals may continue to exhibit atypical resonance patterns postoperatively. This may occur due to learned speech behaviors developed before surgery, lingering structural or functional adjustments, or habituation to prior compensatory speech patterns. As a result, even after medical correction, speech may continue to sound congested or “nasal-blocked,” warranting therapeutic support.
Speech Medical History: Mother stated patient was born at 37.5 weeks and was induced due to preeclampsia and mother's high protein levels.
Speech Medications: 40 mg of Vyvanse daily
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Appropriate use of eye contact, Appropriate utterances, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command without cues, Initiate activity/dialogue, Interactive, Maintains topic, Makes requests, Responds to greetings, Speech acts performed appropriately, Takes turns, Understands nuances of language, Understood inhibitory words with signs,
Speech Communication Weaknesses:
Speech Background Summary:
Speech Diagnosis/Impressions: The patient is an 11 year old male referred for a speech-language evaluation by his pediatrician due to ongoing concerns regarding his speech quality. His mother was present and provided pertinent case history information throughout the assessment. Mother stated patient was previously diagnosed with ADHD. She reported that the patient previously underwent surgical intervention in September, including a tonsillectomy, adenoidectomy, and correction of a deviated septum. These procedures were completed to address sleep apnea, chronic snoring, and persistent open-mouth breathing. According to the mother, all related medical concerns resolved following surgery; however, she remains concerned that the patient continues to speak with a resonance pattern similar to when he was congested and breathing through his mouth. Enlarged tonsils, adenoids, or a deviated septum can obstruct normal airflow and alter the resonance of speech, often contributing to hyponasality, muffled vocal quality, or speech characteristic of chronic mouth breathing. While surgical intervention typically improves airflow and normal resonance balance, some individuals may continue to exhibit atypical resonance patterns postoperatively. This may occur due to learned speech behaviors developed before surgery, lingering structural or functional adjustments, or habituation to prior compensatory speech patterns. As a result, even after medical correction, speech may continue to sound congested or “nasal-blocked,” warranting therapeutic support. The Goldman Fristoe Test of Articulation Third Edition (GFTA3) was used to assess Joshua's articulation and phonological processes. His Raw Score in Sounds in Words was 2 (total number of errors) with a Standard Score of 96 and Percentile Rank of 39. This Standard Score was within normal limits when compared to his same aged peers. His Raw Score in Sounds in Sentences was 5 (total number of errors) with a Percentile Rank of 9. This score is 1 standard deviation below the mean which is indicating a mild articulation/phonological disorder. The errors produced by Joshua include: distortion of /g, m, n, ng/. During the evaluation, the patient presented with a vocal quality characterized by intermittent glottal fry and a strained vocal tone. Speech samples also revealed a combination of hyponasality and hypernasality. This mixed resonance pattern was particularly evident during the production of pressure consonants, as well as nasal consonants. Distortions of /g/, /m/, /n/, and /?/ were noted. These errors are consistent with both hypo- and hypernasal resonance: Hyponasality may occur when nasal airflow is reduced or obstructed, causing nasal consonants such as /m/, /n/, and /?/ to sound muffled or to shift toward oral substitutions. Hypernasality may occur when excessive nasal airflow escapes during speech, particularly affecting consonants requiring full oral pressure like /g/. The presence of both suggests that the patient may be alternating between blocked nasal airflow and insufficient velopharyngeal closure. Examination of the oral cavity revealed several structural features that may contribute to the patient’s resonance and articulation profile. The uvula appeared small and thin, and the patient demonstrated a small oral cavity overall. The mother reported that the dentist previously recommended palatal expansion due to reduced intraoral space, which aligns with observed findings. The tonsils were not visible upon inspection, and at rest, the posterior portion of the tongue appeared to cover the soft palate/velum region. This tongue positioning may reduce oral space further and physically interfere with velopharyngeal movement, potentially impacting resonance and the accuracy of posterior consonants such as /g/ and /?/. Although the mother reported that dental providers did not identify a tongue tie, the tongue tip displayed a mild “heart-shaped” appearance upon elevation. This may indicate a possible posterior tongue tie, which can restrict tongue mobility. Limited elevation or posterior movement can affect lingual placement for consonants and contribute to compensatory speech patterns, altered oral airflow, or inadequate oral resonance. Overall, the combination of reduced oral cavity space, possible posterior tongue restriction, and posterior tongue crowding near the soft palate may influence velopharyngeal function, contributing to the patient’s inconsistent nasal airflow regulation, mixed resonance, and consonant distortions. Based on formal assessment, parent interview, and clinical observation, Joshua presents with a MILD ARTICULATION AND PHONOLOGICAL DISORDER, with hypo and hypernasality resonance difficulties. Speech therapy is recommended at this time, as Joshua does not communicate like other children his age. His safety and functional health are at risk, as well as his independence in his daily routine. As his intelligibility with unfamiliar listeners prevents his from intelligibly communicating information and details of pain or help she may need.
Speech Diagnosis/Impressions: The patient is an 11 year old male referred for a speech-language evaluation by his pediatrician due to ongoing concerns regarding his speech quality. His mother was present and provided pertinent case history information throughout the assessment. Mother stated patient was previously diagnosed with ADHD. She reported that the patient previously underwent surgical intervention in September, including a tonsillectomy, adenoidectomy, and correction of a deviated septum. These procedures were completed to address sleep apnea, chronic snoring, and persistent open-mouth breathing. According to the mother, all related medical concerns resolved following surgery; however, she remains concerned that the patient continues to speak with a resonance pattern similar to when he was congested and breathing through his mouth. Enlarged tonsils, adenoids, or a deviated septum can obstruct normal airflow and alter the resonance of speech, often contributing to hyponasality, muffled vocal quality, or speech characteristic of chronic mouth breathing. While surgical intervention typically improves airflow and normal resonance balance, some individuals may continue to exhibit atypical resonance patterns postoperatively. This may occur due to learned speech behaviors developed before surgery, lingering structural or functional adjustments, or habituation to prior compensatory speech patterns. As a result, even after medical correction, speech may continue to sound congested or “nasal-blocked,” warranting therapeutic support. The Goldman Fristoe Test of Articulation Third Edition (GFTA3) was used to assess Joshua's articulation and phonological processes. His Raw Score in Sounds in Words was 2 (total number of errors) with a Standard Score of 96 and Percentile Rank of 39. This Standard Score was within normal limits when compared to his same aged peers. His Raw Score in Sounds in Sentences was 5 (total number of errors) with a Percentile Rank of 9. This score is 1 standard deviation below the mean which is indicating a mild articulation/phonological disorder. The errors produced by Joshua include: distortion of /g, m, n, ng/. During the evaluation, the patient presented with a vocal quality characterized by intermittent glottal fry and a strained vocal tone. Speech samples also revealed a combination of hyponasality and hypernasality. This mixed resonance pattern was particularly evident during the production of pressure consonants, as well as nasal consonants. Distortions of /g/, /m/, /n/, and /?/ were noted. These errors are consistent with both hypo- and hypernasal resonance: Hyponasality may occur when nasal airflow is reduced or obstructed, causing nasal consonants such as /m/, /n/, and /?/ to sound muffled or to shift toward oral substitutions. Hypernasality may occur when excessive nasal airflow escapes during speech, particularly affecting consonants requiring full oral pressure like /g/. The presence of both suggests that the patient may be alternating between blocked nasal airflow and insufficient velopharyngeal closure. Examination of the oral cavity revealed several structural features that may contribute to the patient’s resonance and articulation profile. The uvula appeared small and thin, and the patient demonstrated a small oral cavity overall. The mother reported that the dentist previously recommended palatal expansion due to reduced intraoral space, which aligns with observed findings. The tonsils were not visible upon inspection, and at rest, the posterior portion of the tongue appeared to cover the soft palate/velum region. This tongue positioning may reduce oral space further and physically interfere with velopharyngeal movement, potentially impacting resonance and the accuracy of posterior consonants such as /g/ and /?/. Although the mother reported that dental providers did not identify a tongue tie, the tongue tip displayed a mild “heart-shaped” appearance upon elevation. This may indicate a possible posterior tongue tie, which can restrict tongue mobility. Limited elevation or posterior movement can affect lingual placement for consonants and contribute to compensatory speech patterns, altered oral airflow, or inadequate oral resonance. Overall, the combination of reduced oral cavity space, possible posterior tongue restriction, and posterior tongue crowding near the soft palate may influence velopharyngeal function, contributing to the patient’s inconsistent nasal airflow regulation, mixed resonance, and consonant distortions. Based on formal assessment, parent interview, and clinical observation, Joshua presents with a MILD ARTICULATION AND PHONOLOGICAL DISORDER, with hypo and hypernasality resonance difficulties. Speech therapy is recommended at this time, as Joshua does not communicate like other children his age. His safety and functional health are at risk, as well as his independence in his daily routine. As his intelligibility with unfamiliar listeners prevents his from intelligibly communicating information and details of pain or help she may need.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

57545

Plan Date: 12-02-2025

Speech Assessment Summary: The patient is an 11 year old male referred for a speech-language evaluation by his pediatrician due to ongoing concerns regarding his speech quality. His mother was present and provided pertinent case history information throughout the assessment. Mother stated patient was previously diagnosed with ADHD. She reported that the patient previously underwent surgical intervention in September, including a tonsillectomy, adenoidectomy, and correction of a deviated septum. These procedures were completed to address sleep apnea, chronic snoring, and persistent open-mouth breathing. According to the mother, all related medical concerns resolved following surgery; however, she remains concerned that the patient continues to speak with a resonance pattern similar to when he was congested and breathing through his mouth. Enlarged tonsils, adenoids, or a deviated septum can obstruct normal airflow and alter the resonance of speech, often contributing to hyponasality, muffled vocal quality, or speech characteristic of chronic mouth breathing. While surgical intervention typically improves airflow and normal resonance balance, some individuals may continue to exhibit atypical resonance patterns postoperatively. This may occur due to learned speech behaviors developed before surgery, lingering structural or functional adjustments, or habituation to prior compensatory speech patterns. As a result, even after medical correction, speech may continue to sound congested or “nasal-blocked,” warranting therapeutic support. The Goldman Fristoe Test of Articulation Third Edition (GFTA3) was used to assess Joshua's articulation and phonological processes. His Raw Score in Sounds in Words was 2 (total number of errors) with a Standard Score of 96 and Percentile Rank of 39. This Standard Score was within normal limits when compared to his same aged peers. His Raw Score in Sounds in Sentences was 5 (total number of errors) with a Percentile Rank of 9. This score is 1 standard deviation below the mean which is indicating a mild articulation/phonological disorder. The errors produced by Joshua include: distortion of /g, m, n, ng/. During the evaluation, the patient presented with a vocal quality characterized by intermittent glottal fry and a strained vocal tone. Speech samples also revealed a combination of hyponasality and hypernasality. This mixed resonance pattern was particularly evident during the production of pressure consonants, as well as nasal consonants. Distortions of /g/, /m/, /n/, and /?/ were noted. These errors are consistent with both hypo- and hypernasal resonance: Hyponasality may occur when nasal airflow is reduced or obstructed, causing nasal consonants such as /m/, /n/, and /?/ to sound muffled or to shift toward oral substitutions. Hypernasality may occur when excessive nasal airflow escapes during speech, particularly affecting consonants requiring full oral pressure like /g/. The presence of both suggests that the patient may be alternating between blocked nasal airflow and insufficient velopharyngeal closure. Examination of the oral cavity revealed several structural features that may contribute to the patient’s resonance and articulation profile. The uvula appeared small and thin, and the patient demonstrated a small oral cavity overall. The mother reported that the dentist previously recommended palatal expansion due to reduced intraoral space, which aligns with observed findings. The tonsils were not visible upon inspection, and at rest, the posterior portion of the tongue appeared to cover the soft palate/velum region. This tongue positioning may reduce oral space further and physically interfere with velopharyngeal movement, potentially impacting resonance and the accuracy of posterior consonants such as /g/ and /?/. Although the mother reported that dental providers did not identify a tongue tie, the tongue tip displayed a mild “heart-shaped” appearance upon elevation. This may indicate a possible posterior tongue tie, which can restrict tongue mobility. Limited elevation or posterior movement can affect lingual placement for consonants and contribute to compensatory speech patterns, altered oral airflow, or inadequate oral resonance. Overall, the combination of reduced oral cavity space, possible posterior tongue restriction, and posterior tongue crowding near the soft palate may influence velopharyngeal function, contributing to the patient’s inconsistent nasal airflow regulation, mixed resonance, and consonant distortions. Based on formal assessment, parent interview, and clinical observation, Joshua presents with a MILD ARTICULATION AND PHONOLOGICAL DISORDER, with hypo and hypernasality resonance difficulties. Speech therapy is recommended at this time, as Joshua does not communicate like other children his age. His safety and functional health are at risk, as well as his independence in his daily routine. As his intelligibility with unfamiliar listeners prevents his from intelligibly communicating information and details of pain or help she may need.

Speech Progress to Date: Baseline is currently at 0.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis in the area of improvement is good. Joshua will be discharged when he achieves a standard score above -1.0 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all 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.
Oral Motor/Articulation	In a year's time, Joshua will produce targeted speech sounds (e.g., /g/, /m/, /n/, /?/) with accurate articulatory placement and appropriate resonance at the conversation level with =90% intelligibility to unfamiliar listeners across 3 sessions.
Resonance	In a year's time, Joshua will demonstrate functional and consistent oral–nasal resonance balance during connected speech, with elimination or significant reduction of mixed hypernasality/hyponasality, as measured by clinician observation and parent/teacher report, across 3 consecutive sessions.
Resonance	In a year's time, Joshua will use healthy, efficient vocal behaviors (e.g., reduced glottal fry, decreased strain, improved breath support) to maintain a clear, stable vocal quality during conversational speech in therapy and home environments, as measured by clinician documentation and caregiver report over a 4–6 week period.

Speech and Language Short Term Goals:

Category	Goal Description
Resonance	In 6 months time, Joshua will demonstrate improved awareness of oral–nasal airflow by accurately identifying whether target words or phrases are produced with oral or nasal resonance in 5 out of 10 opportunities across two consecutive sessions to bring awareness of where sound and airflow should occur is foundational for correcting mixed hypernasality and hyponasality.
Oral Motor/Articulation	In 6 months time, Joshua will produce targeted oral pressure consonants (e.g., /g/) with reduced nasal emission and improved oral airflow placement in structured sentence-level tasks with 70% accuracy given moderate verbal/visual cues in order to improve accuracy on these sounds supports clearer speech, better intelligibility, and normalized resonance.
Oral Motor/Articulation	In 6 months time, Joshua will produce nasal consonants with appropriate nasal resonance (no oral substitutions or distortions) in words and short phrases with 70% accuracy across two sessions using tactile and auditory feedback in order to help normalize nasal airflow patterns and supports balanced resonance across the speech system.
Oral Motor/Articulation	In 6 months time, Joshua will participate in velopharyngeal-strengthening exercises (e.g., effortful swallow, blowing bubbles into water through a straw, oral air-pressure activities) with proper technique in 5 of 10 trials per activity in order to support more consistent oral resonance during speech and reduces unwanted nasal emission.
Resonance	In 6 months time, Joshua will utilize healthy vocal techniques (e.g., easy onset, coordinated respiration, relaxed phonation) to reduce glottal fry and strain during structured speech tasks in 5 of 10 opportunities with moderate cues in order to teach healthy phonatory patterns helps stabilize vocal quality, supports improved airflow, and promotes more efficient and resonant speech production.
Oral Motor/Articulation	In 6 months time, Joshua will demonstrate improved posterior tongue control by participating in targeted tongue placement tasks (e.g., alveolar elevation, posterior tongue retraction, controlled oral airflow tasks) in 5 of 10 opportunities in order to improve tongue positioning facilitates better oral airflow, clearer articulation, and more stable resonance patterns.

Speech and Language Soap Note/Visit:

Soap Note

491511

Note Date: 03-26-2026

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

Assessment of Goals/Response to Treatment: Parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Joshua demonstrated improved awareness of oral–nasal airflow by accurately identifying whether target words or phrases are produced with oral or nasal resonance in 10 out of 10 opportunities when given minimal verbal, and auditory cues. Joshua produced targeted oral pressure consonants (e.g., /g/) with reduced nasal emission and improved oral airflow placement in structured sentence-level tasks with 90% accuracy given minimal verbal and auditory cues and models. Joshua produced nasal consonants with appropriate nasal resonance (no oral substitutions or distortions) in words and short phrases with 90% accuracy given minimal verbal and auditory cues and models.

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

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
847581	92523: Artic & Language Eval	12-02-2025 03:00 PM	12-02-2025 04:00 PM	Victoria Chacon	NB1 east side	Completed
853108	92507: Speech & Language Visit	12-08-2025 03:30 PM	12-08-2025 04:00 PM	Victoria Chacon	NB1 east side	Completed
852681	92507: Speech & Language Visit	12-09-2025 03:30 PM	12-09-2025 04:00 PM	Victoria Chacon	NB1 east side	Completed
852685	92507: Speech & Language Visit	01-13-2026 03:30 PM	01-13-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
866794	92507: Speech & Language Visit	01-14-2026 03:30 PM	01-14-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852686	92507: Speech & Language Visit	01-20-2026 03:30 PM	01-20-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852687	92507: Speech & Language Visit	01-27-2026 03:30 PM	01-27-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852688	92507: Speech & Language Visit	02-03-2026 03:30 PM	02-03-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852689	92507: Speech & Language Visit	02-10-2026 03:30 PM	02-10-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852690	92507: Speech & Language Visit	02-17-2026 03:30 PM	02-17-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852691	92507: Speech & Language Visit	02-24-2026 03:30 PM	02-24-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852692	92507: Speech & Language Visit	03-03-2026 03:30 PM	03-03-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852693	92507: Speech & Language Visit	03-10-2026 03:30 PM	03-10-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852694	92507: Speech & Language Visit	03-17-2026 03:30 PM	03-17-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
852695	92507: Speech & Language Visit	03-24-2026 03:30 PM	03-24-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
852682	92507: Speech & Language Visit	12-23-2025 03:30 PM	12-23-2025 04:00 PM	Victoria Chacon	NB1 east side	Canceled
852683	92507: Speech & Language Visit	12-30-2025 03:30 PM	12-30-2025 04:00 PM	Victoria Chacon	NB1 east side	Canceled
852684	92507: Speech & Language Visit	01-06-2026 03:30 PM	01-06-2026 04:00 PM	Victoria Chacon	NB1 east side	Canceled
905771	92507: Speech & Language Visit	03-12-2026 01:00 PM	03-12-2026 01:30 PM	Victoria Chacon	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
852696	92507: Speech & Language Visit	03-31-2026 03:30 PM	03-31-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852697	92507: Speech & Language Visit	04-07-2026 03:30 PM	04-07-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852698	92507: Speech & Language Visit	04-14-2026 03:30 PM	04-14-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852699	92507: Speech & Language Visit	04-21-2026 03:30 PM	04-21-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852700	92507: Speech & Language Visit	04-28-2026 03:30 PM	04-28-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852701	92507: Speech & Language Visit	05-05-2026 03:30 PM	05-05-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852702	92507: Speech & Language Visit	05-12-2026 03:30 PM	05-12-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852703	92507: Speech & Language Visit	05-19-2026 03:30 PM	05-19-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852704	92507: Speech & Language Visit	05-26-2026 03:30 PM	05-26-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled
852705	92507: Speech & Language Visit	06-02-2026 03:30 PM	06-02-2026 04:00 PM	Victoria Chacon	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
01-06-2026	Victoria Chacon	Therapist cancelled session at 3:43 pm. Therapist was outside to pick up patient at 3:30 pm, however patient was not there. Parent was messaged at 3:35 pm to notify therapist when they arrived. A minute later mother checked in, therefore therapist went outside to retrieve patient. They were not in the parking lot or the lobby. Therapist messaged parent letting her know that she did not see them. Mother did not respond, nor was he visible in the parking lot or lobby. Therapist messaged mother at 3:43 stating she would have to reschedule the session. Shortly after, father called clinic to inform that they were in the parking lot, however when front desk spoke to him, he stated he was at the wrong address. Session will be rescheduled.
12-04-2025	Shekinah Velasquez	ST auth approved starting 12/08/2025 - 06/05/2026 1x/ week = 26 visits. Therapist assigned and notified.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-12-2026	92507	Chacon, Victoria
01-06-2026	92507	Chacon, Victoria
12-30-2025	92507	Chacon, Victoria
12-23-2025	92507	Chacon, Victoria

Paient Messages Admin:

Date	Posted By	Message
10-31-2025 12:41 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2355
11-11-2025 10:47 AM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2355
11-11-2025 10:54 AM	Avery Fontenot	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2355
11-11-2025 11:18 AM	Shekinah Velasquez	Joshua 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=9840&type=1&wid=360
11-11-2025 01:55 PM	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=9840
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 11:18 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=9840
11-19-2025 02:08 PM	Julie Mora	Hello, This message is from New Beginnings. You previously indicated that you would be interested in telehealth services at this time, as we currently have a waiting list for in-person appointments. Please note that the initial evaluation will be conducted in person, and if Joshua is determined to be an appropriate candidate for telehealth, we will proceed with that format thereafter. A scheduling link has been sent to you to arrange Joshua’s initial speech evaluation appointment. If you experience any difficulties with scheduling, please contact our office and we will be happy to assist you. Thank you.
11-21-2025 09:14 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=9840
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.
12-04-2025 09:51 AM	Shekinah Velasquez	Hi, Joshua as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Victoria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9840&tid=99
12-15-2025 07:55 AM	Joshua Anderson
12-15-2025 01:46 PM	Shekinah Velasquez	Hello, this is Shekinah from the Front Office. I just wanted to let you know that the school letter for Joshua is ready for you to pick up in the front office. We are open Monday - Friday 8-6pm whenever you'd like, it'll be here for you. Thank you, have a great day!
12-15-2025 01:46 PM	Joshua Anderson	I’m driving with Do Not Disturb While Driving turned on. I’ll see your message when I get where I’m going. Arrive alive don’t text and drive!
12-15-2025 01:46 PM	Joshua Anderson	(I’m not receiving notifications. If this is urgent, reply “urgent” to send a notification through with your original message.)
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
01-14-2026 03:43 PM	Avery Fontenot	afontenot@newbeginnings-elp.com
01-14-2026 06:03 PM	Joshua Anderson	Afternoons 3pm-4pm
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! 💙
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=9840
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/
02-19-2026 12:51 AM	Shekinah Velasquez	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852690
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=9840
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/
03-13-2026 02:10 PM	Joshua Anderson	Ok I'll do that next week as this is a 4 day weekend
03-23-2026 11:31 AM	Shekinah Velasquez	Hello Tricare Families, We would like to inform you of an important update regarding therapy services. Due to a recent change in Tricare’s process, all patients are now required to be seen by their Primary Care Provider (PCP/PCM) and have an updated referral submitted to Tricare before we can request authorization for therapy. Please note: -The referral end date provided by your PCP/PCM will determine the authorization period for therapy services. -If possible, we recommend requesting a referral period of up to one year, as this will help reduce the number of required follow-up visits. -If you are unsure whether a current referral is on file, please contact your PCP/PCM or Tricare Referral Management directly. This change began earlier this month. While we are actively reviewing all existing referrals, we kindly ask for your assistance in scheduling an appointment with your PCP/PCM and ensuring an updated referral is submitted to help avoid any delays in therapy services. If you are able to view your referral end date, please be aware that your child will need to be seen again before that date to continue services. We appreciate your patience and cooperation during this transition. If you have any questions, please don’t hesitate to contact our office. Thank you for your time and support.

Paient Messages Therapist:

Date	Posted By	Message
11-21-2025 09:18 AM	Teresa Serna	Hi, my name is Teresa, 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=9840&tid=113
11-21-2025 09:18 AM	Joshua Anderson	Joshua SCHEDULED: 4:30PM-11/26/2025 92523: Speech Evaluation
11-21-2025 05:05 PM	Teresa Serna	Hello, there was a confusion with my schedule and available times that I have next week. I am going to delete the appointment so you can attempt another time slot. I am sorry for the confusion
11-21-2025 05:08 PM	Joshua Anderson	Joshua (Prim) Replied: Ok I'll call next week to reschedule
11-21-2025 05:51 PM	Teresa Serna	Does it provide you with a link to schedule the appointment?
11-21-2025 05:52 PM	Joshua Anderson	Joshua (Prim) Replied: No ma'am and I had issues the 1st time trying to schedule through the link so I had to call to schedule.
11-21-2025 07:36 PM	Victoria Chacon	Hi, my name is Victoria, 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=9840&tid=99
11-21-2025 07:36 PM	Joshua Anderson	Joshua SCHEDULED: 3:00PM-12/2/2025 92523: Speech Evaluation
11-21-2025 07:36 PM	Victoria Chacon	Hi, my name is Victoria, 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=9840&tid=99
11-21-2025 07:36 PM	Joshua Anderson	Joshua SCHEDULED: 3:00PM-12/2/2025 92523: Speech Evaluation
12-01-2025 12:18 PM	Victoria Chacon	Hi Mrs. Anderson, my name is tori and I'm a speech language pathologist from New Beginnings. I will be conducting Joshua's speech and language evaluation. :) Before our appointment I need to gather some background information. So when you have an opportunity can you answer these questions for me: 1) Any complications with pregnancy or birth? How many weeks was he born at? 2) Major illnesses or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc)? 3) developmental milestones met within normal limits? or delayed? What age did he begin to use his first single words/combined words? 4) sleeping or breathing issues? does patient get 8-10 hours of sleep? Wake up several times a night? Snoring? sleep with mouth open or closed? Enlarged tonsils? 5) medications? 6) education? (i.e., daycare, preschool) 7) vision or hearing issues? 8) In a few words write your parental concerns with SPEECH and LANGUAGE. 9) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc).
12-01-2025 02:47 PM	Joshua Anderson	Joshua (Prim) Replied: 1) Any complications with pregnancy or birth? I had to be induced due to preeclampsia and high protein levels in my urine How many weeks was he born at? 37.5 weeks 2) Major illnesses or accidents since last check up? Any medical diagnoses? ADHD 3) developmental milestones met within normal limits? or delayed? He didn't walk until 3 weeks after his 1st bday and didn't talk until he was almost 3 What age did he begin to use his first single words/combined words? He said Moma and dada at 3 combined words was at 4 I thought him essential words in sign language, such as food, cup, hungry and more because he would just cry and didnt talk 4) sleeping or breathing issues? does patient get 8-10 hours of sleep? Wake up several times a night? Snoring? sleep with mouth open or closed? Enlarged tonsils? He used to snore due to enlarged tonsils and othe obstruction but since having them reduced he sleeps fine no snoring and well rested 5) medications? He takes vyvanse 40 MG 6) education? He started a program at 2 called babies can't wait due to him not talking which started as in home speech therapy then early head start and now in the 6th grade he has an IOP due to ADHD and dyslexia. 7) vision or hearing issues? No 8) In a few words write your parental concerns with SPEECH and LANGUAGE. Joshua had always been a mouth breather due to not being able to breathe out of his nose, so he would talk congested, and even though he is no longer congested or having those issues breathing, he still talks as if he is a mouth breather 9) When did your concerns begin? After his surgery t
12-01-2025 03:36 PM	Victoria Chacon	Hi Mrs. Anderson, thank you so much for your quick response! :) I believe the message was cut off at question number 9 after "after his surgery" but we can talk about the last two questions in person tomorrow. So just to confirm your concerns are regarding the way he is pronouncing sounds during speech correct? Reducing the "congested sounding" speech? :)
12-01-2025 03:42 PM	Joshua Anderson	Joshua (Prim) Replied: Correct
12-01-2025 03:54 PM	Victoria Chacon	Okay perfect, thank you so much! I will see you all tomorrow at 3:00. I am looking forward to meeting you all :)
12-01-2025 03:57 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Okay perfect, thank you so much! I will see you all tomorrow at 3:00. I am looking forward to meeting you all :)”
12-01-2025 03:57 PM	Joshua Anderson	Joshua (Prim) Replied: Awesome sounds good see you tomorrow.
12-01-2025 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Evaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 07:59 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Evaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 02:45 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847581
12-02-2025 02:48 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:00PM-12/2/2025 92523: Artic & Language Eval
12-04-2025 09:56 AM	Victoria Chacon	Good morning Mrs. Anderson! The front office just let me know that Josh has been approved for his speech therapy visits. So he can start next week, Tuesday at 3:30. The only thing is that on the following week, December 16th, I already have a patient scheduled for a makeup visit at that time, so I can move his visit just for that week. I can either see him twice next week - one on Monday December 8th at 3:30 and then Tuesday December 9th at 3:30, or I can see him the following week on Monday December 15th at 4:30, but I know AJ's speech sessions are at 3:00 on Mondays so there would be a gap between her and Josh. Let me know what works best for you all :)
12-04-2025 01:50 PM	Joshua Anderson	Joshua (Prim) Replied: Monday the 8th and Tuesday the 9th at 3:30
12-04-2025 02:19 PM	Victoria Chacon	Okay perfect! :) Then I will schedule him for those two days, and then the following week, we wont have a session. Then we go on Christmas break from the 22nd through January 5th, so we will start our official schedule, Tuesdays at 3:30 pm, the week we come back. I might be doing some sessions on zoom on Monday and Tuesday, but I am not sure yet, but I think Josh would do great on zoom, too. If I do end up scheduling patient's those days would you be available to do a 30 minute zoom session either on Monday the 22nd or Tuesday the 23rd? I know it's a busy time for everyone :)
12-07-2025 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 12-08-2025 at 3:30 PM, and on 12-09-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:10 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
12-07-2025 04:10 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
12-08-2025 07:54 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
12-08-2025 07:55 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂”
12-08-2025 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853108
12-08-2025 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-12/8/2025 92507: Speech & Language Visit
12-08-2025 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
12-09-2025 08:01 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
12-09-2025 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852681
12-09-2025 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-12/9/2025 92507: Speech & Language Visit
12-09-2025 04:06 PM	Victoria Chacon	Hi! Okay so for the ENT, you can have them rule out any possible submucosal clefts. :)
12-09-2025 04:07 PM	Joshua Anderson	Joshua (Prim) Replied: Loved “Hi! Okay so for the ENT, you can have them rule out any possible submucosal clefts. :)”
12-09-2025 04:07 PM	Joshua Anderson	Joshua (Prim) Replied: Thank you
12-09-2025 04:59 PM	Victoria Chacon	Of course! Thank you! See you all next week :)
12-21-2025 03:23 PM	Victoria Chacon	Victoria Chacon CANCELLED: 3:30PM-12/23/2025 92507: Speech & Language Visit
12-21-2025 03:27 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Victoria Chacon CANCELLED: 3:30PM-12/23/2025 92507: Speech & Language Visit”
12-21-2025 03:27 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-21-2025 07:53 PM	Victoria Chacon	Victoria Chacon CANCELLED: 3:30PM-12/30/2025 92507: Speech & Language Visit
12-21-2025 07:53 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Victoria Chacon CANCELLED: 3:30PM-12/30/2025 92507: Speech & Language Visit”
12-21-2025 07:53 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 01-06-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
01-04-2026 04:02 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-06-2026 07:51 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-06-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852684
01-06-2026 03:35 PM	Victoria Chacon	Hi! :) Will you all let me know when you're here :) however, I can only wait until 3:37 until I'd have to reschedule :(
01-06-2026 03:36 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-1/6/2026 92507: Speech & Language Visit
01-06-2026 03:38 PM	Victoria Chacon	Hi! Maybe I missed you all but I was outside and I didn't see you :(
01-06-2026 03:43 PM	Victoria Chacon	Hi! I'm sorry, but I've gone outside 3 times and walked around and I haven't seen you all, so I am obligated to cancel the session now. I'm sorry! I have a session at 4:00, so I wouldn't be able to see Josh anymore.
01-06-2026 03:43 PM	Victoria Chacon	We will have to reschedule! Let me send you some other days and times to see if you all would be able to come. :)
01-06-2026 03:52 PM	Victoria Chacon	Victoria Chacon CANCELLED: 3:30PM-1/6/2026 92507: Speech & Language Visit
01-06-2026 03:54 PM	Victoria Chacon	Hi! :) Josh's dad called the front office to let us know that they were 5 minutes late, however the front desk told them they were at the wrong location :( So we will have to reschedule. Would you all be available to come next Wednesday January 14th at 3:30? :)
01-06-2026 04:36 PM	Joshua Anderson	Joshua (Prim) Replied: Yes ma'am my apologies I had and appointment at 3:30 as well so I had Dad take him (if only men asked for directions 😂😂) but yes the 14th at 3:30 is fine
01-06-2026 04:59 PM	Victoria Chacon	Aw that makes sense, I knew it was unlike you haha men! lol But okay perfect, thank you so much! And I'm sorry for blowing up your phone during your appointment!
01-06-2026 05:03 PM	Joshua Anderson	Joshua (Prim) Replied: No worries it was on DND
01-11-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 01-13-2026 at 3:30 PM, and on 01-14-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-12-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-12-2026 06:31 PM	Joshua Anderson	Joshua (Prim) Replied: He will be there he's riding with AJ 😊
01-13-2026 07:52 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-13-2026 07:52 AM	Joshua Anderson	Joshua (Prim) Replied: Happy Tuesday we will be there
01-13-2026 10:31 AM	Victoria Chacon	Great! Thank you so much! See you all later on today :)
01-13-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852685
01-13-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-1/13/2026 92507: Speech & Language Visit
01-13-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-13-2026 06:35 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂”
01-14-2026 07:59 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-14-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=866794
01-18-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 01-20-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
01-18-2026 04:02 PM	Victoria Chacon	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.
01-19-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-20-2026 07:49 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-20-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852686
01-20-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-1/20/2026 92507: Speech & Language Visit
01-20-2026 04:06 PM	Victoria Chacon	Hi! I just checked my schedule and yes, Josh is every Tuesday at 3:30 :)
01-25-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 01-27-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:02 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
01-25-2026 04:02 PM	Victoria Chacon	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.
01-26-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-26-2026 08:27 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂”
01-26-2026 08:27 PM	Victoria Chacon	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.
01-27-2026 07:46 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-27-2026 09:42 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂”
01-27-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852687
01-27-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-1/27/2026 92507: Speech & Language Visit
02-01-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 02-03-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:11 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
02-01-2026 04:11 PM	Victoria Chacon	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.
02-02-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-02-2026 07:12 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂”
02-03-2026 07:48 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:19 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂”
02-03-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852688
02-03-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/3/2026 92507: Speech & Language Visit
02-03-2026 03:29 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/3/2026 92507: Speech & Language Visit
02-03-2026 03:29 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/3/2026 92507: Speech & Language Visit
02-03-2026 03:30 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/3/2026 92507: Speech & Language Visit
02-03-2026 03:30 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/3/2026 92507: Speech & Language Visit
02-08-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 02-10-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:10 PM	Joshua Anderson	Joshua (Prim) Replied: Yes
02-08-2026 04:10 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 02-10-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂”
02-08-2026 04:10 PM	Victoria Chacon	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.
02-08-2026 04:10 PM	Victoria Chacon	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.
02-09-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-09-2026 06:30 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂”
02-10-2026 07:47 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-10-2026 11:10 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂”
02-10-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852689
02-10-2026 03:20 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/10/2026 92507: Speech & Language Visit
02-15-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 02-17-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:31 PM	Joshua Anderson	Joshua (Prim) Replied: Yesx2
02-15-2026 04:31 PM	Victoria Chacon	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.
02-16-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:45 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:50 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂”
02-17-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852690
02-17-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/17/2026 92507: Speech & Language Visit
02-17-2026 04:10 PM	Victoria Chacon	Hi! The front office is going to email the school notes to you. teresa.baize@yahoo.com is a good email? :)
02-17-2026 04:59 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi! The front office is going to email the school notes to you. teresa.baize@yahoo.com is a good email? :)”
02-18-2026 09:08 AM	Joshua Anderson	Joshua (Prim) Replied: Good morning Victoria I checked my email I don't see the school note for Joshua and Kalynn
02-18-2026 09:50 AM	Victoria Chacon	Good morning! :) I just spoke to them, and she said she will send that in a bit! She also said she's going to add you to an automatic list, so every time Josh and Kalynn come, you'll automatically receive school notes. :)
02-18-2026 10:09 AM	Joshua Anderson	Joshua (Prim) Replied: Awesome thank you
02-18-2026 11:07 AM	Victoria Chacon	Of course! :)
02-22-2026 01:13 PM	Victoria Chacon	Hi! Good afternoon :) I have an opening tomorrow at 3:00, would Josh be able to come for a makeup session? I know we haven't missed any sessions, but just the way the insurance approves the visits, and the dates that are inputted, it shows that he can catch up on 2 more visits. I know that is confusing lol but would he be available to come with AJ to speech tomorrow? :)
02-22-2026 01:14 PM	Joshua Anderson	Joshua (Prim) Replied: I'll get with April to see if she can take Josh too and let you know...I have a 2pm appointment every Monday.
02-22-2026 01:14 PM	Victoria Chacon	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 01:18 PM	Victoria Chacon	Okay yes that's perfect, thank you, I appreciate it! :)
02-22-2026 01:23 PM	Joshua Anderson	Joshua (Prim) Replied: She said Aj was moved to Wednesday & Thursdays now so unfortunately I won't have anyone to bring him
02-22-2026 01:23 PM	Victoria Chacon	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 01:24 PM	Victoria Chacon	Oh okay no worries at all! Thank you! I'll see you all on Tuesday :)
02-22-2026 01:57 PM	Victoria Chacon	Hi again, so sorry, but my 4:00 pm just canceled for tomorrow. Is that a time you all could make? :)
02-22-2026 03:02 PM	Joshua Anderson	Joshua (Prim) Replied: We can try our best to make it my appointment is at the VA and doesn't end till 3 by that time it will be too late for early pick up. We are on the road right now headed back to El Paso I'll have my husband check his calendar to see if he can at least pick Josh up early
02-22-2026 03:02 PM	Victoria Chacon	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 03:03 PM	Victoria Chacon	Aw no please no worries! We can figure out another day and time for the makeup! :)
02-22-2026 03:07 PM	Joshua Anderson	Joshua (Prim) Replied: Ok I'll check my calendar and let you know what days I'm free and just lmk if they work for you
02-22-2026 03:07 PM	Victoria Chacon	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 03:08 PM	Victoria Chacon	Yes that works! Thank you! :) Have a safe drive back home!
02-22-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 02-24-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:14 PM	Joshua Anderson	Joshua (Prim) Replied: Yesx2
02-22-2026 04:14 PM	Victoria Chacon	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.
02-23-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-24-2026 07:43 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-24-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852691
02-24-2026 03:31 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-2/24/2026 92507: Speech & Language Visit
02-24-2026 04:03 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852691
03-01-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 03-03-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-02-2026 11:15 AM	Victoria Chacon	Hi! I am missing your signature for Josh's visit last week. I am going to send it to you again, let me know if you don't receive it! Thank you! :)
03-02-2026 11:17 AM	Joshua Anderson	Joshua (Prim) Replied: Done
03-02-2026 11:29 AM	Victoria Chacon	Got it, thank you! :)
03-02-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
03-03-2026 07:43 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
03-03-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852692
03-03-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-3/3/2026 92507: Speech & Language Visit
03-03-2026 04:04 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852692
03-08-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 03-10-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 03:29 PM	Victoria Chacon	Hi! Are the kids on spring break this week? :)
03-09-2026 03:29 PM	Joshua Anderson	Joshua (Prim) Replied: Yes ma'am
03-09-2026 03:32 PM	Victoria Chacon	Oh yay! Is there any way to bring Josh at 1:00 on Thursday? :) Just to catch him up on those visits :)
03-09-2026 03:32 PM	Joshua Anderson	Joshua (Prim) Replied: I can let you know by tomorrow I'm clearing this week
03-09-2026 03:38 PM	Victoria Chacon	Ooo how exciting! Next week is your last week right? Or is it this week? But yes let me know :) I could probably see Kalynn, too at 1:30 since you'll be bringing Josh. :)
03-09-2026 04:06 PM	Joshua Anderson	Joshua (Prim) Replied: Next week will be my last week
03-09-2026 04:06 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Ooo how exciting! Next week is your last week right? Or is it this week? But yes let me know :) I could probably see Kalynn, too at 1:30 since you'll be bringing Josh. :)”
03-09-2026 04:09 PM	Victoria Chacon	How exciting! Almost done! :)
03-09-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
03-10-2026 07:41 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
03-10-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852693
03-10-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-3/10/2026 92507: Speech & Language Visit
03-10-2026 04:05 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852693
03-11-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 07:55 AM	Joshua Anderson	Joshua (Prim) Replied: Good morning ☀️ Josh has been throwing up all morning i need to reschedule his appointment for today.
03-12-2026 07:58 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 08:01 AM	Joshua Anderson	Joshua (Prim) Replied: Good morning ☀️ Josh has been throwing up all morning i need to reschedule his appointment for today.
03-12-2026 08:12 AM	Victoria Chacon	Good morning! Oh no poor Josh! Okay yes no worries we can definitely cancel! I also realized I forgot to add Kalynn for her makeup session. If you’d like she can take Josh’s place at 1:00, but we can do it on zoom instead so you don’t have to make the drive! What do you think?
03-12-2026 08:13 AM	Joshua Anderson	Joshua (Prim) Replied: That would be perfect!!!!
03-12-2026 08:16 AM	Victoria Chacon	Okay perfect! Then I’ll send you a link in just a bit. 😊
03-12-2026 08:16 AM	Joshua Anderson	Joshua (Prim) Replied: Ok thank you
03-12-2026 09:46 AM	Victoria Chacon	Victoria Chacon CANCELLED: 1:00PM-3/12/2026 92507: Speech & Language Visit
03-12-2026 09:47 AM	Victoria Chacon	Okay hi! This is the link for Kalynn! :) https://us06web.zoom.us/j/89414743265
03-12-2026 09:49 AM	Joshua Anderson	Joshua (Prim) Replied: Thank you
03-12-2026 09:56 AM	Victoria Chacon	Also, sorry I just sent you the link from Josh's session on Tuesday :)
03-12-2026 09:56 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Please sign your New Beginnings appointment confirmation here: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9840&app=852693”
03-15-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 03-17-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
03-17-2026 07:40 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
03-17-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852694
03-17-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-3/17/2026 92507: Speech & Language Visit
03-17-2026 04:09 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852694
03-22-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Joshua has a Speech Therapy appointment on 03-24-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:41 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 03:15 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852695
03-24-2026 03:15 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:30PM-3/24/2026 92507: Speech & Language Visit
03-24-2026 03:19 PM	Victoria Chacon	Hi! What time is Kaylnn's appointment tomorrow? :) I was going to ask if we could see Josh for a makeup tomorrow at 3:00, but Kaylnn just told us about the bracket appointment. If possible, can we see Josh, we could even do zoom if that's easier, but only if it works out with her appointment time. :)
03-24-2026 03:21 PM	Joshua Anderson	Joshua (Prim) Replied: Zoom will be best
03-24-2026 03:22 PM	Victoria Chacon	Yay okay! Perfect, thank you! :)
03-24-2026 04:08 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=852695
03-24-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. - New Beginnings 🙂
03-24-2026 06:40 PM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. - New Beginnings 🙂”
03-25-2026 08:02 AM	Victoria Chacon	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:00 PM. Here is the link https://us06web.zoom.us/j/84956301027 - New Beginnings 🙂
03-25-2026 08:08 AM	Joshua Anderson	Joshua (Prim) Replied: Liked “Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 03:00 PM. Here is the link https://us06web.zoom.us/j/84956301027 - New Beginnings 🙂”
03-25-2026 02:45 PM	Victoria Chacon	Joshua Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=913558
03-25-2026 02:57 PM	Joshua Anderson	Joshua is CHECKED IN for: 3:00PM-3/25/2026 92507: Speech & Language Visit
03-25-2026 03:27 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9840&Appt=913558