New Beginnings | NB1-Office

Patient Name: Uxbal

Patient Information:

Patient ID: 9846

Patient First Name: Uxbal

Patient Date of Birth: 11-10-2022

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Jose, Prieto

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Haduck, Rachael

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
23240	Active	02-02-2026	07-31-2026	Blue Cross Blue Shield	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26153	01-27-2026	Speech Initial Evaluation	F80.2
Speech Background History: Uxbal is a 3-year, 2-month old male seen at New Beginnings Pediatrics on January 27, 2026 from 8:00am to 9:00am for an initial speech and language evaluation. Uxbal was accompanied by his mother and father who served as his primary informant regarding Uxbal's medical history. Parents report there is a history of speech and language delays within the family. Uxbal was referred due to parental and physician concerns with his receptive and expressive language skills. Currently, Uxbal produces approximately 100-words (banana, apple, shoe). He is reported to have a recent increase word and animal/environmental noise imitation. Uxbal previously received speech therapy services through ECI but has since then aged-out. There are no concerns with fluency, voice, or feeding at this time. Uxbal's primary language is English with Spanish exposure, therefore, this evaluation was conducted in English with Spanish support as needed. Parents report English is the dominant language in the home (approximately 60–70%), with Spanish accounting for the remaining 30–40% of language exposure. Uxbal does not demonstrate a clear preference for, nor differential responsiveness to either language.
Speech Medical History: There is no significant medical history or chronic conditions. Uxbal was born at 38 weeks’ gestation via vaginal delivery, weighing 8 pounds 0 ounces, with no reported complications or perinatal concerns. Uxbal's hearing and vision are within normal limits (WNL), with no current concerns or impairments noted. There is no history of allergies. No other surgical procedures or hospitalizations are reported in his history.
Speech Medications: Uxbal is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Poor, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Follows verbal command with cues, Interactive, Makes requests, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Perseverations, Poor use of eye contact, Poor vocabulary, Problems with organization and relevance, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Pragmatics refers to the social use of language, including the ability to engage in effective communication, understand social cues, and adjust language based on context and audience. In a speech-language assessment, evaluating pragmatics involves observing a child's ability to initiate and maintain conversations, take turns, interpret nonverbal cues, and use language appropriately in different social situations. Difficulties with pragmatics can manifest as challenges in social interactions, problem-solving, and understanding figurative language. Uxbal demonstrates emerging pragmatic skills, showing appropriate eye contact and engagement during social interactions actively engaging in formal and informal social exchanges; however, exhibits fleeting attention to both verbal and nonverbal cues. He requires frequent verbal, gestural, and occasional tactile prompts to respond to basic commands.
Speech Diagnosis/Impressions: Uxbal is 3-year, 2-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Uxbal's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Uxbal receives services 2x/week for up to 60-minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Uxbal is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Uxbal's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Uxbal is not able to clearly or effectively communicate his needs and wants for his personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Uxbal will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Diagnosis/Impressions: Uxbal is 3-year, 2-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Uxbal's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Uxbal receives services 2x/week for up to 60-minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Uxbal is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Uxbal's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Uxbal is not able to clearly or effectively communicate his needs and wants for his personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Uxbal will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58205

Plan Date: 01-27-2026

Speech Assessment Summary: Uxbal is 3-year, 2-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Uxbal's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Uxbal receives services 2x/week for up to 60-minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Uxbal is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Uxbal's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Uxbal is not able to clearly or effectively communicate his needs and wants for his personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Uxbal will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with therapy is good, prognosis without therapy is guarded. Uxbal will be discharged from speech therapy when all of his goals are met and he receives a standard score above 1.5 standard deviations for all impairments, indicating that his expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating his Home Management Intervention Program at home. The frequency of therapy sessions will be 1x/week for 30-45 minutes.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	#1: By discharge, Uxbal will improve his expressive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.
Receptive Language	#2: By discharge, Uxbal will improve his receptive language skills to support functional communication across home and social routines, demonstrating the ability to comprehend and respond to age-appropriate verbal information, as well as express wants, needs, and ideas using total communication methods (e.g., AAC device, words, gestures, vocalizations), with 50% accuracy across 3 consecutive therapy sessions, as measured by clinician data collection, observation, and/or language probes.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Uxbal will increase his ability to use 2-3 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 40% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Uxbal will improve his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 30% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Uxbal will produce a variety of C-V combinations (CVC, CVCV, CVCVC) using age appropriate consonants with 40% accuracy across 3 consecutive sessions, improving his overall speech sound production skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Uxbal will increase his ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving his receptive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.2: Within 6 months, Uxbal will increase his ability to identify a variety of developmentally appropriate nouns and verbs with 40% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

490825

Note Date: 03-23-2026

Subjective:

Assessment of Goals/Response to Treatment: #1.1: Within 6 months, Uxbal will increase his ability to use 2-3 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 40% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations. - During semi-structured and play-based activities, clinician modeled many 2-3 word utterances for a variety of pragmatic functions. Models include but are not limited to: I need ___, I want ___, help me, SVO, adj + noun, etc. He imitated in all opportunities and was observed to carryover in ~30% of opportunities with verbal approximation given repetition. He IND produced: come on let's go, what you doing, etc. with verbal approximation. Clinician imitated and expanded +1-2. #1.2: Within 6 months, Uxbal will improve his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 30% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations. - Target 'who-occupation.' Given a 3-pice puzzle, Uxbal put together and labeled 'who' in 3/15 opportunities given MAX verbal cues and direct models as needed. he IND labeled 'robot, doctor, fire fighter.' DIrect models provided in all other opportunities. #2.2: Within 6 months, Uxbal will increase his ability to identify a variety of developmentally appropriate nouns and verbs with 40% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations. - Target 'who-occupation.' Uxbal identified 'who' in 1/15 opportunities given MAX verbal cues and direct models as needed. Attention remained a barrier this date.

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
878450	92523: Artic & Language Eval	01-27-2026 08:00 AM	01-27-2026 09:00 AM	Rachael Haduck	NB1 east side	Completed
885000	92507: Speech & Language Visit	02-09-2026 09:00 AM	02-09-2026 09:30 AM	Rachael Haduck	NB1 east side	Completed
885002	92507: Speech & Language Visit	02-23-2026 08:30 AM	02-23-2026 09:00 AM	Rachael Haduck	NB1 east side	Completed
885004	92507: Speech & Language Visit	03-09-2026 09:00 AM	03-09-2026 09:30 AM	Rachael Haduck	NB1 east side	Completed
885006	92507: Speech & Language Visit	03-23-2026 09:00 AM	03-23-2026 09:30 AM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
885001	92507: Speech & Language Visit	02-16-2026 09:00 AM	02-16-2026 09:30 AM	Rachael Haduck	NB1 east side	Canceled
885003	92507: Speech & Language Visit	03-02-2026 09:00 AM	03-02-2026 09:30 AM	Rachael Haduck	NB1 east side	Canceled
885005	92507: Speech & Language Visit	03-16-2026 09:00 AM	03-16-2026 09:30 AM	Rachael Haduck	NB1 east side	Canceled
885008	92507: Speech & Language Visit	04-06-2026 09:00 AM	04-06-2026 09:30 AM	Rachael Haduck	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
885007	92507: Speech & Language Visit	03-30-2026 09:00 AM	03-30-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885009	92507: Speech & Language Visit	04-13-2026 09:00 AM	04-13-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885010	92507: Speech & Language Visit	04-20-2026 09:00 AM	04-20-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885011	92507: Speech & Language Visit	04-27-2026 09:00 AM	04-27-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885012	92507: Speech & Language Visit	05-04-2026 09:00 AM	05-04-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885013	92507: Speech & Language Visit	05-11-2026 09:00 AM	05-11-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885014	92507: Speech & Language Visit	05-18-2026 09:00 AM	05-18-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885015	92507: Speech & Language Visit	05-25-2026 09:00 AM	05-25-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885016	92507: Speech & Language Visit	06-01-2026 09:00 AM	06-01-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885017	92507: Speech & Language Visit	06-08-2026 09:00 AM	06-08-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885018	92507: Speech & Language Visit	06-15-2026 09:00 AM	06-15-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885019	92507: Speech & Language Visit	06-22-2026 09:00 AM	06-22-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885020	92507: Speech & Language Visit	06-29-2026 09:00 AM	06-29-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885021	92507: Speech & Language Visit	07-06-2026 09:00 AM	07-06-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885022	92507: Speech & Language Visit	07-13-2026 09:00 AM	07-13-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885023	92507: Speech & Language Visit	07-20-2026 09:00 AM	07-20-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled
885024	92507: Speech & Language Visit	07-27-2026 09:00 AM	07-27-2026 09:30 AM	Rachael Haduck	NB1 east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
1/27/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	181.77	-181.77
1/27/26	Patient Payment Received (PayPal)	181.77	181.77	0.00
2/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	181.77	250.01	-68.24
2/9/26	Patient Payment Received (PayPal)	250.01	250.01	0.00
2/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	250.01	318.25	-68.24
2/23/26	Patient Payment Received (PayPal)	318.25	318.25	0.00
3/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	318.25	386.49	-68.24
3/9/26	Patient Payment Received (PayPal)	386.49	386.49	0.00
3/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	386.49	454.73	-68.24

Billing History:

Date	Service Description	Units	$Amount	$Status
1/27/26	92523: Artic & Language Eval	1	345.00	Billed and Paid
1/27/26		1	0.00	Unbilled
1/27/26		1	0.00	Unbilled
2/9/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/23/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/9/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/23/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
01-30-2026	Avery Fontenot	ST Auth starting 02/02/2026 to 07/31/2026 for 1x/wk = 26 visits. Therapist notified.
01-13-2026	Stephanie Escobar	Clinician contacted parent via phone to discuss concerns regarding copay amounts, evaluation cost, and treatment scheduling. Parent expressed concern about the financial impact of services. Clinician provided reassurance and explained that the clinic can work with the family to accommodate scheduling needs. Parent was informed that the evaluation cost is $181.22 and that each treatment session has a copay of $68.00. Clinician also informed parent that the patient is authorized for 60 visits per calendar year per insurance benefits. Due to the cost of sessions, parent stated a preference for scheduling therapy every other week. Clinician informed parent that this frequency can be accommodated and that the clinic will work with the family to support their needs while remaining flexible with scheduling.
01-09-2026	Avery Fontenot	Called parent regarding interest in speech therapy services. No answer, left a message.
01-06-2026	Avery Fontenot	Called parent to go over times for ST Eval. Parent didn't answer. Left a message.
11-24-2025	Julie Mora	Spoke to parent about our ST availability of 9-1. Parent will be available to bring patient, preferably AM.
11-20-2025	Avery Fontenot	ST Benefits and Eligibility: 20% co-insurance 60 visit limit, 0 visits met, Soft max Combined with PT,OT,ST Auth not required for 92507 Ref:218310841 Confirmation #: 1109097446

Paient Missed Visit Notes:

Date	Service	Therapist	Description
04-06-2026	92507	Haduck, Rachael	Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
03-16-2026	92507	Haduck, Rachael
03-02-2026	92507	Haduck, Rachael
02-16-2026	92507	Haduck, Rachael	Dear Parents, I apologize for the short notice, but I will need to cancel our session on Monday, February 19th. My husband is in the military and has an upcoming training departure, and some final scheduling and transportation arrangements that came together more quickly than anticipated. I need to be available that day to assist with last-minute arrangements and getting him to base. I apologize for the inconvenience and truly appreciate your understanding. I will be reaching out to schedule a make-up session with you soon. Kindest, Rachael, CCC-SLP

Paient Messages Admin:

Date	Posted By	Message
11-13-2025 12:22 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2393
11-13-2025 12:23 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2393
11-13-2025 01:11 PM	Shekinah Velasquez	Uxbal 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=9846&type=1&wid=364
11-24-2025 11:23 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=9846
11-25-2025 02:52 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-17-2025 11:16 AM	Shekinah Velasquez	Dear Parents, We would like to inform all patients with Blue Cross Blue Shield (BCBS) insurance that insurance benefits reset at the beginning of the new year. This means that all copays, coinsurance amounts, deductibles, and out-of-pocket maximums will reset. As a result, payments for visits will be charged at the full allowed amount until your deductible is met. Depending on your specific BCBS plan, you may or may not have a deductible. Below are the allowed amounts that will apply until your deductible is met: Speech Therapy (ST): Initial Evaluation: $181.77 Visits: $68.24 Re-evaluation: $234.19 Feeding Therapy (FD): Initial Evaluation: $67.73 Visits: $67.73 Re-evaluation: $234.19 Occupational Therapy (OT): Initial Evaluation: $80.31 Visits: $118.34 Re-evaluation: $55.41 Physical Therapy (PT): Initial Evaluation: $80.31 Visits: $118.34 Re-evaluation: $55.68 Once your deductible has been met, your copay or coinsurance amounts will then apply according to your plan benefits. If you have questions about whether you have a deductible, your benefits, or any other concerns, please feel free to contact our office at 915-855-0601. Thank you for your understanding, and we wish you a happy and healthy holiday season!🎄🎅
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
01-12-2026 10:42 AM	Avery Fontenot	Good morning, This is Avery from the front office at New Beginnings. We are reaching out regarding your request for Speech Therapy services. We currently have a therapist available to complete an evaluation for Uxbal; however, we are still awaiting confirmation from you to determine if you remain interested in moving forward with our services. Due to our extensive waitlist, if we do not hear from you by the end of today, we will need to deactivate Uxbal’s request. Thank you for your understanding. If you have any questions or would like to proceed, please contact our office at 915-855-0601. We look forward to hearing from you.
01-12-2026 04:59 PM	Uxbal Celis	Hello we would like to move forward to schedule something
01-12-2026 04:59 PM	Uxbal Celis	In the coming weeks sorry for the delayed responses we had been out of town
01-13-2026 08:37 AM	Avery Fontenot	Good morning, we wanted to double check just to make sure we would be okay with moving forward with the scheduling process. I will have the therapist reach out to you to you to schedule. Thank you!
01-13-2026 09:01 AM	Uxbal Celis	Great thanks
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! 💙
01-27-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38739. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-30-2026 04:34 PM	Shekinah Velasquez	Hi, Uxbal as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Rachael https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9846&tid=141
02-02-2026 10:57 AM	Shekinah Velasquez	Good morning! This is Shekinah from the front office. We’re reaching out to inform all of Rachael’s patients of a location change. All therapy sessions will now take place at 1510 N Zaragoza, Suite B1. The new office is located in the building directly behind Rachael’s previous location. If you have any questions, please don’t hesitate to give us a call. Thank you!
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! 💙
02-09-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39102. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-16-2026 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9846
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-23-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39482. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-02-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39674. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39976. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9846
03-11-2026 05:39 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-23-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Uxbal Celis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40490. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
11-25-2025 05:51 PM	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=9846&tid=113
11-25-2025 05:51 PM	Uxbal Celis	Uxbal SCHEDULED: 8:00AM-12/5/2025 92523: Speech Evaluation
11-25-2025 06:13 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello About how long is the evaluation time wise?
11-26-2025 10:48 AM	Teresa Serna	Hi, your Speech Evaluation on MM-dd-yyyy HH:mm has been removed. If you have any questions or need to reschedule, please message us. Thank you!
11-26-2025 10:49 AM	Teresa Serna	Good morning(: There was an error in the system scheduling and I am not available next Friday at that time. I went ahead and resent the link so you can schedule an appointment again
11-26-2025 10:51 AM	Teresa Serna	The evaluation is typically an hour long it all depends on how the kiddo does sometimes it can be less or more
11-26-2025 12:18 PM	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=9846&tid=125
11-26-2025 12:18 PM	Uxbal Celis	Uxbal SCHEDULED: 9:00AM-12/11/2025 92523: Speech Evaluation
12-04-2025 11:37 AM	Stephanie Escobar	Hi, your Speech Evaluation on MM-dd-yyyy HH:mm has been removed. If you have any questions or need to reschedule, please message us. Thank you!
01-02-2026 11:22 AM	Rachael Haduck	Dear family of Uxbal Celis, Happy New Year! This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Uxabl for his speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get him scheduled. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
01-05-2026 09:03 AM	Rachael Haduck	Dear family of Uxbal Celis, Happy New Year! This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out again to schedule UXbal for his speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get him scheduled. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
01-06-2026 08:44 AM	Rachael Haduck	Dear family of Uxbal Celis, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out again in attempt to schedule Uxbal for his speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get him scheduled. If you have questions or concerns regarding services, please contact New Beginnings front office at (915) 855-0601. Kindest, Rachael, CCC-SLP
01-13-2026 08:45 AM	Rachael Haduck	Dear family of Uxbal Celis, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Uxbal for his speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get him scheduled. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
01-13-2026 11:48 AM	Uxbal Celis	Uxbal (Prim) Replied: Hello Rachael my wife will be calling the office today to schedule something as she has some questions as well. Thank you
01-13-2026 12:50 PM	Rachael Haduck	thank you for letting me know! Just so you are aware, front office may still have you go through me to schedule an evaluation after they answer your questions :)
01-13-2026 01:03 PM	Uxbal Celis	Uxbal (Prim) Replied: No problem thank you for letting us know
01-26-2026 04:56 PM	Rachael Haduck	Hello! I wanted to reach out ahead of tomorrows evaluation to learn more about your primary concerns for Uxbal. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed? This information helps me select the most appropriate testing materials.
01-26-2026 05:45 PM	Uxbal Celis	Uxbal (Prim) Replied: Overall Speech and sounds
01-26-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Evaluation appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 07:45 AM	Rachael Haduck	Uxbal Celis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=878450
01-27-2026 07:54 AM	Rachael Haduck	Good morning! I am located in 1510 Zaragosa Building A. When you pull into the parking lot, you will se a large, tan sign to your right that reads "1510 Zaragosa Building A" please turn right there. :)
01-27-2026 07:56 AM	Uxbal Celis	Uxbal is RUNNING LATE for: 8:00AM-1/27/2026 92523: Artic & Language Eval
01-27-2026 07:56 AM	Uxbal Celis	Uxbal (Prim) Replied: I will be there in 10 min
01-27-2026 08:04 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Evaluation appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
01-30-2026 05:44 PM	Rachael Haduck	Good evening! This is Rachael CCC-SLP reaching out to let you know that Uxabl has been approved for speech 1x/week for 30-45minutes. Right now, he is placed on my schedule and can begin next week, however, if you still prefer a bilingual therapist, we can easily move him to another therapist. :) Please let me know what you prefer so we can either get him scheduled with me, or let front office know you would like to move forward with a bilingual therapist.
01-30-2026 05:45 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello Rachael we prefer for him to stay with you
01-30-2026 05:45 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-30-2026 05:45 PM	Uxbal Celis	Uxbal (Prim) Replied: 8am is our preferred time if possible
01-30-2026 05:45 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-30-2026 05:46 PM	Uxbal Celis	Uxbal (Prim) Replied: Mondays or Tuesday's
01-30-2026 05:46 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 01:55 PM	Rachael Haduck	Hello! I will be out of office tomorrow, 2/2, but if you would like Monday's we can begin 2/9. Otherwise, we can begin on Tuesday 2/3. My availability is: - Monday: 9:00, 9:30, 10:00, 11:00, 11:30, 1:00, 2:00 - Tuesday: 8:00, 8:30, 9:30, 11:00, 11:30, 12:00, 2:00, 3:00 :)
02-01-2026 10:06 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP
02-02-2026 12:56 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP 02-01-2026 02:11 PM Office Location Change
02-02-2026 05:09 PM	Rachael Haduck	Hello! I wanted to check in and confirm what day and time you would like for sessions? :)
02-02-2026 05:09 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello next Monday at 8am will be best
02-02-2026 05:10 PM	Uxbal Celis	Uxbal (Prim) Replied: Thank you
02-02-2026 05:15 PM	Rachael Haduck	Unfortunately, it may be taken but I am still waiting on a response from another patient to confirm. I do have 7:30am and 8:30am still available:)
02-02-2026 05:15 PM	Uxbal Celis	Uxbal (Prim) Replied: 8:30am works
02-03-2026 02:19 PM	Rachael Haduck	Hello! I'm so sorry, I misread your message and thought you requested Tuesday at 8:30am, not Monday. Monday the earliest I have is 9:00am. Is that okay with you? I have at early at 7:30am as well that day. I'm so sorry for the confusion on my end!
02-03-2026 03:40 PM	Uxbal Celis	Uxbal (Prim) Replied: 9 am is fine
02-03-2026 03:40 PM	Uxbal Celis	Uxbal (Prim) Replied: That works
02-03-2026 03:41 PM	Rachael Haduck	thank you so much! he is all set to go starting next Monday at 9:00am :) would you like to start off with 30 or 45-minute sessions?
02-03-2026 03:42 PM	Uxbal Celis	Uxbal (Prim) Replied: I think 30 to begin with. Thank you
02-03-2026 03:44 PM	Rachael Haduck	perfect, he is scheduled
02-08-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 02-09-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:03 PM	Uxbal Celis	Uxbal (Prim) Replied: Yes
02-08-2026 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 07:57 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 07:57 AM	Uxbal Celis	Uxbal (Prim) Replied: Le gustó “Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂”
02-09-2026 08:45 AM	Rachael Haduck	Uxbal Celis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=885000
02-09-2026 08:46 AM	Rachael Haduck	Good morning! Just a friendly reminder I am now located in Building B. :) it is the old OT for Tots location. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building B” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location.
02-09-2026 08:47 AM	Uxbal Celis	Uxbal (Prim) Replied: Got it! We will be there in 10 minutes
02-09-2026 08:55 AM	Uxbal Celis	Uxbal (Prim) Replied: Hi we're outside
02-13-2026 02:50 PM	Rachael Haduck	Haduck, Rachael: Dear Parents, I apologize for the short notice, but I will need to cancel our session on Monday, February 19th. My husband is in the military and has an upcoming training departure, and some final scheduling and transportation arrangements that came together more quickly than anticipated. I need to be available that day to assist with last-minute arrangements and getting him to base. I apologize for the inconvenience and truly appreciate your understanding. I will be reaching out to schedule a make-up session with you soon. Kindest, Rachael, CCC-SLP
02-14-2026 10:44 AM	Rachael Haduck	Good morning! I want to clarify that I will be out of the office on Monday, 2/16. A parent kindly brought to my attention that my previous message listed the 19th, and I apologize for any confusion this may have caused with days and dates! Thank you again for your understanding, especially with the short notice due to military obligations. I truly appreciate your flexibility! :) I hope you all have a wonderful weekend. Kindest, Rachael, CCC-SLP
02-14-2026 10:47 AM	Uxbal Celis	Uxbal (Prim) Replied: No problem, Rachael
02-14-2026 10:47 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-14-2026 10:47 AM	Uxbal Celis	Uxbal (Prim) Replied: We will reschedule for the following Monday 23rd 8:30 am
02-14-2026 10:47 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-14-2026 10:55 AM	Rachael Haduck	Would you like come in on Tuesday, 2/17 at 8:30am for a make-up session?
02-14-2026 10:58 AM	Uxbal Celis	Uxbal (Prim) Replied: We can't on Tuesday, I think the following Monday is best
02-14-2026 10:58 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-19-2026 10:41 AM	Rachael Haduck	hello! I wanted to check in and ask, would you be interested in coming in for a make-up session to make-up for Monday's missed session? My 2:30pm canceled today. :)
02-22-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 02-23-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:03 PM	Uxbal Celis	Uxbal (Prim) Replied: You can't handle it
02-22-2026 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:04 PM	Uxbal Celis	Uxbal (Prim) Replied: Sorry wrong person
02-22-2026 04:04 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:04 PM	Uxbal Celis	Uxbal (Prim) Replied: Yes we will be there tomorrow
02-22-2026 04:04 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:04 PM	Uxbal Celis	Uxbal (Prim) Replied: Can you do 8:30?
02-22-2026 04:04 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 05:19 PM	Rachael Haduck	Hi! Yes, I can move tomorrows session to 8:30am :) because my reoccurring 8:30am canceled but unfortunately, I won’t be able to next week
02-22-2026 05:22 PM	Uxbal Celis	Uxbal (Prim) Replied: Perfect thank you see you tomorrow at 8:30
02-22-2026 05:22 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings 🙂
02-22-2026 06:30 PM	Uxbal Celis	Uxbal (Prim) Replied: Le gustó “Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings 🙂”
02-22-2026 06:30 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-23-2026 07:51 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings 🙂
02-23-2026 08:15 AM	Rachael Haduck	Uxbal Celis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=885002
02-23-2026 08:27 AM	Uxbal Celis	Uxbal (Prim) Replied: Liked “Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings 🙂”
02-23-2026 08:27 AM	Uxbal Celis	Uxbal (Prim) Replied: Be there in 5 minutes
02-23-2026 08:27 AM	Uxbal Celis	Uxbal is CHECKED IN for: 8:30AM-2/23/2026 92507: Speech & Language Visit
02-24-2026 12:41 PM	Rachael Haduck	hi! are you able to complete a make-up session tomorrow at 9:30am? or Friday at 8:45am, 9:00am, or 9:30am? :) he has 2 make-up sessions to complete- 1 because I was off that day due to my husbands military obligations and the other because we started therapy a week later from his auth start date :)
02-24-2026 12:42 PM	Uxbal Celis	Uxbal (Prim) Replied: I'm sorry why do we need to make the sessions up again?
02-24-2026 12:51 PM	Rachael Haduck	Yes, so to explain it: Uxbal's current authorization covers 26 sessions over 6 months. Insurance companies typically expect families to attend at least about 90% of approved sessions. That includes regular sessions and make-up sessions. When attendance drops below that, insurance may question whether the services are medically necessary or reduce future authorizations. That’s why we prioritize make-ups when sessions are missed — it shows insurance that you’re committed to treatment and helps protect continued coverage! :) Texas likes to make things tricky!
02-24-2026 12:52 PM	Rachael Haduck	if this week is too difficult because I know both of you work, we can always plan for next week!
02-24-2026 01:17 PM	Uxbal Celis	Uxbal (Prim) Replied: Ok, Yes next week would be better I'll follow up with a date
02-24-2026 04:35 PM	Rachael Haduck	perfect!
03-01-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 03-02-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:55 PM	Uxbal Celis	Uxbal (Prim) Replied: Yes
03-01-2026 04:55 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 04:55 PM	Uxbal Celis	Uxbal (Prim) Replied: if 8:30 is ever available that would work great as well
03-01-2026 04:55 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-01-2026 06:45 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello Uxbal caught a fever a couple hours ago he may not make it tomorrow if he's feeling ill
03-01-2026 06:45 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:45 PM	Uxbal Celis	Uxbal (Prim) Replied: I will confirm the appointment in the morning tomorrow depending on how he's feeling
03-01-2026 06:45 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 07:46 PM	Rachael Haduck	thank you for letting me know! hopefully he feels better!!
03-02-2026 07:48 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 08:14 AM	Uxbal Celis	Uxbal (Prim) Replied: Hello uxbal is sick and we won't be making the appointment today
03-02-2026 08:14 AM	Uxbal Celis	Uxbal (Prim) Replied: Thank you
03-02-2026 08:20 AM	Rachael Haduck	I will get session canceled. Feel better, Uxbal!! :)
03-02-2026 08:20 AM	Rachael Haduck	Rachael Haduck CANCELLED: 9:00AM-3/2/2026 92507: Speech & Language Visit
03-05-2026 12:51 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello Rachael would you have a minute to talk today regarding Uxbals therapy
03-05-2026 12:52 PM	Uxbal Celis	Uxbal (Prim) Replied: When you get a chance could you call my wife at 915-449-2213.
03-05-2026 12:52 PM	Uxbal Celis	Uxbal (Prim) Replied: She's available all day today. Thank you
03-05-2026 01:08 PM	Rachael Haduck	hi! I will be able to call her hopefully within the next hour!
03-05-2026 01:08 PM	Uxbal Celis	Uxbal (Prim) Replied: Great thanks
03-08-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 03-09-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:41 PM	Uxbal Celis	Uxbal (Prim) Replied: Yes
03-08-2026 04:41 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-08-2026 06:40 PM	Uxbal Celis	Uxbal (Prim) Replied: Le gustó “Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂”
03-08-2026 06:40 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-09-2026 07:45 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 07:46 AM	Uxbal Celis	Uxbal (Prim) Replied: Ok See you at 9 thank you
03-09-2026 08:45 AM	Rachael Haduck	Uxbal Celis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=885004
03-09-2026 08:58 AM	Uxbal Celis	Uxbal is CHECKED IN for: 9:00AM-3/9/2026 92507: Speech & Language Visit
03-09-2026 09:03 AM	Rachael Haduck	hi!! I walked outside but I don't see you guys?
03-09-2026 09:04 AM	Rachael Haduck	1510 Zaragosa Building B :)
03-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 03-16-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:49 PM	Uxbal Celis	Uxbal (Prim) Replied: No
03-15-2026 04:49 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 04:50 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello we're out of town this week. Uxbal can resume next Monday. Thank you
03-15-2026 04:50 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-15-2026 07:31 PM	Uxbal Celis	Uxbal (Prim) Replied: Hello we're out of town this week. Uxbal can resume next Monday. Thank you
03-15-2026 07:31 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 08:22 PM	Rachael Haduck	hi! thank you, I will get session canceled :)
03-15-2026 08:23 PM	Rachael Haduck	Rachael Haduck CANCELLED: 9:00AM-3/16/2026 92507: Speech & Language Visit
03-22-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Celis, Uxbal has a Speech Therapy appointment on 03-23-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:03 PM	Uxbal Celis	Uxbal (Prim) Replied: Yes
03-22-2026 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 04:03 PM	Uxbal Celis	Uxbal (Prim) Replied: Any chance 8:30 is available if not 9 is fine
03-22-2026 04:03 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-22-2026 08:24 PM	Rachael Haduck	hi! unfortunately I do not tomorrow, but if my 8:30am cancels I will let you know asap!
03-22-2026 08:25 PM	Uxbal Celis	Uxbal (Prim) Replied: Ok thank you
03-22-2026 08:25 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 07:46 AM	Rachael Haduck	Hi, this is a just a reminder that Uxbal has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 08:02 AM	Uxbal Celis	Uxbal (Prim) Replied: Hello, unfortunately I have an emergency at work and will have to cancel today's appointment... do you have any days available to rest for the rest of the week preferably at 8 or 8:30?
03-23-2026 08:02 AM	Uxbal Celis	Uxbal (Prim) Replied: Reschedule
03-23-2026 08:08 AM	Rachael Haduck	Rachael Haduck CANCELLED: 9:00AM-3/23/2026 92507: Speech & Language Visit
03-23-2026 08:10 AM	Uxbal Celis	Uxbal (Prim) Replied: I'm sorry we will be able to make it after all. My apologies we will be there at 9
03-23-2026 08:10 AM	Uxbal Celis	Uxbal (Prim) Replied: See you then.
03-23-2026 08:12 AM	Rachael Haduck	hi! so you would like to keep today's session? unfortunately, I do not this week :( but if you are open to seeing another therapist, her name is Lauryn and she is an SLPA. She will be able to offer you 8:00 and 8:30am availability!
03-23-2026 08:12 AM	Uxbal Celis	Uxbal (Prim) Replied: Yes I can keep today's after all!
03-23-2026 08:13 AM	Uxbal Celis	Uxbal (Prim) Replied: Sorry for the confusion.
03-23-2026 08:15 AM	Rachael Haduck	no worries, he is rescheduled!
03-23-2026 08:17 AM	Uxbal Celis	Uxbal (Prim) Replied: Great! See you shortly
03-23-2026 08:45 AM	Rachael Haduck	Uxbal Celis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=885006
03-23-2026 08:45 AM	Uxbal Celis	Uxbal is CHECKED IN for: 9:00AM-3/23/2026 92507: Speech & Language Visit
03-23-2026 08:45 AM	Uxbal Celis	Uxbal is CHECKED IN for: 9:00AM-3/23/2026 92507: Speech & Language Visit
03-23-2026 09:09 AM	Rachael Haduck	Hello! Just a quick heads-up that had Uxbal had a bowel movement in their diaper. Would you be able to come by and change him?
03-23-2026 09:13 AM	Uxbal Celis	Uxbal (Prim) Replied: Definitely
03-23-2026 09:13 AM	Uxbal Celis	Uxbal (Prim) Replied: Be right in
03-26-2026 04:03 PM	Rachael Haduck	Haduck, Rachael: Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP