New Beginnings | NB1-Office

Patient Name: Justin

Patient Information:

Patient ID: 9848

Patient First Name: Justin

Patient Date of Birth: 04-20-2022

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Amado, Ramirez

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
23229	Active	02-02-2026	07-31-2026	Blue Cross Blue Shield	52	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26120	01-22-2026	Speech Initial Evaluation	F80.2, F80.0
Speech Background History: Justin is a 3-year, 9-month old male who was seen at New Beginnings Pediatrics on January 22, 2026 from 10:30am to 11:30am for an initial speech and language evaluation. Justin was accompanied by his mother who served as his primary informant regarding his medical history. Parents report there is a history of speech and language delays within the family. Justin was referred due to parental and physician concerns with his receptive and expressive language skills secondary to speech sound production. Currently, Justin produces approximately 100-words (clock, apple juice, thank you, shoe) and is reported to mimic conversational speech patterns, frequently using jargon with occasional intelligible words embedded within longer utterances. There are no concerns with fluency, voice, or feeding at this time. Justin's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: There is no significant medical history or chronic conditions. Justin was born full-term via vaginal delivery, weighing 6 pounds 7 ounce, with no reported complications or perinatal concerns. Justin's vision and hearing are within normal limits (WNL), with no current concerns or impairments noted. There is no history of allergies. No other surgical procedures or hospitalizations are reported in his history.
Speech Medications: Justin is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Mild delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Interactive, Makes requests, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor vocabulary, Problems with organization and relevance, Unable to answer questions, Unable to participate in a conversation, Unintelligible, 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.
Speech Diagnosis/Impressions: Justin is 3-year, 9-month ale who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2) and Severe Phonological Disorder (F80.0). These deficits impact Justin's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Justin 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. Justin 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 Justin'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 Justin 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, Justin 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: Justin is 3-year, 9-month ale who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2) and Severe Phonological Disorder (F80.0). These deficits impact Justin's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Justin 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. Justin 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 Justin'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 Justin 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, Justin 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: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58142

Plan Date: 01-22-2026

Speech Assessment Summary: Justin is 3-year, 9-month ale who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2) and Severe Phonological Disorder (F80.0). These deficits impact Justin's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Justin 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. Justin 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 Justin'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 Justin 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, Justin 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. Justin 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 2x/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, Justin 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 Justin 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.
Oral Motor/Articulation	#3: By discharge, Justin will improve phonological skills and overall speech intelligibility to support effective verbal communication across home, school, and social environments with 80% accuracy across 3 consecutive sessions, as measured by clinician data collection and observation.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Justin will increase his ability to use 2-4 words 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, Justin will increase his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 40% 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, Justin will increase ability to use subjective, objective, and possessive pronouns with 40% accuracy across 3 consecutive sessions, improving his expressive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Justin 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.
Oral Motor/Articulation	#3.1: Within 6 months, Justin will produce bilabial phonemes /p, b, m, w/ within a variety of consonant-vowel (C-V) combinations, improving phonological skills and overall intelligibility of speech with 40% accuracy across 3 consecutive sessions, as measured by therapist collected data and observations.
Oral Motor/Articulation	#3.2: Within 6 months, Justin will produce alveolar phonemes /t, d, n, s/ within a variety of consonant-vowel (C-V) combinations, improving phonological skills and overall intelligibility of speech with 40% accuracy across 3 consecutive sessions, as measured by therapist collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

490472

Note Date: 03-19-2026

Subjective:

Assessment of Goals/Response to Treatment: #1.1: Within 6 months, Justin will increase his ability to use 2-4 words 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 2-4 words per utterance for a variety of pragmatic functions. Models include but are not limited to: 'I' statements, adj + noun, SVO. Justin imitated in >50% of opportunities and carried over in ~30% of opportunities with verbal approximation. He IND produced: it's wobbly, the cow is sleeping, barn fall over, etc. with verbal approximation. #1.2: Within 6 months, Justin will increase his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 40% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations. - Read an age-appropriate story, approximately 1-sentence per page with visual support, Justin answered 'who, what do, where' questions in 15/20 opportunities given MOD verbal cues and direct models as needed. #1.3: Within 6 months, Justin will increase ability to use subjective, objective, and possessive pronouns with 40% accuracy across 3 consecutive sessions, improving his expressive language skills, as measured by therapist collected data and observations. - Given a picture, clinician modeled 'he, she' pronouns. Justin labeled the person using subjective 'he, she' pronoun in 11/15 opportunities given MOD verbal cues. He was observed to use pronouns 'we, I, you, my, mine' in spontaneous connected speech. Clinician imiatted most models and expanded +1-2 as needed (i.e., I need help/need help, I want to play with you/play with you, etc).

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
875154	92523: Artic & Language Eval	01-22-2026 10:30 AM	01-22-2026 11:30 AM	Rachael Haduck	NB1 east side	Completed
884195	92507: Speech & Language Visit	02-03-2026 11:00 AM	02-03-2026 11:30 AM	Rachael Haduck	NB1 east side	Completed
884592	92507: Speech & Language Visit	02-05-2026 10:00 AM	02-05-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884677	92507: Speech & Language Visit	02-10-2026 08:00 AM	02-10-2026 08:30 AM	Rachael Haduck	NB1 east side	Completed
884593	92507: Speech & Language Visit	02-12-2026 10:00 AM	02-12-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884678	92507: Speech & Language Visit	02-17-2026 08:00 AM	02-17-2026 08:30 AM	Rachael Haduck	NB1 east side	Completed
884594	92507: Speech & Language Visit	02-19-2026 10:00 AM	02-19-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884595	92507: Speech & Language Visit	02-26-2026 10:00 AM	02-26-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884680	92507: Speech & Language Visit	03-03-2026 08:00 AM	03-03-2026 08:30 AM	Rachael Haduck	NB1 east side	Completed
884596	92507: Speech & Language Visit	03-05-2026 10:00 AM	03-05-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884681	92507: Speech & Language Visit	03-10-2026 08:00 AM	03-10-2026 08:30 AM	Rachael Haduck	NB1 east side	Completed
884597	92507: Speech & Language Visit	03-12-2026 10:00 AM	03-12-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
884682	92507: Speech & Language Visit	03-17-2026 08:00 AM	03-17-2026 08:30 AM	Rachael Haduck	NB1 east side	Completed
884598	92507: Speech & Language Visit	03-19-2026 10:00 AM	03-19-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
884679	92507: Speech & Language Visit	02-24-2026 08:00 AM	02-24-2026 08:30 AM	Rachael Haduck	NB1 east side	Canceled
884683	92507: Speech & Language Visit	03-24-2026 08:00 AM	03-24-2026 08:30 AM	Rachael Haduck	NB1 east side	Canceled
884599	92507: Speech & Language Visit	03-26-2026 10:00 AM	03-26-2026 10:30 AM	Rachael Haduck	NB1 east side	Canceled
884685	92507: Speech & Language Visit	04-07-2026 08:00 AM	04-07-2026 08:30 AM	Rachael Haduck	NB1 east side	Canceled
884601	92507: Speech & Language Visit	04-09-2026 10:00 AM	04-09-2026 10:30 AM	Rachael Haduck	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
884684	92507: Speech & Language Visit	03-31-2026 08:00 AM	03-31-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884600	92507: Speech & Language Visit	04-02-2026 10:00 AM	04-02-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884686	92507: Speech & Language Visit	04-14-2026 08:00 AM	04-14-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884602	92507: Speech & Language Visit	04-16-2026 10:00 AM	04-16-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884687	92507: Speech & Language Visit	04-21-2026 08:00 AM	04-21-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884603	92507: Speech & Language Visit	04-23-2026 10:00 AM	04-23-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884688	92507: Speech & Language Visit	04-28-2026 08:00 AM	04-28-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884604	92507: Speech & Language Visit	04-30-2026 10:00 AM	04-30-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884689	92507: Speech & Language Visit	05-05-2026 08:00 AM	05-05-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884605	92507: Speech & Language Visit	05-07-2026 10:00 AM	05-07-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884690	92507: Speech & Language Visit	05-12-2026 08:00 AM	05-12-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884606	92507: Speech & Language Visit	05-14-2026 10:00 AM	05-14-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884691	92507: Speech & Language Visit	05-19-2026 08:00 AM	05-19-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884607	92507: Speech & Language Visit	05-21-2026 10:00 AM	05-21-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884692	92507: Speech & Language Visit	05-26-2026 08:00 AM	05-26-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884608	92507: Speech & Language Visit	05-28-2026 10:00 AM	05-28-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884693	92507: Speech & Language Visit	06-02-2026 08:00 AM	06-02-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884609	92507: Speech & Language Visit	06-04-2026 10:00 AM	06-04-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884694	92507: Speech & Language Visit	06-09-2026 08:00 AM	06-09-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884610	92507: Speech & Language Visit	06-11-2026 10:00 AM	06-11-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884695	92507: Speech & Language Visit	06-16-2026 08:00 AM	06-16-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884611	92507: Speech & Language Visit	06-18-2026 10:00 AM	06-18-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884696	92507: Speech & Language Visit	06-23-2026 08:00 AM	06-23-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884612	92507: Speech & Language Visit	06-25-2026 10:00 AM	06-25-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884697	92507: Speech & Language Visit	06-30-2026 08:00 AM	06-30-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884613	92507: Speech & Language Visit	07-02-2026 10:00 AM	07-02-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884698	92507: Speech & Language Visit	07-07-2026 08:00 AM	07-07-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884614	92507: Speech & Language Visit	07-09-2026 10:00 AM	07-09-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884699	92507: Speech & Language Visit	07-14-2026 08:00 AM	07-14-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884615	92507: Speech & Language Visit	07-16-2026 10:00 AM	07-16-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884700	92507: Speech & Language Visit	07-21-2026 08:00 AM	07-21-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884616	92507: Speech & Language Visit	07-23-2026 10:00 AM	07-23-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled
884701	92507: Speech & Language Visit	07-28-2026 08:00 AM	07-28-2026 08:30 AM	Rachael Haduck	NB1 east side	Scheduled
884617	92507: Speech & Language Visit	07-30-2026 10:00 AM	07-30-2026 10:30 AM	Rachael Haduck	NB1 east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
1/22/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	36.35	-36.35
1/22/26	Patient Payment Received (Stripe)	36.35	36.35	0.00
2/3/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	36.35	50.00	-13.65
2/3/26	Patient Payment Received (PayPal)	50.00	50.00	0.00
2/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	50.00	63.65	-13.65
2/5/26	Patient Payment Received (Stripe)	63.65	63.65	0.00
2/10/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	63.65	77.30	-13.65
2/10/26	Patient Payment Received (PayPal)	77.30	77.30	0.00
2/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	77.30	90.95	-13.65
2/12/26	Patient Payment Received (PayPal)	90.95	90.95	0.00
2/17/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	90.95	104.60	-13.65
2/17/26	Patient Payment Received (PayPal)	104.60	104.60	0.00
2/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	104.60	118.25	-13.65
2/19/26	Patient Payment Received (PayPal)	118.25	118.25	0.00
2/26/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	118.25	131.90	-13.65
2/26/26	Patient Payment Received (PayPal)	131.90	131.90	0.00
3/3/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	131.90	145.55	-13.65
3/3/26	Patient Payment Received (PayPal)	145.55	145.55	0.00
3/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	145.55	159.20	-13.65
3/5/26	Patient Payment Received (PayPal)	159.20	159.20	0.00
3/10/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	159.20	172.85	-13.65
3/10/26	Patient Payment Received (PayPal)	172.85	172.85	0.00
3/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	172.85	186.50	-13.65
3/12/26	Patient Payment Received (PayPal)	186.50	186.50	0.00
3/17/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	186.50	200.15	-13.65
3/17/26	Patient Payment Received (Stripe)	200.15	200.15	0.00
3/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	200.15	213.80	-13.65
3/19/26	Patient Payment Received (Stripe)	213.80	213.80	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
1/22/26	92523: Artic & Language Eval	1	345.00	Billed and Paid
1/22/26		1	0.00	Unbilled
1/22/26		1	0.00	Unbilled
2/3/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/5/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/10/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/12/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/17/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/19/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/26/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/3/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/5/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/10/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/12/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/17/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/19/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
03-04-2026	Shekinah Velasquez	Clarified with INS and plan that was still in network. As long as we are in network with our local BCBS and Justin is active on BCBS. NO issues should arise with claims. Reference #; RoseJ03-03-2026
03-04-2026	Shekinah Velasquez	Clarified with INS and plan that was still in network. As long as we are in network with our local BCBS and Justin is active on BCBS. NO issues should arise with claims
01-30-2026	Avery Fontenot	ST Auth starting 02/02/2026 to 07/31/2026 for 2x/wk = 52 visits. Therapist notified.
01-07-2026	Avery Fontenot	ST Benefits and Eligibility 20% co-insurance 100 Ded. (Ded. met) 1000 OOP (Met: 335.15) No auth is required for 92507 No visits limit Ref: Leslie W. 01/07/2026
11-20-2025	Avery Fontenot	Benefits and Eligibility Individual Ded: 100 Individual OOP: 1000 Family Ded: 200 Met: 123.48 Family OOP: 2000 20% co-pay (deductible applies) Unlimited visits Auth not required for 92507 Ref: Diana R. 11/20/2025

Paient Missed Visit Notes:

Date	Service	Therapist	Description
04-09-2026	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
04-07-2026	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
03-26-2026	92507	Haduck, Rachael	Dear parents, I will be out of the office on Thursday, March 26th. If you would still like to be seen at your scheduled therapy time that day and are open to seeing another therapist, Lauryn (SLPA)—who is located in the same building as me—may be available. If you’re interested, please reply “YES” and I will notify her and the front office. If you would prefer not to see another therapist, please reply “NO.” In that case, I will reach out to you to help schedule a make-up session with me at another time. Thank you! Kindest, Rachael, CCC-SLP
03-24-2026	92507	Haduck, Rachael
02-24-2026	92507	Haduck, Rachael	Good morning! I hope you had a good weekend. I wanted to inform you that I will be out of the office on the morning of Tuesday, 2/24, due to two doctor’s appointments. As a result, any sessions scheduled before 12:00 PM will need to be rescheduled. Subsequently, I will return to the office by 12:00 PM and am available to offer same-day make-up times at 12:00 PM, 1:00 PM, or 2:00 PM. Additional availability includes: - Monday, 2/23: 8:30 AM, 9:30 AM, 10:00 AM, 11:00 AM, 11:30 AM, 12:00 PM, 1:00 PM, and 2:00 PM - Wednesday, 2/25: 9:00 AM, 9:30 AM, 10:00 AM, 10:30 AM, 11:30 AM, 12:00 PM, 12:30 PM, 1:00 PM, 1:30 PM, and 2:00 PM I will also be working a half-day on Friday 2/27. Thank you for your understanding! Kindest, Rachael, CCC-SLP

Paient Messages Admin:

Date	Posted By	Message
11-17-2025 12:44 PM	Shekinah Velasquez	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2397
11-17-2025 01:04 PM	Shekinah Velasquez	Justin 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=9848&type=1&wid=368
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!🎄🎅
12-17-2025 12:34 PM	Justin Guzman	Hello, is there an update on scheduling my son? Thank you!
12-17-2025 01:16 PM	Shekinah Velasquez	Hello, it looks like Justin is #6 on our Speech waitlist, so we will be releasing him from the waitlist at the start of next year! Just to update our notes, would you be able to come for Justin's therapy between the times 9-1 pm? These are currently the times that are open within our therapist, and we want to make sure that we have a therapist ready for Justin once he is tested. Thank you, have a great day!
12-17-2025 01:17 PM	Justin Guzman	Thank you for the update. If you have any morning available that would work best.
12-17-2025 01:30 PM	Shekinah Velasquez	Perfect, thank you! We will contact you at the beginning of the year to notify you of scheduling and any other information. Happy Holidays!
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-07-2026 10:34 AM	Julie Mora	Good morning, I hope this message finds you well in the New Year. We are currently preparing to release some patients from our Speech Therapy waiting list, and before doing so, we would like to inform you of our available treatment times. At this time, we do not have any after-school appointments available. However, we do have daytime availability between 9:00 a.m. and 1:00 p.m. Please note that we are unable to guarantee a specific treatment time at this moment, as scheduling will be finalized once insurance approvals are received. If these times work for you, please message us to confirm your interest, and we will send you a scheduling link to arrange an initial evaluation. Thank you, and we look forward to hearing from you. Kind regards, New Beginnings Front Office
01-07-2026 10:36 AM	Justin Guzman	Good morning, wr are available Tuesday and Thursday 9am to 1pm. If anything becomes available please let us know.
01-08-2026 09:15 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=9848
01-13-2026 11:41 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=9848
01-13-2026 11:42 AM	Julie Mora	Hello, this is the front office at New Beginnings. I am going to send you a new link to schedule Justin's Initial evaluation. Please let me know if you have any issues with the link. Thank you.
01-13-2026 11:42 AM	Justin Guzman	When I try to schedule the page is stuck loading
01-13-2026 11:45 AM	Julie Mora	Hello, this is the front office at New Beginnings. I am going to send you a new link to schedule Justin's Initial evaluation. Please let me know if you have any issues with the link. Thank you.
01-13-2026 11:46 AM	Justin Guzman	Ok, I can take tues or Thursday anytime.
01-13-2026 11:46 AM	Julie Mora	Okay, I will request for the therapist to reach out for available times. I do apologize for the inconvenience.
01-13-2026 11:47 AM	Justin Guzman	👍 to “ Okay, I will request for the therapist to reach out for available times. I do apologize for the inconvenience. ”
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-22-2026 07:34 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38644. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-30-2026 12:46 PM	Shekinah Velasquez	Hi, Justin 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=9848&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 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38938. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-05-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39044. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-10-2026 07:34 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39167. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-12-2026 07:34 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39261. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9848
02-17-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39372. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39439. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-26-2026 07:34 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39615. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-03-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39710. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-05-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39785. 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=9848
03-10-2026 07:32 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40018. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-12-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40114. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-17-2026 07:32 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40219. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-19-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Justin Guzman. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40423. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
01-16-2026 04:51 PM	Rachael Haduck	Dear family of Justin Guzman, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Justin 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
01-19-2026 10:55 AM	Rachael Haduck	Dear family of Justin Guzman, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out again to schedule Justin 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
01-19-2026 11:14 AM	Justin Guzman	Justin (Prim) Replied: Good morning, we are available Tuesday or Thursdays any time.
01-19-2026 11:14 AM	Justin Guzman	Justin (Prim) Replied: Thank you
01-19-2026 11:16 AM	Rachael Haduck	Hello! I can offer you Thursday, 1/22 at 10:30am-11:30am if that works well for you. :)
01-19-2026 11:24 AM	Justin Guzman	Justin (Prim) Replied: Yes, that works.
01-19-2026 11:26 AM	Rachael Haduck	Perfect, he is scheduled. Also, to learn more about your primary concerns for Justin, 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. :)
01-19-2026 11:31 AM	Justin Guzman	Justin (Prim) Replied: He will be 4 in April and he speaks little, no multiple syllabus. He has made progress in the past 3 months but when we try to so the alphabet He makes other sound. But some words are good.
01-19-2026 11:33 AM	Justin Guzman	Justin (Prim) Replied: He does understand when we speak to him, understands directions.
01-19-2026 11:33 AM	Rachael Haduck	do you have any concerns with language- formulating sentences, understanding and answering questions, pronouns? As for speech, are there sounds his is not able to produce or substitutes (i.e., tat/cat, dumb/thumb, cas/cash)?
01-19-2026 11:35 AM	Justin Guzman	Justin (Prim) Replied: Yes there sounds he doesn't produce.
01-19-2026 11:36 AM	Justin Guzman	Justin (Prim) Replied: All of what you mentioned he's having a hard time. He usually answers with one or two words.
01-19-2026 11:37 AM	Rachael Haduck	Got it, thank you. :) I'll assess his language and speech sound production.
01-19-2026 11:38 AM	Justin Guzman	Justin (Prim) Replied: Thank you!
01-21-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Evaluation appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
01-21-2026 08:21 PM	Justin Guzman	Justin (Prim) Replied: Confirmed! What location?
01-21-2026 08:21 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.
01-22-2026 07:37 AM	Rachael Haduck	hello! I am located in a separate building from main office, same parking lot, at 1510 Zaragosa Building A. When you first pull into the parking lot, to your right are restaurants. Go past them. You will then see a large tan sign to your right only a few feet in front of you that reads "1510 Zaragosa Building A" turn right there. The front door will read "New Beginnings Pediatrics." If you're somehow confused, just go to main office which to the left, far end of the parking lot and front office will be able to assist you!
01-22-2026 07:38 AM	Justin Guzman	Justin (Prim) Replied: 👍 to “ hello! I am located in a separate building from main office, same parking lot, at 1510 Zaragosa Building A. When you first pull into the parking lot, to your right are restaurants. Go past them. You will then see a large tan sign to your right only a few feet in front of you that reads "1510 Zaragosa Building A" turn right there. The front door will read "New Beginnings Pediatrics." If you're somehow confused, just go to main office which to the left, far end of the parking lot and front office will be able to assist you! ”
01-22-2026 08:00 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Evaluation appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
01-22-2026 10:19 AM	Justin Guzman	Justin (Prim) Replied: Hi Ms. Rachel. Justin is here for his appointment.
01-30-2026 05:40 PM	Rachael Haduck	Good evening! I wanted to reach out and let you know Justin has been approved for speech therapy 2x/week for 30-minutes with me, Rachael, CCC-SLP. Please let me know your preferred days and times so i can get him scheduled!
01-30-2026 06:56 PM	Justin Guzman	Justin (Prim) Replied: Yay! Tuesday and Thursday work good. If you have anything between 8am- 10am. If not I can make arrangements for other times.
01-30-2026 06:56 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 01:51 PM	Rachael Haduck	I can offer you: - Tuesday: 8:00am, 8:30am, 9:30am - Thursday: 10:00am :)
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 11:00 AM	Justin Guzman	Justin (Prim) Replied: Hello, I apologize for the delayed response we can do 8ams. Tuesday and Thursdays
02-02-2026 11:07 AM	Rachael Haduck	Hi! We can do Tuesday's at 8:00am, however, I only have 10:00am on Thursday's open as I have a reoccurring patient at 8:15am :( but I do have 7:30am available as an option.
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 05:08 PM	Rachael Haduck	Hello! I just wanted to check in and confirm how you would like to move forward with sessions? :) Also, tomorrow morning I have a doctor’s appointment that puts me out of office until 10:00am. Are you open to moving session down for the day but continuing 2/10, Tuesdays, sessions will be at 8:00am.
02-02-2026 06:53 PM	Justin Guzman	Justin (Prim) Replied: Hi, If its not to late yes. We can be there at 10am tomorrow
02-02-2026 06:59 PM	Rachael Haduck	hello! are you able to do 11:00am? I have two reoccurring from 10:00-11:00am. I'm sorry!
02-02-2026 07:04 PM	Justin Guzman	Justin (Prim) Replied: Yes
02-02-2026 07:29 PM	Rachael Haduck	perfect, he is scheduled for 11:00am tomorrow. Are you able to reoccurring Thursday at 10:00am? and Tuesday's at 8:00am?
02-03-2026 08:08 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-03-2026 10:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884195
02-03-2026 10:48 AM	Justin Guzman	Justin is CHECKED IN for: 11:00AM-2/3/2026 92507: Speech & Language Visit
02-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 08:01 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 08:02 AM	Justin Guzman	Justin (Prim) Replied: 👍 to “ Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂 ”
02-05-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884592
02-08-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 02-10-2026 at 8:00 AM, and on 02-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-09-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
02-10-2026 07:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884677
02-10-2026 07:45 AM	Justin Guzman	Justin is CHECKED IN for: 8:00AM-2/10/2026 92507: Speech & Language Visit
02-10-2026 08:05 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
02-11-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:56 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884593
02-12-2026 09:50 AM	Justin Guzman	Justin is CHECKED IN for: 10:00AM-2/12/2026 92507: Speech & Language Visit
02-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 02-17-2026 at 8:00 AM, and on 02-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
02-17-2026 07:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884678
02-17-2026 07:54 AM	Justin Guzman	Justin is CHECKED IN for: 8:00AM-2/17/2026 92507: Speech & Language Visit
02-17-2026 07:58 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
02-18-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884594
02-19-2026 09:52 AM	Justin Guzman	Justin is CHECKED IN for: 10:00AM-2/19/2026 92507: Speech & Language Visit
02-22-2026 10:33 AM	Rachael Haduck	Haduck, Rachael: Good morning! I hope you had a good weekend. I wanted to inform you that I will be out of the office on the morning of Tuesday, 2/24, due to two doctor’s appointments. As a result, any sessions scheduled before 12:00 PM will need to be rescheduled. Subsequently, I will return to the office by 12:00 PM and am available to offer same-day make-up times at 12:00 PM, 1:00 PM, or 2:00 PM. Additional availability includes: - Monday, 2/23: 8:30 AM, 9:30 AM, 10:00 AM, 11:00 AM, 11:30 AM, 12:00 PM, 1:00 PM, and 2:00 PM - Wednesday, 2/25: 9:00 AM, 9:30 AM, 10:00 AM, 10:30 AM, 11:30 AM, 12:00 PM, 12:30 PM, 1:00 PM, 1:30 PM, and 2:00 PM I will also be working a half-day on Friday 2/27. Thank you for your understanding! Kindest, Rachael, CCC-SLP
02-22-2026 10:37 AM	Justin Guzman	Justin (Prim) Replied: Hello, we will see you Thursday for the 10am. Thank you!
02-22-2026 10:37 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.
02-22-2026 10:39 AM	Rachael Haduck	perfect! would you like to schedule a make-up session on any of the days listed? :)
02-22-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 02-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:16 PM	Justin Guzman	Justin (Prim) Replied: YES
02-22-2026 04:16 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.
02-24-2026 05:42 PM	Rachael Haduck	hi!! just checking in to see if you are able to make-up today's missed session either tomorrow or on Friday if you have the availability :)
02-25-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:52 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 08:47 AM	Rachael Haduck	hi! I had a cancellation if you would like to come in today at 9:00am :)
02-26-2026 08:48 AM	Justin Guzman	Justin (Prim) Replied: I wish! This boy is still asleep i can try to get there early if needed
02-26-2026 08:49 AM	Rachael Haduck	no worries! I have someone at 9:30, then you right after :) it's okay!
02-26-2026 08:58 AM	Justin Guzman	Justin (Prim) Replied: 👍 to “ no worries! I have someone at 9:30, then you right after :) it's okay! ”
02-26-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884595
02-26-2026 09:57 AM	Justin Guzman	Justin is CHECKED IN for: 10:00AM-2/26/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 03-03-2026 at 8:00 AM, and on 03-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:14 PM	Justin Guzman	Justin (Prim) Replied: Yes
03-01-2026 04:14 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.
03-02-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884680
03-03-2026 07:54 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:52 AM	Justin Guzman	Justin (Prim) Replied: 👍 to “ Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂 ”
03-05-2026 08:29 AM	Rachael Haduck	hi! i wanted to ask in advance but do you think you are able to make 10:00am work tomorrow for a make-up session?
03-05-2026 08:30 AM	Rachael Haduck	I can't do earlier than that due to a morning appointment i have
03-05-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884596
03-05-2026 09:48 AM	Justin Guzman	Justin is CHECKED IN for: 10:00AM-3/5/2026 92507: Speech & Language Visit
03-08-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 03-10-2026 at 8:00 AM, and on 03-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:19 AM	Justin Guzman	Justin (Prim) Replied: Good morning, we are running behind this morning. Do you have any other times available today?
03-10-2026 07:41 AM	Justin Guzman	Justin (Prim) Replied: We will be there shortly
03-10-2026 07:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884681
03-10-2026 07:50 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 08:03 AM	Rachael Haduck	i'm so sorry I missed your message
03-10-2026 08:03 AM	Rachael Haduck	I can offer 8:30am!
03-11-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:47 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884597
03-12-2026 09:53 AM	Justin Guzman	Justin is CHECKED IN for: 10:00AM-3/12/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 03-17-2026 at 8:00 AM, and on 03-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 08:19 PM	Justin Guzman	Justin (Prim) Replied: Yes
03-15-2026 08:19 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.
03-16-2026 10:42 AM	Rachael Haduck	Haduck, Rachael: Dear parents, I will be out of the office on Thursday, March 26th. If you would still like to be seen at your scheduled therapy time that day and are open to seeing another therapist, Lauryn (SLPA)—who is located in the same building as me—may be available. If you’re interested, please reply “YES” and I will notify her and the front office. If you would prefer not to see another therapist, please reply “NO.” In that case, I will reach out to you to help schedule a make-up session with me at another time. Thank you! Kindest, Rachael, CCC-SLP
03-16-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884682
03-17-2026 07:48 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:46 AM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 09:45 AM	Rachael Haduck	Justin Guzman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884598
03-22-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Guzman, Justin has a Speech Therapy appointment on 03-24-2026 at 8:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:59 PM	Justin Guzman	Justin (Prim) Replied: Yes
03-22-2026 04:59 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 04:44 PM	Rachael Haduck	hello! would you like to be seen on Thursday at your scheduled time but with Lauryn, an SLPA? :) I won't be in office that day
03-23-2026 04:46 PM	Justin Guzman	Justin (Prim) Replied: Hi, I can skip it or if you have other availability
03-23-2026 05:05 PM	Rachael Haduck	No worries! This week I can offer you Wednesday at 7:30am? Unfortunately that is my only availability for the day :(
03-23-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Justin has a Speech Therapy appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 06:53 AM	Justin Guzman	Justin (Prim) Replied: Good morning, I apologize for the short notice but we will have to cancel today's appointment.
03-24-2026 06:53 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.
03-24-2026 07:10 AM	Rachael Haduck	No worries, I will get session canceled. Would you like to reschedule later in the day?
03-24-2026 07:10 AM	Rachael Haduck	Rachael Haduck CANCELLED: 8:00AM-3/24/2026 92507: Speech & Language Visit
03-26-2026 04:04 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
03-26-2026 04:05 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