New Beginnings | NB1-Office

Patient Name: Lukas

Patient Information:

Patient ID: 9858

Patient First Name: Lukas

Patient Date of Birth: 01-12-2022

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Jose, Prieto

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barlow, Lauryn

FD - Feeding Therapy: Vera, Katelyn

OT - Occupational Therapy:

PT - Physical Therapy: Valenzuela, Daniel

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23382	Active	02-16-2026	08-14-2026	El Paso First Health Plans	52	0	0	0
23069	Active	01-12-2026	07-10-2026	El Paso First Health Plans	0	26	0	0
23070	Active	01-12-2026	07-10-2026	El Paso First Health Plans	0	0	0	417

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26133	01-24-2026	Speech Initial Evaluation	F80.2, F84.0, F90.9
Speech Background History: Lukas is a 4 year old male who was referred for an initial speech and language evaluation due to concerns regarding delayed communication skills. Mother, Miss Nancy Jaramillo, was present throughout the evaluation and served as a reliable informant. Miss Jaramillo reported that Lukas previously received speech and feeding therapy services at Valeo approximately six months ago. Services were transferred to New Beginnings due to parent preference after hearing positive feedback regarding the clinic. Lukas also participated in Applied Behavior Analysis with Hector Adame services for approximately three months; however, mother discontinued ABA services due to a noticeable increase in maladaptive behaviors. Per parent report, there were no complications during pregnancy or birth, and Lukas has not experienced any major illnesses or accidents since his last medical check up. Lukas was formally diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder in March 2024 by Dr. Fonseca. Developmental milestones have been significantly delayed, with a previous physical therapy evaluation indicating developmental functioning closer to an 18 month level per parent report. Lukas is not currently prescribed any medications. Mother reported administering a powdered probiotic for gastrointestinal support and magnesium drops to assist with sleep, though effectiveness varies. Sleep patterns are inconsistent, with Lukas frequently waking during the night between 3 AM and 5 AM with high energy levels. No breathing concerns, snoring, or enlarged tonsils were reported. Lukas currently attends a learning center that includes a PK 3 classroom from 8 AM to 12 PM, followed by daycare services for the remainder of the day. A recent optometry evaluation completed on January 19, 2026 indicated no need for corrective lenses at this time. Although mild myopia and astigmatism were previously noted in 2025, they were not significant enough to warrant glasses. Mother reported that Lukas remains diapered, with potty training currently in progress. Mother described notable sensory sensitivities, particularly related to smells and textures. She reported that Lukas will occasionally place his hand in a soiled diaper and bring it toward his face, indicating decreased sensory awareness. Lukas seeks sensory input such as being chased, tickles, and mouthing hair textures. Mother reported that when Lukas does not receive a desired item or activity, he may cry and throw himself to the floor; however, aggressive behaviors such as biting, hitting, or scratching were denied. Lukas inconsistently uses the signs “more” and “please” and requires significant hand over hand assistance to follow simple commands. Per parent report, Lukas was previously introduced to a fielded AAC system with large icons to request “more” and “stop,” though consistent use required extensive physical prompting
Speech Medical History:
Speech Medications:
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Severe delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Non-existent, Reliability of Scores: Poor, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Auditory and visually alert and attentive, Easily separated from Parents,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Inappropriate Behaviors, Inflexibility, Poor use of eye contact, Poor vocabulary, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible,
Speech Background Summary:
Speech Diagnosis/Impressions: Lukas is a 4 year old male who was referred for an initial speech and language evaluation due to concerns regarding delayed communication skills. Mother, Miss Nancy Jaramillo, was present throughout the evaluation and served as a reliable informant. Miss Jaramillo reported that Lukas previously received speech and feeding therapy services at Valeo approximately six months ago. Services were transferred to New Beginnings due to parent preference after hearing positive feedback regarding the clinic. Lukas also participated in Applied Behavior Analysis with Hector Adame services for approximately three months; however, mother discontinued ABA services due to a noticeable increase in maladaptive behaviors. Per parent report, there were no complications during pregnancy or birth, and Lukas has not experienced any major illnesses or accidents since his last medical check up. Lukas was formally diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder in March 2024 by Dr. Fonseca. Developmental milestones have been significantly delayed, with a previous physical therapy evaluation indicating developmental functioning closer to an 18 month level per parent report. Lukas is not currently prescribed any medications. Mother reported administering a powdered probiotic for gastrointestinal support and magnesium drops to assist with sleep, though effectiveness varies. Sleep patterns are inconsistent, with Lukas frequently waking during the night between 3 AM and 5 AM with high energy levels. No breathing concerns, snoring, or enlarged tonsils were reported. Lukas currently attends a learning center that includes a PK 3 classroom from 8 AM to 12 PM, followed by daycare services for the remainder of the day. A recent optometry evaluation completed on January 19, 2026 indicated no need for corrective lenses at this time. Although mild myopia and astigmatism were previously noted in 2025, they were not significant enough to warrant glasses. Mother reported that Lukas remains diapered, with potty training currently in progress. Mother described notable sensory sensitivities, particularly related to smells and textures. She reported that Lukas will occasionally place his hand in a soiled diaper and bring it toward his face, indicating decreased sensory awareness. Lukas seeks sensory input such as being chased, tickles, and mouthing hair textures. Mother reported that when Lukas does not receive a desired item or activity, he may cry and throw himself to the floor; however, aggressive behaviors such as biting, hitting, or scratching were denied. Lukas inconsistently uses the signs “more” and “please” and requires significant hand over hand assistance to follow simple commands. Per parent report, Lukas was previously introduced to a fielded AAC system with large icons to request “more” and “stop,” though consistent use required extensive physical prompting. Throughout the evaluation, Lukas demonstrated significantly reduced attention and engagement. He required frequent verbal and physical redirection to attend to tasks and questions presented. Lukas frequently left his seat, climbed on furniture, and required redirection for safety. Avoidance behaviors were observed, including hiding under the table and striking the table with his hands. These behaviors occurred despite mother being present throughout the evaluation. The Preschool Language Scales, Fifth Edition, English was administered to assess Lukas’s receptive and expressive language abilities. On the Auditory Comprehension subtest, Lukas received a raw score of 10, a standard score of 50, a percentile rank of 1, and an age equivalent of six months, indicating a PROFOUND RECEPTIVE LANGUAGE DISORDER. Lukas demonstrated the ability to shake and bang objects, engage in simple play routines, anticipate events, and visually search for objects that had fallen out of sight. However, he demonstrated significant difficulty responding to his name, understanding gestures such as extended arms for “come here,” following caregiver pointing, responding to “no,” interrupting an activity when called, and understanding familiar words or phrases without gestural cues. On the Expressive Communication subtest, Lukas received a raw score of 13, a standard score of 50, a percentile rank of 1, and an age equivalent of eight months, indicating a PROFOUND EXPRESSIVE LANGUAGE DISORDER. Lukas demonstrated the ability to seek attention, vocalize two different vowel sounds, and combine sounds. He demonstrated difficulty with turn taking, joint attention, producing consonant sounds, reduplicated babbling, using representational gestures, and producing at least one functional spoken word during the evaluation. Lukas’s Total Language Score resulted in a standard score of 50, a percentile rank of 1, and an age equivalent of seven months, indicating a PROFOUND MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. His current language abilities are significantly below age expectations and severely impact his ability to communicate wants, needs, and basic information across environments. At four years of age, children are expected to demonstrate emerging mastery of foundational receptive, expressive, and pragmatic language skills. Typical developmental milestones for a 4-year-old include the ability to consistently respond to their name; follow two- to three-step verbal directions without gestural cues; understand and use common vocabulary related to actions, objects, locations, and descriptors; answer simple WH-questions (e.g., who, what, where); and understand basic concepts such as size, quantity, and spatial relationships. Expressively, a 4-year-old is expected to use spoken language as their primary mode of communication, produce a wide range of consonant and vowel sounds, speak in complete sentences of 4–6 words or more, engage in reciprocal turn-taking during conversation, request items independently, label objects and actions, and use language to comment, protest, and ask for help. Pragmatically, children this age typically demonstrate joint attention, sustained engagement in structured tasks, appropriate play skills, and emerging self-regulation skills with minimal adult support. In contrast, Lukas currently demonstrates language abilities significantly below age expectations. His receptive language skills are comparable to those of a child under one year of age, as evidenced by difficulty responding to his name, understanding simple gestures, following caregiver pointing, and comprehending familiar words or phrases without significant gestural or physical support. Expressively, Lukas’s communication skills are also markedly delayed, with abilities comparable to those of an infant under one year of age. He does not yet consistently produce consonant sounds, functional spoken words, or symbolic gestures, and he demonstrates limited joint attention, turn-taking, and intentional communication. Rather than using language to regulate behavior or express needs, Lukas relies on crying, dropping to the floor, and avoidance behaviors when communication breakdowns occur. Additionally, Lukas requires extensive verbal, visual, and physical prompting to attend to tasks, follow simple commands, and engage with alternative communication methods, including previously introduced AAC systems. These significant delays, when compared to age-expected milestones, indicate a profound deviation from typical language development and highlight the severity of Lukas’s communication impairment. Based on standardized assessment results, clinical observation, and parent report, Lukas presents with severe functional communication impairments. His limited receptive and expressive language skills significantly affect his ability to participate in daily routines, social interactions, and educational activities, and contribute to increased frustration and maladaptive behaviors. Lukas continues to present with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Without continued speech/language therapy, Lukas's safety and functional health continue to be at risk, as well as his independence in his daily routine and/or environment, as he cannot communicate information and/or details if he needs help and/or needs to communicate pain. Skilled speech language pathology services are medically necessary to address Lukas’s profound communication deficits. Without intervention, Lukas is at high risk for continued communication delays, increased behavioral challenges related to communication breakdowns, and limited functional independence.
Speech Diagnosis/Impressions: Lukas is a 4 year old male who was referred for an initial speech and language evaluation due to concerns regarding delayed communication skills. Mother, Miss Nancy Jaramillo, was present throughout the evaluation and served as a reliable informant. Miss Jaramillo reported that Lukas previously received speech and feeding therapy services at Valeo approximately six months ago. Services were transferred to New Beginnings due to parent preference after hearing positive feedback regarding the clinic. Lukas also participated in Applied Behavior Analysis with Hector Adame services for approximately three months; however, mother discontinued ABA services due to a noticeable increase in maladaptive behaviors. Per parent report, there were no complications during pregnancy or birth, and Lukas has not experienced any major illnesses or accidents since his last medical check up. Lukas was formally diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder in March 2024 by Dr. Fonseca. Developmental milestones have been significantly delayed, with a previous physical therapy evaluation indicating developmental functioning closer to an 18 month level per parent report. Lukas is not currently prescribed any medications. Mother reported administering a powdered probiotic for gastrointestinal support and magnesium drops to assist with sleep, though effectiveness varies. Sleep patterns are inconsistent, with Lukas frequently waking during the night between 3 AM and 5 AM with high energy levels. No breathing concerns, snoring, or enlarged tonsils were reported. Lukas currently attends a learning center that includes a PK 3 classroom from 8 AM to 12 PM, followed by daycare services for the remainder of the day. A recent optometry evaluation completed on January 19, 2026 indicated no need for corrective lenses at this time. Although mild myopia and astigmatism were previously noted in 2025, they were not significant enough to warrant glasses. Mother reported that Lukas remains diapered, with potty training currently in progress. Mother described notable sensory sensitivities, particularly related to smells and textures. She reported that Lukas will occasionally place his hand in a soiled diaper and bring it toward his face, indicating decreased sensory awareness. Lukas seeks sensory input such as being chased, tickles, and mouthing hair textures. Mother reported that when Lukas does not receive a desired item or activity, he may cry and throw himself to the floor; however, aggressive behaviors such as biting, hitting, or scratching were denied. Lukas inconsistently uses the signs “more” and “please” and requires significant hand over hand assistance to follow simple commands. Per parent report, Lukas was previously introduced to a fielded AAC system with large icons to request “more” and “stop,” though consistent use required extensive physical prompting. Throughout the evaluation, Lukas demonstrated significantly reduced attention and engagement. He required frequent verbal and physical redirection to attend to tasks and questions presented. Lukas frequently left his seat, climbed on furniture, and required redirection for safety. Avoidance behaviors were observed, including hiding under the table and striking the table with his hands. These behaviors occurred despite mother being present throughout the evaluation. The Preschool Language Scales, Fifth Edition, English was administered to assess Lukas’s receptive and expressive language abilities. On the Auditory Comprehension subtest, Lukas received a raw score of 10, a standard score of 50, a percentile rank of 1, and an age equivalent of six months, indicating a PROFOUND RECEPTIVE LANGUAGE DISORDER. Lukas demonstrated the ability to shake and bang objects, engage in simple play routines, anticipate events, and visually search for objects that had fallen out of sight. However, he demonstrated significant difficulty responding to his name, understanding gestures such as extended arms for “come here,” following caregiver pointing, responding to “no,” interrupting an activity when called, and understanding familiar words or phrases without gestural cues. On the Expressive Communication subtest, Lukas received a raw score of 13, a standard score of 50, a percentile rank of 1, and an age equivalent of eight months, indicating a PROFOUND EXPRESSIVE LANGUAGE DISORDER. Lukas demonstrated the ability to seek attention, vocalize two different vowel sounds, and combine sounds. He demonstrated difficulty with turn taking, joint attention, producing consonant sounds, reduplicated babbling, using representational gestures, and producing at least one functional spoken word during the evaluation. Lukas’s Total Language Score resulted in a standard score of 50, a percentile rank of 1, and an age equivalent of seven months, indicating a PROFOUND MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. His current language abilities are significantly below age expectations and severely impact his ability to communicate wants, needs, and basic information across environments. At four years of age, children are expected to demonstrate emerging mastery of foundational receptive, expressive, and pragmatic language skills. Typical developmental milestones for a 4-year-old include the ability to consistently respond to their name; follow two- to three-step verbal directions without gestural cues; understand and use common vocabulary related to actions, objects, locations, and descriptors; answer simple WH-questions (e.g., who, what, where); and understand basic concepts such as size, quantity, and spatial relationships. Expressively, a 4-year-old is expected to use spoken language as their primary mode of communication, produce a wide range of consonant and vowel sounds, speak in complete sentences of 4–6 words or more, engage in reciprocal turn-taking during conversation, request items independently, label objects and actions, and use language to comment, protest, and ask for help. Pragmatically, children this age typically demonstrate joint attention, sustained engagement in structured tasks, appropriate play skills, and emerging self-regulation skills with minimal adult support. In contrast, Lukas currently demonstrates language abilities significantly below age expectations. His receptive language skills are comparable to those of a child under one year of age, as evidenced by difficulty responding to his name, understanding simple gestures, following caregiver pointing, and comprehending familiar words or phrases without significant gestural or physical support. Expressively, Lukas’s communication skills are also markedly delayed, with abilities comparable to those of an infant under one year of age. He does not yet consistently produce consonant sounds, functional spoken words, or symbolic gestures, and he demonstrates limited joint attention, turn-taking, and intentional communication. Rather than using language to regulate behavior or express needs, Lukas relies on crying, dropping to the floor, and avoidance behaviors when communication breakdowns occur. Additionally, Lukas requires extensive verbal, visual, and physical prompting to attend to tasks, follow simple commands, and engage with alternative communication methods, including previously introduced AAC systems. These significant delays, when compared to age-expected milestones, indicate a profound deviation from typical language development and highlight the severity of Lukas’s communication impairment. Based on standardized assessment results, clinical observation, and parent report, Lukas presents with severe functional communication impairments. His limited receptive and expressive language skills significantly affect his ability to participate in daily routines, social interactions, and educational activities, and contribute to increased frustration and maladaptive behaviors. Lukas continues to present with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Without continued speech/language therapy, Lukas's safety and functional health continue to be at risk, as well as his independence in his daily routine and/or environment, as he cannot communicate information and/or details if he needs help and/or needs to communicate pain. Skilled speech language pathology services are medically necessary to address Lukas’s profound communication deficits. Without intervention, Lukas is at high risk for continued communication delays, increased behavioral challenges related to communication breakdowns, and limited functional independence.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58161

Plan Date: 01-24-2026

Speech Assessment Summary: Lukas is a 4 year old male who was referred for an initial speech and language evaluation due to concerns regarding delayed communication skills. Mother, Miss Nancy Jaramillo, was present throughout the evaluation and served as a reliable informant. Miss Jaramillo reported that Lukas previously received speech and feeding therapy services at Valeo approximately six months ago. Services were transferred to New Beginnings due to parent preference after hearing positive feedback regarding the clinic. Lukas also participated in Applied Behavior Analysis with Hector Adame services for approximately three months; however, mother discontinued ABA services due to a noticeable increase in maladaptive behaviors. Per parent report, there were no complications during pregnancy or birth, and Lukas has not experienced any major illnesses or accidents since his last medical check up. Lukas was formally diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder in March 2024 by Dr. Fonseca. Developmental milestones have been significantly delayed, with a previous physical therapy evaluation indicating developmental functioning closer to an 18 month level per parent report. Lukas is not currently prescribed any medications. Mother reported administering a powdered probiotic for gastrointestinal support and magnesium drops to assist with sleep, though effectiveness varies. Sleep patterns are inconsistent, with Lukas frequently waking during the night between 3 AM and 5 AM with high energy levels. No breathing concerns, snoring, or enlarged tonsils were reported. Lukas currently attends a learning center that includes a PK 3 classroom from 8 AM to 12 PM, followed by daycare services for the remainder of the day. A recent optometry evaluation completed on January 19, 2026 indicated no need for corrective lenses at this time. Although mild myopia and astigmatism were previously noted in 2025, they were not significant enough to warrant glasses. Mother reported that Lukas remains diapered, with potty training currently in progress. Mother described notable sensory sensitivities, particularly related to smells and textures. She reported that Lukas will occasionally place his hand in a soiled diaper and bring it toward his face, indicating decreased sensory awareness. Lukas seeks sensory input such as being chased, tickles, and mouthing hair textures. Mother reported that when Lukas does not receive a desired item or activity, he may cry and throw himself to the floor; however, aggressive behaviors such as biting, hitting, or scratching were denied. Lukas inconsistently uses the signs “more” and “please” and requires significant hand over hand assistance to follow simple commands. Per parent report, Lukas was previously introduced to a fielded AAC system with large icons to request “more” and “stop,” though consistent use required extensive physical prompting. Throughout the evaluation, Lukas demonstrated significantly reduced attention and engagement. He required frequent verbal and physical redirection to attend to tasks and questions presented. Lukas frequently left his seat, climbed on furniture, and required redirection for safety. Avoidance behaviors were observed, including hiding under the table and striking the table with his hands. These behaviors occurred despite mother being present throughout the evaluation. The Preschool Language Scales, Fifth Edition, English was administered to assess Lukas’s receptive and expressive language abilities. On the Auditory Comprehension subtest, Lukas received a raw score of 10, a standard score of 50, a percentile rank of 1, and an age equivalent of six months, indicating a PROFOUND RECEPTIVE LANGUAGE DISORDER. Lukas demonstrated the ability to shake and bang objects, engage in simple play routines, anticipate events, and visually search for objects that had fallen out of sight. However, he demonstrated significant difficulty responding to his name, understanding gestures such as extended arms for “come here,” following caregiver pointing, responding to “no,” interrupting an activity when called, and understanding familiar words or phrases without gestural cues. On the Expressive Communication subtest, Lukas received a raw score of 13, a standard score of 50, a percentile rank of 1, and an age equivalent of eight months, indicating a PROFOUND EXPRESSIVE LANGUAGE DISORDER. Lukas demonstrated the ability to seek attention, vocalize two different vowel sounds, and combine sounds. He demonstrated difficulty with turn taking, joint attention, producing consonant sounds, reduplicated babbling, using representational gestures, and producing at least one functional spoken word during the evaluation. Lukas’s Total Language Score resulted in a standard score of 50, a percentile rank of 1, and an age equivalent of seven months, indicating a PROFOUND MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. His current language abilities are significantly below age expectations and severely impact his ability to communicate wants, needs, and basic information across environments. Lukas is a 4 year old male who was referred for an initial speech and language evaluation due to concerns regarding delayed communication skills. Mother, Miss Nancy Jaramillo, was present throughout the evaluation and served as a reliable informant. Miss Jaramillo reported that Lukas previously received speech and feeding therapy services at Valeo approximately six months ago. Services were transferred to New Beginnings due to parent preference after hearing positive feedback regarding the clinic. Lukas also participated in Applied Behavior Analysis with Hector Adame services for approximately three months; however, mother discontinued ABA services due to a noticeable increase in maladaptive behaviors. Per parent report, there were no complications during pregnancy or birth, and Lukas has not experienced any major illnesses or accidents since his last medical check up. Lukas was formally diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder in March 2024 by Dr. Fonseca. Developmental milestones have been significantly delayed, with a previous physical therapy evaluation indicating developmental functioning closer to an 18 month level per parent report. Lukas is not currently prescribed any medications. Mother reported administering a powdered probiotic for gastrointestinal support and magnesium drops to assist with sleep, though effectiveness varies. Sleep patterns are inconsistent, with Lukas frequently waking during the night between 3 AM and 5 AM with high energy levels. No breathing concerns, snoring, or enlarged tonsils were reported. Lukas currently attends a learning center that includes a PK 3 classroom from 8 AM to 12 PM, followed by daycare services for the remainder of the day. A recent optometry evaluation completed on January 19, 2026 indicated no need for corrective lenses at this time. Although mild myopia and astigmatism were previously noted in 2025, they were not significant enough to warrant glasses. Mother reported that Lukas remains diapered, with potty training currently in progress. Mother described notable sensory sensitivities, particularly related to smells and textures. She reported that Lukas will occasionally place his hand in a soiled diaper and bring it toward his face, indicating decreased sensory awareness. Lukas seeks sensory input such as being chased, tickles, and mouthing hair textures. Mother reported that when Lukas does not receive a desired item or activity, he may cry and throw himself to the floor; however, aggressive behaviors such as biting, hitting, or scratching were denied. Lukas inconsistently uses the signs “more” and “please” and requires significant hand over hand assistance to follow simple commands. Per parent report, Lukas was previously introduced to a fielded AAC system with large icons to request “more” and “stop,” though consistent use required extensive physical prompting. Throughout the evaluation, Lukas demonstrated significantly reduced attention and engagement. He required frequent verbal and physical redirection to attend to tasks and questions presented. Lukas frequently left his seat, climbed on furniture, and required redirection for safety. Avoidance behaviors were observed, including hiding under the table and striking the table with his hands. These behaviors occurred despite mother being present throughout the evaluation. The Preschool Language Scales, Fifth Edition, English was administered to assess Lukas’s receptive and expressive language abilities. On the Auditory Comprehension subtest, Lukas received a raw score of 10, a standard score of 50, a percentile rank of 1, and an age equivalent of six months, indicating a PROFOUND RECEPTIVE LANGUAGE DISORDER. Lukas demonstrated the ability to shake and bang objects, engage in simple play routines, anticipate events, and visually search for objects that had fallen out of sight. However, he demonstrated significant difficulty responding to his name, understanding gestures such as extended arms for “come here,” following caregiver pointing, responding to “no,” interrupting an activity when called, and understanding familiar words or phrases without gestural cues. On the Expressive Communication subtest, Lukas received a raw score of 13, a standard score of 50, a percentile rank of 1, and an age equivalent of eight months, indicating a PROFOUND EXPRESSIVE LANGUAGE DISORDER. Lukas demonstrated the ability to seek attention, vocalize two different vowel sounds, and combine sounds. He demonstrated difficulty with turn taking, joint attention, producing consonant sounds, reduplicated babbling, using representational gestures, and producing at least one functional spoken word during the evaluation. Lukas’s Total Language Score resulted in a standard score of 50, a percentile rank of 1, and an age equivalent of seven months, indicating a PROFOUND MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. His current language abilities are significantly below age expectations and severely impact his ability to communicate wants, needs, and basic information across environments. At four years of age, children are expected to demonstrate emerging mastery of foundational receptive, expressive, and pragmatic language skills. Typical developmental milestones for a 4-year-old include the ability to consistently respond to their name; follow two- to three-step verbal directions without gestural cues; understand and use common vocabulary related to actions, objects, locations, and descriptors; answer simple WH-questions (e.g., who, what, where); and understand basic concepts such as size, quantity, and spatial relationships. Expressively, a 4-year-old is expected to use spoken language as their primary mode of communication, produce a wide range of consonant and vowel sounds, speak in complete sentences of 4–6 words or more, engage in reciprocal turn-taking during conversation, request items independently, label objects and actions, and use language to comment, protest, and ask for help. Pragmatically, children this age typically demonstrate joint attention, sustained engagement in structured tasks, appropriate play skills, and emerging self-regulation skills with minimal adult support. In contrast, Lukas currently demonstrates language abilities significantly below age expectations. His receptive language skills are comparable to those of a child under one year of age, as evidenced by difficulty responding to his name, understanding simple gestures, following caregiver pointing, and comprehending familiar words or phrases without significant gestural or physical support. Expressively, Lukas’s communication skills are also markedly delayed, with abilities comparable to those of an infant under one year of age. He does not yet consistently produce consonant sounds, functional spoken words, or symbolic gestures, and he demonstrates limited joint attention, turn-taking, and intentional communication. Rather than using language to regulate behavior or express needs, Lukas relies on crying, dropping to the floor, and avoidance behaviors when communication breakdowns occur. Additionally, Lukas requires extensive verbal, visual, and physical prompting to attend to tasks, follow simple commands, and engage with alternative communication methods, including previously introduced AAC systems. These significant delays, when compared to age-expected milestones, indicate a profound deviation from typical language development and highlight the severity of Lukas’s communication impairment. Based on standardized assessment results, clinical observation, and parent report, Lukas presents with severe functional communication impairments. His limited receptive and expressive language skills significantly affect his ability to participate in daily routines, social interactions, and educational activities, and contribute to increased frustration and maladaptive behaviors. Lukas continues to present with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Without continued speech/language therapy, Lukas's safety and functional health continue to be at risk, as well as his independence in his daily routine and/or environment, as he cannot communicate information and/or details if he needs help and/or needs to communicate pain. Skilled speech language pathology services are medically necessary to address Lukas’s profound communication deficits. Without intervention, Lukas is at high risk for continued communication delays, increased behavioral challenges related to communication breakdowns, and limited functional independence. Based on standardized assessment results, clinical observation, and parent report, Lukas presents with severe functional communication impairments. His limited receptive and expressive language skills significantly affect his ability to participate in daily routines, social interactions, and educational activities, and contribute to increased frustration and maladaptive behaviors. Lukas continues to present with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Without continued speech/language therapy, Lukas's safety and functional health continue to be at risk, as well as his independence in his daily routine and/or environment, as he cannot communicate information and/or details if he needs help and/or needs to communicate pain. Skilled speech language pathology services are medically necessary to address Lukas’s profound communication deficits. Without intervention, Lukas is at high risk for continued communication delays, increased behavioral challenges related to communication breakdowns, and limited functional independence.

Speech Progress to Date: N/A

Speech Rehabilitation Potential: Fair. with consistent Speech Therapy and parental support. Fair. with consistent Speech Therapy and parental support. Prognosis for improvement in the areas of his impairments are fair with continued, consistent speech therapy. Lukas will be discharged when he achieves a standard score above 1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all long term therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 12 months, Lukas will utilize age appropriate expressive language skills in 8 out 10 trials, in order to communicate during day to day tasks with family, caregivers, and peers.
Receptive Language	In 12 months, Lukas will utilize age appropriate receptive language skills 8 out of 10 trials, in order to increase understanding of communication with family, caregivers, and peers.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 months, using multi sensory approach and picture cards indicating a command, Lukas will follow 1 step commands to include "give me" , "come", and inhibitory words (wait, no, etc...) in 5 of 10 trials, in order to improve understanding of commands related to safety when communicating with family, caregivers, and peers.
Expressive Language	In 6 months, using multisensory approach, Lukas will imitate vocalizations of CV, VC, CVCV in 6 of 10 trials, in order to increase vocal production which is a prelinguistic skill to move toward more communicative intent with family, caregivers, and peers.
Play/Socialization	In 6 months, using multi sensory approach, Lukas will engage in relational play and self directed play with a variety of toys in a structured environment in 3 of 10 trials and one of those trials being spontaneous play, in order to improve participation during activities when interacting with family, caregivers and peers.
Play/Socialization	In 6 months, using multi sensory approach, Lukas will maintain joint attention appropriately for up to 3 minutes in 4 out of 10 trials. in order to improve participation during play activities, shared reading, and learning opportunities when interacting with family, caregivers, and peers.
Play/Socialization	Within 6 months, using a multisensory approach, Lukas will engage in parallel play with a variety of toys in a structured environment in 3 out of 10 trials in order to improve social interaction and engagement during activities with family, caregivers, and peers.

Speech and Language Soap Note/Visit:

Soap Note

491133

Note Date: 03-24-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,Patient was eager to participate,Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: 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. - The clinician informed the mother that she should continue to go over the "Hello" and "Goodbye" song at home to increase the patient's participation in that activity in his speech sessions. In 6 months, using multi sensory approach and picture cards indicating a command, Lukas will follow 1 step commands to include "give me" , "come", and inhibitory words (wait, no, etc...) in 5 of 10 trials, in order to improve understanding of commands related to safety when communicating with family, caregivers, and peers. - Using multi sensory approach and picture cards indicating a command, Lukas followed 1 step commands to include "give me" , "come", and inhibitory words (wait, no, etc...) in 5 of 10 trials in 3 different opportunities. In 6 months, using multi sensory approach, Lukas will engage in relational play and self directed play with a variety of toys in a structured environment in 3 of 10 trials and one of those trials being spontaneous play, in order to improve participation during activities when interacting with family, caregivers and peers. - Using multi sensory approach, Lukas engaged in relational play and self directed play with a variety of toys in a structured environment in 4 of 10 trials and one of those trials being spontaneous play. In 6 months, using multi sensory approach, Lukas will maintain joint attention appropriately for up to 3 minutes in 4 out of 10 trials. in order to improve participation during play activities, shared reading, and learning opportunities when interacting with family, caregivers, and peers. - Using multi sensory approach, Lukas maintained joint attention appropriately for up to 1 minutes in 6 out of 10 trials, in order to improve participation during play activities, shared reading, and learning opportunities. Within 6 months, using a multisensory approach, Lukas will engage in parallel play with a variety of toys in a structured environment in 3 out of 10 trials in order to improve social interaction and engagement during activities with family, caregivers, and peers. - Using a multisensory approach, Lukas engaged in parallel play with the therapist while playing with cars in a structured environment in 6 out of 10 trials in 2 different opportunities.

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

Additional Notes: Before the session, the patient had soiled his pants, the mother changed him into a pamper and the patient went into the session independently. He was very comfortable during the whole session. The patient was more alert, cooperative, oriented, and eager to participate than in other sessions.

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25959	12-10-2025	Feeding Initial Evaluation	R13.11, R63.32, F84.0
Feeding Background History: Lukas is a 3-year, 11-month-old male referred for a feeding evaluation due to caregiver concerns regarding regression in feeding skills, limited food variety, and preference for snack-based foods over structured meals. His mother served as the primary informant for this evaluation. Lukas was reportedly a good eater during early toddlerhood; however, around 2 years of age, he demonstrated a noticeable shift in feeding behaviors, discontinuing acceptance of previously eaten foods and developing increased selectivity. Since that time, his food repertoire has remained limited, with minimal progression. Caregiver reports that Lukas does not consume meat-based protein sources and primarily prefers snack foods, often grazing throughout the day rather than participating in full meals. Lukas was diagnosed with autism spectrum disorder and ADHD in March 2024, which are considered significant contributing factors to his feeding challenges, particularly with sensory processing, regulation, and consistency of intake. Lukas has no known food allergies, no gastrointestinal concerns, and no history of respiratory issues. Caregiver reports normal digestion and no concerns related to bowel movements. His feeding and swallowing abilities were assessed through a bedside feeding evaluation and caregiver interview to determine his current level of function and need for skilled intervention.
Feeding Medical History: Lukas was born at 39 weeks gestation via planned Cesarean section, per maternal preference, with no reported prenatal, perinatal, or delivery complications. Early feeding history is notable for difficulty with latching, resulting in breastfeeding for approximately one month before transitioning to formula feeding. At approximately 2 years of age, Lukas underwent a laser release of a lip-tie and tongue-tie. No complications were reported following the procedure.
Feeding Medications:
Feeding Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Mild delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation.
Feeding Diagnosis/Impressions: Skilled feeding therapy is strongly recommended to address Lukas's chronic pediatric feeding disorder and oral phase dysphagia. Intervention is medically necessary to support expansion of food variety, improve tolerance of non-preferred textures, and promote development of age-appropriate oral motor skills. Therapy should utilize a child-led, sensory-based approach incorporating the Steps to Eating Hierarchy and systematic desensitization strategies to gradually increase Lukas’s tolerance for non-preferred foods while maintaining emotional safety and autonomy. Intervention should target texture progression using the IDDSI framework, with gradual advancement from preferred crunchy and smooth textures toward minced and moist and mixed consistencies, as tolerated. This progression will support increased oral sensory input and facilitate development of more efficient chewing patterns. Oral motor intervention is recommended to address immature chewing skills, inconsistent tongue lateralization, and lack of a rotary chewing pattern, with emphasis on improving jaw grading, bolus manipulation, and coordination across textures. Food chaining strategies are recommended to bridge from Lukas's preferred foods and flavor profiles toward nutritionally diverse options, including non-fried protein sources and whole fruits and vegetables beyond smoothies. Caregiver education will be an essential component of intervention, with focus on reducing grazing behaviors, increasing structured mealtimes, and supporting consistent, low-pressure exposure to new foods at home. Without skilled intervention, Lukas remains at risk for ongoing selective eating, limited nutritional variety, delayed oral motor skill development, and reduced independence with age-appropriate feeding.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

57658

Plan Date: 12-10-2025

Feeding Assessment Summary: Skilled feeding therapy is strongly recommended to address Lukas's chronic pediatric feeding disorder and oral phase dysphagia. Intervention is medically necessary to support expansion of food variety, improve tolerance of non-preferred textures, and promote development of age-appropriate oral motor skills. Therapy should utilize a child-led, sensory-based approach incorporating the Steps to Eating Hierarchy and systematic desensitization strategies to gradually increase Lukas’s tolerance for non-preferred foods while maintaining emotional safety and autonomy. Intervention should target texture progression using the IDDSI framework, with gradual advancement from preferred crunchy and smooth textures toward minced and moist and mixed consistencies, as tolerated. This progression will support increased oral sensory input and facilitate development of more efficient chewing patterns. Oral motor intervention is recommended to address immature chewing skills, inconsistent tongue lateralization, and lack of a rotary chewing pattern, with emphasis on improving jaw grading, bolus manipulation, and coordination across textures. Food chaining strategies are recommended to bridge from Lukas's preferred foods and flavor profiles toward nutritionally diverse options, including non-fried protein sources and whole fruits and vegetables beyond smoothies. Caregiver education will be an essential component of intervention, with focus on reducing grazing behaviors, increasing structured mealtimes, and supporting consistent, low-pressure exposure to new foods at home. Without skilled intervention, Lukas remains at risk for ongoing selective eating, limited nutritional variety, delayed oral motor skill development, and reduced independence with age-appropriate feeding.

Feeding Rehabilitation Potential: Lukas demonstrates good rehabilitation potential given his age, emerging oral-motor skills with preferred textures, and strong caregiver involvement. With consistent participation in skilled feeding therapy and caregiver follow-through with the Home Management Intervention Program, Lukas is expected to make meaningful progress in expanding food variety, improving tolerance of non-preferred textures, and developing age-appropriate feeding skills. Continued intervention is warranted to support skill generalization across environments and promote long-term feeding independence.

Feeding Long Term Goals:

Category

Goal Description

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Lukas will engage in sensory play with non-preferred foods using his finger pads for 2–3 seconds during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions, demonstrating increased sensory tolerance and regulation during feeding-related tasks.
Feeding/Swallowing	In 6 months, Lukas will engage in sensory play with non-preferred foods via brief palm contact (e.g., holding, stabilizing, or touching with partial palm) for 2–3 seconds during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions, demonstrating increased sensory tolerance and regulation during feeding-related tasks.
Feeding/Swallowing	In 6 months, Lukas will engage in sensory play with non-preferred foods on the upper extremities (e.g., wrist or forearm) for 2–3 seconds during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions, demonstrating increased sensory tolerance and regulation during feeding-related tasks.
Feeding/Swallowing	In 6 months, Lukas will engage in child-led food chaining activities with one new food that is similar in texture, flavor, or appearance to a preferred food in 3 out of 10 opportunities across 3 consecutive sessions, supporting safe exploration and gradual expansion of his feeding repertoire.
Feeding/Swallowing	In 6 months, Lukas will demonstrate improved chewing coordination by sustaining an emerging diagonal chewing pattern with age-appropriate soft or crunchy solids for 3–5 consecutive chewing cycles in 3 out of 10 opportunities across 3 consecutive sessions, to support progression toward a mature rotary chewing pattern.
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.

Feeding Therapy Soap Note/Visit:

Soap Note

487302

Note Date: 02-24-2026

Subjective: Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: In 6 months, Lukas will engage in sensory play with non-preferred foods using his finger pads for 2–3 seconds during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions, demonstrating increased sensory tolerance and regulation during feeding-related tasks. Pt engaged in sensory play with the following non-preferred foods using his finger pads for 2–3 seconds during play-based activities: -peanut butter (preferred); 10/10 opportunities -apple/cinnamon chips(novel food); 1/5 opportunities (when throwing away) -banana chips (novel food): 1/5 opportunities (when throwing away) In 6 months, Lukas will engage in sensory play with non-preferred foods via brief palm contact (e.g., holding, stabilizing, or touching with partial palm) for 2–3 seconds during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions, demonstrating increased sensory tolerance and regulation during feeding-related tasks. Pt engaged in sensory play with the following non-preferred foods via brief palm contact for 2–3 seconds during play-based activities: -peanut butter (preferred); 10/10 opportunities -apple/cinnamon chips (novel food); 0/5 opportunities -banana chips (novel food): 0/5 opportunities In 6 months, Lukas will engage in child-led food chaining activities with one new food that is similar in texture, flavor, or appearance to a preferred food in 3 out of 10 opportunities across 3 consecutive sessions, supporting safe exploration and gradual expansion of his feeding repertoire. Pt was presented with fruit/veggie straws (novel flavor, brand); 10/10 opportunities; pt ate all that were presented (food chained from veggie straws; similar in texture/appearance). 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. Pt's mother was present for session. Questions were answered and clarified during session. Following foods were brought in (Preferred: apple jack dry cereal, peanut butter, applesauce/non-preferred: apple/cinnamon chips, banana chips, fruit/veggie straws.

Plans: Continue with current Plan of Care,

Additional Notes: Mother was asked to bring in apple/cinnamon chips, banana chips, fruit/veggie straws, and peanut butter for next session.

Physical Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
249	01-06-2026	Physical Initial Evaluation	R26.89
Physical Background History: Initial Evaluation with (parent) present throughout the evaluation. Parent participated in PT evaluation to provide pertinent information for the assessment. Parent consented to physical therapy evaluation today. Patient is 3 year 11 month old male referred to physical therapy for toe walking. Patient was seen on January 6, 2026 for a scheduled physical therapy evaluation to assess current level of function Mother states patient diagnosed with autism and has been toe walking since 8 month old. Toe walking is intermittent, but most notably when watching TV. Patient was referred to orthotics and prosthetics for shoe inserts. Once fitted, patient began to walk different while using shoe insert - started to turn one foot inward, patient only used insert for 2 days and mother has not put them back on him Mother did not bring them in for session today. Mother denies any falling or tripping at home. Parental Report/Primary Concern/Goals: Parent would like to see child not toe walk.
Physical Background History: Initial Evaluation with (parent) present throughout the evaluation. Parent participated in PT evaluation to provide pertinent information for the assessment. Parent consented to physical therapy evaluation today. Patient is 3 year 11 month old male referred to physical therapy for toe walking. Patient was seen on January 6, 2026 for a scheduled physical therapy evaluation to assess current level of function Mother states patient diagnosed with autism and has been toe walking since 8 month old. Toe walking is intermittent, but most notably when watching TV. Patient was referred to orthotics and prosthetics for shoe inserts. Once fitted, patient began to walk different while using shoe insert - started to turn one foot inward, patient only used insert for 2 days and mother has not put them back on him Mother did not bring them in for session today. Mother denies any falling or tripping at home. Parental Report/Primary Concern/Goals: Parent would like to see child not toe walk.
Physical Surgical History: Lip tie and tongue tie
Physical Medical History: 0. Autism level II, ADHD 2024 Poor sleeping pattern Poor appetite Toe walking Fell at school because patient is skipping with excitement but mother not seeing falls at home
Physical Medications:
Patient/Family Education: Discussed the finding of the examination, reviewed the POC and goals with the parent. Discussed activities/strategies available to address current concerns and how to assist patient in achieving optimal developmental milestones. Parent states understanding and agrees to provide support at home in order to progress outcomes for patient. Parent provided opportunity to ask questions and all questions were answered to the parent's satisfaction.
Physical Problem List:
Physical Therapy Assessment: Child assessed using a Standardized Assessment Clinical Observations: intermittent toe walking, lack of focal attention, weakness in LE, decreased coordination Parental Report: mother would like to see child not toe walk Patient demonstrates deficits in gross motor skills. Patient referred to physical therapy due to toe walking. Patient presents with weakness in LE, difficulty with regulation and stimming, limited balance, lacks coordination, atypical gait, and decreased kinesthetic sense which impairs patient’s ability to meet developmental milestones with activities of daily living, routines and for overall quality of life. The patient is a 3 year 11 month old male who scored at 18 month level in Gross Motor area on the PDMS-2 assessment indicating a poor status with simple and complex skills; thus severely impacting development. Skilled physical therapy services are required to promote optimal level of developmental function, minimize risk for permanent disability, improve overall strength throughout, improve flexibility/AROM, promote functional mobility to habilitate optimal and overall functional development to keep up with peers. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy. Goals STG Within 3 months, the patient will ambulate independently with a consistent heel-to-toe gait pattern across > 1/2 of the day without verbal or tactile cues per parent or provider report . Within 3 months, the patent will demonstrate safe stair negotiation by placing the entire foot flat on each step during ascent and descent, with support of rails and SBA , in 3 out of 4 trials . Within 3 months, the patient will kick a stationary ball forward at least 5 feet using a single-leg stance on the opposite foot, with no physical assistance, in 3 out of 4 trials. In 3 months, the patient will sustain single-leg stance for 3 seconds on one leg (be able to perform on both right and left LE) with no more than one verbal cue, in 4 out of 5 trials. LTG Within 6 months, the patient will demonstrate age-appropriate gait mechanics with consistent heel strike during daily activities to support safe and efficient mobility. In 6 months, the patient will ascend and descend 5 consecutive steps using a reciprocal pattern, with no physical assistance, in 4 out of 5 trials. In 6 months, the patient will independently kick a rolling ball forward =5 feet using the dorsum of the foot while maintaining balance on the contralateral leg, in 80% of trials across two consecutive sessions. In 6 months, the patient will independently maintain single-leg stance for =5 seconds on either lower extremity without trunk sway or use of upper extremities, in 80% of trials across two consecutive sessions.
Physical Therapy Recommendations: Physical Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Physical Therapy Plan of Care:

Plan of Care

199

Plan Date: 01-06-2026

Physical Assessment Summary: Self Care/ADLs: Current Feeding Method: Can feed himself snacks and using utensil Types of Food: Poor appetite Sleep Pattern/Cycle: Not sleeping through the night Dressing/Toileting: Assisting with dressing / training to use potty Mobility & Transition: Locomotion: IND with ambulation Posture: Good Complicating/Personal Factors Affecting the Plan of Care: Mechanism of injury/ Illness: Congenital Multiple Treatment Areas: Toe walking/ atypical gait, weakness, lacks focal attention, limited coordination Patient age: 4 years Previous Therapy: Was at different facility prior to this Rehab Potential: Good Time since onset of injury/illness: Since birth Medical History Review: High Complexity: The patient has a history of present problem with a history of 3 or more factors and/or comorbidities that impact the plan of care. Assessment: Child assessed using a Standardized Assessment Clinical Observations: intermittent toe walking, lack of focal attention, weakness in LE, decreased coordination Parental Report: mother would like to see child not toe walk Patient demonstrates deficits in gross motor skills. Patient referred to physical therapy due to toe walking. Patient presents with weakness in LE, difficulty with regulation and stimming, limited balance, lacks coordination, atypical gait, and decreased kinesthetic sense which impairs patient’s ability to meet developmental milestones with activities of daily living, routines and for overall quality of life. The patient is a 3 year 11 month old male who scored at 18 month level in Gross Motor area on the PDMS-2 assessment indicating a poor status with simple and complex skills; thus severely impacting development. Skilled physical therapy services are required to promote optimal level of developmental function, minimize risk for permanent disability, improve overall strength throughout, improve flexibility/AROM, promote functional mobility to habilitate optimal and overall functional development to keep up with peers. Patient would greatly benefit from skilled PT interventions in order to address established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

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

Physical Treatment Plan:

Physical Long Term Goals:

Category	Goal Description
	Within 6 months, the patient will demonstrate age-appropriate gait mechanics with consistent heel strike during daily activities to support safe and efficient mobility.
	In 6 months, the patient will ascend and descend 5 consecutive steps using a reciprocal pattern, with no physical assistance, in 4 out of 5 trials.
	In 6 months, the patient will independently kick a rolling ball forward <5 feet using the dorsum of the foot while maintaining balance on the contralateral leg, in 80% of trials across two consecutive sessions.
	In 6 months, the patient will independently maintain single-leg stance for <5 seconds on either lower extremity without trunk sway or use of upper extremities, in 80% of trials across two consecutive sessions.

Physical Short Term Goals:

Category	Goal Description
	Within 3 months, the patient will ambulate independently with a consistent heel-to-toe gait pattern across > 1/2 of the day without verbal or tactile cues per parent or provider report .
	Within 3 months, the patent will demonstrate safe stair negotiation by placing the entire foot flat on each step during ascent and descent, with support of rails and SBA , in 3 out of 4 trials .
	Within 3 months, the patient will kick a stationary ball forward at least 5 feet using a single-leg stance on the opposite foot, with no physical assistance, in 3 out of 4 trials.
	In 3 months, the patient will sustain single-leg stance for 3 seconds on one leg (be able to perform on both right and left LE) with no more than one verbal cue, in 4 out of 5 trials.

Physical Therapy Soap Note/Visit:

ID	Soap Note

Completed Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
853808	92610: Feeding Evaluation	12-10-2025 10:00 AM	12-10-2025 11:00 AM	Teresa Serna	NB1 east side	Completed
866600	97163: PT Evaluation	01-06-2026 12:30 PM	01-06-2026 01:30 PM	Dolly Molina	NB1 east side	Completed
876152	92523: Artic & Language Eval	01-24-2026 02:30 PM	01-24-2026 03:15 PM	Lailani Chehedeh	NB1 east side	Completed
879217	92526: Feeding Visit	01-27-2026 04:45 PM	01-27-2026 05:15 PM	Katelyn Vera	NB1 east side	Completed
879896	PT-VIS: PT Visit	01-27-2026 05:15 PM	01-27-2026 06:15 PM	Daniel Valenzuela	NB1 east side	Completed
879218	92526: Feeding Visit	02-03-2026 04:45 PM	02-03-2026 05:15 PM	Katelyn Vera	NB1 east side	Completed
880745	92526: Feeding Visit	02-05-2026 05:00 PM	02-05-2026 05:30 PM	Katelyn Vera	NB1 east side	Completed
879897	PT-VIS: PT Visit	02-05-2026 05:30 PM	02-05-2026 06:30 PM	Daniel Valenzuela	NB1 east side	Completed
889370	92526: Feeding Visit	02-12-2026 04:45 PM	02-12-2026 05:15 PM	Katelyn Vera	NB1 east side	Completed
879220	92526: Feeding Visit	02-17-2026 04:45 PM	02-17-2026 05:15 PM	Katelyn Vera	NB1 east side	Completed
879899	PT-VIS: PT Visit	02-17-2026 05:15 PM	02-17-2026 06:15 PM	Daniel Valenzuela	NB1 east side	Completed
895053	NB001: Supervision	02-19-2026 05:00 PM	02-19-2026 05:30 PM	Stephanie Escobar	NB2 far east side	Completed
892801	92507: Speech & Language Visit	02-19-2026 05:00 PM	02-19-2026 05:30 PM	Lauryn Barlow	NB1 east side	Completed
893685	92507: Speech & Language Visit	02-21-2026 02:00 PM	02-21-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Completed
879221	92526: Feeding Visit	02-24-2026 04:45 PM	02-24-2026 05:15 PM	Katelyn Vera	NB1 east side	Completed
879900	PT-VIS: PT Visit	02-24-2026 05:15 PM	02-24-2026 06:15 PM	Daniel Valenzuela	NB1 east side	Completed
899120	PT-VIS: PT Visit	02-25-2026 05:30 PM	02-25-2026 06:30 PM	Daniel Valenzuela	NB1 east side	Completed
895598	92507: Speech & Language Visit	02-26-2026 05:00 PM	02-26-2026 05:30 PM	Lauryn Barlow	NB1 east side	Completed
893686	92507: Speech & Language Visit	02-28-2026 01:30 PM	02-28-2026 02:00 PM	Lailani Chehedeh	NB1 east side	Completed
898582	92507: Speech & Language Visit	03-02-2026 05:00 PM	03-02-2026 05:30 PM	Lauryn Barlow	NB1 east side	Completed
879901	PT-VIS: PT Visit	03-03-2026 05:00 PM	03-03-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Completed
895999	92507: Speech & Language Visit	03-07-2026 01:30 PM	03-07-2026 02:00 PM	Lailani Chehedeh	NB1 east side	Completed
879902	PT-VIS: PT Visit	03-10-2026 05:00 PM	03-10-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Completed
898661	92507: Speech & Language Visit	03-11-2026 06:00 PM	03-11-2026 06:30 PM	Lauryn Barlow	NB1 east side	Completed
900013	92507: Speech & Language Visit	03-16-2026 06:00 PM	03-16-2026 06:30 PM	Lauryn Barlow	NB1 east side	Completed
906901	PT-VIS: PT Visit	03-17-2026 05:00 PM	03-17-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Completed
900047	92507: Speech & Language Visit	03-18-2026 06:00 PM	03-18-2026 06:30 PM	Lauryn Barlow	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
848056	97163: PT Evaluation	12-16-2025 01:30 PM	12-16-2025 02:30 PM	Dolly Molina	NB1 east side	Canceled
869305	92523: Artic & Language Eval	01-22-2026 11:30 AM	01-22-2026 12:30 PM	Victoria Chacon	NB1 east side	Canceled
879219	92526: Feeding Visit	02-10-2026 04:45 PM	02-10-2026 05:15 PM	Katelyn Vera	NB1 east side	Canceled
879898	PT-VIS: PT Visit	02-10-2026 05:15 PM	02-10-2026 06:15 PM	Daniel Valenzuela	NB1 east side	Canceled
896000	92507: Speech & Language Visit	03-14-2026 01:30 PM	03-14-2026 02:00 PM	Lailani Chehedeh	NB1 east side	Canceled
900014	92507: Speech & Language Visit	03-23-2026 06:00 PM	03-23-2026 06:30 PM	Lauryn Barlow	NB1 east side	Canceled
914353	PT-VIS: PT Visit	03-26-2026 05:00 PM	03-26-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
911074	92507: Speech & Language Visit	03-28-2026 12:00 PM	03-28-2026 12:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902201	92507: Speech & Language Visit	03-30-2026 06:00 PM	03-30-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906903	PT-VIS: PT Visit	03-31-2026 05:00 PM	03-31-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902233	92507: Speech & Language Visit	04-01-2026 06:00 PM	04-01-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902202	92507: Speech & Language Visit	04-06-2026 06:00 PM	04-06-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902234	92507: Speech & Language Visit	04-08-2026 06:00 PM	04-08-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906904	PT-VIS: PT Visit	04-09-2026 05:00 PM	04-09-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
896211	92507: Speech & Language Visit	04-11-2026 02:00 PM	04-11-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902203	92507: Speech & Language Visit	04-13-2026 06:00 PM	04-13-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906905	PT-VIS: PT Visit	04-14-2026 05:00 PM	04-14-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902235	92507: Speech & Language Visit	04-15-2026 06:00 PM	04-15-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
896212	92507: Speech & Language Visit	04-18-2026 02:00 PM	04-18-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902204	92507: Speech & Language Visit	04-20-2026 06:00 PM	04-20-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906906	PT-VIS: PT Visit	04-21-2026 05:00 PM	04-21-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902236	92507: Speech & Language Visit	04-22-2026 06:00 PM	04-22-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902205	92507: Speech & Language Visit	04-27-2026 06:00 PM	04-27-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906907	PT-VIS: PT Visit	04-28-2026 05:00 PM	04-28-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902237	92507: Speech & Language Visit	04-29-2026 06:00 PM	04-29-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902206	92507: Speech & Language Visit	05-04-2026 06:00 PM	05-04-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906908	PT-VIS: PT Visit	05-05-2026 05:00 PM	05-05-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902238	92507: Speech & Language Visit	05-06-2026 06:00 PM	05-06-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
896155	92507: Speech & Language Visit	05-09-2026 02:00 PM	05-09-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902207	92507: Speech & Language Visit	05-11-2026 06:00 PM	05-11-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906909	PT-VIS: PT Visit	05-12-2026 05:00 PM	05-12-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902239	92507: Speech & Language Visit	05-13-2026 06:00 PM	05-13-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
896156	92507: Speech & Language Visit	05-16-2026 02:00 PM	05-16-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902208	92507: Speech & Language Visit	05-18-2026 06:00 PM	05-18-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906910	PT-VIS: PT Visit	05-19-2026 05:00 PM	05-19-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902240	92507: Speech & Language Visit	05-20-2026 06:00 PM	05-20-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902209	92507: Speech & Language Visit	05-25-2026 06:00 PM	05-25-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906911	PT-VIS: PT Visit	05-26-2026 05:00 PM	05-26-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902241	92507: Speech & Language Visit	05-27-2026 06:00 PM	05-27-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902210	92507: Speech & Language Visit	06-01-2026 06:00 PM	06-01-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906912	PT-VIS: PT Visit	06-02-2026 05:00 PM	06-02-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902242	92507: Speech & Language Visit	06-03-2026 06:00 PM	06-03-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902211	92507: Speech & Language Visit	06-08-2026 06:00 PM	06-08-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906913	PT-VIS: PT Visit	06-09-2026 05:00 PM	06-09-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902243	92507: Speech & Language Visit	06-10-2026 06:00 PM	06-10-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902212	92507: Speech & Language Visit	06-15-2026 06:00 PM	06-15-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906914	PT-VIS: PT Visit	06-16-2026 05:00 PM	06-16-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902244	92507: Speech & Language Visit	06-17-2026 06:00 PM	06-17-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
896157	92507: Speech & Language Visit	06-20-2026 02:00 PM	06-20-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902213	92507: Speech & Language Visit	06-22-2026 06:00 PM	06-22-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906915	PT-VIS: PT Visit	06-23-2026 05:00 PM	06-23-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902245	92507: Speech & Language Visit	06-24-2026 06:00 PM	06-24-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
896158	92507: Speech & Language Visit	06-27-2026 02:00 PM	06-27-2026 02:30 PM	Lailani Chehedeh	NB1 east side	Scheduled
902214	92507: Speech & Language Visit	06-29-2026 06:00 PM	06-29-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906916	PT-VIS: PT Visit	06-30-2026 05:00 PM	06-30-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902215	92507: Speech & Language Visit	07-06-2026 06:00 PM	07-06-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
906917	PT-VIS: PT Visit	07-07-2026 05:00 PM	07-07-2026 06:00 PM	Daniel Valenzuela	NB1 east side	Scheduled
902216	92507: Speech & Language Visit	07-13-2026 06:00 PM	07-13-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902217	92507: Speech & Language Visit	07-20-2026 06:00 PM	07-20-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902218	92507: Speech & Language Visit	07-27-2026 06:00 PM	07-27-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902219	92507: Speech & Language Visit	08-03-2026 06:00 PM	08-03-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled
902220	92507: Speech & Language Visit	08-10-2026 06:00 PM	08-10-2026 06:30 PM	Lauryn Barlow	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-13-2026	Julie Mora	Referral expired for OT, requesting new referral from PCP.
03-03-2026	Lauryn Barlow	Mom asked ST in person to change set times for session to be later than agreed 5 pm time because of interference of both parent's work schedule. ST offered to change session times to 6 pm starting Wednesday (3/11) and mom agreed. Sessions with ST will be on Mondays and Wednesdays @ 6 pm starting week of 3/16.
03-03-2026	Julie Mora	Parent called on 3/2/26, regarding concerns about scheduling her son’s appointments. She asked who she could speak with about changing his schedule. I informed her that each therapist manages their own schedule and that she would need to speak directly with her son’s therapist regarding any changes. Parent stated that the current Speech Therapy (ST) appointment on Mondays at 5:00 PM no longer works due to traffic difficulties, making it challenging to arrive on time for a 30-minute session. She expressed that the commute is not worthwhile under the circumstances and requested a later time on Mondays. If a later Monday appointment is not available, she would prefer to keep only the Saturday appointments. Parent also expressed frustration, stating that we have many therapists, and she does not understand why she must accommodate the therapist’s schedule rather than the therapist accommodating her son. I reminded parent that we have made efforts to accommodate her schedule as best as possible. However, if the therapist does not have a later Monday time available, the patient may need to attend therapy once per week for the time being. Therapist will coordinate available times, pending new schedule.
03-02-2026	Lailani Chehedeh	On Saturday, 2/28, Mother inquired with therapist Lailani regarding additional availability during the week for Lucas’ speech therapy sessions. Mother was informed that, at this time, Lailani’s only availability to see Lucas remains on Saturdays. Mother expressed that Saturday sessions are becoming increasingly difficult due to her daughter’s volleyball games. As previously discussed, Mother confirmed plans to transition services to Lauren after 3/16 to accommodate weekday scheduling needs. Mother continues to report that weekday appointments work better for her family’s schedule. Lauren has since provided available weekday time slots and dates, which Mother has agreed to. Please refer to patient messages for further details regarding confirmed scheduling.
02-28-2026	Lailani Chehedeh	Mother was previously provided with the available Saturday schedule prior to the initiation of speech therapy services and agreed to the assigned time at that time. After services had begun, mother requested a change . Mother will attend the next two scheduled Saturday sessions as originally assigned, after which services will transfer fully to Lauren SLPA on 3/16. Mother was informed of the transition plan and acknowledged understanding of the scheduling change.
02-25-2026	Shekinah Velasquez	Parent was sent a message regarding the request to change her schedule. our FD therapist don't have the afternoon availability. We offered Telehealth for FD and if not a hold until availability opens up. Pending parents response on how to proceed.
02-24-2026	Katelyn Vera	During 2/24/26 feeding visit mother asked if it would be possible to move feeding appointments to a later time due to traffic. Therapist informed mother that a later time could not be accommodated due pt's PT appointment. Mother then asked about a different day. Therapist reminded mother that ST and Feeding could not take place on the same day limiting the days pt could be seen. Mother asked if Wednesdays at 5pm were available. Therapist informed mother that she did not have that availability. Mother wanted to know if there was another therapist that had that time. Therapist told mother that she would relay information to front office. Spoke to front office/Teresa; no availability. Mother was sent the following message: Katelyn Vera 2/24/2026 5:31 PM Hello, I spoke to our front office and our other feeding therapist currently does not have Wednesday's at 5pm available.
02-21-2026	Lailani Chehedeh	Mother was informed that the current Saturday appointment time will be at 1:30 p.m., and she agreed to the updated schedule. During the session, behaviors were noted throughout. Lukas removed his shirt, threw items, and softly hit the clinician. Behaviors were redirected, and calming strategies were implemented, including decompression breaks, allowing him to go under the table, minimizing lighting, and placing a visual timer. Mother was provided with verbal feedback regarding how the session went and agreed that these behaviors are consistent with those observed at home.
02-16-2026	Shekinah Velasquez	ST auth approved starting 02/16/2026 - 08/14/2026 2x/ week = 52 visits. Patient will be spilt between Lailani and Lauryn. Therapist notified
02-13-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval
02-10-2026	Avery Fontenot	Called office regarding missing THSTEPS they said they will fax it over to us.
02-03-2026	Avery Fontenot	ST paperwork and THSTEPS request faxed to PCP. Pending.
01-21-2026	Shekinah Velasquez	Parent agreed to the following times for Speech and Feeding. Speech Therapy: Lauryn will be seeing Lukas on Thursdays at 5:00 PM. Lailani will be seeing Lukas on Saturdays. Feeding Therapy: Lukas will be seeing Katie on Tuesdays at 4:45 PM
01-15-2026	Shekinah Velasquez	PT auth approved starting 01/12/2026 - 07/10/2026 1x/ week = 26 visits (104 units). Therapist assigned and notified.
01-15-2026	Shekinah Velasquez	FD auth approved starting 01/12/2026 - 07/10/2026 1x/ week = 26 visits. Therapist assigned and notified.
01-13-2026	Shekinah Velasquez	PT and FD change of provider letter from previous clinic faxed to EPH. Pending determination
01-07-2026	Shekinah Velasquez	PT auth request submitted to EPH, pending approval.
01-07-2026	Shekinah Velasquez	FD auth request submitted to EPH. Pending approval
01-06-2026	Avery Fontenot	Faxed PT paperwork to PCP. Pending.
01-06-2026	Avery Fontenot	Called parent to notify them that the therapist can take them at their requested time.
01-06-2026	Shekinah Velasquez	Received 2/3 signature. THsteps request along with the last signature faxed to DR.
12-16-2025	Shekinah Velasquez	FD paperwork sent to PCP via fax.
11-21-2025	Julie Mora	Pending FD referral, parent has been contacted.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-26-2026	PT-VIS	Valenzuela, Daniel
03-23-2026	92507	Barlow, Lauryn	The parent notified the therapist to cancel the appointment 5 hours before scheduled time.
03-14-2026	92507	Chehedeh, Lailani	Car in shop mother canceled one hour prior to session
02-10-2026	PT-VIS	Valenzuela, Daniel
02-10-2026	92526	Vera, Katelyn	Parent called front office to cancel due to having car trouble. Pt was rescheduled for 2/10/26.
01-22-2026	92523	Chacon, Victoria
12-16-2025	97163	Molina, Dolly	Mother texted 12/16/25 after 10:00am to cancel appt for today at 1:30 pm. Mother was advised PT not available next week and the office will be closed after 12/23/25.

Paient Messages Admin:

Date	Posted By	Message
11-20-2025 09:53 AM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2421
11-20-2025 06:31 PM	Shekinah Velasquez	Lukas 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=9858&type=1&wid=375
11-20-2025 06:34 PM	Shekinah Velasquez	Lukas has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9858&type=3&wid=376
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:36 PM	Lukas Jaramillo	Schedule Evaluation: Patient Lukas Jaramillo needs help!
11-20-2025 06:37 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-20-2025 06:37 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-20-2025 06:37 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-20-2025 06:38 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-21-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-21-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-21-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-21-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-21-2025 11:35 AM	Julie Mora	Lukas 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/register/waitlist_status.aspx?pid=9858&type=1&wid=377
11-21-2025 11:35 AM	Julie Mora	Lukas has been added to our Occupational Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9858&type=3&wid=378
11-22-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-22-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-23-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-23-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-24-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-24-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-25-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
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.
11-26-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-27-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-28-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-29-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
11-30-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-01-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-02-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-03-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-04-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-05-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-06-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-07-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-08-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-08-2025 09:04 AM	Julie Mora	Lukas 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/register/waitlist_status.aspx?pid=9858&type=1&wid=421
12-15-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-15-2025 09:01 AM	Julie Mora	Lukas 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/register/waitlist_status.aspx?pid=9858&type=1&wid=438
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
12-27-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-28-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-29-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-30-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
12-31-2025 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-03-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-04-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-05-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-06-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9858
01-07-2026 10:34 AM	Julie Mora	Good morning, I hope this message finds you well in the New Year. We are currently preparing to release some patients from our Speech Therapy waiting list, and before doing so, we would like to inform you of our available treatment times. At this time, we do not have any after-school appointments available. However, we do have daytime availability between 9:00 a.m. and 1:00 p.m. Please note that we are unable to guarantee a specific treatment time at this moment, as scheduling will be finalized once insurance approvals are received. If these times work for you, please message us to confirm your interest, and we will send you a scheduling link to arrange an initial evaluation. Thank you, and we look forward to hearing from you. Kind regards, New Beginnings Front Office
01-08-2026 01:47 PM	Lukas Jaramillo	Hi ! Yes I'll take it ! What days are available for speech ?!
01-08-2026 03:16 PM	Julie Mora	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9858
01-13-2026 10:45 AM	Shekinah Velasquez	Hello, this is my email; svelasquez@newbeginnings-elp.com
01-15-2026 03:10 PM	Shekinah Velasquez	Hi, Lukas as been assigned a therapist for Feeding therapy. Here's a link to learn more about Teresa https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9858&tid=113
01-15-2026 03:10 PM	Shekinah Velasquez	Hi, Lukas as been assigned a therapist for Physical therapy. Here's a link to learn more about Daniel https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9858&tid=136
01-20-2026 11:08 AM	Shekinah Velasquez	Hi, Lukas as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Lauryn https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9858&tid=144
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! 💙
01-21-2026 04:07 PM	Shekinah Velasquez	Hi, Lukas as been assigned a therapist for Feeding therapy. Here's a link to learn more about Katelyn https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9858&tid=51
01-21-2026 04:21 PM	Shekinah Velasquez	Hello, this is Shekinah from New Beginnings. I am reaching out to relay the scheduled times we are able to accommodate for Speech Therapy (ST) and Feeding (FD) services: -Speech Therapy: Miss Lauryn will be seeing Lukas on Thursdays at 5:00 PM. Ms. Lailani will be seeing Lukas on Saturdays. -Feeding Therapy: Lukas will be seeing Ms. Katie on Tuesdays at 4:45 PM. And just a reminder for this Saturday, 01/24/26, Lukas has his Initial Evaluation at 4:00 PM with Ms. Lailani as well. If you have any questions or concerns, please feel free to let me know, and we will be happy to assist you. Thank you, have a great day!
01-21-2026 04:23 PM	Lukas Jaramillo	Liked “Hello, this is Shekinah from New Beginnings. I am reaching out to relay the scheduled times we are able to accommodate for Speech Therapy (ST) and Feeding (FD) services: -Speech Therapy: Miss Lauryn will be seeing Lukas on Thursdays at 5:00 PM. Ms. Lailani will be seeing Lukas on Saturdays. -Feeding Therapy: Lukas will be seeing Ms. Katie on Tuesdays at 4:45 PM. And just a reminder for this Saturday, 01/24/26, Lukas has his Initial Evaluation at 4:00 PM with Ms. Lailani as well. If you have any questions or concerns, please feel free to let me know, and we will be happy to assist you. Thank you, have a great day!”
01-21-2026 04:23 PM	Lukas Jaramillo	Yes, thank you !
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! 💙
02-16-2026 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=9858
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/
02-25-2026 12:34 PM	Shekinah Velasquez	Hello, I hope you’re doing well. I wanted to kindly follow up regarding the recent change request to your child’s feeding therapy schedule. I also want to share that we truly care about our patients and their families. We completely understand that work, school, and other responsibilities can sometimes make it difficult to attend therapy consistently. We always try to be as accommodating as possible to help make scheduling easier for you. However, as mentioned previously, our feeding therapists do not currently have afternoon availability. Our clinic hours are 8:00 AM–6:00 PM, and any schedule adjustments must remain within those hours. One option we can offer is Telehealth for feeding therapy. To give you some peace of mind, we have seen great success and meaningful progress with our Telehealth sessions. If you’re open to this option, we would be happy to check whether one of our feeding therapists has later Telehealth appointments available. If Telehealth is not something you would like to pursue at this time, we can place your child on a short hold until a more suitable time becomes available with our therapist. Please let us know how you would like to move forward. We’re here to support you and want to work together to find the best solution for your family. Thank you for your time!
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=9858
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/

Paient Messages Therapist:

Date	Posted By	Message
11-24-2025 01:03 PM	Dolly Molina	Good afternoon, My name is Dolly Molina, and I am the physical therapist at New Beginnings. I am reaching out to schedule a Physical Therapy Evaluation appointment with you. I am available on December 16, 2025 at 1:30 pm , and I hope this time works for you. Unfortunately, my availability is limited to Tuesdays. After your PT evaluation is completed, you will be transitioned to Daniel, our PTA, who offers more scheduling flexibility Monday through Thursday Please let me know if you are available at that time. Thank you,  Dolly Molina PT MPT  Physical Therapist  New Beginnings
11-24-2025 01:12 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! Good afternoon. Is the evaluation 60 min long ?
11-24-2025 01:12 PM	Dolly Molina	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.
11-24-2025 01:32 PM	Dolly Molina	Yes
11-24-2025 02:28 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay go ahead and schedule me for that day if anything comes up I will let you know 24 hrs in advance. Thank you !
11-24-2025 02:28 PM	Dolly Molina	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.
11-24-2025 06:24 PM	Dolly Molina	Thank you for scheduling, I have that on my calendar. Looking forward to meeting you both. Dolly
11-24-2025 07:51 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Thank you for scheduling, I have that on my calendar. Looking forward to meeting you both. Dolly”
11-24-2025 07:51 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-03-2025 09:44 AM	Teresa Serna	My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Lukas's feeding evaluation. I’d like to move forward with scheduling his appointment. The evaluation typically lasts about an hour. I recommend arriving 15 minutes early to allow time for paperwork. Alternatively, I can email you the documents in advance so you can complete them ahead of time and bring them with you on the day of the evaluation. For this upcoming week, I currently have an opening on 12/10/2025 at 10:00 AM and 12/10/2025 at 5:15 PM. Please let me know if this time works for you. If not, I’ll be happy to offer additional availability for the following week. Thank you, and I look forward to meeting both of you!
12-05-2025 03:06 PM	Teresa Serna	Hello, wanted to reach out to determine if you were still interested in moving forward with the feeding evaluation.
12-05-2025 03:07 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes I am
12-05-2025 03:47 PM	Teresa Serna	For this upcoming week, I currently have an opening on 12/10/2025 at 10:00 AM and 12/10/2025 at 5:15 PM - do any of these times work for you?
12-05-2025 04:03 PM	Lukas Jaramillo	Lukas (Prim) Replied: I can do that Wednesday at 10am please and thank you.
12-08-2025 03:18 PM	Teresa Serna	Perfect I went ahead and schedule him for Wednesday. Here is the address for the appointment: 1512 N Zaragoza Rd, Ste C-1, El Paso, TX 79936 When you have a chance, please answer the following questions so I can prepare for the evaluation: (1.) Name and Date of Birth (2.)Any complications during pregnancy or birth? (3.)Any major illnesses or accidents since the last check-up? Any medical diagnoses (e.g., Down syndrome, etc.)? (4.)Any hospitalizations or surgeries? (5.)Were developmental milestones met within normal limits or delayed? (6.)Known allergies? (7.)Any sleeping or breathing issues? (Does your child get 8–10 hours of sleep? Wake up several times at night? Snore? Sleep with mouth open or closed? Enlarged tonsils?) (8.)Current medications? (9.)Has the pediatrician expressed concerns about nutritional growth? (10.)Any gastrointestinal issues? (11.)In a few words, please describe your concerns regarding your child’s feeding.
12-08-2025 03:19 PM	Teresa Serna	There are also documents that will need to be filled out would you like for me to email them to you or would you like to come in 15 minutes before the evaluation to fill them out? If you have the opportunity, would you be able to take a video of him eating in the home environment just incase she doesn′t eat during the evaluation. This will help me get an idea of how feeding is at home. For the evaluation, please bring in 3 preferred foods and 2 non preferred foods along with a plate, utensils, and preferred drink. Let me know if you have any questions.(:
12-08-2025 04:08 PM	Lukas Jaramillo	Lukas (Prim) Replied: You can email them. Do they need to be printed ?!
12-08-2025 04:08 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-08-2025 04:20 PM	Teresa Serna	Yes, they do need to be printed
12-08-2025 04:23 PM	Lukas Jaramillo	Lukas (Prim) Replied: Ok please email them ! Thanks !
12-08-2025 04:23 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-08-2025 04:28 PM	Teresa Serna	Perfect, can you send me your email
12-08-2025 04:28 PM	Lukas Jaramillo	Lukas (Prim) Replied: na2777039@gmail.com
12-08-2025 04:28 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-09-2025 10:25 AM	Teresa Serna	Documentation was sent (: let me know if you have any questions
12-09-2025 11:45 AM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, ma'am. Will do. Thank you.
12-09-2025 06:30 PM	Teresa Serna	Hi, this is a just a reminder that Lukas has a Feeding Evaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-10-2025 07:52 AM	Lukas Jaramillo	Lukas (Prim) Replied: Will be there ! Thank you !
12-10-2025 08:02 AM	Teresa Serna	Hi, this is a just a reminder that Lukas has a Feeding Evaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-10-2025 08:34 AM	Lukas Jaramillo	Lukas (Prim) Replied: Le gustó “Hi, this is a just a reminder that Lukas has a Feeding Evaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂”
12-10-2025 09:45 AM	Teresa Serna	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853808
12-10-2025 09:51 AM	Lukas Jaramillo	Lukas is CHECKED IN for: 10:00AM-12/10/2025 92610: Feeding Evaluation
12-15-2025 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Lukas has a Physical Therapy Evaluation appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
12-16-2025 07:50 AM	Dolly Molina	Hi, this is a just a reminder that Lukas has a Physical Therapy Evaluation appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
12-16-2025 10:24 AM	Lukas Jaramillo	Lukas (Prim) Replied: I need to reschedule my sons appointment.
12-16-2025 10:24 AM	Lukas Jaramillo	Lukas (Prim) Replied: I called the office no answer.
12-16-2025 10:32 AM	Dolly Molina	I will cancel that appointment. Today is my last day for this year. I will be out of the office next week and the office will be closed after Dec 23, 25 for 2 weeks for Christmas. We resume January 5, 2026. Wishing you a Merry Christmas and a safe and Happy New Year.
12-16-2025 10:33 AM	Dolly Molina	Dolly Molina CANCELLED: 1:30PM-12/16/2025 97163: PT Evaluation
12-16-2025 10:35 AM	Lukas Jaramillo	Lukas (Prim) Replied: Okay will someone reach out to reschedule his eval ?
12-16-2025 10:37 AM	Dolly Molina	I can set that up for you.
12-16-2025 10:38 AM	Dolly Molina	My next available is January 6, 2026 at 12:30 pm
12-16-2025 10:40 AM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, that's fine. Thank you!
12-16-2025 10:41 AM	Dolly Molina	Thank you for your prompt response. Your appointment time and date are reserved.
01-06-2026 11:20 AM	Dolly Molina	Good morning, Yes I will see today at 12:30 pm. Thank you
01-06-2026 11:22 AM	Dolly Molina	PT evaluation will be completed at 1510 N Zaragoza Suite A-1. It is the office on the corner. Directly behind Ernies Cafe Restaurant
01-06-2026 11:32 AM	Lukas Jaramillo	Lukas (Prim) Replied: Okay thanks !
01-06-2026 12:15 PM	Dolly Molina	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=866600
01-08-2026 04:03 PM	Victoria Chacon	Hi, my name is Victoria, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9858&tid=99
01-08-2026 04:03 PM	Lukas Jaramillo	Lukas SCHEDULED: 11:30AM-1/22/2026 92523: Speech Evaluation
01-08-2026 04:07 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hello, thank you ! 😊
01-13-2026 10:23 AM	Victoria Chacon	Good morning Mrs. Jaramillo! This is Tori the speech language pathologist from New Beginnings. Since I will be conducting Lukas' speech and language evaluation I just need to gather some background information before I see you in person. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.)
01-18-2026 03:25 PM	Teresa Serna	Hello(: Lukas has received authorization to begin feeding therapy. He will be seen 1xwk for 30 mins. This upcoming week I have the following time slots open: Tuesday 10am, 12:30pm, 1:30pm Wednesday 10am, 12pm - Let me know if any of these times work
01-18-2026 03:37 PM	Teresa Serna	Sorry the Tuesday at 10am is not open - apologize for the confusion
01-18-2026 03:41 PM	Lukas Jaramillo	Lukas (Prim) Replied: No worries unfortunately I have started work so my schedule had changed I won't be available until after 4pm Tuesdays and Thursdays only.
01-18-2026 03:41 PM	Teresa Serna	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.
01-18-2026 03:45 PM	Teresa Serna	I will speak to the front office to see if anyone has that availability but from what I know afternoon slots are currently filled up. I will get back to you to see what they tell me (:
01-18-2026 03:52 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes ma'am. Thank you !
01-18-2026 03:52 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-19-2026 01:27 PM	Daniel Valenzuela	Hello! This is Daniel Valenzuela, the physical therapist assistant at New Beginnings. Just wanted to let you know that we got approved and are ready to begin Lukas’s physical therapy appointment. Do you have any preferred availability?
01-19-2026 02:28 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! Yes, we could only do tues. or Thursdays after 4pm.
01-19-2026 02:34 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! I'm not sure if they canceled the evaluation I had scheduled for 01/22 ? I recently went back to work so I will not be able to take him this early. I am aware there's a waiting list for the afternoon so I'm hoping something opens up soon. My availability for now is only Tuesdays and Thursdays after 4pm. Thank you !
01-19-2026 02:39 PM	Victoria Chacon	Hi! No ma'am his evaluation was not canceled. I will go ahead and cancel it, so we can reschedule. Let me speak with the front office to see if anyone would have availability for Tuesdays or Thursdays after 4:00, and I will get back to you. :) As far as the evaluation, if you're able to, or if there is another guardian who is available to bring him, we can still keep Thursday at 11:30 am. Would someone else be available to bring him if you can't? :)
01-19-2026 03:37 PM	Lukas Jaramillo	Lukas (Prim) Replied: Unfortunately, I don't have anyone to take him to this week's evaluation.
01-19-2026 04:02 PM	Victoria Chacon	Okay no worries! Let me see if I have another time slot available. If not, I will speak to the front desk to see if anyone else has something available :)
01-19-2026 04:08 PM	Victoria Chacon	Victoria Chacon CANCELLED: 11:30AM-1/22/2026 92523: Artic & Language Eval
01-19-2026 04:35 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Okay no worries! Let me see if I have another time slot available. If not, I will speak to the front desk to see if anyone else has something available :)”
01-19-2026 04:51 PM	Victoria Chacon	Hi Mrs. Jaramillo, I spoke to the front desk, and I believe a therapist has availability on Thursday at 4:00 pm for the evaluation. Would that be okay?
01-19-2026 05:12 PM	Lukas Jaramillo	Lukas (Prim) Replied: It has to be after 4 pm my husband gets out at 4 then needs to pick my son up from daycare so around 5 pm
01-20-2026 06:57 AM	Daniel Valenzuela	Would 4:30 work or does it have to be right at 5? Starting next week, I have a 5pm slot open on Mondays and a 4:30 on Tuesdays. Would either of those time slots work for you guys?
01-20-2026 04:17 PM	Lailani Chehedeh	Hi Mrs. Jaramillo, my name is Lailani and I'm a Speech Language Pathologist from New Beginnings. I will be conducting Lukas's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.) 11) Dominate Language ? English or Spanish ?
01-20-2026 07:01 PM	Daniel Valenzuela	Okay! Would Tuesday at 4:30 work for his permanent schedule?
01-20-2026 07:03 PM	Lukas Jaramillo	Lukas (Prim) Replied: Let me ask his dad just because he's the one that picks him up right after work. Does he have that 15 minute grace ? Also, does he have to be in the room with him ?!
01-20-2026 07:10 PM	Daniel Valenzuela	Sounds good, let me know! He does have a grace period, to be seen for the full duration there is a 10 minute grace period, then 5 additional minutes for a partial session. Dad doesn’t HAVE to be in the room but I would prefer that he’s present for at least the first session so it can facilitate family education and establish a home exercise program. That being said it is not permitted that parents leave the premises for safety concerns (ie an emergency)
01-20-2026 07:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Understood. I will keep you posted. Thank you 😊
01-20-2026 07:31 PM	Daniel Valenzuela	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-20-2026 08:23 PM	Lukas Jaramillo	Lukas (Prim) Replied: Monday's & Wednesday's my daughter has volleyball practice so no for those days. For Tuesday he won't make it because of the traffic coming from horizon. Sorry for the late response. Thank you !
01-20-2026 08:23 PM	Daniel Valenzuela	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.
01-21-2026 04:22 PM	Lailani Chehedeh	Hi Mrs. Jaramillo, my name is Lailani and I'm a Speech Language Pathologist from New Beginnings. I will be conducting Lukas's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications?
01-21-2026 04:22 PM	Lailani Chehedeh	6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.) 11) Dominate Language ? English or Spanish ?
01-21-2026 04:22 PM	Katelyn Vera	Good Afternoon, my name is Katie and I am the SLP that will be seeing Lukas for his feeding therapy visits. I have him scheduled for Tuesdays at 4:45pm starting next week. We did get the authorization to begin therapy this week and I have availability to schedule this week's visit tomorrow at 4:15pm or we can schedule an extra visit next week, however, times would be limited to late morning or early afternoon. Please let me know what would work best for you. I look forward to working with Lukas :)
01-21-2026 04:24 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hello, I can't for that time tomorrow.
01-21-2026 04:26 PM	Katelyn Vera	No worries, I understand it is last minute. What time would possibly work for you next Monday-Thursday?
01-21-2026 05:34 PM	Daniel Valenzuela	Unfortunately, the latest appointment I. An offer on Tuesdays is 4:45 and my Thursdays are all booked up. Could that work?
01-21-2026 05:50 PM	Lukas Jaramillo	Lukas (Prim) Replied: We are only available for Tuesday's or Thursday's at 4:45 pm.
01-21-2026 05:51 PM	Lukas Jaramillo	Lukas (Prim) Replied: They just booked me for Tuesdays at 4:45 pm for feeding
01-21-2026 05:59 PM	Daniel Valenzuela	Unfortunately, it doesn't look like I have any spots that work with your current availability. I can place you guys on a waiting list until my Thursdays free up but I do know when/if that would be. Once again, I do have an open spot available Mondays at 5pm but I also understand that his sister has volleyball. Furthermore, unfortunately the PT department is very new and I am currently the only full time therapist. We might have a new hire later down the line who would be able to see you guys but once again I am not sure when that would be and we don't currently have prospective new hires (to my understanding) once again I'd like to apologize for the inconvenience.
01-21-2026 07:35 PM	Lukas Jaramillo	Lukas (Prim) Replied: How long is the session for ?
01-21-2026 07:35 PM	Daniel Valenzuela	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.
01-21-2026 07:35 PM	Daniel Valenzuela	50-60 minutes
01-22-2026 11:05 AM	Daniel Valenzuela	i have been made aware that sessions for feeding are only 30 minutes long and you guys can be done by 5:15. It might be a tight fit but would make that time work.
01-22-2026 11:06 AM	Lukas Jaramillo	Lukas (Prim) Replied: For what day ?
01-22-2026 11:06 AM	Lukas Jaramillo	Lukas (Prim) Replied: I will get these out to you as soon as I can.
01-22-2026 11:06 AM	Lailani Chehedeh	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 12:30 PM	Daniel Valenzuela	My apologies, Tuesdays
01-22-2026 12:45 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay so after feeding he would transition to physical therapy ?! What time would he be out ? Just cause my husband would need to pick up my daughter from school before 6pm
01-22-2026 12:45 PM	Lukas Jaramillo	Lukas (Prim) Replied: I know parents are not suppose to leave but her school is around the area it wouldn't be long does dad need to be in the room with my son ?!
01-22-2026 04:06 PM	Daniel Valenzuela	So yes, it would be a straight transition into PT. I would like if he could sit in the entire first session so we can discuss strategies to best improve the carryover of skill at home with Lukas along with other important education. From there we could go on as needed basis for dad being in the room. It is clinic policy parents CANNOT leave the premises during a session for any amount of time and that is just due to safety concerns in case anything happen
01-22-2026 04:08 PM	Daniel Valenzuela	If we started at 5:15, we would finish up at around 6;10
01-22-2026 04:26 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay ! That's fine. Let's make it happen for Tuesdays. In case there's a Thursday opening in the long run will you accommodate that day for us ?!
01-22-2026 04:26 PM	Lukas Jaramillo	Lukas (Prim) Replied: Do we start next week ?!
01-22-2026 05:15 PM	Daniel Valenzuela	We can absolutely start next week. As far as Thursday, I will keep you guys posted if any changes happen. I am looking forwards to working with Lukas next Tuesday at 5:15!
01-23-2026 09:36 AM	Lukas Jaramillo	Lukas (Prim) Replied: 1. Any Complications w/Birth? Answer: NO
01-23-2026 09:36 AM	Lailani Chehedeh	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.
01-23-2026 10:12 AM	Lukas Jaramillo	Lukas (Prim) Replied: 1. No Complications w/Pregnancy or birth. 2. No major illnesses or accident since last check up. He was diagnosed with/Autism and ADHD on March of 2024. 3. He is delayed with his milestones. Evaluation from PT she mentioned he was about an 18 month old. 4. No breathing issues but he does struggle with his sleep he can be a night owl at times or wakes up at random times like 3, 4, 5 am and has full energy. For the most part he does sometimes get 6 or 8 hrs sleep it depends how tired he is. No snoring. I believe he sleeps with his mouth closed. No enlarge tonsils that I’m aware of. 5. No medications, I do give him a powdered probiotic for tummy and drops of magnesium for sleep but they don’t work all the time. 6. Yes, I’ve enrolled him in daycare and they have a PK-3 program like school between 8am-12pm. The it rolls over to daycare for the day. 7. I just took him to his yearly optomology exam on 01/19/2026 and everything came out fine he doesn’t need glasses yet. He did test in 2025 with myopia and stigmatism in his eyes but not strongly to wear glasses. 8. My son is non-verbal at 4 years old so my concerns as a mother is will he talk ? and if? I’m just wondering if he will need an AAC translator and will we be approved for one? He is a very smart boy and as a mother it’s just naturally that I do understand him even tho he doesn’t use actual words. His strengths right now is a little sign language “basic words” like more, please, all done when he wants something in particular he usually just gets it and brings it to me and says more. I’m teaching him to say “please” I do
01-23-2026 10:12 AM	Lailani Chehedeh	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.
01-23-2026 10:13 AM	Lukas Jaramillo	Lukas (Prim) Replied: I apologize it took this long. If you need anything else please let me know. Thank you! :)
01-23-2026 10:13 AM	Lailani Chehedeh	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.
01-23-2026 10:29 AM	Lailani Chehedeh	Thank you so much ! I appreciate all the helpful information I will see you tomorrow 😊
01-23-2026 10:38 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Thank you so much ! I appreciate all the helpful information I will see you tomorrow 😊”
01-23-2026 10:38 AM	Lailani Chehedeh	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.
01-23-2026 10:38 AM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, ma'am. Thank you ! Quick question for the Saturday's sessions what time will those take place ?
01-23-2026 10:38 AM	Lailani Chehedeh	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.
01-23-2026 10:44 AM	Lailani Chehedeh	Tomorrow will just be the evaluation I do have an earlier slot at 2:30pm if Lukas is available 😊 I can provide you some slot openings time for therapy tomorrow to see what works best with your schedule
01-23-2026 10:47 AM	Lukas Jaramillo	Lukas (Prim) Replied: Okay perfect! I do know this weekends weather will be crazy so I just want to make sure it's not to cold or slippery to drive. Can we change it to 2:30 tomorrow ?! Hopefully it's not as bad at that time.
01-23-2026 10:47 AM	Lailani Chehedeh	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.
01-23-2026 12:01 PM	Lailani Chehedeh	Yes absolutely 😊
01-23-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Evaluation appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
01-23-2026 06:30 PM	Lukas Jaramillo	Lukas (Prim) Replied: Thank you! 😊
01-23-2026 06:30 PM	Lailani Chehedeh	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.
01-24-2026 07:32 AM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Evaluation appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
01-24-2026 01:18 PM	Lailani Chehedeh	The address for today's evaluation is 1512 N Zaragoza C-1 safe travels :)
01-24-2026 01:19 PM	Lukas Jaramillo	Lukas (Prim) Replied: Thank you ! 😊
01-24-2026 01:19 PM	Lukas Jaramillo	Lukas (Prim) Replied: How long is the eval for ?
01-24-2026 01:26 PM	Lailani Chehedeh	30-45 mins :)
01-24-2026 01:57 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “30-45 mins :)”
01-24-2026 02:15 PM	Lailani Chehedeh	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876152
01-24-2026 02:23 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 2:30PM-1/24/2026 92523: Artic & Language Eval
01-25-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Jaramillo, Lukas has a Feeding Therapy appointment on 01-27-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:32 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
01-25-2026 04:32 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 01:34 PM	Katelyn Vera	Good Afternoon, for tomorrow's feeding visit, please bring 3 preferred foods and 2 non preferred foods with a plate, utensils, and a drink. Please let me know if you have any questions.
01-26-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
01-26-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂
01-26-2026 07:07 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, thank you !
01-26-2026 07:07 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, thanks !
01-27-2026 08:05 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
01-27-2026 08:06 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂
01-27-2026 08:41 AM	Lukas Jaramillo	Lukas (Prim) Replied: Ok thank you !
01-27-2026 08:41 AM	Lukas Jaramillo	Lukas (Prim) Replied: Okay thank you !
01-27-2026 04:30 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879217
01-27-2026 04:49 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 4:45PM-1/27/2026 92526: Feeding Visit
01-27-2026 05:00 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879896
01-27-2026 05:05 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:15PM-1/27/2026 PT-VIS: PT Visit
01-27-2026 05:55 PM	Katelyn Vera	Hello, as I mentioned last week, the authorization for feeding began last week. In order to make up that visit would you be able to come in next Thursday (2/5) at 5pm?
01-27-2026 06:32 PM	Lukas Jaramillo	Lukas (Prim) Replied: As long as it doesn't interfere with Lauren? Speech those are the days I'm set with her same date and time for Thursdays
01-27-2026 06:37 PM	Katelyn Vera	I spoke with the front office and since the speech authorization has not begun it would not be an issue. If the speech authorization begins between now and next week, I can cancel the feeding visit to ensure that he can been seen for speech.
01-27-2026 06:39 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay awesome. 02/05 @5pm is good. Thank you ! 😊
01-27-2026 06:41 PM	Katelyn Vera	You’re welcome!
01-27-2026 06:41 PM	Lukas Jaramillo	Lukas (Prim) Replied: Just wanted to let you know Lukas is a big snacker but he is very precise about who feeds/ or gives snacks so he will take a little time to feel comfortable and trust you with his snacks/food. Thank you !
01-27-2026 06:42 PM	Lukas Jaramillo	Lukas (Prim) Replied: There's also the interested one day not interested the next day. 😩
01-27-2026 06:42 PM	Lukas Jaramillo	Lukas (Prim) Replied: on snacks **^
01-27-2026 06:45 PM	Katelyn Vera	Thank you for letting me know! He did well today especially with it being our first visit. I understand it may take time but him being comfortable with me and feeding activities/tasks is very important. I was explaining to dad that I want all willingness to try and explore new or non-preferred foods to come from within :)
01-27-2026 06:47 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Thank you for letting me know! He did well today especially with it being our first visit. I understand it may take time but him being comfortable with me and feeding activities/tasks is very important. I was explaining to dad that I want all willingness to try and explore new or non-preferred foods to come from within :)”
01-27-2026 06:50 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes me and my husband struggle to try new foods and try to offer when I cook them but he will not try. He smells everything first and if he doesn't like it will be a hard No to even taste. We roll with the punches and just let him tell us what he wants.
02-01-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Jaramillo, Lukas has a Feeding Therapy appointment on 02-03-2026 at 4:45 PM, and on 02-05-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 02-03-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:04 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-01-2026 04:04 PM	Katelyn Vera	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 04:04 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-01-2026 04:04 PM	Daniel Valenzuela	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-02-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-02-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂
02-02-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: 👍🏻
02-02-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: 👍🏻
02-03-2026 08:01 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:02 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:29 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂”
02-03-2026 08:29 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂”
02-03-2026 08:57 AM	Daniel Valenzuela	Hello, would it be possible to move today's appointment to Thursday at 5:15-5:30?
02-03-2026 08:58 AM	Lukas Jaramillo	Lukas (Prim) Replied: No because I have a make up session for feeding that day and time with Katie
02-03-2026 09:23 AM	Lukas Jaramillo	Lukas (Prim) Replied: I just checked the time and It's 30 min so maybe he can attend right after 5:30 ? Should be okay for Thursday so cancel today's session ?
02-03-2026 09:24 AM	Lukas Jaramillo	Lukas (Prim) Replied: Appointment is at 5:00 w/Katie on Thursday !
02-03-2026 09:25 AM	Daniel Valenzuela	Okay great! I'll move it right over!
02-03-2026 09:25 AM	Lukas Jaramillo	Lukas (Prim) Replied: So today's cancelled right just so I can let my husband know ?
02-03-2026 09:30 AM	Daniel Valenzuela	Yes. I’ll see Lukas this week on Thursday instead of today!
02-03-2026 09:30 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Yes. I’ll see Lukas this week on Thursday instead of today!”
02-03-2026 09:31 AM	Lukas Jaramillo	Lukas (Prim) Replied: Awesome, thanks so much !
02-03-2026 04:06 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi Daniel quick question for this Thursday's session will it be the full hour or less ? will he be out by 6:30 ?
02-03-2026 04:30 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879218
02-03-2026 04:45 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 4:45PM-2/3/2026 92526: Feeding Visit
02-03-2026 05:23 PM	Katelyn Vera	Hello! He did well with the peanut butter today! He licked peanut butter from the pretzels and then took multiple small bites from the pretzels. Try offering it to him again between now and our next appointment. And for Thursday's appointment please bring the peanut butter and pretzels again as well as an apple. Please let me know if you have any questions :)
02-03-2026 05:28 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! He usually does like peanut butter but had stopped eating it for a little bit. Do you want the apple skinless or with skin ?
02-03-2026 05:49 PM	Lukas Jaramillo	Lukas (Prim) Replied: Quick question ? Do parents have to sit in sessions when the feedings are happening if so how long ?
02-03-2026 05:52 PM	Katelyn Vera	You can bring in a whole apple and we can cut it here and we can try it with and without the skin. No, parents do not have to sit in, however, it is encouraged so there can be carryover at home.
02-03-2026 05:53 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay, thanks !
02-03-2026 06:01 PM	Katelyn Vera	You’re welcome! Also just keep in mind that if a parent chooses not to sit in on the session they must wait in the lobby or in the parking lot for the duration of the session.
02-03-2026 06:04 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, im aware. Parents can't leave. I was asking cause in the other therapy location they would never ask or require me to be in the rooms while session was happening with my son. I guess so it wouldn't be a distraction and they can reach their full potential.
02-03-2026 06:10 PM	Katelyn Vera	Yes, there are instances where a child may do better without a parent in the room. He has done well with dad in the room so far so we can continue to monitor and see how he does. Also, each therapy (PT, Feeding, ST) may have different preferences.
02-03-2026 06:12 PM	Lukas Jaramillo	Lukas (Prim) Replied: Do you know if my husband sits in the physical therapy room as well? I think that's pretty great that we can sit in with them. :)
02-03-2026 06:15 PM	Katelyn Vera	No, I do not know if he does or not.
02-03-2026 06:16 PM	Lukas Jaramillo	Lukas (Prim) Replied: Also, wanted to inform you that Daniel canceled today's session so he offered me to move today's session for Thursday after he's done with his feeding session he will go to physical therapy at 5:30 pm. Thanks !
02-03-2026 06:17 PM	Katelyn Vera	Sounds good! You’re welcome!
02-04-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:45 PM. See you soon! - New Beginnings 🙂
02-04-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-05-2026 07:54 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:45 PM. See you soon! - New Beginnings 🙂
02-05-2026 07:55 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-05-2026 07:56 AM	Lukas Jaramillo	Lukas (Prim) Replied: So he has a 15 min gap ?! I thought he would go straight from feeding to you ?!
02-05-2026 07:56 AM	Lukas Jaramillo	Lukas (Prim) Replied: What time will he be done ?
02-05-2026 07:57 AM	Daniel Valenzuela	Sorry, I’m not sure why it says 5:45. I can see him at 5:30
02-05-2026 07:58 AM	Lukas Jaramillo	Lukas (Prim) Replied: Will he be done by 6:30?
02-05-2026 07:58 AM	Daniel Valenzuela	Yes
02-05-2026 08:42 AM	Lukas Jaramillo	Lukas (Prim) Replied: Okay, thank you !
02-05-2026 04:45 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880745
02-05-2026 04:49 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! My sister let me know you all offer zoom videos in case we can't sit there with my son. She takes my nephews to new beginnings as well and shared this information with me. I was wondering if I can see him maybe next week?
02-05-2026 04:50 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-2/5/2026 92526: Feeding Visit
02-05-2026 05:15 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879897
02-05-2026 05:18 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:30PM-2/5/2026 PT-VIS: PT Visit
02-05-2026 05:29 PM	Daniel Valenzuela	Hello! Just a quick reminder we’re over at 1510 N Zaragoza B1-4
02-05-2026 05:30 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hello! Just a quick reminder we’re over at 1510 N Zaragoza B1-4”
02-05-2026 05:33 PM	Katelyn Vera	Yes, I can look into that. I would need to figure out how to generate the link but I can ask :)
02-05-2026 05:35 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay awesome, my nephew use to be seen by you ! That's how my sister let me know. Thanks !
02-05-2026 05:36 PM	Katelyn Vera	I also wanted to see if we could schedule a make up visit for next Thursday at 4:45pm. We are caught up on visits but this would be a make up visit for any future missed visit due to illness, vacation, etc. The reason I am offering is because once he starts speech I know availability for make up visits will be limited. Please let me know if you have any questions.
02-05-2026 05:36 PM	Katelyn Vera	Again, this would be only if we do not receive the speech authorization by then.
02-05-2026 05:38 PM	Lukas Jaramillo	Lukas (Prim) Replied: I need to check our calendar and let you know. Just cause it's a real struggle to have someone pick up my daughter from school so it becomes a little complicated.
02-05-2026 05:39 PM	Lukas Jaramillo	Lukas (Prim) Replied: How did my son do today ?! Did he eat/try anything ? I did pack a different peanut butter ...
02-05-2026 05:41 PM	Katelyn Vera	Oh really? I hope your nephew is doing well! Okay, yes please let me know :) He did okay, He wasn't too interested in the peanut butter today. For next session, I would suggest the same peanut butter as last time in the same packaging to see if there is a preference in that brand.
02-05-2026 05:42 PM	Lukas Jaramillo	Lukas (Prim) Replied: Also, we hardly try to not miss any therapies just cause it's a real hassle for make ups. We don't have a flexible schedule right now. So we will be there when we need to be there. :)
02-05-2026 05:42 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Oh really? I hope your nephew is doing well! Okay, yes please let me know :) He did okay, He wasn't too interested in the peanut butter today. For next session, I would suggest the same peanut butter as last time in the same packaging to see if there is a preference in that brand.”
02-05-2026 05:44 PM	Lukas Jaramillo	Lukas (Prim) Replied: He noticed the difference of the peanut butter. 😩 What would you like me to pack him for next week's session?
02-05-2026 05:52 PM	Katelyn Vera	I love to hear that! I do always try and get ahead 1-2 visits at the beginning of the auth incase the inevitable sickness happens for any of you or me. There may also be times when I will need to reschedule due to time out of the office and those visits will need to be made up as well. But yes, some kids are brand specific for food items. So for next session please bring the peanut butter from last session, an apple, pretzels and 2 preferred snacks.
02-05-2026 05:55 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, I understand. I will also be open to any other therapist that become available when you are out. If not a problem of course. Okay, will do. Thank you for your time ! Have a great evening ! :)
02-05-2026 05:58 PM	Katelyn Vera	Sounds good! You're welcome, you as well! :)
02-08-2026 04:01 PM	Katelyn Vera	Hi, this is a just a reminder that Jaramillo, Lukas has a Feeding Therapy appointment on 02-10-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 02-10-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:05 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-08-2026 04:05 PM	Daniel Valenzuela	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 04:05 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-08-2026 04:05 PM	Katelyn Vera	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-09-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-09-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂
02-10-2026 08:00 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-10-2026 08:01 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂
02-10-2026 08:41 AM	Katelyn Vera	Good Morning, the front office notified me that you need to cancel today's visit. We can try a telehealth visit today or we can reschedule for Thursday at 4:45. Let me know if either of these work for you :)
02-10-2026 09:21 AM	Daniel Valenzuela	Daniel Valenzuela CANCELLED: 5:15PM-2/10/2026 PT-VIS: PT Visit
02-10-2026 11:57 AM	Lukas Jaramillo	Lukas (Prim) Replied: Unfortunately today we can't. We can reschedule for this Thursday. Thank you.
02-10-2026 12:34 PM	Lukas Jaramillo	Lukas (Prim) Replied: Can we reschedule for this Thursday @ 5:15 pm
02-10-2026 01:05 PM	Lauryn Barlow	Good afternoon! My name is Lauryn, and I will be the Speech Language Pathologist Assistant working with Lukas. We just received authorization from insurance to begin services. Lukas was approved for a frequency of 2x a week starting the week of 02/09/2026. I would like to go ahead and get him scheduled for his set times every week. These are the days and times I have available: Monday 8 am-3:50 pm, 4:40 pm-6 pm, Tuesday-Friday 8 am-6 pm. Please let me know which of these times works best for you. Thank you, and I look forward to meeting you both.
02-10-2026 03:07 PM	Katelyn Vera	Okay, I will re-schedule for Thursday at 4:45pm.
02-10-2026 03:09 PM	Katelyn Vera	Katelyn Vera CANCELLED: 4:45PM-2/10/2026 92526: Feeding Visit
02-11-2026 12:57 PM	Daniel Valenzuela	Hello and good afternoon. Unfortunately I do not have have that time slot available this thursday.
02-11-2026 01:04 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay thank you.
02-11-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-12-2026 08:03 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-12-2026 08:03 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂”
02-12-2026 04:30 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=889370
02-12-2026 04:48 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 4:45PM-2/12/2026 92526: Feeding Visit
02-15-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Jaramillo, Lukas has a Feeding Therapy appointment on 02-17-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 02-17-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:11 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-15-2026 04:11 PM	Katelyn Vera	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.
02-15-2026 04:11 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
02-15-2026 04:11 PM	Daniel Valenzuela	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.
02-15-2026 04:13 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! Sorry for the late response. We are only available on Thursday @6pm. Thank you !
02-15-2026 04:13 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:21 PM	Lauryn Barlow	Thank you for responding, no worries! :) I got word that insurance hasn't been officially been approved just yet anyways, but it will soon! When it does, I will update you, so we can schedule our appointments right away. I will keep your time slot of Thursdays @ 6pm booked on my calender for you. If we do get approved for a frequency of 2x a week, can you provide me with a second day of availability on Monday-Wednesday? Thank you and have a wonderful rest of your weekend!
02-15-2026 05:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Mondays & Wednesdays are no good. The only other day would be either Friday or Saturday.
02-15-2026 05:31 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:35 PM	Lauryn Barlow	Thank you for responding, no worries! :) I got word that insurance hasn't been officially been approved just yet anyways, but it will soon! When it does, I will update you, so we can schedule our appointments right away. I will keep your time slot of Thursdays @ 6pm booked on my calender for you. If we do get approved for a frequency of 2x a week, can you provide me with a second day of availability on Monday-Wednesday? Thank you and have a wonderful rest of your weekend!
02-15-2026 05:36 PM	Lauryn Barlow	How about Tuesdays?
02-15-2026 05:37 PM	Lukas Jaramillo	Lukas (Prim) Replied: Tuesdays he does feeding and physical therapy already ! 4:45 pm feeding then 5:15 for physical
02-15-2026 05:37 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:40 PM	Lauryn Barlow	Ah okay, do you think he would be overwhelmed with ST on top of that? If so we can figure something out for Fridays if we need to.
02-15-2026 05:44 PM	Lukas Jaramillo	Lukas (Prim) Replied: I think so yes ! Physical therapy is an hour.
02-15-2026 05:44 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:57 PM	Lauryn Barlow	Very true, okay, would we be able to do Friday mornings if needed?
02-15-2026 06:19 PM	Lukas Jaramillo	Lukas (Prim) Replied: My husband & I work.
02-15-2026 06:19 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 06:41 PM	Lauryn Barlow	So it would need to be afternoon on Fridays as well?
02-15-2026 06:47 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes ma'am.
02-15-2026 06:47 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 07:14 PM	Lauryn Barlow	Okay I'll note that, thank you. Then once insurance is approved I'll let you know so we can start the sessions. :)
02-15-2026 07:19 PM	Lukas Jaramillo	Lukas (Prim) Replied: Sounds good! Thank you for your time.
02-15-2026 07:19 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-16-2026 05:22 PM	Lauryn Barlow	Hello! We have been officially approved to start our sessions! There will be two of us SLPs working with Lukas. The front office informed me that you were available at 5 pm on Thursdays with me, Lauryn. Let me know if that's correct, so I can go ahead and schedule us this week on 02/19/2026.
02-16-2026 06:14 PM	Lailani Chehedeh	Hello, I hope all is well. My name is Lailani. I am the additional speech therapist. I will be seeing Lucas on Saturdays for this Saturday. I have a 315 available. Please let me know if that time works so I can see Lucas this week for next Saturday I will keep you posted on the new time
02-16-2026 06:23 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hello, yes this Thursday is fine ! Thank you !
02-16-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-16-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂
02-16-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂”
02-17-2026 07:55 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:55 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:56 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂”
02-17-2026 08:45 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂”
02-17-2026 11:43 AM	Lailani Chehedeh	Hello, I hope all is well. I have a slot open this Saturday at 12 PM. If Lucas is available, please let me know so I can see his spot. Thank you.
02-17-2026 11:46 AM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Hello, I hope all is well. My name is Lailani. I am the additional speech therapist. I will be seeing Lucas on Saturdays for this Saturday. I have a 315 available. Please let me know if that time works so I can see Lucas this week for next Saturday I will keep you posted on the new time”
02-17-2026 11:46 AM	Lailani Chehedeh	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.
02-17-2026 11:47 AM	Lukas Jaramillo	Lukas (Prim) Replied: This Saturday @12pm I can't. Is 3:15 pm booked ?
02-17-2026 11:47 AM	Lailani Chehedeh	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.
02-17-2026 03:27 PM	Lailani Chehedeh	I can see Lucas at 3:15 on Saturday if that works okay ?
02-17-2026 04:30 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879220
02-17-2026 04:47 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 4:45PM-2/17/2026 92526: Feeding Visit
02-17-2026 05:00 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879899
02-17-2026 05:01 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:15PM-2/17/2026 PT-VIS: PT Visit
02-17-2026 05:19 PM	Lukas Jaramillo	Lukas (Prim) Replied: I'm outside the door is locked
02-17-2026 05:22 PM	Daniel Valenzuela	Just a really quick reminder that we’re in the new office space
02-18-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-19-2026 08:01 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-19-2026 09:02 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂”
02-19-2026 04:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892801
02-19-2026 04:52 PM	Lukas Jaramillo	Lukas (Prim) Replied: The first link is not working
02-19-2026 04:54 PM	Lukas Jaramillo	Lukas (Prim) Replied: We're here
02-19-2026 04:54 PM	Stephanie Escobar	Hi, this is a just a reminder that Jaramillo, Lukas has an appointment scheduled on 02-19-2026 via telehealth at 05:00 PM. Here is the link https://us06web.zoom.us/j/85276236617 - New Beginnings 🙂
02-19-2026 04:59 PM	Lauryn Barlow	Were at this address 1510 N Zaragoza B1-4.
02-19-2026 05:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Let me text my husband cause we were not aware speech was in another building
02-20-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
02-20-2026 07:26 PM	Lailani Chehedeh	Hello 😊 I have an earlier slot at 2pm if Lukas is available ? The address will be 1512 N Zaragoza C-1
02-20-2026 07:50 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hello, yes that's fine tomorrow at 2 PM. I believe it's only for 30 minutes right so yeah tomorrow at two. Thank you so much. See you then.
02-20-2026 07:50 PM	Lailani Chehedeh	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.
02-20-2026 08:05 PM	Lailani Chehedeh	Perfect yes it is thank you 😊
02-20-2026 08:05 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Perfect yes it is thank you 😊”
02-20-2026 08:05 PM	Lailani Chehedeh	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.
02-21-2026 07:32 AM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
02-21-2026 01:45 PM	Lailani Chehedeh	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893685
02-21-2026 01:53 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 2:00PM-2/21/2026 92507: Speech & Language Visit
02-21-2026 02:43 PM	Lailani Chehedeh	Thank you for trusting me with Lukas ! It is a pleasure working with him and seeing him grow ! Correction on Saturday time it will be 1:30pm on Saturdays :)
02-21-2026 03:50 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay ! Thank you so much. 🙏🏻☺️
02-22-2026 04:00 PM	Katelyn Vera	Hi, this is a just a reminder that Jaramillo, Lukas has a Feeding Therapy appointment on 02-24-2026 at 4:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Lailani Chehedeh	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 02-28-2026 at 1:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 02-24-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:03 PM	Lauryn Barlow	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 02-26-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂
02-23-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂
02-23-2026 06:53 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled tomorrow at 04:45 PM. See you soon! - New Beginnings 🙂”
02-23-2026 06:53 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:15 PM. See you soon! - New Beginnings 🙂”
02-24-2026 07:52 AM	Katelyn Vera	Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂
02-24-2026 07:53 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂
02-24-2026 08:14 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:15 PM. See you soon! - New Beginnings 🙂”
02-24-2026 08:14 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Feeding Therapy appointment scheduled today at 04:45 PM. See you soon! - New Beginnings 🙂”
02-24-2026 08:18 AM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! I've requested a schedule changed at my work so we can do therapy during the week. Is there any availability other than Tuesday, and Thursday?
02-24-2026 08:18 AM	Lailani Chehedeh	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 08:19 AM	Lukas Jaramillo	Lukas (Prim) Replied: Saturdays will be a little complicated since we have volleyball games and tournaments out of town. 😞
02-24-2026 08:19 AM	Lailani Chehedeh	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 09:03 AM	Lailani Chehedeh	Hello unfortunately I don’t have any availability those days but maybe Lauren might if you like to reach out to her
02-24-2026 09:03 AM	Lailani Chehedeh	When did we want to stop the Saturday sessions?
02-24-2026 09:10 AM	Lukas Jaramillo	Lukas (Prim) Replied: Let me ask if she has availability.
02-24-2026 09:10 AM	Lailani Chehedeh	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 09:13 AM	Lukas Jaramillo	Lukas (Prim) Replied: Hello, I was telling Leilani I requested my schedule to be changed so I can take Lukas to therapy during the week. Do you have any other day available that's not Tuesday or Thursday.
02-24-2026 09:14 AM	Lukas Jaramillo	Lukas (Prim) Replied: My weekends my daughter has volleyball games so I don't want to miss those. Please let me know your availability. Thank you !
02-24-2026 09:35 AM	Lauryn Barlow	Good morning! I have Mondays and Wednesdays avaliable. What time were you thinking? If 5pm still, I have those time slots for both days.
02-24-2026 09:56 AM	Lukas Jaramillo	Lukas (Prim) Replied: We can do Mondays @5pm. Thank you so much. Do we start next Monday ?
02-24-2026 12:12 PM	Lailani Chehedeh	Did we need to dance this Saturdays session or keep it ?
02-24-2026 12:14 PM	Lauryn Barlow	Yes, let's start next week, and since you will not be coming in on Saturday after this week, we will have to schedule two sessions during the week with me. Did you want to do both Monday and Wednesday at 5 pm?
02-24-2026 12:14 PM	Lukas Jaramillo	Lukas (Prim) Replied: That's fine. Thank you !
02-24-2026 12:16 PM	Lukas Jaramillo	Lukas (Prim) Replied: I texted Ms. Lauryn, she has set us up for next week on Monday & Wednesday. Thank you for all your support. You can cancel this Saturdays session.
02-24-2026 12:16 PM	Lailani Chehedeh	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 12:20 PM	Lauryn Barlow	Actually, next week I will be out of town from Wednesday 3/4/26-Monday 3/9/26. So, I would reccomend keeping the Saturday sessions with Ms.Lailani until the week of 3/16/26.
02-24-2026 12:22 PM	Lukas Jaramillo	Lukas (Prim) Replied: So when will he start with you ? That way I'm not confused ! I just texted Ms. Lailani to cancel for this Saturday !
02-24-2026 12:24 PM	Lauryn Barlow	The week of 3/16/26, we can switch to Mondays and Wednesdays at 5 pm with me. Before that, can we do next week Monday 3/2/26 at 5pm, your Saturday 3/7/26 session, Wednesday 3/11/26, and your final Saturday session on 3/14/26?
02-24-2026 12:29 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay I can do that. Let me text Ms. Lailani. Thanks !
02-24-2026 12:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi! So Ms. Lauryn suggested I stay 2 more Saturday sessions until we can fully move with her. She gave me the dates 03/07 & 03/14 to keep for Saturday sessions. Then we will fully transition with her on 03/16.
02-24-2026 12:31 PM	Lailani Chehedeh	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 04:02 PM	Lailani Chehedeh	Okay perfect see you Saturday
02-24-2026 04:15 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “Okay perfect see you Saturday”
02-24-2026 04:15 PM	Lailani Chehedeh	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 04:30 PM	Katelyn Vera	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879221
02-24-2026 04:49 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 4:45PM-2/24/2026 92526: Feeding Visit
02-24-2026 05:00 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879900
02-24-2026 05:19 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:15PM-2/24/2026 PT-VIS: PT Visit
02-24-2026 05:31 PM	Katelyn Vera	Hello, I spoke to our front office and our other feeding therapist currently does not have Wednesday's at 5pm available.
02-24-2026 06:53 PM	Lukas Jaramillo	Lukas (Prim) Replied: Okay. Well for now I would like to request a 5 pm appointment for feeding so if we can be added to the list I would appreciate it very much. I want to stop the feeding appointments just until my son can be scheduled at a more convenient time for us. Thank you!
02-25-2026 01:59 PM	Daniel Valenzuela	Hello! just wanted to follow up. It seems like I got everything sorted out with my other patient. I can see Lukas today at 5:30 if you guys still want.
02-25-2026 02:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, will be there. Thanks!
02-25-2026 05:15 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899120
02-25-2026 05:19 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:30PM-2/25/2026 PT-VIS: PT Visit
02-25-2026 05:31 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:30PM-2/25/2026 PT-VIS: PT Visit
02-25-2026 05:32 PM	Lukas Jaramillo	Lukas (Prim) Replied: We're here. Thank you!
02-25-2026 05:34 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:30PM-2/25/2026 PT-VIS: PT Visit
02-25-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 06:40 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, thank you!
02-26-2026 08:01 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-26-2026 08:28 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂”
02-26-2026 04:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=895598
02-26-2026 05:41 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi ! We are here and we are done did you want meet here or ?
02-26-2026 05:56 PM	Daniel Valenzuela	Oh no! Sorry. I called in sick so I haven’t been in the office at all today
02-26-2026 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: I hope you feel better. I kindly do want to ask for courtesy to wear a mask if you are sick. I can't afford my son to get sick that puts out of work. I know you were with him yesterday and I saw no mask. Thank you.
02-26-2026 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Us ^*
02-26-2026 06:03 PM	Lukas Jaramillo	Lukas (Prim) Replied: I will take the tennis this coming Tuesday at 5 PM. Thank you.
02-26-2026 06:06 PM	Daniel Valenzuela	100% I agree. I generally mask up when I’m feeling sick as I also have other patients who are immunocompromised. It was only today in the morning when I started feeling sick. I am always trying my best to ensure all of my patients’ health and safety. Thank you for your concern and I’ll will continue to keep that in mind moving forward.
02-26-2026 06:13 PM	Lukas Jaramillo	Lukas (Prim) Replied: Thank you sir ! I hope you do feel better soon. ☺️ Have a great restful weekend. 🙏🏻
02-26-2026 06:14 PM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “100% I agree. I generally mask up when I’m feeling sick as I also have other patients who are immunocompromised. It was only today in the morning when I started feeling sick. I am always trying my best to ensure all of my patients’ health and safety. Thank you for your concern and I’ll will continue to keep that in mind moving forward.”
02-27-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
02-27-2026 06:35 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes, thank you !
02-27-2026 06:35 PM	Lailani Chehedeh	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.
02-28-2026 07:31 AM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
02-28-2026 10:32 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂”
02-28-2026 01:15 PM	Lailani Chehedeh	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893686
02-28-2026 01:20 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 1:30PM-2/28/2026 92507: Speech & Language Visit
02-28-2026 01:20 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 1:30PM-2/28/2026 92507: Speech & Language Visit
03-01-2026 04:01 PM	Lailani Chehedeh	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-07-2026 at 1:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 03-03-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-02-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-01-2026 06:00 PM	Lailani Chehedeh	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 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-01-2026 06:00 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:01 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-01-2026 06:01 PM	Daniel Valenzuela	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	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:56 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 08:43 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂”
03-02-2026 12:28 PM	Katelyn Vera	Good Morning, I just wanted to follow up regarding Lukas’ feeding visits. I have informed the front office of your request and have canceled all future feeding visits starting this week per your request. Please let me know if you have any questions.
03-02-2026 12:30 PM	Lukas Jaramillo	Lukas (Prim) Replied: Thank you !
03-02-2026 04:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898582
03-02-2026 04:54 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi what's the latest for today's appt?! My son is running late
03-02-2026 04:55 PM	Lukas Jaramillo	Lukas (Prim) Replied: His dad forgot we had therapy today so he's running 15 minutes late
03-02-2026 05:04 PM	Lauryn Barlow	No worries, luckily my session at 5:30 got cancelled, so whenever you are able to get here, I can take him in.
03-02-2026 05:12 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-3/2/2026 92507: Speech & Language Visit
03-02-2026 05:12 PM	Lukas Jaramillo	Lukas (Prim) Replied: We are here
03-02-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 07:52 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 04:45 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879901
03-03-2026 04:48 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-3/3/2026 PT-VIS: PT Visit
03-04-2026 01:10 PM	Lukas Jaramillo	Lukas (Prim) Replied: Hi Daniel. It slipped my mind. Today we don't have speech therapy due to Lauryn being out effective 03/04-03/09. Will see you Tuesday of next week. I'll remind myself to take the inserts ! Thank you !
03-04-2026 01:12 PM	Lukas Jaramillo	Lukas (Prim) Replied: If you can kindly send me the sign form for yesterday's session so I can sign it. Thank you ! 😊
03-06-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
03-06-2026 08:23 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂”
03-06-2026 08:23 PM	Lailani Chehedeh	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.
03-07-2026 07:31 AM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
03-07-2026 01:15 PM	Lailani Chehedeh	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=895999
03-07-2026 01:26 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 1:30PM-3/7/2026 92507: Speech & Language Visit
03-08-2026 04:01 PM	Lailani Chehedeh	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-14-2026 at 1:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 03-10-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-11-2026 at 6:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:06 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-08-2026 04:06 PM	Daniel Valenzuela	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 04:06 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-08-2026 04:06 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-09-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 06:34 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂”
03-10-2026 07:48 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 04:45 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879902
03-10-2026 04:50 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-3/10/2026 PT-VIS: PT Visit
03-10-2026 05:02 PM	Lukas Jaramillo	Lukas (Prim) Replied: We are in the office
03-10-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂”
03-11-2026 07:54 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 08:34 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂”
03-11-2026 05:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898661
03-11-2026 05:48 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 6:00PM-3/11/2026 92507: Speech & Language Visit
03-13-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
03-13-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂”
03-13-2026 06:31 PM	Lailani Chehedeh	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.
03-14-2026 07:31 AM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
03-14-2026 08:23 AM	Lailani Chehedeh	Hello :) I hope all is well! I have an earlier slot at 9:30am if Lukas is available ?
03-14-2026 08:46 AM	Lukas Jaramillo	Lukas (Prim) Replied: Hi I can't do that time sorry!
03-14-2026 12:51 PM	Lukas Jaramillo	Lukas (Prim) Replied: I'm sorry for the inconvenience but I won't be able to make it to today's session. I left my car at the shop thinking they would have it ready before 1:30 but it's not. 😩
03-14-2026 12:54 PM	Lailani Chehedeh	Thank you for letting me know ! I hope everything gets fixed!
03-14-2026 12:56 PM	Lailani Chehedeh	Lailani Chehedeh CANCELLED: 1:30PM-3/14/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 03-17-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-16-2026 at 6:00 PM, and on 03-18-2026 at 6:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-15-2026 06:00 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:00 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-15-2026 06:00 PM	Daniel Valenzuela	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	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-15-2026 06:36 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂”
03-15-2026 06:36 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 10:00 PM	Lailani Chehedeh	Hello :) if Lukas is interested in an additional session I can see him Saturday tat 2:15pm? - Lailani
03-15-2026 10:05 PM	Lukas Jaramillo	Lukas (Prim) Replied: This weekend we will be out of town. We will be in Albuquerque so I will not be able to do this weekend.
03-15-2026 10:05 PM	Lailani Chehedeh	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 10:07 PM	Lailani Chehedeh	Thank you for letting me know :) I will keep you posted if any openings become available on saturday for additional sessions.
03-15-2026 10:26 PM	Lukas Jaramillo	Lukas (Prim) Replied: Thank you ! 😊
03-15-2026 10:26 PM	Lailani Chehedeh	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 07:50 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 08:12 AM	Lukas Jaramillo	Lukas (Prim) Replied: Le gustó “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂”
03-16-2026 05:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900013
03-16-2026 05:47 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 6:00PM-3/16/2026 92507: Speech & Language Visit
03-16-2026 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 06:34 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂”
03-17-2026 08:01 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 09:28 AM	Lukas Jaramillo	Lukas (Prim) Replied: Le gustó “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂”
03-17-2026 09:31 AM	Daniel Valenzuela	Hello, just a reminder to please bring Lukas’s orthotics and his shoes please! Thank you.
03-17-2026 09:35 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hello, just a reminder to please bring Lukas’s orthotics and his shoes please! Thank you.”
03-17-2026 04:45 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906901
03-17-2026 04:48 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-3/17/2026 PT-VIS: PT Visit
03-17-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 06:31 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂”
03-18-2026 07:51 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 08:05 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂”
03-18-2026 05:53 PM	Lukas Jaramillo	Lukas (Prim) Replied: We're here 😊
03-21-2026 09:54 AM	Lailani Chehedeh	Hello :) if Lukas is available next Saturday at 12pm I have a last min opening :) -Lailani
03-21-2026 10:13 AM	Lukas Jaramillo	Lukas (Prim) Replied: That's fine. Thank you !
03-21-2026 10:17 AM	Lailani Chehedeh	perfect see you next Saturday :)
03-21-2026 10:50 AM	Lukas Jaramillo	Lukas (Prim) Replied: Loved “perfect see you next Saturday :)”
03-22-2026 04:01 PM	Lailani Chehedeh	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-28-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Daniel Valenzuela	Hi, this is a just a reminder that Jaramillo, Lukas has a Physical Therapy appointment on 03-24-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Jaramillo, Lukas has a Speech Therapy appointment on 03-23-2026 at 6:00 PM, and on 03-25-2026 at 6:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-22-2026 07:40 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-22-2026 07:40 PM	Daniel Valenzuela	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 07:40 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂”
03-22-2026 07:40 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 07:40 PM	Lukas Jaramillo	Lukas (Prim) Replied: Yes
03-22-2026 07:40 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 07:52 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 10:44 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂”
03-23-2026 12:43 PM	Lukas Jaramillo	Lukas (Prim) Replied: I do apologize ahead of time. I got sick over the weekend and I'm still not recovered. I need to cancel today's session. Ty!
03-23-2026 01:58 PM	Lauryn Barlow	Oh no, I'm sorry to hear that. I'll go ahead and cancel our session today. Will you be available on Thursday or Friday morning for a makeup session?
03-23-2026 02:05 PM	Lauryn Barlow	Lauryn Barlow CANCELLED: 6:00PM-3/23/2026 92507: Speech & Language Visit
03-23-2026 06:31 PM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:02 AM	Daniel Valenzuela	Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 10:50 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Physical Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂”
03-24-2026 04:45 PM	Daniel Valenzuela	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906902
03-24-2026 04:57 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 5:00PM-3/24/2026 PT-VIS: PT Visit
03-24-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:38 PM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂”
03-24-2026 07:38 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-25-2026 07:51 AM	Lauryn Barlow	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:52 AM	Lukas Jaramillo	Lukas (Prim) Replied: Liked “Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂”
03-25-2026 05:45 PM	Lauryn Barlow	Lukas Jaramillo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900048
03-25-2026 05:45 PM	Lukas Jaramillo	Lukas is CHECKED IN for: 6:00PM-3/25/2026 92507: Speech & Language Visit
03-25-2026 06:09 PM	Lukas Jaramillo	Lukas (Prim) Replied: We're here
03-25-2026 06:09 PM	Lukas Jaramillo	Lukas (Prim) Replied: Been here since 5ish
03-26-2026 08:38 AM	Lukas Jaramillo	Lukas (Prim) Replied: Hi sorry but I have to cancel today's make up session. Something came up.
03-26-2026 11:13 AM	Daniel Valenzuela	Daniel Valenzuela CANCELLED: 5:00PM-3/26/2026 PT-VIS: PT Visit
03-27-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Lukas has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂