New Beginnings | NB1-Office

Patient Name: Ricardo

Patient Information:

Patient ID: 9867

Patient First Name: Ricardo

Patient Date of Birth: 02-23-2025

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Andres, Aristizabal

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Serna, Teresa

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23150	Active	01-26-2026	07-24-2026	Blue Cross Blue Shield	0	13	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26018	01-06-2026	Feeding Initial Evaluation	R63.31, R13.11, R63.30
Feeding Background History: Ricardo is a 10-month-old male referred for a feeding evaluation by his pediatrician due to concerns regarding feeding difficulties and limited acceptance of solid foods. His parents, Mr. and Mrs. Serrano, served as the primary informants and provided detailed medical and developmental history. Parents report that concerns regarding feeding began following the introduction of solids at approximately 6.5 months of age. Since that time, Ricardo has not demonstrated a consistent preferred food and continues to show limited interest in solids, including purees. He frequently avoids foods, may gag with both purees and soft solids, and often engages in play-based interaction with food rather than consumption, even when appearing hungry. Parents report that Ricardo strongly prefers breast milk and will often choose breastfeeding over solid food intake. Ricardo has a history of reflux, which parents report appears closely linked to food allergy exposure. He is currently followed by a gastroenterologist to support management of reflux symptoms. His pediatrician has not expressed concerns regarding growth at this time. Bottle feeding was attempted; however, Ricardo did not demonstrate consistent acceptance and did not gravitate toward bottle feeding. Parents report that sleep patterns are currently stable and age-appropriate. Ricardo's feeding and swallowing abilities were assessed via a bedside swallow evaluation and structured mealtime observation to evaluate his current functional feeding skills and identify contributing factors impacting feeding performance.
Feeding Medical History: Ricardo was born at 40 weeks gestation via vaginal delivery. The pregnancy and delivery were largely unremarkable. Maternal blood pressure fluctuations were reported during labor; however, no neonatal complications or need for medical intervention were noted following birth. Ricardo did not require a NICU stay. Ricardo’s medical history is significant for multiple food allergies, including dairy, egg, and soy. These allergies were initially identified during breastfeeding, as Ricardo exhibited reflux symptoms and dermatologic reactions (rash) when his mother consumed these foods. Elimination of dairy, egg, and soy from the maternal diet resulted in noticeable improvement in symptoms. Parents additionally report suspected seafood allergy, as Ricardo develops a widespread rash following exposure. Soy exposure continues to be associated with reflux symptoms.
Feeding Medications:
Feeding Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, 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: Ricardo presents with an acute Pediatric Feeding Disorder (PFD) with oral phase dysphagia, characterized by immature feeding coordination, limited acceptance of solid foods, reliance on breastmilk for primary nutrition, food avoidance behaviors, and caregiver-reported physiologic feeding symptoms (e.g., coughing, watery eyes, difficulty coordinating liquids). His feeding profile is most consistent with a feeding skill–based and sensory-mediated feeding disorder, compounded by a history of multiple food allergies and reflux, which likely contribute to feeding discomfort, avoidance, and delayed progression of age-appropriate feeding skills. Skilled feeding therapy is medically necessary to address Ricardo’s oral phase dysphagia, immature suck–swallow–breathe coordination, and delayed progression to developmentally appropriate solid foods. Intervention should target improved feeding coordination to support safe and efficient oral intake, gradual advancement through the Steps to Eating hierarchy, and development of tongue lateralization, oral motor coordination, and bolus control to increase acceptance and tolerance of age-appropriate textures. Cup and straw drinking trials should be introduced as developmentally appropriate to promote oral skill diversification and support a gradual transition away from exclusive breastfeeding. Parent education and coaching will be a critical component of intervention to support structured feeding routines, including offering solid foods prior to breastfeeding when appropriate to increase hunger-driven motivation for solids. Continued collaboration with gastroenterology is recommended to monitor reflux symptoms and manage feeding responses related to known and suspected food allergies. Ongoing monitoring for signs of aspiration, worsening feeding coordination, or feeding-related respiratory symptoms is recommended, with adjustments to the plan of care as clinically indicated.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58042

Plan Date: 01-06-2026

Feeding Assessment Summary: Ricardo presents with an acute Pediatric Feeding Disorder (PFD) with oral phase dysphagia, characterized by immature feeding coordination, limited acceptance of solid foods, reliance on breastmilk for primary nutrition, food avoidance behaviors, and caregiver-reported physiologic feeding symptoms (e.g., coughing, watery eyes, difficulty coordinating liquids). His feeding profile is most consistent with a feeding skill–based and sensory-mediated feeding disorder, compounded by a history of multiple food allergies and reflux, which likely contribute to feeding discomfort, avoidance, and delayed progression of age-appropriate feeding skills. Skilled feeding therapy is medically necessary to address Ricardo’s oral phase dysphagia, immature suck–swallow–breathe coordination, and delayed progression to developmentally appropriate solid foods. Intervention should target improved feeding coordination to support safe and efficient oral intake, gradual advancement through the Steps to Eating hierarchy, and development of tongue lateralization, oral motor coordination, and bolus control to increase acceptance and tolerance of age-appropriate textures. Cup and straw drinking trials should be introduced as developmentally appropriate to promote oral skill diversification and support a gradual transition away from exclusive breastfeeding. Parent education and coaching will be a critical component of intervention to support structured feeding routines, including offering solid foods prior to breastfeeding when appropriate to increase hunger-driven motivation for solids. Continued collaboration with gastroenterology is recommended to monitor reflux symptoms and manage feeding responses related to known and suspected food allergies. Ongoing monitoring for signs of aspiration, worsening feeding coordination, or feeding-related respiratory symptoms is recommended, with adjustments to the plan of care as clinically indicated.

Feeding Rehabilitation Potential: Ricardo demonstrates good rehabilitation potential given his young age, strong caregiver involvement, and access to ongoing medical support. His parents have shown appropriate insight into his feeding challenges and are motivated to implement recommended strategies and carryover activities. With consistent skilled feeding therapy, caregiver education, and coordination with gastroenterology to manage underlying allergy and reflux concerns, Ricardo is expected to make meaningful progress toward improved feeding coordination, increased acceptance of developmentally appropriate textures, and expansion of oral feeding skills. Continued intervention is anticipated to support safe, efficient feeding and prevent further delays or regression in feeding development.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Ricardo will improve his feeding/swallowing skills in order to optimize safe and effective nutrition with 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Ricardo will demonstrate improved suck–swallow–breathe coordination during breast, bottle, or cup feeding, as evidenced by reduced audible respiration and improved pacing in 3 out of 10 opportunities across 3 consecutive sessions, to support safer and more efficient liquid intake.
Feeding/Swallowing	In 6 months, Ricardo will progress along the Steps to Eating hierarchy by moving exploration of foods to upper distal extremities in 3 out of 10 opportunities across 3 consecutive sessions, to support readiness for oral intake.
Feeding/Swallowing	In 6 months, Ricardo will demonstrate emerging tongue lateralization during play-based feeding activities (e.g., puree placement, meltable textures) in 3 out of 10 opportunities across 3 consecutive sessions, to support oral motor development and progression toward age-appropriate textures.
Feeding/Swallowing	In 6 months, Ricardo will demonstrate increased tolerance and acceptance of age-appropriate puree and early solid textures by engaging with and attempting oral intake in 3 out of 10 opportunities across 3 consecutive sessions, to support nutritional expansion beyond breastmilk.
Feeding/Swallowing	In 6 months, Ricardo will participate in cup or straw drinking trials with support, demonstrating improved coordination and tolerance in 3 out of 10 opportunities across 3 consecutive sessions, to promote oral skill diversification and transition toward developmentally appropriate liquid intake.
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

488988

Note Date: 03-09-2026

Subjective: Patient completed all required tasks,Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: Ricardo demonstrated improved suck–swallow–breathe coordination during breast, bottle, or cup feeding, as evidenced by reduced audible respiration and improved pacing in 2 out of 10 opportunities given 10 verbal and 10 visual models. Ricardo progressed along the Steps to Eating hierarchy by moving exploration of foods to upper distal extremities in 2 out of 10 opportunities given 10 verbal and 10 visual models. Ricardo demonstrated emerging tongue lateralization during play-based feeding activities (e.g., puree placement, meltable textures) in 0 out of 10 opportunities given 10 verbal and 10 visual models. Ricardo demonstrated increased tolerance and acceptance of age-appropriate puree and early solid textures by engaging with and attempting oral intake in 0 out of 10 opportunities given 10 verbal and 10 visual models. Ricardo participated in cup or straw drinking trials with support, demonstrating improved coordination and tolerance in 0 out of 10 opportunities given 10 verbal and 10 visual models. When counseled by the clinician, parents incorporated 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.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
857918	92610: Feeding Evaluation	01-06-2026 09:30 AM	01-06-2026 10:30 AM	Teresa Serna	NB1 east side	Completed
880699	92526: Feeding Visit	02-04-2026 02:30 PM	02-04-2026 03:00 PM	Teresa Serna	NB1 east side	Completed
889693	92526: Feeding Visit	02-18-2026 02:30 PM	02-18-2026 03:00 PM	Teresa Serna	NB1 east side	Completed
895428	92526: Feeding Visit	03-04-2026 02:30 PM	03-04-2026 03:00 PM	Teresa Serna	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
905662	92526: Feeding Visit	03-18-2026 02:30 PM	03-18-2026 03:00 PM	Teresa Serna	NB2 far east side	Canceled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
1/6/26	Patient visit charged - Feeding Evaluation: Feeding Evaluation	0.00	67.73	-67.73
2/4/26	Patient visit charged - Feeding Visit: Feeding Visit	0.00	135.46	-135.46
2/9/26	Patient Payment Received (Stripe)	67.73	135.46	-67.73
2/18/26	Patient visit charged - Feeding Visit: Feeding Visit	67.73	203.19	-135.46
3/4/26	Patient visit charged - Feeding Visit: Feeding Visit	67.73	270.92	-203.19
3/9/26	Patient Payment Received (Stripe)	270.92	270.92	0.00
3/25/26	Patient visit charged - Feeding Visit: Feeding Visit	270.92	338.65	-67.73

Billing History:

Date	Service Description	Units	$Amount	$Status
1/6/26	92610: Feeding Evaluation	1	220.00	Billed and Paid
2/4/26	92526: Feeding Visit	1	140.00	EDI Submited
2/18/26	92526: Feeding Visit	1	140.00	EDI Submited
3/4/26	92526: Feeding Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
01-25-2026	Teresa Serna	Provided parents with time slots for treatment. No response. Hello(: Ricardo has been approved to be seen for treatment. Would the following times/days are open - let me know what works best. Tuesday at 12:30 Wednesday at 2:30
01-22-2026	Avery Fontenot	FD Auth starting 01/26/2026 to 07/24/2026 for 2x/mo = 13 visits. Therapist notified.
01-22-2026	Avery Fontenot	Confirmed with mom that due to her limited visits with BCBS she would like to continue therapy for 2x/mo for feeding therapy. Therapist notified.
01-22-2026	Avery Fontenot	Called mom yesterday in the afternoon regarding visits limit for feeding therapy. No answer left a message. Called mom today @9:30 no answer, left a message.
12-08-2025	Julie Mora	BCBS of Illinois: Ref # 220246414, Family deductible has been met, Family/individual OOP has not been met. $6322.54/ 276.47. Patient responsible for 20% of allowed amount until OOP is met. No pre auth required for CPT codes: 92610, 92526, S9152, Hard max of 30 visits per calendar year. 0 have been used as of today. Calendar year will reset Jan 1st.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-18-2026	92526	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
12-01-2025 01:19 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2446
12-05-2025 12:47 PM	Monica Contreras-Tullius	Gracias por registrarse para recibir mensajes de texto de New Beginnings. Para enviar un mensaje al terapeuta de su hijo, simplemente responda aquí. Para dejar de recibir nuestros mensajes, responda STOP en cualquier momento.
12-23-2025 02:13 PM	Stephen Tullius	Estimadas familias: Al acercarse la temporada de fiestas, queremos tomar un momento para expresarles nuestro más sincero agradecimiento a ustedes. Ha sido un verdadero privilegio acompañar a su familia y ser parte del camino de desarrollo de su hijo/a durante este año. Cada logro, cada esfuerzo y cada sonrisa compartida nos recuerdan la importancia de nuestro trabajo. Deseamos que esta temporada les brinde momentos de alegría, descanso y unión familiar. Que el próximo año esté lleno de progreso continuo y muchas razones para celebrar. Les recordamos que nuestras oficinas permanecerán cerradas desde el 24 de diciembre hasta el 4 de enero. Reanudaremos nuestras actividades el lunes 5 de enero de 2026. De parte de todo nuestro equipo, les deseamos unas felices fiestas y un Año Nuevo lleno de salud y esperanza. Con afecto, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:11 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 02:10 PM	Avery Fontenot	This is Avery from the front office at New Beginnings. I am reaching out regarding the Ricardo's feeding therapy services. His Blue Cross Blue Shield allows 30 visits per year for feeding therapy. The evaluating therapist has recommended therapy once a week for 30 minutes. If we proceed with this treatment plan, Ricardo will use all authorized visits before the end of the year. You have a couple of options moving forward: Continue with the recommended treatment plan. Once insurance visits are exhausted, you may continue therapy on a self-pay basis. Self-pay rates are as follows: 30-minute treatment session: $65.00 Re-evaluation: $150.00 or Adjust the therapy frequency to twice per month. This option would allow the patient to stay within the insurance visit limit for the year. Please let us know how you would like to proceed or if you have any questions. Do not hesitate to contact our office for further assistance. Thank you, and we hope you have a great rest of your day!
01-22-2026 11:13 AM	Shekinah Velasquez	Hi, Ricardo 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=9867&tid=113
02-03-2026 03:53 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! 💙
02-04-2026 07:34 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Ricardo Serrano. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39006. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
02-05-2026 07:30 AM	Shekinah Velasquez	RECORDATORIO: Tiene una factura pendiente para Ricardo Serrano de la terapia proporcionada en 02-04-2026. No queremos que su saldo retrase la terapia de su hijo(a). Haga clic en este enlace seguro para realizar su pago en línea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39006. ¡Gracias por permitirnos servir a su hijo(a)! 🙂
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9867
02-18-2026 07:33 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Ricardo Serrano. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39413. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 07:30 AM	Shekinah Velasquez	RECORDATORIO: Tiene una factura pendiente para Ricardo Serrano de la terapia proporcionada en 02-18-2026. No queremos que su saldo retrase la terapia de su hijo(a). Haga clic en este enlace seguro para realizar su pago en línea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39413. ¡Gracias por permitirnos servir a su hijo(a)! 🙂
03-04-2026 07:33 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Ricardo Serrano. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39753. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-05-2026 07:31 AM	Shekinah Velasquez	RECORDATORIO: Tiene una factura pendiente para Ricardo Serrano de la terapia proporcionada en 03-04-2026. No queremos que su saldo retrase la terapia de su hijo(a). Haga clic en este enlace seguro para realizar su pago en línea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39760. ¡Gracias por permitirnos servir a su hijo(a)! 🙂
03-09-2026 10:20 AM	Patricia Bussell	Buenos días Sra. Torres. Este es New Beginnings enviándole un recordatorio amistoso de que hay un saldo pendiente de $203.19 por visitas realizadas el 01/06/26, 02/18/26, y 03/04/26. El enlace para realizar el pago ya ha sido enviado. No queremos que su saldo pendiente retrase la terapia de su hijo. Gracias por permitirnos servir a su hijo.
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9867
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-26-2026 07:30 AM	Shekinah Velasquez	RECORDATORIO: Tiene una factura pendiente para Ricardo Serrano de la terapia proporcionada en 03-25-2026. No queremos que su saldo retrase la terapia de su hijo(a). Haga clic en este enlace seguro para realizar su pago en línea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40602. ¡Gracias por permitirnos servir a su hijo(a)! 🙂

Paient Messages Therapist:

Date	Posted By	Message
12-01-2025 02:05 PM	Teresa Serna	Hi, my name is Teresa, with New Beginnings, and I will be performing your child's Feeding 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=9867&tid=113
12-01-2025 02:05 PM	Ricardo Serrano	Ricardo SCHEDULED: 5:00PM-12/5/2025 92610: Feeding Evaluation
12-01-2025 02:56 PM	Teresa Serna	Hi, your Feeding Evaluation on MM-dd-yyyy HH:mm has been removed. If you have any questions or need to reschedule, please message us. Thank you!
12-09-2025 02:20 PM	Teresa Serna	My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Ricardo'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. I currently have the following openings 1/6/2026 at 9:00 AM and 1/7/2026 11:00 AM Please let me know if this time works for you. If I have any openings for next week I can also let you know so we can get him in for the evaluation. Thank you, and I look forward to meeting both of you!
12-11-2025 12:37 PM	Teresa Serna	Hello, the front office informed me you that you will be taking the 1/6/2026 at 9:00 AM. They also informed that you would like an earlier slot for next week. I will go ahead and ask other feeding therapist is they have openings for next week (:
12-11-2025 01:02 PM	Ricardo Serrano	Ricardo (Prim) Replied: Thank you, yes if anything else available sooner is best for me.
12-11-2025 03:23 PM	Teresa Serna	Perfect I will get back to you if there are any updates on dates for next week.
12-14-2025 04:02 PM	Teresa Serna	Hello, I wanted to update you, no evaluating feeding therapist had open slots this week
01-05-2026 11:23 AM	Teresa Serna	Good morning (: 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.
01-05-2026 11:24 AM	Teresa Serna	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.(: 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. Let me know what you prefer. I look forward to working with you
01-05-2026 11:26 AM	Ricardo Serrano	Ricardo (Prim) Replied: Yes please email me the payment rework to fill out ahead
01-05-2026 11:26 AM	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.
01-05-2026 11:26 AM	Ricardo Serrano	Ricardo (Prim) Replied: Paperwork
01-05-2026 11:26 AM	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.
01-05-2026 11:27 AM	Teresa Serna	Can you please send me your email
01-05-2026 11:35 AM	Teresa Serna	Also, what do his feeds currently look like so I can send you the correct documentation. Is he doing puree/solids? bottle/breast? both?
01-05-2026 11:46 AM	Ricardo Serrano	Ricardo (Prim) Replied: Email is evetor95@gmail.com He has been exclusively breastfed since birth. Will not take bottle or pacifier. As far as food he doesn't like to eat much at all. Will take two to three spoons of fruit gerber. I constantly offer solids like beef and chicken as finger foods but will only play with them hardly even tries them. Refuses to eat any vegetables in puree or solid form. He also has dairy, egg and soy allergy.
01-05-2026 11:46 AM	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.
01-05-2026 02:03 PM	Teresa Serna	Let me send you those documents. For the evaluation, please bring him in hungry but not hangry. We will offer him a breast feed and then we will offer the solid/puree. You can go ahead and bring in 1 preferred fruit gerber, 1 finger food, and a vegetable puree or solid. You are more than welcome to bring in a pillow or blanket to make the feed more relaxing for him or anything that you have found to help him during his feeds. Let me know if you have any questions.
01-05-2026 05:05 PM	Ricardo Serrano	Ricardo (Prim) Replied: Hello i have not received the email. Under what name should I be looking out for ?
01-05-2026 05:05 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.
01-05-2026 05:33 PM	Teresa Serna	I went to double check if i sent it and it says it was sent. The email is sernat22222@gmail.com
01-05-2026 05:34 PM	Teresa Serna	Let me try again
01-05-2026 05:34 PM	Ricardo Serrano	Ricardo (Prim) Replied: Ok I found it thank you!
01-05-2026 05:34 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.
01-05-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita programada para una evaluación de terapia de alimentación manana a las 09:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-06-2026 07:54 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita programada para una evaluación de terapia de alimentación hoy a las 09:30 AM. Nos vemos pronto! - New Beginnings 🙂
01-06-2026 09:15 AM	Teresa Serna	Ricardo Serrano : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857918
01-06-2026 09:18 AM	Ricardo Serrano	Ricardo is CHECKED IN for: 9:30AM-1/6/2026 92610: Feeding Evaluation
01-07-2026 12:53 PM	Teresa Serna	Hello(: I wanted to inform you that there are currently no feeding therapist with the availability you offered. There are slots on Tuesday/Wednesday afternoon and possible Thursday. Hopefully, theres openings by the time he is ready to start treatment but I wanted to ask if you have other possible slots open besides the Monday and Friday
01-08-2026 11:37 AM	Ricardo Serrano	Ricardo (Prim) Replied: Wednesday would work best if Monday and Friday isn't available
01-22-2026 02:41 PM	Teresa Serna	Hello(: Ricardo has been approved to be seen for treatment. Would the following times/days are open - let me know what works best. Tuesday at 12:30 Wednesday at 2:30
01-27-2026 12:24 PM	Ricardo Serrano	Ricardo (Prim) Replied: I'm so sorry my phone updated and never received the messages on time. Is Wednesday at 2:30 still available?
01-27-2026 01:19 PM	Teresa Serna	Hello(: no worries for tomorrow I do have that time slot taken but I have 12pm open tomorrow if that works for you
01-27-2026 01:58 PM	Ricardo Serrano	Ricardo (Prim) Replied: Unfortunately it doesn't work. let me know of any times of anything after 2 pm Thank you!
02-01-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Serrano, Ricardo tiene una cita de terapia de alimentación programada el 02-04-2026 a las 2:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-02-2026 02:53 PM	Ricardo Serrano	Ricardo (Prim) Replied: Si
02-02-2026 02:53 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.
02-03-2026 12:54 PM	Teresa Serna	Hola para manana porfavor lleva 3 comidas que no son preferidas y 1 preferia (:
02-03-2026 03:27 PM	Ricardo Serrano	Ricardo (Prim) Replied: Liked “Hola para manana porfavor lleva 3 comidas que no son preferidas y 1 preferia (:”
02-03-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada manana a las 02:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-04-2026 07:59 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada hoy a las 02:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-04-2026 02:15 PM	Teresa Serna	Ricardo Serrano : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880699
02-04-2026 02:15 PM	Ricardo Serrano	Ricardo is CHECKED IN for: 2:30PM-2/4/2026 92526: Feeding Visit
02-05-2026 04:18 PM	Teresa Serna	https://st-pros.com/newbeginnings/documents/02052026161858-Ricardo-S-.docx
02-05-2026 04:24 PM	Teresa Serna	Let me know if you have any questions(: Let him nurse until he seems satisfied, but try to keep feeds around 10–15 minutes. If he naturally finishes sooner, that’s great. We’re just avoiding long comfort feeds so he has enough hunger to eat solids later. Also, a link is sent can you please sign it when you get the chance
02-15-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Serrano, Ricardo tiene una cita de terapia de alimentación programada el 02-18-2026 a las 2:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-15-2026 10:15 PM	Ricardo Serrano	Ricardo (Prim) Replied: Si
02-15-2026 10:15 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.
02-17-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada manana a las 02:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-18-2026 07:54 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada hoy a las 02:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-18-2026 02:15 PM	Teresa Serna	Ricardo Serrano : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=889693
02-18-2026 02:16 PM	Ricardo Serrano	Ricardo is CHECKED IN for: 2:30PM-2/18/2026 92526: Feeding Visit
03-01-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Serrano, Ricardo tiene una cita de terapia de alimentación programada el 03-04-2026 a las 2:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-03-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada manana a las 02:30 PM. - New Beginnings 🙂
03-04-2026 07:53 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada hoy a las 02:30 PM. Aqui esta el link https://us06web.zoom.us/j/88538742432 - New Beginnings 🙂
03-04-2026 02:15 PM	Teresa Serna	Ricardo Serrano : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=895428
03-04-2026 02:24 PM	Ricardo Serrano	Ricardo is CHECKED IN for: 2:30PM-3/4/2026 92526: Feeding Visit
03-04-2026 02:31 PM	Teresa Serna	Hello(: is it letting you log on?
03-04-2026 03:03 PM	Ricardo Serrano	Ricardo (Prim) Replied: Idk if my internet crashed but it kicked me out
03-05-2026 04:17 PM	Teresa Serna	I am working on a document to send you based on everything you told me yesterday (: hopefully i can have it done by tomorrow but if you have anymore questions please send them to me
03-07-2026 08:43 AM	Teresa Serna	The system isnt letting me add in the file can you send me your email
03-07-2026 09:13 AM	Ricardo Serrano	Ricardo (Prim) Replied: Yes evetor95@gmail.com
03-07-2026 09:13 AM	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.
03-15-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Serrano, Ricardo tiene una cita de terapia de alimentación programada el 03-18-2026 a las 2:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-16-2026 10:08 AM	Ricardo Serrano	Ricardo (Prim) Replied: No
03-16-2026 10:08 AM	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.
03-16-2026 03:39 PM	Teresa Serna	Hello, wanted to check in on what time/day works best for you this week for our appointment
03-16-2026 06:21 PM	Ricardo Serrano	Ricardo (Prim) Replied: Hello this week well be unable to. Can we schedule for next week instead?
03-16-2026 06:21 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.
03-16-2026 07:29 PM	Teresa Serna	Yes we can plan for next week (:
03-16-2026 07:30 PM	Teresa Serna	Teresa Serna CANCELLED: 2:30PM-3/18/2026 92526: Feeding Visit
03-18-2026 10:26 AM	Ricardo Serrano	Ricardo (Prim) Replied: Does next Wednesday after 2 work?
03-20-2026 01:29 PM	Teresa Serna	Yes at 2:30 on Wednesday (:
03-22-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Serrano, Ricardo tiene una cita de terapia de alimentación programada el 03-25-2026 a las 2:30 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-24-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada manana a las 02:30 PM. - New Beginnings 🙂
03-25-2026 07:56 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Ricardo tiene una cita de terapia de alimentación programada hoy a las 02:30 PM. Aqui esta el link https://us06web.zoom.us/j/88515625462 - New Beginnings 🙂
03-25-2026 02:15 PM	Teresa Serna	Ricardo Serrano : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=908636
03-25-2026 02:24 PM	Ricardo Serrano	Ricardo is RUNNING LATE for: 2:30PM-3/25/2026 92526: Feeding Visit
03-25-2026 02:33 PM	Teresa Serna	Will you be online or in person today?
03-25-2026 02:33 PM	Teresa Serna	If in person this is the new address: 1510 N Zaragoza Rd Suite B1, El Paso, TX 79936
03-25-2026 02:34 PM	Ricardo Serrano	Ricardo (Prim) Replied: Online is fine
03-25-2026 02:35 PM	Ricardo Serrano	Ricardo (Prim) Replied: We are ready
03-25-2026 02:36 PM	Ricardo Serrano	Ricardo is CHECKED IN for: 2:30PM-3/25/2026 92526: Feeding Visit
03-25-2026 02:38 PM	Teresa Serna	I am in the meeting does it let you log on?
03-25-2026 02:38 PM	Teresa Serna	there is nobody in the waiting room
03-25-2026 02:39 PM	Ricardo Serrano	Ricardo (Prim) Replied: I can't find the link
03-25-2026 02:39 PM	Ricardo Serrano	Ricardo (Prim) Replied: Can you send it again pls
03-25-2026 02:39 PM	Teresa Serna	Note: Zoom Link: https://us06web.zoom.us/j/88515625462