New Beginnings | NB1-Office

Patient Name: Kalynn

Patient Information:

Patient ID: 9876

Patient First Name: Kalynn

Patient Date of Birth: 02-29-2016

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Kathy, Gilyard

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Chacon, Victoria

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23317	Active	02-16-2026	08-14-2026	Tricare Prime	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26180	02-05-2026	Speech Initial Evaluation	F80.0
Speech Background History: Kalynn is a 9 year, 11 month old female who was referred by her pediatrician for a comprehensive speech and language evaluation to assess her current communication skills. Kalynn’s mother remained in the vehicle throughout the evaluation; however, she provided pertinent background information that is referenced throughout this report. Mother reported primary concerns regarding Kalynn’s tendency to use an immature speech style, described as “baby talk.” Additionally, mother reported the presence of persistent oral sensory behaviors, including frequent finger sucking and, when not engaged in this behavior, placing or sucking on her tongue at rest. Kalynn carries diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, and depression. Mother further reported that Autism Spectrum Disorder has been suspected; however, Kalynn has not received a formal diagnosis at this time due to parental concern regarding potential long-term implications. Kalynn is expected to receive classroom accommodations through a Section 504 Plan to support her educational needs. To evaluate her speech and language abilities, Kalynn was administered the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF 5) and the Goldman Fristoe Test of Articulation Third Edition (GFTA 3).
Speech Medical History: Mother reported that Kalynn was born at 40 weeks. She added that Kalynn was required to be resuscitated then was released from hospital. No stay in NICU. Mother stated that they observed abnormal breathing, therefore patient was taken back into the hospital to which she was diagnosed with laryngomalasia. This diagnosis has led to sleep apnea.
Speech Medications: Adderall 10 mg once a day
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Speech Communication Strengths: Appropriate use of eye contact, Appropriate utterances, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Follows verbal command without cues, Initiate activity/dialogue, Interactive, Maintains topic, Makes requests, Responds to greetings, Speech acts performed appropriately, Takes turns, Understands nuances of language, Understood inhibitory words with signs,
Speech Communication Weaknesses: Self stimulation behaviors,
Speech Background Summary:
Speech Diagnosis/Impressions: Kalynn is a 9 year, 11 month old female who was referred by her pediatrician for a comprehensive speech and language evaluation to assess her current communication skills. Kalynn’s mother remained in the vehicle throughout the evaluation; however, she provided pertinent background information that is referenced throughout this report. Mother reported primary concerns regarding Kalynn’s tendency to use an immature speech style, described as “baby talk.” Additionally, mother reported the presence of persistent oral sensory behaviors, including frequent finger sucking and, when not engaged in this behavior, placing or sucking on her tongue at rest. Kalynn carries diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, and depression. Mother further reported that Autism Spectrum Disorder has been suspected; however, Kalynn has not received a formal diagnosis at this time due to parental concern regarding potential long-term implications. Kalynn is expected to receive classroom accommodations through a Section 504 Plan to support her educational needs. To evaluate her speech and language abilities, Kalynn was administered the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF 5) and the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). Kalynn’s receptive and expressive language skills were assessed using the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5). She obtained a Core Language Standard Score of 106, which falls within the average range and corresponds to the 66th percentile when compared to same-aged peers, indicating overall language abilities that are age-appropriate at this time. Subtest performance revealed several areas of relative weakness despite overall average skills. On the Word Classes subtest (raw score = 30), Kalynn demonstrated difficulty identifying semantic relationships between words, particularly with opposites and synonyms, suggesting mild challenges with vocabulary depth and word knowledge. During the Formulated Sentences subtest (raw score = 42), she exhibited reduced accuracy when producing sentences containing coordinating and correlative conjunctions, indicating emerging proficiency with more complex grammatical structures. On the Recalling Sentences subtest (raw score = 50), errors were noted in sentences containing subordinate clauses, relative clauses, and coordinated elements, which may reflect subtle weaknesses in syntactic processing and auditory-verbal memory for linguistically complex information. Lastly, on the Semantic Relationships subtest (raw score = 5), Kalynn showed increased difficulty interpreting comparative, spatial, and sequential concepts, suggesting that higher-level language processing may be less consistent when task demands increase. Overall, while Kalynn’s language skills fall within expected limits for her age, these relative weaknesses may impact her ability to fully comprehend and formulate complex language in academic and conversational settings. Despite demonstrating overall language abilities within the average range, standardized assessment results should be interpreted in conjunction with caregiver report and clinical observations. Mother expressed ongoing concern regarding Kalynn’s use of an immature speech style, described as “baby talk,” and reported that this speech pattern does not appear to follow a predictable pattern. According to parent report, Kalynn uses this speech style across environments and communication partners at seemingly random times rather than in response to specific situations or emotional states. It is important to note that standardized language measures may not fully capture differences in speech style, pragmatic language use, or communicative maturity during natural interactions. Therefore, further analysis of Kalynn’s conversational speech, social communication, and overall intelligibility is necessary to determine whether this pattern reflects a developmental communication difference, a learned speech behavior, or another underlying factor impacting her functional communication. Kalynn’s speech sound production skills were evaluated using the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). On the Sounds in Words subtest, Kalynn obtained a raw score of 52, corresponding to a standard score of 40 and a percentile rank of <0.1, indicating performance within the profound range when compared to same aged peers. Similarly, on the Sounds in Sentences subtest, she earned a raw score of 28, a standard score of 47, and a percentile rank of <0.1, also falling within the profound range. Despite these scores, Kalynn was generally intelligible in connected speech; however, her speech was characterized by a persistent interdental/frontal lisp impacting the /s/ and /z/ phonemes, as well as distortions of the “sh,” “ch,” and “j” sounds. Oral mechanism observations suggested anterior jaw protrusion and dental misalignment, which may be associated with a history of prolonged non-nutritive oral habits (e.g., finger and tongue sucking). These factors appear to contribute to altered oral cavity posture, resulting in reduced tongue stability and inaccurate placement for alveolar and post-alveolar sound production. At the word level, error patterns were observed across all word positions and included sound distortions, substitutions, cluster reductions, gliding, and vocalization. In the initial position, errors included distorted “sh” and “ch,” interdental productions in /s/ blends (e.g., /sl/, /sw/), /b/ for /v/, /d/ for /j/ and voiced “th,” multiple cluster simplifications (e.g., /bw/ for /bl/, /pw/ for /pr/, /kw/ for /kr/, /tw/ for /tr/, /gw/ for /gr/), and /w/ for /r/. Medial position errors included interdental /s/, /p/ for /f/, distorted “sh” and “ch,” /ch/ for /j/, /w/ for /l/, /d/ for voiced “th,” and vowel neutralization affecting liquid sounds. Final position errors consisted of interdental /s/ and /z/, distortion of “sh,” deletion and vocalization of /l/, vocalization of /r/, /t/ for voiceless “th,” and /b/ for /v/. Within the sentence-level task, similar error patterns persisted, indicating reduced generalization of accurate productions into connected speech. Initial position errors included cluster reduction (e.g., /gw/ for /gr/) and an interdental lisp on /s/. In the medial position, errors included /w/ for /r/, interdental productions of “sh” and /z/, and /b/ for /v/. Final position errors were characterized by an interdental lisp on /s/ and /z/, as well as distortion of “j.” The presence of these errors across linguistic contexts suggests that Kalynn’s articulation difficulties are consistent rather than situational. Overall, Kalynn presents with a severe articulation disorder characterized primarily by lingual distortions and maladaptive placement patterns that are not age-appropriate. Given her chronological age, these errors are considered developmentally atypical and may negatively impact speech clarity, listener perception, and social interactions if left unaddressed. Skilled speech therapy is recommended to establish accurate articulatory placement, improve phoneme production across contexts, and facilitate carryover into conversational speech. Based on formal assessment, parent interview, and clinical observation, Kalynn presents with a PROFOUND ARTICULATION AND PHONOLOGICAL DISORDER. Speech therapy is recommended at this time, as Kalynn does not communicate like other children her age. Her safety and functional health are at risk, as well as her independence in her daily routine. As her intelligibility with unfamiliar listeners prevents her from intelligibly communicating information and details of pain or help she may need.
Speech Diagnosis/Impressions: Kalynn is a 9 year, 11 month old female who was referred by her pediatrician for a comprehensive speech and language evaluation to assess her current communication skills. Kalynn’s mother remained in the vehicle throughout the evaluation; however, she provided pertinent background information that is referenced throughout this report. Mother reported primary concerns regarding Kalynn’s tendency to use an immature speech style, described as “baby talk.” Additionally, mother reported the presence of persistent oral sensory behaviors, including frequent finger sucking and, when not engaged in this behavior, placing or sucking on her tongue at rest. Kalynn carries diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, and depression. Mother further reported that Autism Spectrum Disorder has been suspected; however, Kalynn has not received a formal diagnosis at this time due to parental concern regarding potential long-term implications. Kalynn is expected to receive classroom accommodations through a Section 504 Plan to support her educational needs. To evaluate her speech and language abilities, Kalynn was administered the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF 5) and the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). Kalynn’s receptive and expressive language skills were assessed using the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5). She obtained a Core Language Standard Score of 106, which falls within the average range and corresponds to the 66th percentile when compared to same-aged peers, indicating overall language abilities that are age-appropriate at this time. Subtest performance revealed several areas of relative weakness despite overall average skills. On the Word Classes subtest (raw score = 30), Kalynn demonstrated difficulty identifying semantic relationships between words, particularly with opposites and synonyms, suggesting mild challenges with vocabulary depth and word knowledge. During the Formulated Sentences subtest (raw score = 42), she exhibited reduced accuracy when producing sentences containing coordinating and correlative conjunctions, indicating emerging proficiency with more complex grammatical structures. On the Recalling Sentences subtest (raw score = 50), errors were noted in sentences containing subordinate clauses, relative clauses, and coordinated elements, which may reflect subtle weaknesses in syntactic processing and auditory-verbal memory for linguistically complex information. Lastly, on the Semantic Relationships subtest (raw score = 5), Kalynn showed increased difficulty interpreting comparative, spatial, and sequential concepts, suggesting that higher-level language processing may be less consistent when task demands increase. Overall, while Kalynn’s language skills fall within expected limits for her age, these relative weaknesses may impact her ability to fully comprehend and formulate complex language in academic and conversational settings. Despite demonstrating overall language abilities within the average range, standardized assessment results should be interpreted in conjunction with caregiver report and clinical observations. Mother expressed ongoing concern regarding Kalynn’s use of an immature speech style, described as “baby talk,” and reported that this speech pattern does not appear to follow a predictable pattern. According to parent report, Kalynn uses this speech style across environments and communication partners at seemingly random times rather than in response to specific situations or emotional states. It is important to note that standardized language measures may not fully capture differences in speech style, pragmatic language use, or communicative maturity during natural interactions. Therefore, further analysis of Kalynn’s conversational speech, social communication, and overall intelligibility is necessary to determine whether this pattern reflects a developmental communication difference, a learned speech behavior, or another underlying factor impacting her functional communication. Kalynn’s speech sound production skills were evaluated using the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). On the Sounds in Words subtest, Kalynn obtained a raw score of 52, corresponding to a standard score of 40 and a percentile rank of <0.1, indicating performance within the profound range when compared to same aged peers. Similarly, on the Sounds in Sentences subtest, she earned a raw score of 28, a standard score of 47, and a percentile rank of <0.1, also falling within the profound range. Despite these scores, Kalynn was generally intelligible in connected speech; however, her speech was characterized by a persistent interdental/frontal lisp impacting the /s/ and /z/ phonemes, as well as distortions of the “sh,” “ch,” and “j” sounds. Oral mechanism observations suggested anterior jaw protrusion and dental misalignment, which may be associated with a history of prolonged non-nutritive oral habits (e.g., finger and tongue sucking). These factors appear to contribute to altered oral cavity posture, resulting in reduced tongue stability and inaccurate placement for alveolar and post-alveolar sound production. At the word level, error patterns were observed across all word positions and included sound distortions, substitutions, cluster reductions, gliding, and vocalization. In the initial position, errors included distorted “sh” and “ch,” interdental productions in /s/ blends (e.g., /sl/, /sw/), /b/ for /v/, /d/ for /j/ and voiced “th,” multiple cluster simplifications (e.g., /bw/ for /bl/, /pw/ for /pr/, /kw/ for /kr/, /tw/ for /tr/, /gw/ for /gr/), and /w/ for /r/. Medial position errors included interdental /s/, /p/ for /f/, distorted “sh” and “ch,” /ch/ for /j/, /w/ for /l/, /d/ for voiced “th,” and vowel neutralization affecting liquid sounds. Final position errors consisted of interdental /s/ and /z/, distortion of “sh,” deletion and vocalization of /l/, vocalization of /r/, /t/ for voiceless “th,” and /b/ for /v/. Within the sentence-level task, similar error patterns persisted, indicating reduced generalization of accurate productions into connected speech. Initial position errors included cluster reduction (e.g., /gw/ for /gr/) and an interdental lisp on /s/. In the medial position, errors included /w/ for /r/, interdental productions of “sh” and /z/, and /b/ for /v/. Final position errors were characterized by an interdental lisp on /s/ and /z/, as well as distortion of “j.” The presence of these errors across linguistic contexts suggests that Kalynn’s articulation difficulties are consistent rather than situational. Overall, Kalynn presents with a severe articulation disorder characterized primarily by lingual distortions and maladaptive placement patterns that are not age-appropriate. Given her chronological age, these errors are considered developmentally atypical and may negatively impact speech clarity, listener perception, and social interactions if left unaddressed. Skilled speech therapy is recommended to establish accurate articulatory placement, improve phoneme production across contexts, and facilitate carryover into conversational speech. Based on formal assessment, parent interview, and clinical observation, Kalynn presents with a PROFOUND ARTICULATION AND PHONOLOGICAL DISORDER. Speech therapy is recommended at this time, as Kalynn does not communicate like other children her age. Her safety and functional health are at risk, as well as her independence in her daily routine. As her intelligibility with unfamiliar listeners prevents her from intelligibly communicating information and details of pain or help she may need.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58286

Plan Date: 02-05-2026

Speech Assessment Summary: Kalynn is a 9 year, 11 month old female who was referred by her pediatrician for a comprehensive speech and language evaluation to assess her current communication skills. Kalynn’s mother remained in the vehicle throughout the evaluation; however, she provided pertinent background information that is referenced throughout this report. Mother reported primary concerns regarding Kalynn’s tendency to use an immature speech style, described as “baby talk.” Additionally, mother reported the presence of persistent oral sensory behaviors, including frequent finger sucking and, when not engaged in this behavior, placing or sucking on her tongue at rest. Kalynn carries diagnoses of Attention-Deficit/Hyperactivity Disorder (ADHD), anxiety, and depression. Mother further reported that Autism Spectrum Disorder has been suspected; however, Kalynn has not received a formal diagnosis at this time due to parental concern regarding potential long-term implications. Kalynn is expected to receive classroom accommodations through a Section 504 Plan to support her educational needs. To evaluate her speech and language abilities, Kalynn was administered the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF 5) and the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). Kalynn’s receptive and expressive language skills were assessed using the Clinical Evaluation of Language Fundamentals Fifth Edition (CELF-5). She obtained a Core Language Standard Score of 106, which falls within the average range and corresponds to the 66th percentile when compared to same-aged peers, indicating overall language abilities that are age-appropriate at this time. Subtest performance revealed several areas of relative weakness despite overall average skills. On the Word Classes subtest (raw score = 30), Kalynn demonstrated difficulty identifying semantic relationships between words, particularly with opposites and synonyms, suggesting mild challenges with vocabulary depth and word knowledge. During the Formulated Sentences subtest (raw score = 42), she exhibited reduced accuracy when producing sentences containing coordinating and correlative conjunctions, indicating emerging proficiency with more complex grammatical structures. On the Recalling Sentences subtest (raw score = 50), errors were noted in sentences containing subordinate clauses, relative clauses, and coordinated elements, which may reflect subtle weaknesses in syntactic processing and auditory-verbal memory for linguistically complex information. Lastly, on the Semantic Relationships subtest (raw score = 5), Kalynn showed increased difficulty interpreting comparative, spatial, and sequential concepts, suggesting that higher-level language processing may be less consistent when task demands increase. Overall, while Kalynn’s language skills fall within expected limits for her age, these relative weaknesses may impact her ability to fully comprehend and formulate complex language in academic and conversational settings. Despite demonstrating overall language abilities within the average range, standardized assessment results should be interpreted in conjunction with caregiver report and clinical observations. Mother expressed ongoing concern regarding Kalynn’s use of an immature speech style, described as “baby talk,” and reported that this speech pattern does not appear to follow a predictable pattern. According to parent report, Kalynn uses this speech style across environments and communication partners at seemingly random times rather than in response to specific situations or emotional states. It is important to note that standardized language measures may not fully capture differences in speech style, pragmatic language use, or communicative maturity during natural interactions. Therefore, further analysis of Kalynn’s conversational speech, social communication, and overall intelligibility is necessary to determine whether this pattern reflects a developmental communication difference, a learned speech behavior, or another underlying factor impacting her functional communication. Kalynn’s speech sound production skills were evaluated using the Goldman Fristoe Test of Articulation Third Edition (GFTA 3). On the Sounds in Words subtest, Kalynn obtained a raw score of 52, corresponding to a standard score of 40 and a percentile rank of <0.1, indicating performance within the profound range when compared to same aged peers. Similarly, on the Sounds in Sentences subtest, she earned a raw score of 28, a standard score of 47, and a percentile rank of <0.1, also falling within the profound range. Despite these scores, Kalynn was generally intelligible in connected speech; however, her speech was characterized by a persistent interdental/frontal lisp impacting the /s/ and /z/ phonemes, as well as distortions of the “sh,” “ch,” and “j” sounds. Oral mechanism observations suggested anterior jaw protrusion and dental misalignment, which may be associated with a history of prolonged non-nutritive oral habits (e.g., finger and tongue sucking). These factors appear to contribute to altered oral cavity posture, resulting in reduced tongue stability and inaccurate placement for alveolar and post-alveolar sound production. At the word level, error patterns were observed across all word positions and included sound distortions, substitutions, cluster reductions, gliding, and vocalization. In the initial position, errors included distorted “sh” and “ch,” interdental productions in /s/ blends (e.g., /sl/, /sw/), /b/ for /v/, /d/ for /j/ and voiced “th,” multiple cluster simplifications (e.g., /bw/ for /bl/, /pw/ for /pr/, /kw/ for /kr/, /tw/ for /tr/, /gw/ for /gr/), and /w/ for /r/. Medial position errors included interdental /s/, /p/ for /f/, distorted “sh” and “ch,” /ch/ for /j/, /w/ for /l/, /d/ for voiced “th,” and vowel neutralization affecting liquid sounds. Final position errors consisted of interdental /s/ and /z/, distortion of “sh,” deletion and vocalization of /l/, vocalization of /r/, /t/ for voiceless “th,” and /b/ for /v/. Within the sentence-level task, similar error patterns persisted, indicating reduced generalization of accurate productions into connected speech. Initial position errors included cluster reduction (e.g., /gw/ for /gr/) and an interdental lisp on /s/. In the medial position, errors included /w/ for /r/, interdental productions of “sh” and /z/, and /b/ for /v/. Final position errors were characterized by an interdental lisp on /s/ and /z/, as well as distortion of “j.” The presence of these errors across linguistic contexts suggests that Kalynn’s articulation difficulties are consistent rather than situational. Overall, Kalynn presents with a severe articulation disorder characterized primarily by lingual distortions and maladaptive placement patterns that are not age-appropriate. Given her chronological age, these errors are considered developmentally atypical and may negatively impact speech clarity, listener perception, and social interactions if left unaddressed. Skilled speech therapy is recommended to establish accurate articulatory placement, improve phoneme production across contexts, and facilitate carryover into conversational speech. Based on formal assessment, parent interview, and clinical observation, Kalynn presents with a PROFOUND ARTICULATION AND PHONOLOGICAL DISORDER. Speech therapy is recommended at this time, as Kalynn does not communicate like other children her age. Her safety and functional health are at risk, as well as her independence in her daily routine. As her intelligibility with unfamiliar listeners prevents her from intelligibly communicating information and details of pain or help she may need.

Speech Progress to Date: Baseline is currently at 0.

Speech Rehabilitation Potential: Excellent. with consistent Speech Therapy and parental support. Prognosis for improvement in the areas of her impairments are good with continued, consistent speech therapy. Kalynn will be discharged when she scores one standard deviation within, or above average language standard scores and she will have met all longterm 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.
Oral Motor/Articulation	Within 12 months, Kalynn will demonstrate the acquisition of developmentally appropriate articulation and improved speech intelligibility in conversational speech with 50% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	In 6 months' time, Kalynn will demonstrate correct lingual placement for alveolar phonemes (/s/, /z/) in isolation and syllables with 60% accuracy across 3 consecutive sessions, given visual modeling and verbal cues, to establish appropriate articulatory posture.
Oral Motor/Articulation	In 6 months' time, Kalynn will produce /s/ and /z/ in initial word position at the word level with 50% accuracy across 3 consecutive sessions, given minimal to moderate cues, to improve speech intelligibility.
Oral Motor/Articulation	In 6 months' time, Kalynn will produce “sh,” “ch,” and “j” at the word level with 50% accuracy across 3 consecutive sessions, given verbal and visual cues, to improve overall articulatory precision.
Oral Motor/Articulation	In 6 months' time, Kalynn will produce /r/ phonemes in all word positions at the word level with 50% accuracy across 3 consecutive sessions in order to increase intelligibility when communicating with other communication partners.
Oral Motor/Articulation	In 6 months' time, Kalynn will produce consonant clusters (i.e., /r/, /l/ blends) at the word level with 50% accuracy across sessions, given minimal cues, to reduce phonological simplification patterns.
Functional Language	In 6 months' time, Kalynn will independently identify and modify an immature speech style during structured and conversational tasks in 3 out of 5 opportunities in a session with minimal prompting to promote age-appropriate communication.

Speech and Language Soap Note/Visit:

Soap Note

491505

Note Date: 03-26-2026

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

Assessment of Goals/Response to Treatment: Parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Kalynn produced consonant clusters (i.e., /r/, /l/ blends) at the word level with 90% accuracy when provided with minimal verbal and auditory cues and models.

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

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
875551	92523: Artic & Language Eval	02-05-2026 03:00 PM	02-05-2026 04:00 PM	Victoria Chacon	NB1 east side	Completed
888775	92507: Speech & Language Visit	02-17-2026 03:00 PM	02-17-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed
888776	92507: Speech & Language Visit	02-24-2026 03:00 PM	02-24-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed
888777	92507: Speech & Language Visit	03-03-2026 03:00 PM	03-03-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed
888778	92507: Speech & Language Visit	03-10-2026 03:00 PM	03-10-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed
906759	92507: Speech & Language Visit	03-12-2026 01:00 PM	03-12-2026 01:30 PM	Victoria Chacon	NB2 far east side	Completed
888779	92507: Speech & Language Visit	03-17-2026 03:00 PM	03-17-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed
888780	92507: Speech & Language Visit	03-24-2026 03:00 PM	03-24-2026 03:30 PM	Victoria Chacon	NB1 east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
888781	92507: Speech & Language Visit	03-31-2026 03:00 PM	03-31-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888782	92507: Speech & Language Visit	04-07-2026 03:00 PM	04-07-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888783	92507: Speech & Language Visit	04-14-2026 03:00 PM	04-14-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888784	92507: Speech & Language Visit	04-21-2026 03:00 PM	04-21-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888785	92507: Speech & Language Visit	04-28-2026 03:00 PM	04-28-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888786	92507: Speech & Language Visit	05-05-2026 03:00 PM	05-05-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888787	92507: Speech & Language Visit	05-12-2026 03:00 PM	05-12-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888788	92507: Speech & Language Visit	05-19-2026 03:00 PM	05-19-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888789	92507: Speech & Language Visit	05-26-2026 03:00 PM	05-26-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888790	92507: Speech & Language Visit	06-02-2026 03:00 PM	06-02-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888791	92507: Speech & Language Visit	06-09-2026 03:00 PM	06-09-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888792	92507: Speech & Language Visit	06-16-2026 03:00 PM	06-16-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888793	92507: Speech & Language Visit	06-23-2026 03:00 PM	06-23-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888794	92507: Speech & Language Visit	06-30-2026 03:00 PM	06-30-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888795	92507: Speech & Language Visit	07-07-2026 03:00 PM	07-07-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888796	92507: Speech & Language Visit	07-14-2026 03:00 PM	07-14-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888797	92507: Speech & Language Visit	07-21-2026 03:00 PM	07-21-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888798	92507: Speech & Language Visit	07-28-2026 03:00 PM	07-28-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled
888799	92507: Speech & Language Visit	08-04-2026 03:00 PM	08-04-2026 03:30 PM	Victoria Chacon	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-13-2026	Julie Mora	Pending an OT referral from Tricare. Parent has been notified.
02-10-2026	Shekinah Velasquez	ST auth approved starting 02/16/2026 - 08/14/2026 1x/ week = 26 visits. Therapist assigned and notified
01-16-2026	Avery Fontenot	Called mom regarding Tricare referral. Front office let her know it has a different clinic on the referral and mom stated she will call to switch it over.
01-14-2026	Avery Fontenot	Called mom regarding the referral being expired. Mom stated she had been given a new one with new end date. I let mom know that in Tricare's system its not populating with the new referral she is stating she has. Mom will email me the new one.

Paient Messages Admin:

Date	Posted By	Message
12-03-2025 12:30 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2460
12-04-2025 10:47 AM	Avery Fontenot	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step3.aspx?sid=2460
12-04-2025 11:34 AM	Shekinah Velasquez	Kalynn 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=9876&type=1&wid=418
12-04-2025 11:34 AM	Shekinah Velasquez	Kalynn 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=9876&type=3&wid=419
12-11-2025 11:27 AM	Julie Mora	Hello, this is a message from New Beginnings. While reviewing Kalynn's registration we noticed there is no PCP provided and in the Tricare portal there are no referrals for speech and occupational therapy. We can not continue with the registration until we receive a referral from Tricare and if you can provide us with the name of the PCP, we can enter the name on our end. Please call your child's PCP to submit a referral to Tricare for both services. The referrals can be faxed to 915-855-0751. If you have any questions you can contact us at 915-855-0601.
12-17-2025 09:09 AM	Avery Fontenot	afontenot@newbeginnings-elp.com
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-14-2026 03:41 PM	Avery Fontenot	afontenot@newbeginnings-elp.com
01-16-2026 02:56 PM	Avery Fontenot	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=9876
01-19-2026 10:22 AM	Shekinah Velasquez	Hi, Kalynn as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Victoria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9876&tid=99
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9876
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 12:59 AM	Shekinah Velasquez	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888775
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=9876
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-13-2026 01:16 PM	Julie Mora	Hello, this is the Front Office at New Beginnings. Kalynn is currently on our Occupational Therapy (OT) waiting list. We expect to begin scheduling patients from the list hopefully within the next month. At this time, we are still pending an OT referral from Tricare. If you are able to contact your PCP and request that a referral be submitted to Tricare at your earliest convenience, it will help speed up the process once it becomes Kalynn’s turn to schedule her initial evaluation (IE) appointment. Please let us know if you have any questions. Thank you!
03-23-2026 11:31 AM	Shekinah Velasquez	Hello Tricare Families, We would like to inform you of an important update regarding therapy services. Due to a recent change in Tricare’s process, all patients are now required to be seen by their Primary Care Provider (PCP/PCM) and have an updated referral submitted to Tricare before we can request authorization for therapy. Please note: -The referral end date provided by your PCP/PCM will determine the authorization period for therapy services. -If possible, we recommend requesting a referral period of up to one year, as this will help reduce the number of required follow-up visits. -If you are unsure whether a current referral is on file, please contact your PCP/PCM or Tricare Referral Management directly. This change began earlier this month. While we are actively reviewing all existing referrals, we kindly ask for your assistance in scheduling an appointment with your PCP/PCM and ensuring an updated referral is submitted to help avoid any delays in therapy services. If you are able to view your referral end date, please be aware that your child will need to be seen again before that date to continue services. We appreciate your patience and cooperation during this transition. If you have any questions, please don’t hesitate to contact our office. Thank you for your time and support.

Paient Messages Therapist:

Date	Posted By	Message
01-19-2026 04:26 PM	Victoria Chacon	Hi!! It's Tori! :) They just asked me if I can do Kalynn's evaluation, and I said absolutely, yes! I have a spot for her on Monday February 2nd at 3:00 pm. I'm sorry I don't have anything sooner, but is that okay? :) Also, I already have a regular session spot saved for her before Josh on Tuesdays at 3:00-3:30. :)
01-19-2026 04:28 PM	Kalynn Anderson	Kalynn (Prim) Replied: Loved “Hi!! It's Tori! :) They just asked me if I can do Kalynn's evaluation, and I said absolutely, yes! I have a spot for her on Monday February 2nd at 3:00 pm. I'm sorry I don't have anything sooner, but is that okay? :) Also, I already have a regular session spot saved for her before Josh on Tuesdays at 3:00-3:30. :)”
01-19-2026 04:28 PM	Kalynn Anderson	Kalynn (Prim) Replied: Sounds awesome thank you
01-19-2026 04:48 PM	Victoria Chacon	Perfect! Thank you so much! :)
02-01-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Evaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-02-2026 08:04 AM	Victoria Chacon	Good morning! I’m so sorry, but would it be possible for us to move our session to another time this week? I believe I had a fever yesterday, so I’m giving myself today before going back to the clinic. Are you all available to come Thursday at 3:00? :)
02-02-2026 08:08 AM	Kalynn Anderson	Kalynn (Prim) Replied: Yes that's fine
02-02-2026 08:11 AM	Victoria Chacon	Thank you so much! I appreciate it!
02-02-2026 08:12 AM	Kalynn Anderson	Kalynn (Prim) Replied: I hope you feel better soon
02-02-2026 11:12 AM	Kalynn Anderson	Kalynn (Prim) Replied: Hey sorry to bother you but I'm here at his ENT appointment what was the concern about the VP Port?
02-02-2026 11:18 AM	Kalynn Anderson	Kalynn (Prim) Replied: Disregard I found the text .😁
02-02-2026 12:29 PM	Victoria Chacon	Ah I am so sorry I am just seeing this. You found it? Just in case it was that he sounds both hypernasal and hyponasal, so I wanted to check to make sure everything structurally was working properly, specifically the velopharyngeal port. :)
02-02-2026 12:30 PM	Victoria Chacon	Also, for Kalynn tomorrow, can you send me what your concerns are for her? :)
02-02-2026 12:52 PM	Kalynn Anderson	Kalynn (Prim) Replied: They didn't have pediatric scopes so I'll have to reschedule his appointments. Kalynn is her switch from articulating herself as a "big girl " then going into "baby talk"
02-02-2026 12:55 PM	Victoria Chacon	Oh no! Ugh I'm so sorry! Were they able to reschedule you soon? Okay perfect thank you! Do you have any concerns with the way she pronounces sounds? Or with her receptive and expressive language skills, like verbs, pronouns, forming grammatical sentences, anything like that? :)
02-02-2026 01:14 PM	Kalynn Anderson	Kalynn (Prim) Replied: They will call when the scopes come in but she did a physical assessment and said she thinks he just has to unlearn the habit. For her receptive and expressive language skills
02-02-2026 02:11 PM	Victoria Chacon	Okay well that's good to know! At least we have that information! :) Okay perfect, then I know what to test for. I have other questions about Kalynn, but I can ask you day of :)
02-02-2026 03:33 PM	Kalynn Anderson	Kalynn (Prim) Replied: Are you doing her occupational therapy too or just speech
02-02-2026 03:49 PM	Victoria Chacon	Just speech. Have they contacted you for the occupational therapy evaluation? :)
02-02-2026 03:50 PM	Kalynn Anderson	Kalynn (Prim) Replied: Not yet
02-02-2026 03:52 PM	Kalynn Anderson	Kalynn (Prim) Replied: She's on the wait list
02-02-2026 03:53 PM	Victoria Chacon	Ah okay hopefully something clears up, soon! :)
02-04-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Evaluation appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:26 PM	Kalynn Anderson	Kalynn (Prim) Replied: Yes
02-05-2026 07:52 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Evaluation appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-05-2026 09:42 AM	Kalynn Anderson	Kalynn (Prim) Replied: Yes ma'am
02-05-2026 02:41 PM	Kalynn Anderson	Kalynn (Prim) Replied: I'm picking her up now we are running a little behind
02-05-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875551
02-05-2026 02:45 PM	Victoria Chacon	Okay thank you for letting me know! As long as you all are here by 3:15! :)
02-05-2026 03:01 PM	Kalynn Anderson	Kalynn (Prim) Replied: We are here
02-05-2026 03:01 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-2/5/2026 92523: Artic & Language Eval
02-05-2026 03:03 PM	Kalynn Anderson	Kalynn (Prim) Replied: Can she get another school note on the way out the one they gave me has the wrong date of birth
02-05-2026 03:03 PM	Kalynn Anderson	Kalynn (Prim) Replied:
02-05-2026 03:03 PM	Kalynn Anderson	Kalynn (Prim) Replied: It's 2/29/2016
02-15-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 02-17-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-17-2026 08:01 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-17-2026 08:30 AM	Kalynn Anderson	Kalynn (Prim) Replied: Liked “Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂”
02-17-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888775
02-17-2026 02:54 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-2/17/2026 92507: Speech & Language Visit
02-22-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 02-24-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-23-2026 06:56 PM	Kalynn Anderson	Kalynn (Prim) Replied: 👌
02-24-2026 07:58 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 10:59 AM	Kalynn Anderson	Kalynn (Prim) Replied: 👌
02-24-2026 01:51 PM	Kalynn Anderson	Kalynn (Prim) Replied: Dad is bringing them today Kervin- (347) 779-4659
02-24-2026 01:52 PM	Kalynn Anderson	Kalynn (Prim) Replied: Hopefully he doesn't get lost this time 😂
02-24-2026 01:53 PM	Victoria Chacon	Hahaha or hopefully Josh or Kalynn can direct him in the right direction! lol
02-24-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888776
02-24-2026 02:53 PM	Kalynn Anderson	Kalynn is RUNNING LATE for: 3:00PM-2/24/2026 92507: Speech & Language Visit
02-24-2026 02:59 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-2/24/2026 92507: Speech & Language Visit
02-24-2026 03:29 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888776
03-01-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 03-03-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Kalynn Anderson	Kalynn (Prim) Replied: Yes-2
03-01-2026 04:02 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-02-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:37 PM	Kalynn Anderson	Kalynn (Prim) Replied: 👍👍😊
03-02-2026 07:37 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-03-2026 07:56 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888777
03-03-2026 02:50 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-3/3/2026 92507: Speech & Language Visit
03-03-2026 03:30 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888777
03-08-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 03-10-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 11:46 AM	Kalynn Anderson	Kalynn (Prim) Replied: Yes x2
03-09-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 07:52 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 08:05 AM	Kalynn Anderson	Kalynn (Prim) Replied: Good morning ☀️ I can bring them on Thursday at 1& 1:30
03-10-2026 10:15 AM	Victoria Chacon	Good morning! :) Yay okay great! See you all today and Thursday then. Thank you! :)
03-10-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888778
03-10-2026 02:45 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-3/10/2026 92507: Speech & Language Visit
03-10-2026 03:32 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888778
03-12-2026 12:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=906759
03-12-2026 12:45 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 1:00PM-3/12/2026 92507: Speech & Language Visit
03-12-2026 12:46 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 1:00PM-3/12/2026 92507: Speech & Language Visit
03-12-2026 01:31 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=906759
03-15-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 03-17-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:47 PM	Kalynn Anderson	Kalynn (Prim) Replied: Yes Yes
03-15-2026 04:47 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-16-2026 10:33 AM	Kalynn Anderson	Kalynn (Prim) Replied: Good morning ☀️ so kalynn is getting her dental work done tomorrow so depending on if she's in pain or not I may need to reschedule her
03-16-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 07:50 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 08:46 AM	Victoria Chacon	Good morning! I am so sorry I am just responding. I was out of the office yesterday, so I didn’t see your message. Yes no worries! If you’d like we can just move Kalynn to tomorrow, Wednesday at 5:00 so she can rest and heal today. :)
03-17-2026 08:51 AM	Kalynn Anderson	Kalynn (Prim) Replied: Yes please
03-17-2026 09:29 AM	Kalynn Anderson	Kalynn (Prim) Replied: So correction she's getting a bracket so she should be fine to today
03-17-2026 10:15 AM	Victoria Chacon	Oh okay perfect! So then we won't reschedule! :)
03-17-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888779
03-17-2026 02:45 PM	Kalynn Anderson	Kalynn is RUNNING LATE for: 3:00PM-3/17/2026 92507: Speech & Language Visit
03-17-2026 02:55 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-3/17/2026 92507: Speech & Language Visit
03-17-2026 03:31 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888779
03-22-2026 04:01 PM	Victoria Chacon	Hi, this is a just a reminder that Anderson, Kalynn has a Speech Therapy appointment on 03-24-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:32 PM	Kalynn Anderson	Kalynn (Prim) Replied: Yes Yes
03-22-2026 04:32 PM	Victoria Chacon	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 06:30 PM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:51 AM	Victoria Chacon	Hi, this is a just a reminder that Kalynn has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 02:45 PM	Victoria Chacon	Kalynn Anderson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888780
03-24-2026 02:50 PM	Kalynn Anderson	Kalynn is RUNNING LATE for: 3:00PM-3/24/2026 92507: Speech & Language Visit
03-24-2026 03:01 PM	Kalynn Anderson	Kalynn is CHECKED IN for: 3:00PM-3/24/2026 92507: Speech & Language Visit
03-24-2026 03:32 PM	Victoria Chacon	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9876&Appt=888780