New Beginnings | NB1-Office

Patient Name: Claudia

Patient Information:

Patient ID: 9890

Patient First Name: Claudia

Patient Date of Birth: 11-30-2023

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Brianna, Garza

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Merrick, Kayla

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
23405	Active	02-16-2026	08-14-2026	El Paso First Health Plans	52	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26204	02-05-2026	Speech Initial Evaluation	F80.2
Speech Background History: Claudia is a 2-year, 2-month old female who was seen at New Beginnings Pediatrics on February 5th, 2025 from 12:00pm to 1:00pm for an initial speech and language evaluation. Claudia was accompanied by her mother and father who served as her primary informant regarding her medical history. Parents report there is a history of speech and language delays within the family. Claudia was referred due to parental and physician concerns with her receptive and expressive language skills. Currently, Claudia produces approximately 5-words (mama, dada). She is not reported to imitate word and/or animal/environmental/play noises. There are no concerns with fluency, voice, or feeding at this time. Claudia's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: Claudia is a fraternal twin and older of the pair, born one minute before her sister at 32 weeks’ gestation via cesarean section. She weighed 4 pounds at birth. The pregnancy was complicated by maternal preeclampsia. Claudia required an approximately four-week stay in the NICU but no significant perinatal complications were reported. Her hearing and vision are within normal limits, with no current concerns or impairments noted. There is no history of allergies, and no additional surgeries or hospitalizations have been reported.
Speech Medications: Claudia is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Severe delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Poor, Awarencess of Environmental Events: Good, Social Interactions: Occasionally, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Follows verbal command with cues, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor use of eye contact, Poor vocabulary, Problems with organization and relevance, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Unususal body language, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Pragmatics refers to the social use of language, including the ability to engage in effective communication, understand social cues, and adjust language based on context and audience. In a speech-language assessment, evaluation of pragmatic skills involves observing a child’s ability to initiate and maintain interactions, participate in turn-taking, interpret verbal and nonverbal cues, and use language appropriately across social contexts. Claudia demonstrates poor pragmatic skills, characterized by limited and inconsistent eye contact, difficulty with turn-taking, and challenges engaging in both formal and informal social exchanges. She frequently seeks desired items by grabbing them from others and may engage in hitting or biting behaviors when access is denied or when demands are placed. Claudia exhibits fleeting attention to both verbal and nonverbal cues and demonstrates difficulty responding to social bids. She requires frequent verbal and gestural prompts, as well as occasional tactile prompts, to follow basic commands. These pragmatic and social communication behaviors are consistent with characteristics commonly associated with Autism Spectrum Disorder (ASD). Based on these observed social communication behaviors, a comprehensive developmental evaluation is recommended to further assess for possible concerns related to Autism Spectrum Disorder. The parent verbalized concerns regarding possible ASD, noting differences in Claudia’s social communication skills when compared to her twin, who does not present with similar characteristics.
Speech Diagnosis/Impressions: Claudia is a 2-year, 2-month old female who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Claudia's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Claudia receives services 2x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Claudia is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Claudia's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Claudia is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, long-term services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Claudia will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Diagnosis/Impressions: Claudia is a 2-year, 2-month old female who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Claudia's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Claudia receives services 2x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Claudia is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Claudia's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Claudia is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, long-term services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Claudia will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58322

Plan Date: 02-05-2026

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

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with therapy is good, prognosis without therapy is guarded. Claudia will be discharged from speech therapy when all of her goals are met and she receives a standard score above 1.5 standard deviations for all impairments, indicating that her expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating her Home Management Intervention Program at home. The frequency of therapy sessions will be 2x/week for 30-45 minutes.

Speech and Language Long Term Goals:

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

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Claudia will increase her ability to use 1-2 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving her functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Claudia will increase her ability to label a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Claudia will produce a variety of C-V combinations (CVC, CVCV, CVCVC) using age appropriate consonants with 30% accuracy across 3 consecutive sessions, improving her overall speech sound production skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Claudia will increase her ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving her receptive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.2: Within 6 months, Claudia will increase her ability to identify a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Pragmatic Language	#3.1: Within 6 months, Claudia will participate in simple turn-taking routines (e.g., rolling a ball, activating a toy, completing a structured game turn) and demonstrate joint attention by by attending to an adult and shared object/activity for at least 3 turns in 3/5 opportunities across 3 consecutive sessions, improving her reciprocal social interaction and early pragmatic skills, as measured by therapist-collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

490745

Note Date: 03-22-2026

Subjective: Patient needed frequent reminders to return to task,Patient was alert and oriented,Patient was distractible and inattentive,Patient was eager to participate,Patient was uncooperative,

Assessment of Goals/Response to Treatment: The patient presented as alert and oriented, initially appearing eager to participate in preferred activities. However, she demonstrated significant distractibility and inattention when presented with structured therapeutic tasks, becoming uncooperative and requiring frequent verbal and physical redirection. Progress was noted in receptive language, where she demonstrated an emerging ability to follow 1-step directions, achieving 20% accuracy (1/5 opportunities). She did not yet demonstrate the ability to identify targeted nouns and verbs, resulting in 0% accuracy for this objective. In the area of expressive language, the patient did not yet use 1-2 word utterances or signs for functional communication, with 0% accuracy observed for pragmatic functions such as requesting or labeling. Similarly, foundational pragmatic skills remain an area of significant need, as the patient was unable to maintain joint attention or participate in simple turn-taking routines for three reciprocal turns across all presented opportunities (0% accuracy).

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
881709	92523: Artic & Language Eval	02-05-2026 11:00 AM	02-05-2026 12:00 PM	Rachael Haduck	NB1 east side	Completed
894369	92507: Speech & Language Visit	02-24-2026 04:30 PM	02-24-2026 05:00 PM	Kayla Merrick	NB1 east side	Completed
894420	92507: Speech & Language Visit	02-26-2026 09:30 AM	02-26-2026 10:00 AM	Kayla Merrick	NB1 east side	Completed
896371	NB001: Supervision	02-26-2026 09:30 AM	02-26-2026 10:00 AM	Victoria Chacon	NB2 far east side	Completed
894319	92507: Speech & Language Visit	03-03-2026 04:30 PM	03-03-2026 05:00 PM	Kayla Merrick	NB1 east side	Completed
894421	92507: Speech & Language Visit	03-05-2026 09:30 AM	03-05-2026 10:00 AM	Kayla Merrick	NB1 east side	Completed
904524	92507: Speech & Language Visit	03-09-2026 02:15 PM	03-09-2026 02:45 PM	Kayla Merrick	NB1 east side	Completed
894320	92507: Speech & Language Visit	03-10-2026 04:30 PM	03-10-2026 05:00 PM	Kayla Merrick	NB1 east side	Completed
904526	92507: Speech & Language Visit	03-11-2026 06:00 PM	03-11-2026 06:30 PM	Kayla Merrick	NB1 east side	Completed
894422	92507: Speech & Language Visit	03-12-2026 09:30 AM	03-12-2026 10:00 AM	Kayla Merrick	NB1 east side	Completed
913227	NB001: Supervision	03-26-2026 09:30 AM	03-26-2026 10:00 AM	Victoria Chacon	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
894323	92507: Speech & Language Visit	03-31-2026 04:30 PM	03-31-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894425	92507: Speech & Language Visit	04-02-2026 09:30 AM	04-02-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894324	92507: Speech & Language Visit	04-07-2026 04:30 PM	04-07-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
904569	92507: Speech & Language Visit	04-09-2026 09:30 AM	04-09-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894325	92507: Speech & Language Visit	04-14-2026 04:30 PM	04-14-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894427	92507: Speech & Language Visit	04-16-2026 09:30 AM	04-16-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894326	92507: Speech & Language Visit	04-21-2026 04:30 PM	04-21-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894430	92507: Speech & Language Visit	05-07-2026 09:30 AM	05-07-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894431	92507: Speech & Language Visit	05-14-2026 09:30 AM	05-14-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894432	92507: Speech & Language Visit	05-21-2026 09:30 AM	05-21-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894433	92507: Speech & Language Visit	05-28-2026 09:30 AM	05-28-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894434	92507: Speech & Language Visit	06-04-2026 09:30 AM	06-04-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894435	92507: Speech & Language Visit	06-11-2026 09:30 AM	06-11-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894436	92507: Speech & Language Visit	06-18-2026 09:30 AM	06-18-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894437	92507: Speech & Language Visit	06-25-2026 09:30 AM	06-25-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894438	92507: Speech & Language Visit	07-02-2026 09:30 AM	07-02-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894439	92507: Speech & Language Visit	07-09-2026 09:30 AM	07-09-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894440	92507: Speech & Language Visit	07-16-2026 09:30 AM	07-16-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894327	92507: Speech & Language Visit	07-21-2026 04:30 PM	07-21-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894441	92507: Speech & Language Visit	07-23-2026 09:30 AM	07-23-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894328	92507: Speech & Language Visit	07-28-2026 04:30 PM	07-28-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894442	92507: Speech & Language Visit	07-30-2026 09:30 AM	07-30-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894329	92507: Speech & Language Visit	08-04-2026 04:30 PM	08-04-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894443	92507: Speech & Language Visit	08-06-2026 09:30 AM	08-06-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled
894330	92507: Speech & Language Visit	08-11-2026 04:30 PM	08-11-2026 05:00 PM	Kayla Merrick	NB1 east side	Scheduled
894444	92507: Speech & Language Visit	08-13-2026 09:30 AM	08-13-2026 10:00 AM	Kayla Merrick	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-17-2026	Shekinah Velasquez	ST auth approved starting 02/16/2026 - 08/14/2026 2x/ week = 52 visits. Therapist assigned and notified.
02-13-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval
02-10-2026	Shekinah Velasquez	ST IE paperwork sent to PCP via fax. Pending signatures
01-16-2026	Avery Fontenot	Called mom regarding insurance end dates and she stated she will contact her insurance.

Paient Messages Admin:

Date	Posted By	Message
01-05-2026 04:38 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2505
01-05-2026 05:01 PM	Shekinah Velasquez	Claudia 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=9890&type=1&wid=449
01-15-2026 11:40 AM	Julie Mora	Hello, This is the front office at New Beginnings. We are currently reviewing eligibility and wanted to inform you that Claudia’s insurance coverage is set to end on 01/31/2026. If you have not already done so, please contact your insurance provider to resubmit for continued coverage. This will help prevent any interruption in services. If you have any questions, feel free to contact our office at 915-855-0601. Thank you, New Beginnings – Front Office
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9890
02-17-2026 03:21 PM	Shekinah Velasquez	Hi, Claudia as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Kayla https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9890&tid=139
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/
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9890
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
02-01-2026 10:06 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP
02-02-2026 12:56 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP 02-01-2026 02:11 PM Office Location Change
02-04-2026 02:21 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to reach out ahead of the evaluation to learn more about your primary concerns for Claudia. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed? This information helps me select the most appropriate testing materials. Regarding their upcoming evaluation: will one or both parents be present? Just a reminder that I will be evaluating each child individually at their scheduled time to focus on their unique needs. :)
02-04-2026 04:36 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP again with New Beginnings Pediatrics. I wanted to reach out one more time ahead of the evaluation to learn more about your primary concerns for Claudia. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed?
02-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Claudia has a Speech Evaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-04-2026 06:32 PM	Claudia Marmolejo	Claudia (Prim) Replied: Thank you !
02-05-2026 07:58 AM	Rachael Haduck	Hi, this is a just a reminder that Claudia has a Speech Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 10:45 AM	Rachael Haduck	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881709
02-05-2026 11:01 AM	Claudia Marmolejo	Claudia is RUNNING LATE for: 11:00AM-2/5/2026 92523: Artic & Language Eval
02-05-2026 11:03 AM	Claudia Marmolejo	Claudia (Prim) Replied: Im on my way sorry im 6 min away
02-05-2026 11:09 AM	Claudia Marmolejo	Claudia (Prim) Replied: Im here
02-05-2026 11:09 AM	Claudia Marmolejo	Claudia (Prim) Replied: I just cant find the building
02-05-2026 02:40 PM	Claudia Marmolejo	Claudia (Prim) Replied: Hello i contacted their pediatrician for a referral she said if you could fax over a copy of their eval to 9152494268. Thank you
02-05-2026 04:06 PM	Rachael Haduck	I will let front office know :)
02-05-2026 04:09 PM	Claudia Marmolejo	Claudia (Prim) Replied: Thank you
02-09-2026 01:18 PM	Claudia Marmolejo	Claudia (Prim) Replied: Hi good afternoon just checking in do you know by when will the evaluation be ready to be faxed out ?
02-09-2026 01:22 PM	Rachael Haduck	It should be ready to be faxed out/sent over by end of day today :)
02-09-2026 01:29 PM	Claudia Marmolejo	Claudia (Prim) Replied: Thank you have a great day!
02-10-2026 11:29 AM	Rachael Haduck	hello! I wanted to let you know that their PCP office should receive our fax today. I also recommended an OT eval for both :) this way Cielo can be evaluated and see if she qualifies or not but it is always parent choice. Claudia is recommended as we discussed in the eval :) and front office should be contacting you shortly to discuss preferred times and days for therapy!
02-10-2026 03:28 PM	Claudia Marmolejo	Claudia (Prim) Replied: Thank you very much !
02-17-2026 04:52 PM	Kayla Merrick	Hi Alison, this is Kayla. I'm a Speech-Language Pathology Assistant (SLPA) with New Beginnings and I will be Claudia and Cielo’s Speech Therapist. I'm supervised by Victoria Chacon licensed Speech-Language Pathologist. I’m excited to start working with your children on their communication goals and meeting! What is the best availability on Monday through Friday for scheduling?
02-18-2026 09:47 AM	Claudia Marmolejo	Claudia (Prim) Replied: Hi good morning i was told twice a week
02-18-2026 09:47 AM	Claudia Marmolejo	Claudia (Prim) Replied: Tuesdays and Thursday's are fine
02-18-2026 02:09 PM	Kayla Merrick	Good afternoon! Yes, those days work great. I'm happy to get them on the schedule for those days! Do these times for Tuesday and Thursday work? • Tuesdays: Claudia (4:30 PM–5:00 PM) & Cielo (5:00 PM–5:30 PM) • Thursdays: Claudia (9:00 AM–9:30 AM) & Cielo (9:30 AM–10:00 AM) I want to make sure these times fit your family's routine comfortably 🙂
02-18-2026 02:14 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes, you dont have something more later in the afternoon for thursdays ?
02-18-2026 02:57 PM	Kayla Merrick	Great! I would have availability later for Mondays and Fridays but on Thursdays I would only have morning availability.
02-18-2026 03:01 PM	Claudia Marmolejo	Claudia (Prim) Replied: Okay yes Tuesday's and Thursday's are perfect !
02-18-2026 03:16 PM	Kayla Merrick	Sounds good! We will see you starting Tuesday, February 24th at 4:30 PM and Thursday, February 26th at 9:00 AM. This will be our weekly recurring schedule moving forward starting the 24th of this month. I look forward to meeting you all!
02-22-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Claudia has a Speech Therapy appointment on 02-24-2026 at 4:30 PM, and on 02-26-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
02-24-2026 08:02 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
02-24-2026 04:15 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894369
02-24-2026 04:15 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 4:30PM-2/24/2026 92507: Speech & Language Visit
02-24-2026 04:15 PM	Claudia Marmolejo	Claudia (Prim) Replied: Hi im here
02-24-2026 04:28 PM	Kayla Merrick	Hello! Thank you so much for notifying me! We'll be ready for Claudia shortly and will bring her back to get started 🙂
02-24-2026 04:29 PM	Claudia Marmolejo	Claudia (Prim) Replied: Okay thank you
02-24-2026 04:41 PM	Kayla Merrick	Hi there! What vehicle will you all be in?
02-24-2026 04:41 PM	Claudia Marmolejo	Claudia (Prim) Replied: Hi im inside the office
02-24-2026 04:43 PM	Kayla Merrick	Oh! Are you in the B-1 building?
02-24-2026 04:44 PM	Kayla Merrick	Today we will be in building C-1
02-24-2026 04:44 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes
02-25-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:58 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-26-2026 09:15 AM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894420
02-26-2026 09:22 AM	Claudia Marmolejo	Claudia is CHECKED IN for: 9:30AM-2/26/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Claudia has a Speech Therapy appointment on 03-03-2026 at 4:30 PM, and on 03-05-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 05:18 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes
03-01-2026 05:18 PM	Kayla Merrick	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	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-03-2026 07:59 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-03-2026 04:15 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894319
03-03-2026 04:21 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 4:30PM-3/3/2026 92507: Speech & Language Visit
03-04-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-04-2026 06:37 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes thank you
03-05-2026 07:53 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-05-2026 09:15 AM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894421
03-05-2026 09:21 AM	Claudia Marmolejo	Claudia is CHECKED IN for: 9:30AM-3/5/2026 92507: Speech & Language Visit
03-07-2026 03:58 PM	Kayla Merrick	Good afternoon! I’m reaching out to let you know I’ll be away from March 16th–19th and appointments on that week will be rescheduled. I’d like to find a convenient time for a make-up session so we can keep up the steady progress on Claudia and Cielo's goals and keep their attendance in good standing! Would any of these times work for your schedule? - Monday (3/9): After 5:45 PM - Wednesday (3/11): After 6:00 PM - Friday (3/13): Morning through 1:30 PM - Saturday (3/14): All day Let me know what 2 times and dates for both kiddos works best for you and we'll get the twins on the calendar! 😊 Thank you!
03-07-2026 04:02 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes Monday and Wednesday are fine
03-07-2026 04:41 PM	Kayla Merrick	Thank you that works great! Does Monday (3/9) from 2:15–3:15 PM and Wednesday (3/11) from 6:00–7:00 PM work? That earlier appointment for Monday just opened up in time 😊
03-07-2026 06:30 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes thats fine
03-07-2026 06:32 PM	Kayla Merrick	Sounds great! We'll see you all then.
03-08-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Claudia has a Speech Therapy appointment on 03-09-2026 at 2:15 PM, and on 03-10-2026 at 4:30 PM, and on 03-11-2026 at 6:00 PM, and on 03-12-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:34 PM	Claudia Marmolejo	Claudia (Prim) Replied: Yes thats fine thank you
03-08-2026 04:34 PM	Kayla Merrick	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 02:15 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:57 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 02:15 PM. See you soon! - New Beginnings 🙂
03-09-2026 02:00 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904524
03-09-2026 02:07 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 2:15PM-3/9/2026 92507: Speech & Language Visit
03-09-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-10-2026 07:55 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-10-2026 04:15 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894320
03-10-2026 04:32 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 4:30PM-3/10/2026 92507: Speech & Language Visit
03-10-2026 04:32 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 4:30PM-3/10/2026 92507: Speech & Language Visit
03-10-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 06:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:59 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 06:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 05:45 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904526
03-11-2026 05:52 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 6:00PM-3/11/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:50 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-12-2026 09:15 AM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894422
03-12-2026 09:22 AM	Claudia Marmolejo	Claudia is CHECKED IN for: 9:30AM-3/12/2026 92507: Speech & Language Visit
03-14-2026 01:20 PM	Kayla Merrick	Good afternoon, A gentle reminder that I will be out of the clinic from Monday to Thursday (March 16th–19th), so we won’t be meeting for our usual sessions during those days. I look forward to seeing you all again when I return! I hope you and your family have a great weekend and upcoming week 😊
03-22-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Claudia has a Speech Therapy appointment on 03-24-2026 at 4:30 PM, and on 03-26-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:31 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:54 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 04:15 PM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894322
03-24-2026 04:27 PM	Claudia Marmolejo	Claudia is CHECKED IN for: 4:30PM-3/24/2026 92507: Speech & Language Visit
03-25-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:47 AM	Kayla Merrick	Hi, this is a just a reminder that Claudia has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 09:15 AM	Kayla Merrick	Claudia Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894424
03-26-2026 09:25 AM	Claudia Marmolejo	Claudia is CHECKED IN for: 9:30AM-3/26/2026 92507: Speech & Language Visit