New Beginnings | NB1-Office

Patient Name: Cielo

Patient Information:

Patient ID: 9891

Patient First Name: Cielo

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
23403	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
26203	02-05-2026	Speech Initial Evaluation	F80.2
Speech Background History: Cielo 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. Cielo 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. Cielo was referred due to parental and physician concerns with her receptive and expressive language skills. Currently, Cielo produces approximately 10-words (mama, dada, yay). 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. Cielo's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: Cielo is a fraternal twin and the younger of the pair, born one minute after her sister at 32 weeks’ gestation via cesarean section. She weighed 4 pounds at birth. The pregnancy was complicated by maternal preeclampsia. Cielo 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: Cielo is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Follows verbal command with cues, Responds to greetings, Takes turns, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor vocabulary, Problems with organization and relevance, Unable to answer questions, Unable to participate in a conversation, Unintelligible, Use of jargon, 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. Cielo demonstrates emerging pragmatic skills, including appropriate eye contact and engagement during social interactions. She actively participates in both formal and informal social exchanges and demonstrates good emerging attention to verbal and nonverbal cues. She is able to follow basic commands with verbal and gestural prompts as needed.
Speech Diagnosis/Impressions: Cielo is a 2-year, 2-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Cielo's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Cielo 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. Cielo 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 Cielo'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 Cielo 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, Cielo 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: Cielo is a 2-year, 2-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Cielo's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Cielo 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. Cielo 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 Cielo'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 Cielo 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, Cielo 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

58321

Plan Date: 02-05-2026

Speech Assessment Summary: Cielo is a 2-year, 2-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Cielo's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Cielo 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. Cielo 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 Cielo'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 Cielo 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, Cielo 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. Cielo 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, Cielo 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, Cielo 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, Cielo 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, Cielo 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, Cielo 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, Cielo 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, Cielo 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, Cielo 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

490751

Note Date: 03-22-2026

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

Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative for the session, demonstrating an eagerness to participate in therapeutic activities. Progress was noted in receptive language skills targeting the ability to follow directions. The patient followed 1-step directions containing developmentally appropriate vocabulary with 60% accuracy (3 out of 5 opportunities) when provided with maximal verbal and gestural cues, such as clinician pointing and modeling of the target action. In the area of pragmatic language, the patient demonstrated emerging skills in joint attention and turn-taking. During structured play activities, she successfully participated in simple turn-taking routines, such as rolling a ball, for at least 3 exchanges in 3 out of 5 opportunities (60% accuracy). Clinician modeling and imitation were utilized to facilitate these reciprocal social interactions. Continued intervention is recommended to increase accuracy and reduce cueing levels for both receptive and pragmatic language goals.

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
881710	92523: Artic & Language Eval	02-05-2026 12:00 PM	02-05-2026 01:00 PM	Rachael Haduck	NB1 east side	Completed
894382	92507: Speech & Language Visit	02-24-2026 05:00 PM	02-24-2026 05:30 PM	Kayla Merrick	NB1 east side	Completed
894457	92507: Speech & Language Visit	02-26-2026 10:00 AM	02-26-2026 10:30 AM	Kayla Merrick	NB1 east side	Completed
896372	NB001: Supervision	02-26-2026 10:00 AM	02-26-2026 10:30 AM	Victoria Chacon	NB2 far east side	Completed
894384	92507: Speech & Language Visit	03-03-2026 05:00 PM	03-03-2026 05:30 PM	Kayla Merrick	NB1 east side	Completed
894458	92507: Speech & Language Visit	03-05-2026 10:00 AM	03-05-2026 10:30 AM	Kayla Merrick	NB1 east side	Completed
904525	92507: Speech & Language Visit	03-09-2026 02:45 PM	03-09-2026 03:15 PM	Kayla Merrick	NB1 east side	Completed
894385	92507: Speech & Language Visit	03-10-2026 05:00 PM	03-10-2026 05:30 PM	Kayla Merrick	NB1 east side	Completed
904527	92507: Speech & Language Visit	03-11-2026 06:30 PM	03-11-2026 07:00 PM	Kayla Merrick	NB1 east side	Completed
894459	92507: Speech & Language Visit	03-12-2026 10:00 AM	03-12-2026 10:30 AM	Kayla Merrick	NB1 east side	Completed
913228	NB001: Supervision	03-26-2026 10:00 AM	03-26-2026 10:30 AM	Victoria Chacon	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
894388	92507: Speech & Language Visit	03-31-2026 05:00 PM	03-31-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
894462	92507: Speech & Language Visit	04-02-2026 10:00 AM	04-02-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894389	92507: Speech & Language Visit	04-07-2026 05:00 PM	04-07-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906474	92507: Speech & Language Visit	04-09-2026 10:00 AM	04-09-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894390	92507: Speech & Language Visit	04-14-2026 05:00 PM	04-14-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906475	92507: Speech & Language Visit	04-16-2026 10:00 AM	04-16-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894391	92507: Speech & Language Visit	04-21-2026 05:00 PM	04-21-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906476	92507: Speech & Language Visit	04-23-2026 10:00 AM	04-23-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894392	92507: Speech & Language Visit	04-28-2026 05:00 PM	04-28-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906477	92507: Speech & Language Visit	04-30-2026 10:00 AM	04-30-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894393	92507: Speech & Language Visit	05-05-2026 05:00 PM	05-05-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906478	92507: Speech & Language Visit	05-07-2026 10:00 AM	05-07-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894394	92507: Speech & Language Visit	05-12-2026 05:00 PM	05-12-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906479	92507: Speech & Language Visit	05-14-2026 10:00 AM	05-14-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894395	92507: Speech & Language Visit	05-19-2026 05:00 PM	05-19-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906480	92507: Speech & Language Visit	05-21-2026 10:00 AM	05-21-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894396	92507: Speech & Language Visit	05-26-2026 05:00 PM	05-26-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906481	92507: Speech & Language Visit	05-28-2026 10:00 AM	05-28-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894397	92507: Speech & Language Visit	06-02-2026 05:00 PM	06-02-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906482	92507: Speech & Language Visit	06-04-2026 10:00 AM	06-04-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894398	92507: Speech & Language Visit	06-09-2026 05:00 PM	06-09-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906483	92507: Speech & Language Visit	06-11-2026 10:00 AM	06-11-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894399	92507: Speech & Language Visit	06-16-2026 05:00 PM	06-16-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906484	92507: Speech & Language Visit	06-18-2026 10:00 AM	06-18-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894400	92507: Speech & Language Visit	06-23-2026 05:00 PM	06-23-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906485	92507: Speech & Language Visit	06-25-2026 10:00 AM	06-25-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894401	92507: Speech & Language Visit	06-30-2026 05:00 PM	06-30-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906486	92507: Speech & Language Visit	07-02-2026 10:00 AM	07-02-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894402	92507: Speech & Language Visit	07-07-2026 05:00 PM	07-07-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906487	92507: Speech & Language Visit	07-09-2026 10:00 AM	07-09-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894403	92507: Speech & Language Visit	07-14-2026 05:00 PM	07-14-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906488	92507: Speech & Language Visit	07-16-2026 10:00 AM	07-16-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894404	92507: Speech & Language Visit	07-21-2026 05:00 PM	07-21-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906489	92507: Speech & Language Visit	07-23-2026 10:00 AM	07-23-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894405	92507: Speech & Language Visit	07-28-2026 05:00 PM	07-28-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906490	92507: Speech & Language Visit	07-30-2026 10:00 AM	07-30-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894406	92507: Speech & Language Visit	08-04-2026 05:00 PM	08-04-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906491	92507: Speech & Language Visit	08-06-2026 10:00 AM	08-06-2026 10:30 AM	Kayla Merrick	NB1 east side	Scheduled
894407	92507: Speech & Language Visit	08-11-2026 05:00 PM	08-11-2026 05:30 PM	Kayla Merrick	NB1 east side	Scheduled
906492	92507: Speech & Language Visit	08-13-2026 10:00 AM	08-13-2026 10:30 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 04:39 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2506
01-05-2026 05:11 PM	Shekinah Velasquez	Cielo 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=9891&type=1&wid=450
01-15-2026 11:41 AM	Julie Mora	Hello, This is the front office at New Beginnings. We are currently reviewing eligibility and wanted to inform you that Cielo’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=9891
02-17-2026 02:48 PM	Shekinah Velasquez	Hi, Cielo 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=9891&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=9891
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 Cielo. 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 Cielo. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed?
02-04-2026 04:37 PM	Cielo Marmolejo	Cielo (Prim) Replied: Hello yes for claudia it would be the language concern she is saying any words just like cielo
02-04-2026 04:41 PM	Rachael Haduck	thank you! would it be the same Cielo? Are they biological or fraternal twins?
02-04-2026 04:41 PM	Cielo Marmolejo	Cielo (Prim) Replied: Yes they are fraternal twins
02-04-2026 05:10 PM	Rachael Haduck	Thank you so much. I look forward to meeting you all tomorrow!
02-04-2026 05:11 PM	Cielo Marmolejo	Cielo (Prim) Replied: Thank you ! Us too Just a question will we be meeting at the clinic located in 1512 N zaragoza
02-04-2026 05:55 PM	Rachael Haduck	my office is located 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.
02-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Cielo has a Speech Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
02-05-2026 07:58 AM	Rachael Haduck	Hi, this is a just a reminder that Cielo has a Speech Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
02-22-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Cielo has a Speech Therapy appointment on 02-24-2026 at 5:00 PM, and on 02-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 05:19 PM	Cielo Marmolejo	Cielo (Prim) Replied: Yes
02-22-2026 05:19 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.
02-23-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 08:02 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 09:53 AM	Cielo Marmolejo	Cielo (Prim) Replied: Yes thank you
02-24-2026 04:45 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894382
02-24-2026 04:45 PM	Cielo Marmolejo	Cielo (Prim) Replied: Were heading over there
02-25-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-25-2026 06:31 PM	Cielo Marmolejo	Cielo (Prim) Replied: Yes thank you
02-26-2026 07:59 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 09:45 AM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894457
02-26-2026 09:45 AM	Cielo Marmolejo	Cielo is CHECKED IN for: 10:00AM-2/26/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Cielo has a Speech Therapy appointment on 03-03-2026 at 5:00 PM, and on 03-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-02-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 07:59 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 11:51 AM	Cielo Marmolejo	Cielo (Prim) Replied: Yes thank you
03-03-2026 04:45 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894384
03-03-2026 04:46 PM	Cielo Marmolejo	Cielo is CHECKED IN for: 5:00PM-3/3/2026 92507: Speech & Language Visit
03-04-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:54 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:54 AM	Cielo Marmolejo	Cielo (Prim) Replied: Yes thank you
03-05-2026 09:45 AM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894458
03-05-2026 09:45 AM	Cielo Marmolejo	Cielo is CHECKED IN for: 10:00AM-3/5/2026 92507: Speech & Language Visit
03-08-2026 04:02 PM	Kayla Merrick	Hi, this is a just a reminder that Marmolejo, Cielo has a Speech Therapy appointment on 03-09-2026 at 2:45 PM, and on 03-10-2026 at 5:00 PM, and on 03-11-2026 at 6:30 PM, and on 03-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:58 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
03-09-2026 02:30 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904525
03-09-2026 02:35 PM	Cielo Marmolejo	Cielo is CHECKED IN for: 2:45PM-3/9/2026 92507: Speech & Language Visit
03-09-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 07:55 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-10-2026 04:45 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894385
03-10-2026 04:45 PM	Cielo Marmolejo	Cielo is CHECKED IN for: 5:00PM-3/10/2026 92507: Speech & Language Visit
03-10-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 06:30 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:59 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 06:30 PM. See you soon! - New Beginnings 🙂
03-11-2026 06:15 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904527
03-11-2026 06:17 PM	Cielo Marmolejo	Cielo is CHECKED IN for: 6:30PM-3/11/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:50 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 09:45 AM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894459
03-12-2026 09:45 AM	Cielo Marmolejo	Cielo is CHECKED IN for: 10:00AM-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, Cielo has a Speech Therapy appointment on 03-24-2026 at 5:00 PM, and on 03-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:03 PM	Cielo Marmolejo	Cielo (Prim) Replied: Yes
03-22-2026 04:03 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.
03-23-2026 06:31 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:54 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 04:45 PM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894387
03-24-2026 04:45 PM	Cielo Marmolejo	Cielo is CHECKED IN for: 5:00PM-3/24/2026 92507: Speech & Language Visit
03-25-2026 06:30 PM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:47 AM	Kayla Merrick	Hi, this is a just a reminder that Cielo has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 09:45 AM	Kayla Merrick	Cielo Marmolejo : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894461
03-26-2026 09:45 AM	Cielo Marmolejo	Cielo is CHECKED IN for: 10:00AM-3/26/2026 92507: Speech & Language Visit