New Beginnings | NB1-Office

Patient Name: Sebastian

Patient Information:

Patient ID: 9903

Patient First Name: Sebastian

Patient Date of Birth: 02-28-2018

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Jazmin, Gonzalez

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barlow, Lauryn

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
23273	Active	02-09-2026	08-07-2026	Blue Cross Blue Shield	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26135	01-24-2026	Speech Initial Evaluation	F80.2, F84.0, F90.9
Speech Background History: Sebastian Vargas Mariscal is a 7 year 10 month old male who was evaluated in the clinical setting due to ongoing concerns regarding his receptive and expressive language development. Sebastian is dominant in English; therefore, all assessment procedures were administered in English. Sebastian has a history of receiving speech therapy services, which concluded in August. He was also previously receiving occupational therapy services through OT for Tots; however, those services discontinued when the clinic closed. Since that time, the family has actively sought continued speech therapy services due to persistent communication concerns. According to parent report, there were no complications during pregnancy or birth, and Sebastian has no history of major illnesses or significant accidents. Some developmental milestones were delayed, particularly in the area of speech and language development, with concerns first noted at approximately three years of age. Sebastian does not present with breathing difficulties and typically sleeps through the night for eight to ten hours, although snoring was reported. At the time of the evaluation, Sebastian was reported to be taking Asztarys and Risperidone. Sebastian was diagnosed in March of 2023 with Austin and ADHD by Dr. Suchoff. There are no reported concerns related to vision or hearing. Sebastian is currently enrolled in second grade and did not attend daycare. English is the primary language spoken in the home. Sebastian’s mother reported ongoing concerns regarding his communication abilities, specifically noting that he does not consistently formulate complete sentences and has significant difficulty understanding wh questions such as who, what, and why. His speech was described as choppy, fragmented, and difficult to follow. These difficulties negatively impact his ability to express thoughts, participate in conversations, and understand spoken language in both academic and social environments.
Speech Medical History:
Speech Medications: Asztarys and Risperidone.
Speech Behavioral Observations: Attending Skills: Distractible, 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: Friendly,
Speech Communication Strengths: Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Follows verbal command without cues, Initiate activity/dialogue, Interactive, Makes requests, Responds to greetings, Takes turns,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Problems with organization and relevance, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation,
Speech Background Summary:
Speech Diagnosis/Impressions: Sebastian Vargas Mariscal is a 7 year 10 month old male who was evaluated in the clinical setting due to ongoing concerns regarding his receptive and expressive language development. Sebastian is dominant in English; therefore, all assessment procedures were administered in English. Sebastian has a history of receiving speech therapy services, which concluded in August. He was also previously receiving occupational therapy services through OT for Tots; however, those services discontinued when the clinic closed. Since that time, the family has actively sought continued speech therapy services due to persistent communication concerns. According to parent report, there were no complications during pregnancy or birth, and Sebastian has no history of major illnesses or significant accidents. Some developmental milestones were delayed, particularly in the area of speech and language development, with concerns first noted at approximately three years of age. Sebastian does not present with breathing difficulties and typically sleeps through the night for eight to ten hours, although snoring was reported. At the time of the evaluation, Sebastian was reported to be taking Asztarys and Risperidone. Sebastian was diagnosed in March of 2023 with Austin and ADHD by Dr. Suchoff. There are no reported concerns related to vision or hearing. Sebastian is currently enrolled in second grade and did not attend daycare. English is the primary language spoken in the home. Sebastian’s mother reported ongoing concerns regarding his communication abilities, specifically noting that he does not consistently formulate complete sentences and has significant difficulty understanding questions such as who, what, and why. His speech was described as choppy, fragmented, and difficult to follow. These difficulties negatively impact his ability to express thoughts, participate in conversations, and understand spoken language in both academic and social environments. Sebastian’s receptive and expressive language skills were evaluated using the Clinical Evaluation of Language Fundamentals. On the Sentence Comprehension subtest, Sebastian received a raw score of 16, a scaled score of 5, a percentile rank of 5 percent, and an age equivalent of 5 years and 3 months, indicating significantly below average receptive language abilities. He demonstrated difficulty understanding complex sentence structures, including direct and indirect requests, compound and interrogative sentences, sentences containing direct objects, and sentences with prepositional phrases, which interferes with his ability to process spoken instructions and classroom language demands. Expressive language assessment revealed significant deficits. On the Word Structure subtest, Sebastian received a raw score of 12, a scaled score of 3, a percentile rank of 1 percent, and an age equivalent of 3 years and 7 months. He demonstrated difficulty producing grammatical forms including regular and irregular plurals, third person singular verbs, possessive nouns and pronouns, duration of nouns, regular and irregular past tense verbs, comparative and superlative forms, and subjective pronouns. These deficits significantly impact his ability to communicate clearly and effectively. On the Formulated Sentences subtest, Sebastian received a raw score of 0, a scaled score of 1, a percentile rank of less than 1 percent, and an age equivalent of less than 3 years. This was Sebastian’s most challenging area. He was unable to generate simple, grammatically correct sentences when provided with visual stimuli, instead producing fragmented and syntactically disorganized utterances such as “Can walking all the way with kids,” “airplane flying at the sky,” “she is scrubbing rinsing,” and “the cat inside the fish.” These responses reflect severe expressive language deficits that limit his ability to convey basic ideas and participate meaningfully in age appropriate communication tasks. On the Recalling Sentences subtest, Sebastian demonstrated the ability to accurately recall sentences containing up to four words; however, he exhibited significant difficulty recalling sentences exceeding four words in length. This indicates weaknesses in auditory memory, sentence processing, and syntactic organization, which further impacts his ability to comprehend and reproduce spoken language. Sebastian’s Core Language Score yielded a sum of scaled scores of 13, resulting in a standard score of 61 and a percentile rank of 0.5. These results INDICATE A PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER when compared to same-aged peers. At seven years of age, children are expected to demonstrate well-developed receptive and expressive language skills, including the ability to understand multi-step verbal directions, comprehend complex sentences, answer WH-questions, understand grade-level vocabulary, and make inferences based on spoken language. Expressively, a typically developing 7-year-old uses grammatically complete and complex sentences, clearly expresses ideas, retells events with appropriate sequencing and detail, participates in reciprocal conversations, and uses language to problem solve, self-advocate, and engage in academic tasks. In contrast, Sebastian’s receptive and expressive language abilities are significantly below age expectations. The severity of Sebastian’s language impairment significantly interferes with his academic performance, social interactions, and functional communication skills across settings. Sebastian presents with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Based on standardized assessment results, clinical observations, and parent report, Sebastian presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER that requires skilled intervention. His language deficits are not expected to resolve without direct treatment by a licensed speech language pathologist. Without ongoing speech therapy services, Sebastian is at high risk for continued academic difficulties, reduced social participation, and long term communication impairments. Due to the severity, chronic nature, and functional impact of his language disorder, speech therapy services are medically necessary.
Speech Diagnosis/Impressions: Sebastian Vargas Mariscal is a 7 year 10 month old male who was evaluated in the clinical setting due to ongoing concerns regarding his receptive and expressive language development. Sebastian is dominant in English; therefore, all assessment procedures were administered in English. Sebastian has a history of receiving speech therapy services, which concluded in August. He was also previously receiving occupational therapy services through OT for Tots; however, those services discontinued when the clinic closed. Since that time, the family has actively sought continued speech therapy services due to persistent communication concerns. According to parent report, there were no complications during pregnancy or birth, and Sebastian has no history of major illnesses or significant accidents. Some developmental milestones were delayed, particularly in the area of speech and language development, with concerns first noted at approximately three years of age. Sebastian does not present with breathing difficulties and typically sleeps through the night for eight to ten hours, although snoring was reported. At the time of the evaluation, Sebastian was reported to be taking Asztarys and Risperidone. Sebastian was diagnosed in March of 2023 with Austin and ADHD by Dr. Suchoff. There are no reported concerns related to vision or hearing. Sebastian is currently enrolled in second grade and did not attend daycare. English is the primary language spoken in the home. Sebastian’s mother reported ongoing concerns regarding his communication abilities, specifically noting that he does not consistently formulate complete sentences and has significant difficulty understanding questions such as who, what, and why. His speech was described as choppy, fragmented, and difficult to follow. These difficulties negatively impact his ability to express thoughts, participate in conversations, and understand spoken language in both academic and social environments. Sebastian’s receptive and expressive language skills were evaluated using the Clinical Evaluation of Language Fundamentals. On the Sentence Comprehension subtest, Sebastian received a raw score of 16, a scaled score of 5, a percentile rank of 5 percent, and an age equivalent of 5 years and 3 months, indicating significantly below average receptive language abilities. He demonstrated difficulty understanding complex sentence structures, including direct and indirect requests, compound and interrogative sentences, sentences containing direct objects, and sentences with prepositional phrases, which interferes with his ability to process spoken instructions and classroom language demands. Expressive language assessment revealed significant deficits. On the Word Structure subtest, Sebastian received a raw score of 12, a scaled score of 3, a percentile rank of 1 percent, and an age equivalent of 3 years and 7 months. He demonstrated difficulty producing grammatical forms including regular and irregular plurals, third person singular verbs, possessive nouns and pronouns, duration of nouns, regular and irregular past tense verbs, comparative and superlative forms, and subjective pronouns. These deficits significantly impact his ability to communicate clearly and effectively. On the Formulated Sentences subtest, Sebastian received a raw score of 0, a scaled score of 1, a percentile rank of less than 1 percent, and an age equivalent of less than 3 years. This was Sebastian’s most challenging area. He was unable to generate simple, grammatically correct sentences when provided with visual stimuli, instead producing fragmented and syntactically disorganized utterances such as “Can walking all the way with kids,” “airplane flying at the sky,” “she is scrubbing rinsing,” and “the cat inside the fish.” These responses reflect severe expressive language deficits that limit his ability to convey basic ideas and participate meaningfully in age appropriate communication tasks. On the Recalling Sentences subtest, Sebastian demonstrated the ability to accurately recall sentences containing up to four words; however, he exhibited significant difficulty recalling sentences exceeding four words in length. This indicates weaknesses in auditory memory, sentence processing, and syntactic organization, which further impacts his ability to comprehend and reproduce spoken language. Sebastian’s Core Language Score yielded a sum of scaled scores of 13, resulting in a standard score of 61 and a percentile rank of 0.5. These results INDICATE A PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER when compared to same-aged peers. At seven years of age, children are expected to demonstrate well-developed receptive and expressive language skills, including the ability to understand multi-step verbal directions, comprehend complex sentences, answer WH-questions, understand grade-level vocabulary, and make inferences based on spoken language. Expressively, a typically developing 7-year-old uses grammatically complete and complex sentences, clearly expresses ideas, retells events with appropriate sequencing and detail, participates in reciprocal conversations, and uses language to problem solve, self-advocate, and engage in academic tasks. In contrast, Sebastian’s receptive and expressive language abilities are significantly below age expectations. The severity of Sebastian’s language impairment significantly interferes with his academic performance, social interactions, and functional communication skills across settings. Sebastian presents with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Based on standardized assessment results, clinical observations, and parent report, Sebastian presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER that requires skilled intervention. His language deficits are not expected to resolve without direct treatment by a licensed speech language pathologist. Without ongoing speech therapy services, Sebastian is at high risk for continued academic difficulties, reduced social participation, and long term communication impairments. Due to the severity, chronic nature, and functional impact of his language disorder, speech therapy services are medically necessary.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58163

Plan Date: 01-24-2026

Speech Assessment Summary: Sebastian Vargas Mariscal is a 7 year 10 month old male who was evaluated in the clinical setting due to ongoing concerns regarding his receptive and expressive language development. Sebastian is dominant in English; therefore, all assessment procedures were administered in English. Sebastian has a history of receiving speech therapy services, which concluded in August. He was also previously receiving occupational therapy services through OT for Tots; however, those services discontinued when the clinic closed. Since that time, the family has actively sought continued speech therapy services due to persistent communication concerns. According to parent report, there were no complications during pregnancy or birth, and Sebastian has no history of major illnesses or significant accidents. Some developmental milestones were delayed, particularly in the area of speech and language development, with concerns first noted at approximately three years of age. Sebastian does not present with breathing difficulties and typically sleeps through the night for eight to ten hours, although snoring was reported. At the time of the evaluation, Sebastian was reported to be taking Asztarys and Risperidone. Sebastian was diagnosed in March of 2023 with Austin and ADHD by Dr. Suchoff. There are no reported concerns related to vision or hearing. Sebastian is currently enrolled in second grade and did not attend daycare. English is the primary language spoken in the home. Sebastian’s mother reported ongoing concerns regarding his communication abilities, specifically noting that he does not consistently formulate complete sentences and has significant difficulty understanding questions such as who, what, and why. His speech was described as choppy, fragmented, and difficult to follow. These difficulties negatively impact his ability to express thoughts, participate in conversations, and understand spoken language in both academic and social environments. Sebastian’s receptive and expressive language skills were evaluated using the Clinical Evaluation of Language Fundamentals. On the Sentence Comprehension subtest, Sebastian received a raw score of 16, a scaled score of 5, a percentile rank of 5 percent, and an age equivalent of 5 years and 3 months, indicating significantly below average receptive language abilities. He demonstrated difficulty understanding complex sentence structures, including direct and indirect requests, compound and interrogative sentences, sentences containing direct objects, and sentences with prepositional phrases, which interferes with his ability to process spoken instructions and classroom language demands. Expressive language assessment revealed significant deficits. On the Word Structure subtest, Sebastian received a raw score of 12, a scaled score of 3, a percentile rank of 1 percent, and an age equivalent of 3 years and 7 months. He demonstrated difficulty producing grammatical forms including regular and irregular plurals, third person singular verbs, possessive nouns and pronouns, duration of nouns, regular and irregular past tense verbs, comparative and superlative forms, and subjective pronouns. These deficits significantly impact his ability to communicate clearly and effectively. On the Formulated Sentences subtest, Sebastian received a raw score of 0, a scaled score of 1, a percentile rank of less than 1 percent, and an age equivalent of less than 3 years. This was Sebastian’s most challenging area. He was unable to generate simple, grammatically correct sentences when provided with visual stimuli, instead producing fragmented and syntactically disorganized utterances such as “Can walking all the way with kids,” “airplane flying at the sky,” “she is scrubbing rinsing,” and “the cat inside the fish.” These responses reflect severe expressive language deficits that limit his ability to convey basic ideas and participate meaningfully in age appropriate communication tasks. On the Recalling Sentences subtest, Sebastian demonstrated the ability to accurately recall sentences containing up to four words; however, he exhibited significant difficulty recalling sentences exceeding four words in length. This indicates weaknesses in auditory memory, sentence processing, and syntactic organization, which further impacts his ability to comprehend and reproduce spoken language. Sebastian’s Core Language Score yielded a sum of scaled scores of 13, resulting in a standard score of 61 and a percentile rank of 0.5. These results INDICATE A PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER when compared to same-aged peers. At seven years of age, children are expected to demonstrate well-developed receptive and expressive language skills, including the ability to understand multi-step verbal directions, comprehend complex sentences, answer WH-questions, understand grade-level vocabulary, and make inferences based on spoken language. Expressively, a typically developing 7-year-old uses grammatically complete and complex sentences, clearly expresses ideas, retells events with appropriate sequencing and detail, participates in reciprocal conversations, and uses language to problem solve, self-advocate, and engage in academic tasks. In contrast, Sebastian’s receptive and expressive language abilities are significantly below age expectations. The severity of Sebastian’s language impairment significantly interferes with his academic performance, social interactions, and functional communication skills across settings. Sebastian presents with a PROFOUND MIXED RECEPTIVE LANGUAGE and EXPRESSIVE LANGUAGE DISORDER secondary to his diagnosis of autism spectrum disorder and ADHD. Based on standardized assessment results, clinical observations, and parent report, Sebastian presents with a PROFOUND MIXED RECEPTIVE AND EXPRESSIVE LANGUAGE DISORDER that requires skilled intervention. His language deficits are not expected to resolve without direct treatment by a licensed speech language pathologist. Without ongoing speech therapy services, Sebastian is at high risk for continued academic difficulties, reduced social participation, and long term communication impairments. Due to the severity, chronic nature, and functional impact of his language disorder, speech therapy services are medically necessary.

Speech Progress to Date: N/A

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Good. Prognosis for improvement in the areas of his impairments are good with continued, consistent speech therapy. Sebastian will be discharged when he achieves a standard score above 1 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the average range and he will have met all long term therapy goals.

Speech and Language Long Term Goals:

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

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 month, Sebastian will demonstrate comprehension of complex and modified sentence structures (e.g., "The boy who is running has a red hat.") with 30% accuracy in structured tasks, to improve her ability to follow instructions and processing information correctly.
Receptive Language	In 6 month, Sebastian will correctly sequence 3–4 pictures to retell events or stories with 40% accuracy, given visual and verbal support, to help Sebastian communicate ideas logically and improve his ability to recall past experiences
Receptive Language	In 6 month, Sebastian will follow one step directions containing spatial concepts with 40% accuracy, to increase understand and process information efficiently, improving his ability to complete tasks independently.
Expressive Language	In 6 month, Sebastian will use grammatically correct noun-verb- adjective agreement in structured sentences with 40% accuracy, to help Sebastian express himself clearly and effectively.
Expressive Language	In 6 month, Sebastian will accurately answer “who” and “what” questions using a grammatically correct sentence structure (e.g., subject + verb + object) in 3 out of 5 opportunities to help Sebastian express himself clearly and effectively.

Speech and Language Soap Note/Visit:

Soap Note

491123

Note Date: 03-24-2026

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

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. -The clinician had the patient paste definitions of noun, verb, and adjective in the patient's assigned notebook and asked his mother to reflect on them at home. In 6 month, Sebastian will follow one step directions containing spatial concepts with 40% accuracy, to increase understand and process information efficiently, improving his ability to complete tasks independently. - Sebastian followed one step directions containing spacial concepts with 40% accuracy given moderate verbal, visual, and gestural cues. In 6 month, Sebastian will accurately answer “who” and “what” questions using a grammatically correct sentence structure (e.g., subject + verb + object) in 3 out of 5 opportunities to help Sebastian express himself clearly and effectively. -Sebastian accurately answered "who" and "what" questions using grammatically correct sentence structure (subject+verb+object) in 3 out of 5 opportunities given moderate visual, verbal, and gestural cues.

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
876169	92523: Artic & Language Eval	01-24-2026 03:15 PM	01-24-2026 04:00 PM	Lailani Chehedeh	NB1 east side	Completed
887981	NB001: Supervision	02-09-2026 04:30 PM	02-09-2026 05:00 PM	Stephanie Escobar	NB2 far east side	Completed
887846	92507: Speech & Language Visit	02-09-2026 04:30 PM	02-09-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
888580	92507: Speech & Language Visit	02-16-2026 04:30 PM	02-16-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
895174	92507: Speech & Language Visit	02-23-2026 04:30 PM	02-23-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
898584	92507: Speech & Language Visit	03-02-2026 04:30 PM	03-02-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
897345	92507: Speech & Language Visit	03-13-2026 04:30 PM	03-13-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
899980	92507: Speech & Language Visit	03-16-2026 04:30 PM	03-16-2026 05:00 PM	Lauryn Barlow	NB1 east side	Completed
908076	NB001: Supervision	03-16-2026 04:30 PM	03-16-2026 05:00 PM	Stephanie Escobar	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899981	92507: Speech & Language Visit	03-23-2026 04:30 PM	03-23-2026 05:00 PM	Lauryn Barlow	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899982	92507: Speech & Language Visit	03-30-2026 04:30 PM	03-30-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899983	92507: Speech & Language Visit	04-06-2026 04:30 PM	04-06-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899984	92507: Speech & Language Visit	04-13-2026 04:30 PM	04-13-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899985	92507: Speech & Language Visit	04-20-2026 04:30 PM	04-20-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899986	92507: Speech & Language Visit	04-27-2026 04:30 PM	04-27-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899987	92507: Speech & Language Visit	05-04-2026 04:30 PM	05-04-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899988	92507: Speech & Language Visit	05-11-2026 04:30 PM	05-11-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899989	92507: Speech & Language Visit	05-18-2026 04:30 PM	05-18-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899990	92507: Speech & Language Visit	05-25-2026 04:30 PM	05-25-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899991	92507: Speech & Language Visit	06-01-2026 04:30 PM	06-01-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899992	92507: Speech & Language Visit	06-08-2026 04:30 PM	06-08-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899993	92507: Speech & Language Visit	06-15-2026 04:30 PM	06-15-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899994	92507: Speech & Language Visit	06-22-2026 04:30 PM	06-22-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899995	92507: Speech & Language Visit	06-29-2026 04:30 PM	06-29-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899996	92507: Speech & Language Visit	07-06-2026 04:30 PM	07-06-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899997	92507: Speech & Language Visit	07-13-2026 04:30 PM	07-13-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899998	92507: Speech & Language Visit	07-20-2026 04:30 PM	07-20-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
899999	92507: Speech & Language Visit	07-27-2026 04:30 PM	07-27-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled
900000	92507: Speech & Language Visit	08-03-2026 04:30 PM	08-03-2026 05:00 PM	Lauryn Barlow	NB1 east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
1/24/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	40.00	-40.00
2/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	0.00	80.00	-80.00
2/11/26	Patient Payment Received (Stripe)	40.00	80.00	-40.00
2/16/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	40.00	120.00	-80.00
2/16/26	Patient Payment Received (Stripe)	80.00	120.00	-40.00
2/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	80.00	160.00	-80.00
2/24/26	Patient Payment Received (Stripe)	120.00	160.00	-40.00
3/2/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	120.00	200.00	-80.00
3/2/26	Patient Payment Received (Stripe)	160.00	200.00	-40.00
3/13/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	160.00	240.00	-80.00
3/13/26	Patient Payment Received (Stripe)	200.00	240.00	-40.00
3/13/26	Patient Payment Received (Stripe)	240.00	240.00	0.00
3/16/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	240.00	280.00	-40.00
3/20/26	Patient Payment Received (Stripe)	280.00	280.00	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
1/24/26	92523: Artic & Language Eval	1	345.00	EDI Submited
1/24/26		1	0.00	Unbilled
1/24/26		1	0.00	Unbilled
2/9/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/16/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/23/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/2/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/13/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/16/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
02-05-2026	Avery Fontenot	ST Auth starting 02/09/2026 to 08/07/2026 for 1x/wk = 26 visits. Therapist notified.
02-05-2026	Avery Fontenot	Spoke with mom due to visit limitations. Mom stated she would like to continue with 1x/wk for this authorization period. Front office confirmed and made sure mom understood her next authorization period she would have to continue self pay due to the visit limit Sebastian's insurance has. Mom was okay with that option and stated when they due run out of visits to reduce to 2x/mo. Mom has been made aware of the self pay prices. Therapist assigned and notified.
01-14-2026	Avery Fontenot	ST Benefits and Eligibility: 800 Ded. (0 Met) 3,500 OOP (0 Met) Deductible does not apply Co-Pay $40.00 Plan runs on Calendar year 30 Visit Limit (0 Met) (Hard Max) Auth not required for 92507 Conf: I-45709778

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-23-2026	92507	Barlow, Lauryn	Parent inquired therapist on availability of the next day during non-work hours, 22 hours before scheduled appointment. Parent canceled appointment 8 hours before scheduled appointment. Therapist provided parent with makeup dates and times available.

Paient Messages Admin:

Date	Posted By	Message
01-09-2026 09:36 AM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2519
01-09-2026 09:52 AM	Shekinah Velasquez	Sebastian 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=9903&type=1&wid=463
01-16-2026 03:08 PM	Avery Fontenot	Hello Parents/Guardians, We are reaching out to let you know that we are currently missing a Speech Therapy referral for your child. Your child is on our waitlist, and in order to move forward and release them from the waitlist, we must have this referral on file. Due to high demand, if we do not receive the referral by the end of next week, we will unfortunately need to remove your child from our waitlist. We appreciate your understanding and cooperation. If you have any questions or need assistance, please feel free to contact our front office at 915-855-0601. Thank you, and we hope you have a wonderful rest of your day.
01-19-2026 09:07 AM	Shekinah Velasquez	Hello, you may send the referral to svelasquez@newbeginnings-elp.com
01-19-2026 01:02 PM	Julie Mora	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9903
01-20-2026 12:12 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-24-2026 07:30 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38698. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-25-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Sebastian Vargas Mariscal from therapy on 01-24-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38698. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:53 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-04-2026 10:40 AM	Avery Fontenot	Hi this is Avery from the front office at New Beginnings. I wanted to get in contact with you regarding the treatment for speech therapy for Sebastian. If you would like to give our office a call to discus that at 915-855-0601. Thank you and we hope to hear from you soon!
02-05-2026 09:27 AM	Shekinah Velasquez	Hi, Sebastian as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Lauryn https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9903&tid=144
02-16-2026 07:32 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39331. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-16-2026 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9903
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-23-2026 07:32 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39501. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-24-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Sebastian Vargas Mariscal from therapy on 02-23-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39501. Thank you for allowing us to serve your child! 🙂
03-02-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39685. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9903
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 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40150. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-23-2026 07:33 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Sebastian Vargas Mariscal. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40505. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
01-20-2026 04:14 PM	Lailani Chehedeh	Hi Mrs. Vargas, my name is Lailani and I'm a Speech Language Pathologist from New Beginnings. I will be conducting Sebastian's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.) 11) Dominate Language ? English or Spanish ?
01-21-2026 04:21 PM	Lailani Chehedeh	Hi Mrs. Vargas, my name is Lailani and I'm a Speech Language Pathologist from New Beginnings. I will be conducting Sebastian's speech and language evaluation. :) Before our in person appointment, I just need to gather some background information. So when you have an opportunity can you answer these questions for me: 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications?
01-21-2026 04:21 PM	Lailani Chehedeh	6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.) 11) Dominate Language ? English or Spanish ?
01-21-2026 04:27 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Hello! Sounds good. 1. No complications with pregnancy or birth. 2. No major illnesses or accidents. 3. Some developmental milestones were delayed. 4. No breathing issues and he sleeps through the night (8-10 hours). He does snore. 5. He's taking Asztarys and Risperidone 6. He's in 2nd grade and no day care. 7. No vision or hearing issues. 8. Sebastian doesn't not formulate sentences and has difficulty understanding the Who what why etc. questions. His speach is choppy. 9. Concerns have been there since 3 years old. 10. He's had OT and Speech therapy. 11. English is the dominant language
01-21-2026 04:45 PM	Lailani Chehedeh	Thank you so much see you Saturday @3;15PM 1512 N Zaragoza C-1
01-23-2026 06:30 PM	Lailani Chehedeh	Hi, this is a just a reminder that Sebastian has a Speech Evaluation appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
01-24-2026 07:32 AM	Lailani Chehedeh	Hi, this is a just a reminder that Sebastian has a Speech Evaluation appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
01-24-2026 09:08 AM	Lailani Chehedeh	Hello :) I hope all is well ! I had a last minute cancelation and can see Sebastian at 11:15am if you are available ?
01-24-2026 09:10 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Hello, I'm actually at work til 2:15. My girlfriend can take him at 11:15 if that's allowed.
01-24-2026 09:13 AM	Lailani Chehedeh	Yes absolutely if that is okay with you ? I can call you at 3:15pm to relate the results of the evaluation.
01-24-2026 09:13 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Yes, that works!
01-24-2026 09:13 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: How long will the assessment be?
01-24-2026 09:14 AM	Lailani Chehedeh	30-45 mins :)
01-24-2026 09:15 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Okay perfect! I will let her know to take him at 11:15 :) You can also call me at any time to relate the result.
01-24-2026 09:17 AM	Lailani Chehedeh	Okay perfect ! Thank you so much !
01-24-2026 11:00 AM	Lailani Chehedeh	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876169
01-24-2026 11:18 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Hi! My girlfriend got her times mixed up. Sorry. She said she can be there in 20 or do you want to just leave it to 3:15
01-24-2026 11:18 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Sorry I don't know what she was thinking
01-24-2026 11:20 AM	Lailani Chehedeh	Lets keep it at 3:15pm if that's okay just so we have enough time for the evaluation :)
01-24-2026 11:20 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Okay, sorry again
01-24-2026 01:18 PM	Lailani Chehedeh	The address for today's evaluation is 1512 N Zaragoza C-1 safe travels :)
01-24-2026 03:00 PM	Lailani Chehedeh	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876169
01-24-2026 03:10 PM	Sebastian Vargas Mariscal	Sebastian is CHECKED IN for: 3:15PM-1/24/2026 92523: Artic & Language Eval
02-05-2026 01:46 PM	Lauryn Barlow	Good morning, my name is Lauryn, and I will be the Speech Language Pathologist Assistant working with Sebastian. We just received authorization from insurance to begin services. Sebastian was approved for (frequency: 1 or 2x a week) starting the week of 02/09/2026. I would like to go ahead and get him scheduled in for their set time(s) every week. These are the days and times that I have available: Monday-Thursday 8am-5:30pm. Please let me know which of these times work best for you. Thank you and I look forward to meeting you both!
02-05-2026 05:08 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Hi, we can do Mondays at 4:30.
02-05-2026 05:08 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-06-2026 02:06 PM	Lauryn Barlow	Great, that works for me! May we schedule our first session on 02/09/2026 at 4:30 pm? I won't be able to put in our appointment on the system until that day, but we can all plan for it.
02-06-2026 02:17 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Yes, that works
02-07-2026 04:06 PM	Lauryn Barlow	Great! I will see you both then! For our first session, you are encouraged to come in and observe/ ask questions. I will also have my supervisor observing over zoom. Is there any questions you have before our session?
02-07-2026 05:50 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: No questions 😊
02-09-2026 01:19 PM	Lauryn Barlow	Hello! A reminder about our session today at 4:30 pm, can we still expect you both? The address is 1510 N Zaragoza B1-4. Parents are encouraged to come in with their child for the first visit, but if you wish not to attend, you may wait in the waiting room or in your car on the property.
02-09-2026 01:20 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Yes, we will be there :)
02-09-2026 01:23 PM	Stephanie Escobar	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has an appointment scheduled on 02-09-2026 via telehealth at 04:30 PM. Here is the link https://us06web.zoom.us/j/82945727026?pwd=upHgcPueEIME6Y9Ji0fPH5sp5wsBMo.1 - New Beginnings 🙂
02-09-2026 04:15 PM	Lauryn Barlow	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887846
02-09-2026 04:27 PM	Sebastian Vargas Mariscal	Sebastian is CHECKED IN for: 4:30PM-2/9/2026 92507: Speech & Language Visit
02-10-2026 12:40 PM	Lauryn Barlow	Good afternoon! This is a reminder to sign for the Speech visit yesterday. We require a signature from the parent or guardian every session and urge you to complete it before the end of the day. It was great meeting you both yesterday. I hope you both have a lovely Tuesday. Here is the signature link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9903&app=887846
02-12-2026 02:05 PM	Lauryn Barlow	I’m so sorry to bother I wanted to check in and see if you could please sign the note from Monday as I can’t close out my week until I obtain your signature.
02-12-2026 02:06 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: No worries! Sorry I keep forgetting
02-15-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 02-16-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
02-16-2026 07:51 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
02-22-2026 04:03 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 02-23-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:59 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 04:15 PM	Lauryn Barlow	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=895174
03-01-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 03-02-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:57 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 04:15 PM	Lauryn Barlow	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898584
03-02-2026 04:20 PM	Sebastian Vargas Mariscal	Sebastian is CHECKED IN for: 4:30PM-3/2/2026 92507: Speech & Language Visit
03-08-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 03-13-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-12-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-13-2026 07:33 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-13-2026 04:15 PM	Lauryn Barlow	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897345
03-13-2026 04:16 PM	Sebastian Vargas Mariscal	Sebastian is CHECKED IN for: 4:30PM-3/13/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 03-16-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:50 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-16-2026 04:15 PM	Lauryn Barlow	Sebastian Vargas Mariscal : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899980
03-16-2026 04:24 PM	Sebastian Vargas Mariscal	Sebastian is CHECKED IN for: 4:30PM-3/16/2026 92507: Speech & Language Visit
03-22-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Vargas Mariscal, Sebastian has a Speech Therapy appointment on 03-23-2026 at 4:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:08 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: By any chance is there any open availability tomorrow before 9:30 or after 12:00?
03-22-2026 04:08 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
03-22-2026 06:31 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: By any chance is there any open availability tomorrow before 9:30 or after 12:00?
03-22-2026 06:31 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 08:29 PM	Lauryn Barlow	After 12pm, what time were you thinking?
03-22-2026 08:34 PM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Sebastian has ABA 10-12 I can go earlier than 10 or 12:30 if you have availability
03-22-2026 08:34 PM	Lauryn Barlow	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 07:52 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 08:02 AM	Lauryn Barlow	The earliest availability I have today is 3pm, would you like to do that or stick to 4:30pm?
03-23-2026 08:11 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Is there a fee if I cancel for today?
03-23-2026 08:14 AM	Lauryn Barlow	No, but we would have to schedule a makeup session to replace it and my times in the afternoons after school are no longer available.
03-23-2026 08:17 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: That doesn't include the appointments I already have correct?
03-23-2026 08:20 AM	Lauryn Barlow	Correct. I still have Mondays at 4:30 pm specifically for Sebastian.
03-23-2026 08:22 AM	Sebastian Vargas Mariscal	Sebastian (Prim) Replied: Okay no worries! I will cancel and schedule a new appointment. I just have to talk to my girlfriend to coordinate so I will reach back out to you.
03-23-2026 08:49 AM	Lauryn Barlow	Okay, I will go ahead and cancel. Here is my availability during the week: Monday 8am-4:30pm; Tuesday 8am-9am, 10:30am- 12pm, and 1pm-3pm; Wednesday 8am-3pm; Thursday 8am-9am, 10:30am-12pm, and 1pm-1:30pm. I will have Friday this week available only during morning hours.
03-23-2026 08:56 AM	Lauryn Barlow	Lauryn Barlow CANCELLED: 4:30PM-3/23/2026 92507: Speech & Language Visit
03-25-2026 12:02 PM	Lauryn Barlow	Good afternoon! How is everything going? Did we want to do our makeup session this week?