New Beginnings | NB1-Office

Patient Name: Regina

Patient Information:

Patient ID: 9904

Patient First Name: Regina

Patient Date of Birth: 09-25-2022

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Evelyn, Gonzalez Morales

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
23665	Active	03-23-2026	09-18-2026	El Paso First Health Plans	13	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26391	03-04-2026	Speech Initial Evaluation	F80.0
Speech Background History: Regina is a 3-year, 5-month old female who was seen at New Beginnings Pediatrics on March 4th, 2026 from 9:30am to 10:30am for an initial speech and language evaluation. Regina was accompanied by her mother who served as her primary informant regarding her medical history. Parent report there is no history of speech and language delays within the family. Regina ws referred due to parental and physcian concerns with her articulation skills. Regina demonstrates a rapid rate of speech that significantly impacts her intelligibility. Based on caregiver report, she is understood approximately 75% of the time by her parent and about 25% of the time by extended family members and unfamiliar listeners. There are no concerns with fluency, voice, or feeding at this time. Regina's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: There is no significant medical history or chronic conditions. Regina was born full-term at 40 weeks gestation via vaginal delivery, weighing 6 pounds, 10 ounces with no reported complications or perinatal concerns. Regina's vision and hearing are within normal limits (WNL), with no current concerns or impairments noted. No other surgical procedures or hospitalizations are reported in her history.
Speech Medications: Regina is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Appropriate use of eye contact, Appropriate utterances, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command without cues, Initiate activity/dialogue, Interactive, Makes requests, Responds to greetings, Understands nuances of language, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Unintelligible,
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, evaluating pragmatics involves observing a child's ability to initiate and maintain conversations, take turns, interpret nonverbal cues, and use language appropriately in different social situations. Difficulties with pragmatics can manifest as challenges in social interactions, problem-solving, and understanding figurative language. Regina demonstrates age-appropriate pragmatic language skills. She is sociable and engages readily with others, demonstrating appropriate eye contact, joint attention, and participation in conversational exchanges during interactions.
Speech Diagnosis/Impressions: Regina s a 3-year, 5-month old female who is demonstrating a Severe Phonological Disorder (F80.0). These deficits impact Regina's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Regina receives services 2x/month for up to 60-minute sessions. Given the parent’s current school schedule and limited availability. This frequency will allow continued progress while accommodating family constraints. Ongoing skilled intervention remains important to address her speech intelligibility and rate. Following the parent’s graduation in May 2026, the family plans to increase the frequency of therapy sessions as their availability becomes more flexible. 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. Regina 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/month for 6 months is recommended due to the Regina 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 Regina 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, longterm 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, Regina 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: Regina s a 3-year, 5-month old female who is demonstrating a Severe Phonological Disorder (F80.0). These deficits impact Regina's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Regina receives services 2x/month for up to 60-minute sessions. Given the parent’s current school schedule and limited availability. This frequency will allow continued progress while accommodating family constraints. Ongoing skilled intervention remains important to address her speech intelligibility and rate. Following the parent’s graduation in May 2026, the family plans to increase the frequency of therapy sessions as their availability becomes more flexible. 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. Regina 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/month for 6 months is recommended due to the Regina 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 Regina 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, longterm 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, Regina 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 Month for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58756

Plan Date: 03-04-2026

Speech Assessment Summary: Regina s a 3-year, 5-month old female who is demonstrating a Severe Phonological Disorder (F80.0). These deficits impact Regina's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Regina receives services 2x/month for up to 60-minute sessions. Given the parent’s current school schedule and limited availability. This frequency will allow continued progress while accommodating family constraints. Ongoing skilled intervention remains important to address her speech intelligibility and rate. Following the parent’s graduation in May 2026, the family plans to increase the frequency of therapy sessions as their availability becomes more flexible. 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. Regina 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/month for 6 months is recommended due to the Regina 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 Regina 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, longterm 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, Regina 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:

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Oral Motor/Articulation	#1: By discharge, Regina will improve her phonological skills and overall speech intelligibility to support effective verbal communication across home, daycare, and social environments with 50% accuracy across 3 consecutive sessions, as measured by therapist collected data and observations.

Speech and Language Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	#1.1: Within 6 months, Regina will improve her ability to produce /b, v/ within all positions of words with 30% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations
Oral Motor/Articulation	#1.2: Within 6 months, Regina will improve her ability to produce /r/ within all positions of words and blends with 30% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations
Oral Motor/Articulation	#1.3: Within 6 months, Regina will improve her ability to produce /s, z/ within all positions of words and blends with 30% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations
Oral Motor/Articulation	#1.4: Within 6 months, Regina will improve her ability to produce /l/ within all positions of words and blends with 30% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations
Oral Motor/Articulation	#1.5: Within 6 months, Regina will improve her ability to produce /k, g/ within all positions of words and blends with 30% accuracy across 3 consecutive sessions, increasing intelligibility and phonological skills, as measured by therapist collected data and observations
Oral Motor/Articulation	#1.6: Within 6 months, Regina will improve her ability to produce final consonants in words with 30% accuracy across 3 consecutive sessions, reducing the phonological process of final consonant deletion, increasing intelligibility and phonological skills, as measured by therapist collected data and observations

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
896638	92523: Artic & Language Eval	03-04-2026 09:30 AM	03-04-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
874952	92523: Artic & Language Eval	01-23-2026 09:30 AM	01-23-2026 10:30 AM	Rachael Haduck	NB1 east side	Canceled

Paient Notes:

Date	Posted By	Description
03-26-2026	Shekinah Velasquez	ST auth approved starting 03/23/2026 - 09/18/2026 2x/ month= 13 visits. Therapist notified
03-19-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval
03-18-2026	Shekinah Velasquez	ST paperwork sent to PCP via fax. Pending signatures and THSteps.
01-14-2026	Julie Mora	Spoke to parent about our available times for ST treatments from 8:00- 1:00. Parent agreed that those times will work for treatments.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
01-23-2026	92523	Haduck, Rachael

Paient Messages Admin:

Date	Posted By	Message
01-09-2026 01:36 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2521
01-09-2026 01:45 PM	Shekinah Velasquez	Regina 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=9904&type=1&wid=464
01-13-2026 05:07 PM	Julie Mora	Hello, this is the front office at New Beginnings. I am going over Regina's registration and noticed her EPH insurance card is not uploaded. If you can please email a copy of the El Paso Health insurance card to jmora@newbeginnings-elp.com I would appreciate it. The ID that was uploaded is the TX Medicaid card and unfortunately we can not accept that card. If you have any question please give us a call at 915-855-0601. Thank you.
01-14-2026 12:10 PM	Julie Mora	Thank you, we did receive the email with the insurance card :)
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! 💙
01-23-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-23-2026 01:30 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-23-2026 01:30 PM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-24-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-25-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-26-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-27-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-28-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-29-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-29-2026 09:12 AM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-29-2026 09:12 AM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-30-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
01-31-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-01-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-02-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-03-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
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! 💙
02-04-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-05-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-06-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-07-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-08-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-09-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-10-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-11-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-12-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-13-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-14-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-15-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-16-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
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=9904
02-17-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-18-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-20-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-21-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-22-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
02-23-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9904
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=9904
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-26-2026 12:40 PM	Shekinah Velasquez	Hi, Regina 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=9904&tid=144

Paient Messages Therapist:

Date	Posted By	Message
01-16-2026 04:49 PM	Rachael Haduck	Dear family of Regina Hernandez, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out again to schedule Regina for her speech and language evaluation. Please let me know times and days that work for you so we can coordinate and can get her scheduled. I look forward to hearing from you! Kindest, Rachael, CCC-SLP
01-16-2026 05:21 PM	Regina Hernandez	Regina (Prim) Replied: Hi! What are the hours when evaluations are done?
01-16-2026 05:21 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-16-2026 05:23 PM	Rachael Haduck	Hello! I work Monday through Thursday, 7:00am-6:00pm. Friday’s are make-up days and are open to evaluations as well. Do you prefer morning or afternoon? Unfortunately, my evenings are completely full.
01-16-2026 05:27 PM	Regina Hernandez	Regina (Prim) Replied: What are the times for Fridays? I could do a Wednesday or Friday between 9:30am-11am
01-16-2026 05:27 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-16-2026 05:29 PM	Rachael Haduck	I can offer you Wednesday, 1/21 at 9:30-10:30am, or Friday any-time. :)
01-16-2026 05:31 PM	Regina Hernandez	Regina (Prim) Replied: How about Friday 1/23 at 9:30am? How long is the evaluation?
01-16-2026 05:31 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-16-2026 05:31 PM	Rachael Haduck	Also, to learn more about your primary concerns for Regina, 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. :)
01-16-2026 05:34 PM	Regina Hernandez	Regina (Prim) Replied: Language articulations :)
01-16-2026 05:34 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-16-2026 05:54 PM	Rachael Haduck	Thank you! And do you want to be seen 1/21 at 9:30am? :)
01-16-2026 06:24 PM	Regina Hernandez	Regina (Prim) Replied: 1/23 at 9:30am 😊
01-16-2026 06:24 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-16-2026 06:26 PM	Rachael Haduck	Wonderful, see you then! :) if you have any questions or concerns in between now and then, feel free to message me or contact front office at 915-855-0601
01-16-2026 06:28 PM	Regina Hernandez	Regina (Prim) Replied: Thank you!! 🙏🏼
01-16-2026 06:28 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-22-2026 06:16 PM	Rachael Haduck	Good evening! I’m sorry for reaching out so late but I wanted to ask if you are open to moving your scheduled evaluation time down by 30 minutes due to a meeting conflict? It should end prior to the scheduled appointment time but to not risk it, is that okay with you? The new time would be 10:00am-11:00am instead of 9:30am-10:30am. If not, no worries and I understand. Thank you for your consideration :)
01-22-2026 06:22 PM	Regina Hernandez	Regina (Prim) Replied: So sorry that wouldn't work since I have a school meeting at 10:30am that I was already telling my professor I'd be late by 5-10min 😔
01-22-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Regina has a Speech Evaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
01-22-2026 06:32 PM	Rachael Haduck	No worries, I completely understand :)
01-22-2026 08:09 PM	Regina Hernandez	Regina (Prim) Replied: Le encantó “No worries, I completely understand :)”
01-22-2026 08:09 PM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-23-2026 07:13 AM	Regina Hernandez	Regina (Prim) Replied: Good morning, can we please reschedule her evaluation? We had a family emergency we have to tend to today. Sorry for the short notice 🙏🏼
01-23-2026 07:13 AM	Rachael Haduck	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-23-2026 07:35 AM	Rachael Haduck	No need to apologize, I understand. I hope everything and everyone is okay!! I will get the evaluation cancelled, and reach out on Monday so we can plan again for next week :)
01-23-2026 07:36 AM	Rachael Haduck	Rachael Haduck CANCELLED: 9:30AM-1/23/2026 92523: Artic & Language Eval
01-23-2026 07:36 AM	Rachael Haduck	Hi, this is a just a reminder that Regina has a Speech Evaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
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 10:44 AM	Rachael Haduck	Hello! I'm checking in to see if you would still like to move forward with the evaluation?
02-05-2026 09:32 AM	Rachael Haduck	Good morning, This is Rachael, CCC-SLP with New Beginnings Pediatrics following up to see if you are still interested in moving forward with the evaluation. Please let me know your thoughts. Kindest, Rachael, CCC-SLP
02-06-2026 08:42 AM	Regina Hernandez	Regina (Prim) Replied: Hi! Yes please 😊
02-06-2026 08:42 AM	Rachael Haduck	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 10:23 AM	Rachael Haduck	Could you please let me know your availability for next week? I will be out of office all day on Wednesday, February 11th.
02-06-2026 10:38 AM	Rachael Haduck	No worries! I can do Monday at 9:30am?
02-10-2026 08:41 AM	Regina Hernandez	Regina (Prim) Replied: Sorry, do I reply to this text or the other one? I keep getting the same messages from a different number
02-10-2026 08:41 AM	Regina Hernandez	Regina (Prim) Replied: 915-800-2798
02-10-2026 08:50 AM	Rachael Haduck	I'm not sure what my "personal" number is through our work program but whatever one this one is, this is for speech with me :) the other one may be front office! I hope that makes sense
02-21-2026 09:21 PM	Regina Hernandez	Regina (Prim) Replied: Hi! I'm so sorry I missed this message. When can we schedule the evaluation?
02-21-2026 09:21 PM	Rachael Haduck	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.
02-22-2026 10:34 AM	Rachael Haduck	good morning! I can fit you in this week. Please let me know you availability.
02-23-2026 09:36 AM	Regina Hernandez	Regina (Prim) Replied: What is the latest appointment you have?
02-23-2026 09:39 AM	Rachael Haduck	My Monday through Thursday workday evenings are completely filled. I work Friday's as a make-up day. Can you please let me know your Friday availability in addition to other days?
02-23-2026 09:51 AM	Regina Hernandez	Regina (Prim) Replied: This Friday I would be available after 4pm. Next week I would be available: Monday (3/2) After 4pm Tuesday (3/3) After 4pm Wednesday (3/4) Between 9:30am-11:30am
02-23-2026 10:02 AM	Rachael Haduck	I will schedule you for Wednesday, 3/4 at 9:30am :)
02-23-2026 10:11 AM	Regina Hernandez	Regina (Prim) Replied: Thank you 🙏🏼
02-24-2026 01:06 PM	Rachael Haduck	Hello! I just wanted to bypass this with you. We have another therapist on our team who also completes evaluations and currently has some availability. If you’d like, I can offer you the option to complete your evaluation with her instead. If you prefer to stay scheduled with me, that’s completely fine! :)
02-24-2026 01:07 PM	Rachael Haduck	Regina is scheduled with me for next week so there is no conflict there! I just wanted to give you the option :)
02-24-2026 01:07 PM	Regina Hernandez	Regina (Prim) Replied: Who would it be with? Also what is her availability like?
02-24-2026 01:08 PM	Rachael Haduck	Her name is Tori. He availability is a bit different from mine but I can let front office know and she will be in-touch with you by today!
02-24-2026 01:16 PM	Regina Hernandez	Regina (Prim) Replied: Does she have weekends available?
02-24-2026 01:24 PM	Rachael Haduck	Her name is Tori. He availability is a bit different from mine but I can let front office know and she will be in-touch with you by today!
02-24-2026 01:36 PM	Rachael Haduck	Her name is Tori. He availability is a bit different from mine but I can let front office know and she will be in-touch with you by today!
02-24-2026 01:37 PM	Rachael Haduck	Her name is Tori. He availability is a bit different from mine but I can let front office know and she will be in-touch with you by today!
02-24-2026 03:42 PM	Regina Hernandez	Regina (Prim) Replied: Does she have weekends available?
02-24-2026 03:42 PM	Regina Hernandez	Regina (Prim) Replied: Or evenings?
02-24-2026 04:36 PM	Rachael Haduck	hi! Tori's availability for next week include: - Monday: 3:00, 3:30 - Thursday: 11:00am, 12:30pm would any of those days/times work for you?
03-03-2026 10:46 AM	Regina Hernandez	Regina (Prim) Replied: Hi Tori! I'll just keep my appointment for tomorrow :)
03-03-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Regina has a Speech Evaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-04-2026 07:54 AM	Rachael Haduck	Hi, this is a just a reminder that Regina has a Speech Evaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-04-2026 09:09 AM	Rachael Haduck	hi! my office is located in 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 B” — 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.
03-04-2026 09:15 AM	Rachael Haduck	Regina Hernandez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896638