New Beginnings | NB1-Office

Patient Name: Carlos

Patient Information:

Patient ID: 9907

Patient First Name: Carlos

Patient Date of Birth: 04-08-2023

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Roberto, Canales

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Serna, Teresa

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
23451	Active	03-02-2026	08-28-2026	Blue Cross Blue Shield	0	26	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26309	02-10-2026	Feeding Initial Evaluation	R63.32, R13.11
Feeding Background History: Carlos is a 2-year, 10-month-old male referred for a feeding evaluation due to concerns regarding refusal of age-appropriate solid foods. His mother served as the primary informant and provided detailed developmental and feeding history. Pregnancy and birth were reportedly without complications. Developmental milestones were met within expected timeframes. No hospitalizations, surgeries, or medical diagnoses have been reported. Feeding concerns began around April 2024 when Carlos turned one year old. Prior to that time, he accepted solids appropriately beginning around 6–7 months of age. However, following his first birthday, he began regressing in food acceptance and gradually limited his intake to chicken and apple puree. His mother reports that he now demonstrates fear, disgust reactions, gagging, and occasional vomiting when presented with new or non-preferred foods. Episodes of emesis have occurred in restaurant settings when visually exposed to unfamiliar foods. A comprehensive reassessment was completed utilizing a bedside feeding evaluation and skilled mealtime observation to evaluate Maya’s current feeding and swallowing abilities, oral motor skills, mealtime behaviors, and overall safety during feeding.
Feeding Medical History: Carlos has no known medical diagnoses. An upper GI study and esophagram completed in August 2024 were unremarkable, with no malrotation and no gastroesophageal reflux observed. He has no known gastrointestinal concerns and has bowel movements twice daily. No known allergies are reported. He is not currently taking medications. Carlos previously required special formula due to vomiting with other milk types; however, he transitioned to whole milk without continued issues. His pediatrician has no concerns regarding his weight, height, or overall growth at this time.
Feeding Medications:
Feeding Behavioral Observations: Attending Skills: Distractible, Response Rate: Mild delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: WNL,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation.
Feeding Diagnosis/Impressions: Carlos presents with CHRONIC PEDIATRIC FEEDING DISORDER and MODERATE ORAL PHASE DYSPHAGIA characterized by restricted diet variety, sensory-based feeding aversions, regression in food acceptance following age one, pocketing, immature chewing pattern, limited lateralization, and behavioral feeding avoidance. While growth is currently stable, feeding skill deficits and restricted intake place him at risk for nutritional imbalance and continued feeding dysfunction without intervention. Skilled feeding therapy is medically necessary to address oral motor deficits, chewing immaturity, pocketing, sensory-based feeding aversions, and restricted dietary variety. Intervention will target advancement through the Steps to Eating Hierarchy, desensitization strategies, structured pacing, oral motor skill development (rotary chewing, lateralization, bolus formation), and caregiver training to reduce reliance on external regulation supports such as TV. Referral to ENT is recommended due to enlarged tonsils and snoring. Referral to Occupational Therapy is recommended to address sensory processing challenges impacting feeding tolerance and texture acceptance.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58494

Plan Date: 02-10-2026

Feeding Assessment Summary: Carlos presents with CHRONIC PEDIATRIC FEEDING DISORDER and MODERATE ORAL PHASE DYSPHAGIA characterized by restricted diet variety, sensory-based feeding aversions, regression in food acceptance following age one, pocketing, immature chewing pattern, limited lateralization, and behavioral feeding avoidance. While growth is currently stable, feeding skill deficits and restricted intake place him at risk for nutritional imbalance and continued feeding dysfunction without intervention. Skilled feeding therapy is medically necessary to address oral motor deficits, chewing immaturity, pocketing, sensory-based feeding aversions, and restricted dietary variety. Intervention will target advancement through the Steps to Eating Hierarchy, desensitization strategies, structured pacing, oral motor skill development (rotary chewing, lateralization, bolus formation), and caregiver training to reduce reliance on external regulation supports such as TV. Referral to ENT is recommended due to enlarged tonsils and snoring. Referral to Occupational Therapy is recommended to address sensory processing challenges impacting feeding tolerance and texture acceptance.

Feeding Rehabilitation Potential: Carlos demonstrates good rehabilitation potential for continued progress in feeding therapy. He is able to safely consume preferred foods, demonstrates emerging chewing patterns, and shows the capacity to engage with food at early sensory exploration levels when provided structured support. Caregiver is highly involved and motivated to implement strategies within the home environment. With consistent skilled intervention targeting oral motor coordination, sensory regulation, food chaining, and advancement through the Steps to Eating Hierarchy, continued improvement in chewing efficiency, diet expansion, and mealtime participation is expected. Prognosis remains favorable given his developmental history, absence of structural abnormalities, and observed responsiveness to verbal and visual modeling.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Carlos will improve his feeding/swallowing skills in order to optimize safe and effective nutrition with 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Carlos will interact with non-preferred foods by touching with finger pads without withdrawal or distress in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase sensory tolerance and food exploration.
Feeding/Swallowing	In 6 months, Carlos will interact with non-preferred foods by touching with his palm without withdrawal or distress in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase sensory tolerance and food exploration.
Feeding/Swallowing	In 6 months, Carlos will remain regulated (e.g., no crying, gagging, vomiting, or leaving the table) when presented with a non-preferred food for at least 30 seconds in 3 out of 10 opportunities across 3 consecutive sessions, in order to improve mealtime participation and reduce feeding-related distress.
Feeding/Swallowing	In 6 months, Carlos will demonstrate improved tongue lateralization by moving food from midline to the molar surfaces during chewing in 3 out of 10 opportunities across 3 consecutive sessions, in order to promote efficient bolus formation and reduce pocketing.
Feeding/Swallowing	In 6 months, Carlos will accept at least 3 new foods using structured food chaining strategies (e.g., flavor, texture, brand bridging) in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase protein and vegetable variety and reduce food jags.
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.

Feeding Therapy Soap Note/Visit:

Soap Note

491654

Note Date: 03-26-2026

Subjective: Patient completed all required tasks,Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: Carlos interacted with non-preferred foods by touching with finger pads without withdrawal or distress in 10 out of 10 opportunities given 10 verbal and 10 visual models. Carlos interacted with non-preferred foods by touching with his palm without withdrawal or distress in 10 out of 10 opportunities given 10 verbal and 10 visual models. Carlos remained regulated (e.g., no crying, gagging, vomiting, or leaving the table) when presented with a non-preferred food for at least 30 seconds in 10 out of 10 opportunities given 10 verbal and 10 visual models. Carlos demonstrated improved tongue lateralization by moving food from midline to the molar surfaces during chewing in 2 out of 10 opportunities given 10 verbal and 10 visual models. Carlos accepted at least 3 new foods using structured food chaining strategies (e.g., flavor, texture, brand bridging) in 0 out of 10 opportunities given 10 verbal and 10 visual models. When counseled by the clinician, parents incorporated 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. Food presented during session: boiled egg, plain pasta, rice, apples, string cheese, corn tortilla

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
887283	92610: Feeding Evaluation	02-10-2026 01:30 PM	02-10-2026 02:30 PM	Teresa Serna	NB1 east side	Completed
899689	92526: Feeding Visit	03-03-2026 10:00 AM	03-03-2026 10:30 AM	Teresa Serna	NB1 east side	Completed
900385	92526: Feeding Visit	03-11-2026 12:00 PM	03-11-2026 12:30 PM	Teresa Serna	NB1 east side	Completed
900386	92526: Feeding Visit	03-18-2026 12:00 PM	03-18-2026 12:30 PM	Teresa Serna	NB1 east side	Completed
900388	92526: Feeding Visit	03-24-2026 12:30 PM	03-24-2026 01:00 PM	Teresa Serna	NB1 east side	Completed
900387	92526: Feeding Visit	03-25-2026 12:00 PM	03-25-2026 12:30 PM	Teresa Serna	NB1 east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
900389	92526: Feeding Visit	04-01-2026 12:00 PM	04-01-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900390	92526: Feeding Visit	04-15-2026 12:00 PM	04-15-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900391	92526: Feeding Visit	04-22-2026 12:00 PM	04-22-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900392	92526: Feeding Visit	04-29-2026 12:00 PM	04-29-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900393	92526: Feeding Visit	05-06-2026 12:00 PM	05-06-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900394	92526: Feeding Visit	05-13-2026 12:00 PM	05-13-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900395	92526: Feeding Visit	05-20-2026 12:00 PM	05-20-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900396	92526: Feeding Visit	05-27-2026 12:00 PM	05-27-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900397	92526: Feeding Visit	06-03-2026 12:00 PM	06-03-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900398	92526: Feeding Visit	06-10-2026 12:00 PM	06-10-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900399	92526: Feeding Visit	06-17-2026 12:00 PM	06-17-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900400	92526: Feeding Visit	06-24-2026 12:00 PM	06-24-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900401	92526: Feeding Visit	07-01-2026 12:00 PM	07-01-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900402	92526: Feeding Visit	07-08-2026 12:00 PM	07-08-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900403	92526: Feeding Visit	07-15-2026 12:00 PM	07-15-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900404	92526: Feeding Visit	07-22-2026 12:00 PM	07-22-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900405	92526: Feeding Visit	07-29-2026 12:00 PM	07-29-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900406	92526: Feeding Visit	08-05-2026 12:00 PM	08-05-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900407	92526: Feeding Visit	08-12-2026 12:00 PM	08-12-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900408	92526: Feeding Visit	08-19-2026 12:00 PM	08-19-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled
900409	92526: Feeding Visit	08-26-2026 12:00 PM	08-26-2026 12:30 PM	Teresa Serna	NB1 east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
2/10/26	Card Payment for FD Eval. Receipt# vn2J	67.73	0.00	67.73
2/10/26	Patient visit charged - Feeding Evaluation: Feeding Evaluation	67.73	67.73	0.00
3/3/26	Card Payment paid for FD visit. Receipt #RAOH	135.46	67.73	67.73
3/3/26	Patient visit charged - Feeding Visit: Feeding Visit	135.46	135.46	0.00
3/11/26	Patient visit charged - Feeding Visit: Feeding Visit	135.46	203.19	-67.73
3/18/26	Cash Payment for ST visit 03/11/26. Receipt #:JWRY	203.19	203.19	0.00
3/18/26	Cash Payment for FD visit. Receipt #: 3Pi8	270.92	203.19	67.73
3/18/26	Patient visit charged - Feeding Visit: Feeding Visit	270.92	270.92	0.00
3/24/26	Patient visit charged - Feeding Visit: Feeding Visit	270.92	338.65	-67.73
3/25/26	Patient visit charged - Feeding Visit: Feeding Visit	270.92	406.38	-135.46
3/26/26	Patient Payment Received (Stripe)	338.65	406.38	-67.73

Billing History:

Date	Service Description	Units	$Amount	$Status
2/10/26	92610: Feeding Evaluation	1	220.00	EDI Submited
3/3/26	92526: Feeding Visit	1	140.00	Unbilled
3/11/26	92526: Feeding Visit	1	140.00	Unbilled
3/18/26	92526: Feeding Visit	1	140.00	Unbilled
3/24/26	92526: Feeding Visit	1	140.00	Unbilled
3/25/26	92526: Feeding Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
02-25-2026	Shekinah Velasquez	FD auth starting 03/02/2026 - 08/28/2026 1x/week = 26 visits. Therapist assigned and notified. 27/60 visits used in this auth period.
02-04-2026	Julie Mora	BCBS, Ref # 1110686620, Family deductible $3400/$351.71 met, Family OOP $7150/351.71 met, 20% per visit of allowed amount after deductible is met. No pre- auth required for 92610, 92526, S9152. Limited visits of 60 days per calendar year.60 days remaining.

Paient Messages Admin:

Date	Posted By	Message
01-12-2026 03:35 PM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2526
01-12-2026 04:15 PM	Shekinah Velasquez	Carlos has been added to our Feeding 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=9907&type=2&wid=480
01-20-2026 12:11 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:53 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 11:12 AM	Julie Mora	Good morning, this is Julie from New Beginnings front office. While reviewing Carlos's registration I noticed that we can not use the diagnosis code provided on the referral. I called your PCP to request a diagnosis code for feeding therapy. I was unable to speak with Carmen, she is in charge of the referrals, but I did leave a message. If you would like to also call and request a new referral to speed up the process we would greatly appreciate it. I will keep you updated as soon as I receive the referral.
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=9907
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/
02-25-2026 10:19 AM	Shekinah Velasquez	Hi, Carlos as been assigned a therapist for Feeding therapy. Here's a link to learn more about Teresa https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9907&tid=113
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=9907
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/
03-18-2026 07:34 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Carlos Valdez. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40275. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-25-2026 07:35 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Carlos Valdez. Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40592. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-26-2026 07:30 AM	Shekinah Velasquez	RECORDATORIO: Tiene una factura pendiente para Carlos Valdez de la terapia proporcionada en 03-25-2026. No queremos que su saldo retrase la terapia de su hijo(a). Haga clic en este enlace seguro para realizar su pago en línea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40592. ¡Gracias por permitirnos servir a su hijo(a)! 🙂

Paient Messages Therapist:

Date	Posted By	Message
02-09-2026 02:42 PM	Teresa Serna	My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Carlos feeding evaluation. I recommend arriving 15 minutes early to allow time for paperwork. Alternatively, I can email you the documents in advance so you can complete them ahead of time and bring them with you on the day of the evaluation. Here is the address for the appointment: 1512 N Zaragoza Rd, Ste C-1, El Paso, TX 79936 When you have a chance, please answer the following questions so I can prepare for the evaluation: (1.) Name and Date of Birth (2.)Any complications during pregnancy or birth? (3.)Any major illnesses or accidents since the last check-up? Any medical diagnoses (e.g., Down syndrome, etc.)? (4.)Any hospitalizations or surgeries? (5.)Were developmental milestones met within normal limits or delayed? (6.)Known allergies? (7.)Any sleeping or breathing issues? (Does your child get 8–10 hours of sleep? Wake up several times at night? Snore? Sleep with mouth open or closed? Enlarged tonsils?) (8.)Current medications? (9.)Has the pediatrician expressed concerns about nutritional growth? (10.)Any gastrointestinal issues? (11.)In a few words, please describe your concerns regarding your child’s feeding. For the evaluation, please bring in 3 preferred foods and 2 non preferred foods along with a plate, utensils, and preferred drink. Let me know if you have any questions.(:
02-09-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita programada para una evaluación de terapia de alimentación manana a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-09-2026 10:19 PM	Carlos Valdez	Carlos (Prim) Replied: 👍 a “ My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Carlos feeding evaluation. I recommend arriving 15 minutes early to allow time for paperwork. Alternatively, I can email you the documents in advance so you can complete them ahead of time and bring them with you on the day of the evaluation. Here is the address for the appointment: 1512 N Zaragoza Rd, Ste C-1, El Paso, TX 79936 When you have a chance, please answer the following questions so I can prepare for the evaluation: (1.) Name and Date of Birth (2.)Any complications during pregnancy or birth? (3.)Any major illnesses or accidents since the last check-up? Any medical diagnoses (e.g., Down syndrome, etc.)? (4.)Any hospitalizations or surgeries? (5.)Were developmental milestones met within normal limits or delayed? (6.)Known allergies? (7.)Any sleeping or breathing issues? (Does your child get 8–10 hours of sleep? Wake up several times at night? Snore? Sleep with mouth open or closed? Enlarged tonsils?) (8.)Current medications? (9.)Has the pediatrician expressed concerns about nutritional growth? (10.)Any gastrointestinal issues? (11.)In a few words, please describe your concerns regarding your child’s feeding. For the evaluation, please bring in 3 preferred foods and 2 non preferred foods along with a plate, utensils, and preferred drink. Let me know if you have any questions.(: ”
02-09-2026 10:19 PM	Teresa Serna	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.
02-09-2026 10:21 PM	Carlos Valdez	Carlos (Prim) Replied: Hello, I apologize for the late response. 1) Carlos Ian Valdez 04/08/23 2) Zero complications during pregnancy and birth. Zero illnesses. 3) Zero medical diagnoses. 4) Zero hospitalizations or surgeries. 5) Developmental milestones were met. 6) Zero known allergies. 7) • Sleeps 7 hours straight. • Snores. • Occasionally sleeps with his mouth open. • Has large tonsils. 8) Does not take any medication. 9) Zero concerns about his development. 10) No gastrointestinal problems. 11) My son doesn't want to eat age-appropriate food. He continues to eat baby food and is afraid, disgusted, and sometimes vomits when he sees new food.
02-09-2026 10:21 PM	Teresa Serna	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.
02-09-2026 10:22 PM	Carlos Valdez	Carlos (Prim) Replied: Could you please email me the forms so I can fill them out here at home? My email is astridlopez56@gmail.com
02-09-2026 10:22 PM	Teresa Serna	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.
02-09-2026 10:22 PM	Carlos Valdez	Carlos (Prim) Replied: See you tomorrow 😊
02-09-2026 10:22 PM	Teresa Serna	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.
02-10-2026 08:08 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita programada para una evaluación de terapia de alimentación hoy a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
02-10-2026 08:30 AM	Teresa Serna	I emailed the documentation - let me know if you received it (:
02-10-2026 09:35 AM	Carlos Valdez	Carlos (Prim) Replied: Muchas gracias ya lo recibí
02-10-2026 01:15 PM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887283
02-10-2026 01:20 PM	Carlos Valdez	Carlos is CHECKED IN for: 1:30PM-2/10/2026 92610: Feeding Evaluation
02-23-2026 04:42 PM	Carlos Valdez	Carlos (Prim) Replied: Hola buenas tardes quería saber si ya hay algun cambio para recibir las terapias para Carlos 😁
02-23-2026 04:42 PM	Teresa Serna	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.
02-24-2026 10:30 AM	Teresa Serna	Hola(: Dejame hablar con los de enfrente para ver
02-24-2026 10:50 AM	Carlos Valdez	Carlos (Prim) Replied: Muchas gracias😁
02-25-2026 12:09 PM	Teresa Serna	Hola, recibimos autorización para comenzar la terapia la próxima semana(: Permítanme coordinar los de enfrente para ver quién será el terapeuta tratante.
02-25-2026 01:42 PM	Carlos Valdez	Carlos (Prim) Replied: Hola muchísimas gracias 😄
03-01-2026 12:30 PM	Teresa Serna	Hola (: voy a poder ser la terapista de Carlos tengo disponible el martes a las 10pm esta semana o el miercoles a las 3:30
03-01-2026 12:43 PM	Carlos Valdez	Carlos (Prim) Replied: Sería en la noche?
03-01-2026 12:43 PM	Teresa Serna	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.
03-01-2026 12:43 PM	Carlos Valdez	Carlos (Prim) Replied: El martes 10 pm?
03-01-2026 12:43 PM	Teresa Serna	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.
03-01-2026 12:43 PM	Carlos Valdez	Carlos (Prim) Replied: Perdón buen dia😅
03-01-2026 12:43 PM	Teresa Serna	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.
03-01-2026 01:21 PM	Teresa Serna	perdon no se por que puse 10pm 10am este martes
03-01-2026 01:31 PM	Carlos Valdez	Carlos (Prim) Replied: A ok perfecto entonces el martes a las 10 am porfavor 😁
03-01-2026 01:31 PM	Teresa Serna	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.
03-01-2026 01:48 PM	Teresa Serna	Perfecto (: Me gusta comenzar con cinco alimentos no preferidos (2 proteínas, 1 almidón, 1 fruta y 1 vegetal), junto con su líquido preferido y un alimento preferido para trabajar sus habilidades oromotoras. Estos alimentos serán los mismos durante un período de un mes. Para ayudar al sistema sensorial de Arielle, mantendremos un esquema de color (alimentos de color claro, como blanco o amarillo). Aquí algunas ideas: Proteínas: yogur, jamón, nuggets de pollo, pavo (rebanado), palitos de queso, queso, huevos. Almidón: galletas de arroz, tortitas de arroz, tiras de vegetales, pasta, fideos, pan, muffin inglés. Vegetales: calabacita amarilla, maíz, pepino. Frutas: manzana amarilla, pera, piña, mango/manzana/pera deshidratados. Déjeme saber si tiene alguna pregunta Sin embargo, he notado que durante las primeras sesiones algunos niños necesitan tiempo para adaptarse y tienden a no comer durante la terapia. Si cree que ese podría ser el caso con Arielle, puede traer 2 alimentos no preferidos y 2 alimentos preferidos.
03-01-2026 02:04 PM	Carlos Valdez	Carlos (Prim) Replied: Ok pero yo soy la mamá de Carlos Valdez no de Arielle 😊
03-01-2026 02:04 PM	Teresa Serna	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.
03-01-2026 02:04 PM	Carlos Valdez	Carlos (Prim) Replied: Si es para Carlos la cita?
03-01-2026 02:04 PM	Teresa Serna	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.
03-01-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Valdez, Carlos tiene una cita de terapia de alimentación programada el 03-03-2026 a las 10:00 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-01-2026 04:04 PM	Carlos Valdez	Carlos (Prim) Replied: Si
03-01-2026 04:04 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-02-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada manana a las 10:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-02-2026 06:36 PM	Carlos Valdez	Carlos (Prim) Replied: Gracias nos vemos mañana 😁
03-02-2026 06:36 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-03-2026 08:06 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada hoy a las 10:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-03-2026 09:45 AM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899689
03-03-2026 09:46 AM	Carlos Valdez	Carlos is CHECKED IN for: 10:00AM-3/3/2026 92526: Feeding Visit
03-08-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Valdez, Carlos tiene una cita de terapia de alimentación programada el 03-11-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-08-2026 05:52 PM	Carlos Valdez	Carlos (Prim) Replied: Si
03-08-2026 05:52 PM	Teresa Serna	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.
03-09-2026 03:18 PM	Teresa Serna	Por favor firma Copy Link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9907&app=899689
03-10-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-10-2026 06:31 PM	Carlos Valdez	Carlos (Prim) Replied: Gracias nos vemos mañana
03-11-2026 07:55 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-11-2026 11:45 AM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900385
03-11-2026 04:24 PM	Teresa Serna	https://st-pros.com/newbeginnings/documents/03112026162430-ENT_Referral_Recommendation.docx
03-15-2026 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Valdez, Carlos tiene una cita de terapia de alimentación programada el 03-18-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-15-2026 04:26 PM	Carlos Valdez	Carlos (Prim) Replied: Si
03-15-2026 04:26 PM	Teresa Serna	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.
03-17-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-18-2026 07:52 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-18-2026 11:45 AM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900386
03-18-2026 11:52 AM	Carlos Valdez	Carlos (Prim) Replied: Hola la cita es donde fue la semana pasada?
03-18-2026 11:54 AM	Carlos Valdez	Carlos is CHECKED IN for: 12:00PM-3/18/2026 92526: Feeding Visit
03-19-2026 01:56 PM	Teresa Serna	Hola (: cuando tenga oportunidad, podría hablar con el doctor primario para solicitar una referencia a un otorrinolaringólogo - muchas gracias.
03-22-2026 03:49 PM	Teresa Serna	Hola(: no voy estar el la oficina el 8 de abril. Para recuperar la sesion de ese dia puedo ver a Carlos dos veces esta semana? Martes a las 12:30?
03-22-2026 03:50 PM	Carlos Valdez	Carlos (Prim) Replied: Hola si esta bien 😁
03-22-2026 03:50 PM	Teresa Serna	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 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Valdez, Carlos tiene una cita de terapia de alimentación programada el 03-24-2026 a las 12:30 PM, y el 03-25-2026 a las 12:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-22-2026 04:23 PM	Carlos Valdez	Carlos (Prim) Replied: Si
03-22-2026 04:23 PM	Teresa Serna	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 04:23 PM	Carlos Valdez	Carlos (Prim) Replied: Sería en donde mismo de la vez pasada?
03-22-2026 04:23 PM	Teresa Serna	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 06:31 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada manana a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-24-2026 07:57 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada hoy a las 12:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-24-2026 10:32 AM	Carlos Valdez	Carlos (Prim) Replied: 😉
03-24-2026 12:15 PM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900388
03-24-2026 12:22 PM	Carlos Valdez	Carlos is CHECKED IN for: 12:30PM-3/24/2026 92526: Feeding Visit
03-24-2026 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada manana a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-25-2026 07:51 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Carlos tiene una cita de terapia de alimentación programada hoy a las 12:00 PM. Nos vemos pronto! - New Beginnings 🙂
03-25-2026 11:45 AM	Teresa Serna	Carlos Valdez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900387
03-25-2026 11:51 AM	Carlos Valdez	Carlos is CHECKED IN for: 12:00PM-3/25/2026 92526: Feeding Visit