New Beginnings | NB1-Office

Patient Name: Sebastian

Patient Information:

Patient ID: 9912

Patient First Name: Sebastian

Patient Date of Birth: 09-16-2021

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Cenan, Antowan

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
23522	Active	03-09-2026	09-04-2026	Superior Health Plan	52	0	0	0
23632	Active	03-23-2026	04-17-2026	Superior Health Plan	0	0	1	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26260	02-12-2026	Speech Initial Evaluation	F80.2, F84.0
Speech Background History: Sebastian is a 4-year, 4-month old male who was seen at New Beginnings Pediatrics on February 12th, 2025 from 12:00pm to 1:00pm for an initial speech and language evaluation. Sebastian was accompanied by his mother who served as his primary informant regarding his medical history. Parent reports there is a history of speech and language delays within the family. Sebastian was referred due to parental and physician concerns with his receptive and expressive language skills. Currently, Sebastian produces approximately 3-words (ma, no, yeah) and consistently produce /d/ for all word and sound productions. He is not reported to imitate words and/or animal/environmental/play noises. There are no concerns with fluency or voice at this time, however, there are ongoing feeding concerns related to a limited and nutritionally inadequate diet, compounded by medication-related appetite suppression. Sebastian's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: Sebastian has a diagnosis of Autism Spectrum Disorder (ASD), however, per parent report, the specific DSM-5 severity level (Level 1, 2, or 3) was not identified and/or is currently unknown. Sebastian was born at 37 weeks’ gestation via cesarean section following induction of labor due to suspected macrosomia (estimated fetal weight greater than 9 pounds in utero). His birth weight was 8 pounds. At delivery, the umbilical cord was noted to be wrapped around his neck (nuchal cord), resulting in a brief period of oxygen deprivation. He required admission to the Neonatal Intensive Care Unit (NICU) for four days for monitoring and stabilization. Sebastian's hearing and vision are within normal limits (WNL), with no current concerns or impairments noted. There is no history of allergies. No other surgical procedures or hospitalizations are reported in his history.
Speech Medications: Sebastian is currently prescribed Risperidone 0.25 mg, administered orally once daily in the morning for management of aggression; Quillivant XR (methylphenidate extended-release) 4 mL oral suspension, administered once daily during school hours for Attention-Deficit/Hyperactivity Disorder (ADHD); and Clonidine 3 mL oral suspension, administered once daily for management of sleep disturbance/insomnia.
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Easily separated from Parents, Follows verbal command with cues, Interactive, Makes requests, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor vocabulary, Problems with organization and relevance, Repetitiveness, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible, Use of jargon, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary: Pragmatics refers to the social use of language, including the ability to engage in effective communication, understand social cues, and adjust language based on context and audience. In a speech-language assessment, evaluation of pragmatic skills involves observing a child’s ability to initiate and maintain interactions, participate in turn-taking, interpret verbal and nonverbal cues, and use language appropriately across social contexts. Sebastian demonstrates emerging pragmatic skills, including appropriate eye contact and engagement during social interactions. He actively participates in both formal and informal social exchanges and demonstrates good emerging attention to verbal and nonverbal cues. He exhibits challenges with social reciprocity at times. Specifically, he may take preferred items directly from others’ hands and demonstrates inconsistent ability to share materials, requiring adult support and prompting to facilitate appropriate peer interactions.
Speech Diagnosis/Impressions: Sebastian is a 4-year, 4-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Autism Spectrum Disorder (F84.0). These deficits impact Sebastian's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Sebastian receives services 2x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Sebastian is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Sebastian's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his 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 Sebastian is not able to clearly or effectively communicate his needs and wants for his 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, Sebastian 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: Sebastian is a 4-year, 4-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Autism Spectrum Disorder (F84.0). These deficits impact Sebastian's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Sebastian receives services 2x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Sebastian is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Sebastian's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his 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 Sebastian is not able to clearly or effectively communicate his needs and wants for his 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, Sebastian will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58425

Plan Date: 02-12-2026

Speech Assessment Summary: Sebastian is a 4-year, 4-month old male who is demonstrating a Severe Mixed Receptive and Expressive Language Disorder (F80.2) secondary to Autism Spectrum Disorder (F84.0). These deficits impact Sebastian's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Sebastian receives services 2x/week for up to 60minute sessions. Therapy should be conducted in patient’s dominant language. Parent is aware of the diagnosis and prognosis with and without treatment. Parents are also aware of New Beginnings Pediatric Therapy's attendance policy of not falling below 90% monthly attendance. If the patient does not demonstrate consistent, regular attendance in accordance with New Beginnings Pediatric Therapy's policy, they are subject to having speech therapy services reduced or placed on hold. Sebastian is a strong candidate for speech therapy intervention. Parent understands the importance of carryover and the need for continuum of care within the home environment. A frequency of 2x/week for 6 months is recommended due to the Sebastian's need for intervention in order to prevent regression and/or failure to retain newly learned skills. Telehealth services may also be provided as clinically appropriate and according to board rules. To not warrant services at this frequency will hinder the patient’s progress and development. Discharge date is to be determined based on the patient's progress towards his 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 Sebastian is not able to clearly or effectively communicate his needs and wants for his 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, Sebastian will be seen for skilled therapy services at the recommended frequency, however treatment will not begin until the referring physician has signed this plan of care and the insurance authorization is received. Once insurance authorization is approved, the patient will receive therapy services as recommended herein unless the frequency, duration or amount of therapy is changed by the payer or at the parent/patient’s request. All missed or cancelled visits will be made up in the current authorization period. Any changes to this treatment recommendation will be reported to the referring physician in the next progress summary or evaluation report whichever comes due first as per state/federal regulations.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis with therapy is good, prognosis without therapy is guarded. Sebastian will be discharged from speech therapy when all of his goals are met and he receives a standard score above 1.5 standard deviations for all impairments, indicating that his expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating his Home Management Intervention Program at home. The frequency of therapy sessions will be 2x/week for 3045 minutes.

Speech and Language Long Term Goals:

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

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	#1.1: Within 6 months, Sebastian will increase his ability to use 1-2 symbols/signs/words for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Sebastian will increase his ability to label a variety of developmentally appropriate nouns and verbs with 40% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Sebastian will increase his ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 3/5 opportunities across 3 consecutive sessions, improving his receptive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.2: Within 6 months, Sebastian will increase his ability to identify a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving his receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Pragmatic Language	#3.1: Within 6 months, Anthony will engage in joint attention routines (e.g., looking toward partner, orienting to name, following partner’s point, sharing an activity) for at least 1-minute in 3/5 opportunities across 3 consecutive sessions, improving his social engagement and shared attention skills, as measured by therapist collected data and observations.
Pragmatic Language	#3.2: Within 6 months, Anthony will participate in simple turn-taking routines (e.g., rolling a ball, activating a toy, completing a structured game turn) for at least 3 turns in 3/5 opportunities across 3 consecutive sessions, improving his reciprocal social interaction and early pragmatic skills, as measured by therapist-collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

491284

Note Date: 03-24-2026

Subjective: Patient needed frequent reminders to return to task,Patient was distractible and inattentive,Patient was uncooperative,

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. - N/A #1.1: Within 6 months, Sebastian will increase his ability to use 1-2 symbols/signs/words for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations. - Sebastian increased his ability to use 1-2 symbols/signs/words for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 5% accuracy, given maximum multimodal cues and hand-over-hand assistance. #3.1: Within 6 months, Anthony will engage in joint attention routines (e.g., looking toward partner, orienting to name, following partner’s point, sharing an activity) for at least 1-minute in 3/5 opportunities across 3 consecutive sessions, improving his social engagement and shared attention skills, as measured by therapist collected data and observations. - Sebastian engaged in joint attention routines (e.g., looking toward partner, orienting to name, following partner’s point, sharing an activity) for at least 10 seconds in 5/20 opportunities, given maximum multimodal cues.

Plans: Continue with current Plan of Care,Continue with Speech Therapy,

Additional Notes: The parents had asked the therapist to increase the time of their sessions from 30 minutes to 45 minutes. The therapist and her supervisor spoke with both parents that, at the moment, it would be best to keep the time of the sessions at 30 minutes each to increase the patient's comfort level with the therapist. The therapist and her supervisor stated that the increase in time can be revisited in the future.

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
881517	92523: Artic & Language Eval	02-12-2026 12:00 PM	02-12-2026 01:00 PM	Rachael Haduck	NB1 east side	Completed
906326	92507: Speech & Language Visit	03-12-2026 05:00 PM	03-12-2026 05:30 PM	Lauryn Barlow	NB1 east side	Completed
907112	92507: Speech & Language Visit	03-17-2026 05:00 PM	03-17-2026 05:30 PM	Lauryn Barlow	NB1 east side	Completed
907149	92507: Speech & Language Visit	03-19-2026 05:15 PM	03-19-2026 05:45 PM	Lauryn Barlow	NB1 east side	Completed
910220	NB001: Supervision	03-19-2026 05:15 PM	03-19-2026 05:45 PM	Stephanie Escobar	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907113	92507: Speech & Language Visit	03-24-2026 05:00 PM	03-24-2026 05:30 PM	Lauryn Barlow	NB1 east side	Canceled
907150	92507: Speech & Language Visit	03-26-2026 05:00 PM	03-26-2026 05:30 PM	Lauryn Barlow	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907114	92507: Speech & Language Visit	03-31-2026 05:00 PM	03-31-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907151	92507: Speech & Language Visit	04-02-2026 05:00 PM	04-02-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907115	92507: Speech & Language Visit	04-07-2026 05:00 PM	04-07-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907152	92507: Speech & Language Visit	04-09-2026 05:00 PM	04-09-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907116	92507: Speech & Language Visit	04-14-2026 05:00 PM	04-14-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907153	92507: Speech & Language Visit	04-16-2026 05:00 PM	04-16-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907117	92507: Speech & Language Visit	04-21-2026 05:00 PM	04-21-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907154	92507: Speech & Language Visit	04-23-2026 05:00 PM	04-23-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907118	92507: Speech & Language Visit	04-28-2026 05:00 PM	04-28-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907155	92507: Speech & Language Visit	04-30-2026 05:00 PM	04-30-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907119	92507: Speech & Language Visit	05-05-2026 05:00 PM	05-05-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907156	92507: Speech & Language Visit	05-07-2026 05:00 PM	05-07-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907120	92507: Speech & Language Visit	05-12-2026 05:00 PM	05-12-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907157	92507: Speech & Language Visit	05-14-2026 05:00 PM	05-14-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907121	92507: Speech & Language Visit	05-19-2026 05:00 PM	05-19-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907158	92507: Speech & Language Visit	05-21-2026 05:00 PM	05-21-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907122	92507: Speech & Language Visit	05-26-2026 05:00 PM	05-26-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907159	92507: Speech & Language Visit	05-28-2026 05:00 PM	05-28-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907123	92507: Speech & Language Visit	06-02-2026 05:00 PM	06-02-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907160	92507: Speech & Language Visit	06-04-2026 05:00 PM	06-04-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907124	92507: Speech & Language Visit	06-09-2026 05:00 PM	06-09-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907161	92507: Speech & Language Visit	06-11-2026 05:00 PM	06-11-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907125	92507: Speech & Language Visit	06-16-2026 05:00 PM	06-16-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907162	92507: Speech & Language Visit	06-18-2026 05:00 PM	06-18-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907126	92507: Speech & Language Visit	06-23-2026 05:00 PM	06-23-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907163	92507: Speech & Language Visit	06-25-2026 05:00 PM	06-25-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907127	92507: Speech & Language Visit	06-30-2026 05:00 PM	06-30-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907164	92507: Speech & Language Visit	07-02-2026 05:00 PM	07-02-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907128	92507: Speech & Language Visit	07-07-2026 05:00 PM	07-07-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907165	92507: Speech & Language Visit	07-09-2026 05:00 PM	07-09-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907129	92507: Speech & Language Visit	07-14-2026 05:00 PM	07-14-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907166	92507: Speech & Language Visit	07-16-2026 05:00 PM	07-16-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907130	92507: Speech & Language Visit	07-21-2026 05:00 PM	07-21-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907167	92507: Speech & Language Visit	07-23-2026 05:00 PM	07-23-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907131	92507: Speech & Language Visit	07-28-2026 05:00 PM	07-28-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907168	92507: Speech & Language Visit	07-30-2026 05:00 PM	07-30-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907132	92507: Speech & Language Visit	08-04-2026 05:00 PM	08-04-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907169	92507: Speech & Language Visit	08-06-2026 05:00 PM	08-06-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907133	92507: Speech & Language Visit	08-11-2026 05:00 PM	08-11-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907170	92507: Speech & Language Visit	08-13-2026 05:00 PM	08-13-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907134	92507: Speech & Language Visit	08-18-2026 05:00 PM	08-18-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907171	92507: Speech & Language Visit	08-20-2026 05:00 PM	08-20-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907135	92507: Speech & Language Visit	08-25-2026 05:00 PM	08-25-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907172	92507: Speech & Language Visit	08-27-2026 05:00 PM	08-27-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907136	92507: Speech & Language Visit	09-01-2026 05:00 PM	09-01-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled
907173	92507: Speech & Language Visit	09-03-2026 05:00 PM	09-03-2026 05:30 PM	Lauryn Barlow	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-06-2026	Shekinah Velasquez	ST auth approved starting 03/09/2026 - 09/04/2026 2x/ week = 52 visits. Therapist assigned and notified.
02-27-2026	Shekinah Velasquez	ST auth request submitted to SHP. Pending approval.
02-17-2026	Shekinah Velasquez	ST IE paperwork sent to PCP. pending signatures
01-14-2026	Avery Fontenot	Front office called mom confirming her preferred treatment times when the time comes for the patient to be evaluated. Mom stated is soon as possible and verbally agreed to times between 9am - 1pm.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-26-2026	92507	Barlow, Lauryn	The parent updated the therapist around 7 hours before the scheduled appointment.
03-24-2026	92507	Barlow, Lauryn	The parent notified the therapist around 4 hours before scheduled session.

Paient Messages Admin:

Date	Posted By	Message
09-05-2025 03:12 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2161
01-13-2026 01:27 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2161
01-14-2026 08:35 AM	Shekinah Velasquez	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2161
01-14-2026 03:39 PM	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=9912&type=1&wid=497
01-14-2026 03:40 PM	Shekinah Velasquez	Sebastian has been added to our Occupational 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=9912&type=3&wid=498
01-16-2026 03:14 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.
01-20-2026 12:09 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 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:28 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=9912
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-06-2026 06:47 PM	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=9912&tid=144
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=9912
03-11-2026 05:39 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/
03-19-2026 01:35 PM	Sebastian Cedillos	Hi, this is Daisy.I was just gonna ask you.Were you gonna be able to see moses today
03-19-2026 03:12 PM	Sebastian Cedillos	I was going to ask.Would it be okay if we do sebastian , forty five minutes and moises 30 min i think in 30 minutes you will get more out of moises then sebastian , I thinks sebastian needs for 45 minutes

Paient Messages Therapist:

Date	Posted By	Message
02-01-2026 10:06 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP
02-02-2026 12:56 PM	Rachael Haduck	Office Location Change Dear Parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. This is a friendly reminder that my office is moving from 1510 Zaragosa, Building A to 1510 Zaragosa Building B. DIRECTIONS: When you first pull into the parking lot, drive straight all the way to the end. On your right, you will see a sign that reads “1510 Zaragoza, Building A” — turn right there. If you turn left at the sign, it will take you to the main office, so please be sure to turn right. Continue driving to the end of the parking lot; the last building is my new office location. Please note that all future appointments will take place in Building B. If you have any questions or concerns, please contact me or front office at (915) 855-0601. NOTICE: Just another friendly reminder that I will be out of the office tomorrow, Monday, February 2nd, but will still be available by text if needed. Kindest, Rachael, CCC-SLP 02-01-2026 02:11 PM Office Location Change
02-10-2026 03:05 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to reach out ahead of Sebastian's evaluation to learn more about your primary concerns for him. 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.
02-11-2026 03:26 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out again to learn more about your primary concerns for him. 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.
02-11-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Sebastian has a Speech Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 07:54 AM	Rachael Haduck	Hi, this is a just a reminder that Sebastian has a Speech Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 11:45 AM	Rachael Haduck	Sebastian Cedillos : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881517
03-07-2026 12:28 PM	Lauryn Barlow	Good afternoon, 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 the frequency of 2x a week starting the week of 03/09/2026. I would like to go ahead and get him scheduled in for his set times every week. I was told that you wanted the appointments to occur at 5pm, and luckily I have that time slot available Monday-Thursday. Please let me know which 2 days you would like to be scheduled and if that time slot still works best for you. Thank you and I look forward to meeting you both!
03-10-2026 08:46 AM	Lauryn Barlow	Good morning! I wanted to follow up on the message I sent on Saturday regarding Sebastian's speech therapy schedule. As approved by insurance, he will be seen two times per week. I still have the 5 pm time slot available Monday- Thursday as requested. Please let me know if that still works for you so we can finalize his schedule. Thank you! :)
03-10-2026 08:49 AM	Sebastian Cedillos	Sebastian (Prim) Replied: Hi, this is Daisy.I am so sorry that I'm barely getting back to you.I've been super busy, but yes, 5 o'clock would be great.I'm not sure what damn i'm gonna ask my husband and then I will text you back and let you know what day but , yes , the sessions will be for 5
03-10-2026 08:50 AM	Sebastian Cedillos	Sebastian (Prim) Replied: I wanna schedule both of my boys on the same day.Because they're doing occupational therapy and speech , I don't have to be driving back and forth
03-10-2026 08:52 AM	Sebastian Cedillos	Sebastian (Prim) Replied: When you get a chance, can you please give me a call?My phone number is 915443-8947
03-10-2026 09:00 AM	Lauryn Barlow	You got it!
03-10-2026 09:20 AM	Lauryn Barlow	Unfortunately, I did not get a response. I will try again at 10am.
03-10-2026 10:12 AM	Sebastian Cedillos	Sebastian (Prim) Replied: I Am at the dentist's office with my other child.He's getting a cavity fill
03-10-2026 10:12 AM	Sebastian Cedillos	Sebastian (Prim) Replied: You can either call me in about an hour or I can call you back
03-10-2026 10:20 AM	Lauryn Barlow	Yes, go ahead and call me when you get the chance. I have a patient at 12:30 pm, so as long as it is before that. :)
03-10-2026 01:00 PM	Lauryn Barlow	The front office mentioned you called back. My session is now over. What time would you like me to call back? Or would you prefer just to discuss the days wanted over the message?
03-11-2026 08:59 AM	Lauryn Barlow	Good morning, Daisy :) Would you like to discuss the days we will be scheduling Sebastian over message or during a phone call? Let me know a time today that I can call you, if you prefer over the phone.
03-11-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 07:59 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 04:45 PM	Lauryn Barlow	Sebastian Cedillos : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906326
03-12-2026 05:02 PM	Sebastian Cedillos	Sebastian is CHECKED IN for: 5:00PM-3/12/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Cedillos, Sebastian has a Speech Therapy appointment on 03-17-2026 at 5:00 PM, and on 03-19-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:03 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Yes
03-15-2026 04:03 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.
03-16-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 08:02 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 01:27 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Hi Lauryn it's daisy cedillos i was gonna ask\nMy son Moses just got approved by the insurance.I was gonna see if we can set up a session with you for him on thursday , I know you see sebastian that day too I was gonna see if we can go ahead and set up those days for moses also
03-17-2026 01:28 PM	Sebastian Cedillos	Sebastian (Prim) Replied: It would be for tuesday and thursdays at 5 for both boys
03-17-2026 03:08 PM	Lauryn Barlow	Hello Daisy! That's great to hear. Have you mentioned to the front office that you would like me to be Moses' speech therapist as well? On Thursdays, luckily, I have a slot right after Sebastian open at 5:30pm, but unfortunately, I don't have the same time slot open on Tuesdays. On Tuesdays, I can see him at 6pm if that works for you?
03-17-2026 04:45 PM	Lauryn Barlow	Sebastian Cedillos : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907112
03-17-2026 05:37 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Me and my husband were talking it over and we were wondering if you can make the sessions for both of the boys 45 minutes. We're driving out a distance away just for 30 minutes it harley seems worth the time.What do you think about 45 minutes for each boy text me and let me know
03-17-2026 05:38 PM	Sebastian Cedillos	Sebastian (Prim) Replied: 45 minutes for each child seem more beneficial to their needs
03-17-2026 07:16 PM	Lauryn Barlow	First, I would like for my supervisor to observe one of our sessions before we decide to extend our time. Please let me know if you have questions, she will observe me on Thursday at 5pm.
03-17-2026 07:35 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Okay sounds good
03-17-2026 07:35 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.
03-17-2026 07:36 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Well, hopefully we can do 45 minutes.Because it hardly seems worth it for me and my husband to drive all the way down there.He was looking at me right now like we're done.He thought it was an hour-long.He said it's just too short of a time.For how long the drive is , so if you can , please express that to the supervisor also and to consideration
03-17-2026 07:36 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.
03-18-2026 04:48 PM	Lauryn Barlow	Good afternoon, I was wondering if it was okay to change Sebastian's appointment time tomorrow from 5pm to 5:15pm, because that is when my supervisor will be available to observe. Also, I reached out to the front office about having me see Moses for speech therapy as well, but I have not received authorization to see Moses yet. I will let you know when I do.
03-18-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 06:49 PM	Sebastian Cedillos	Sebastian (Prim) Replied: O k , that's fine if we change the appointment to 5:15
03-18-2026 06:50 PM	Sebastian Cedillos	Sebastian (Prim) Replied: yes , please let me know if you hear anything for moises
03-19-2026 07:58 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-19-2026 05:00 PM	Lauryn Barlow	Sebastian Cedillos : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907149
03-19-2026 05:07 PM	Sebastian Cedillos	Sebastian is CHECKED IN for: 5:15PM-3/19/2026 92507: Speech & Language Visit
03-19-2026 06:06 PM	Stephanie Escobar	Hi Mrs. Cedillos, this is Stephanie. Thank you so much for taking the time to meet with me today I truly appreciate it. I also appreciate your understanding regarding starting with 30-minute sessions for now, with the plan to increase to 45 minutes in the future as appropriate. I spoke with our front office, and they let me know they will be reaching out to you soon regarding OT services. Please don’t hesitate to reach out if you have any questions at all I’m happy to help! 😊
03-19-2026 09:02 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Yes, ma'am, thank you, no problem. Thank you for meeting with me regarding this matter it was very nice to meet you today and look forward to working with you
03-19-2026 09:02 PM	Stephanie Escobar	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 04:02 PM	Lauryn Barlow	Hi, this is a just a reminder that Cedillos, Sebastian has a Speech Therapy appointment on 03-24-2026 at 5:00 PM, and on 03-26-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:31 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:02 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 09:20 AM	Lauryn Barlow	Good morning, just a reminder to submit your signature for our session last Thursday, please. Thank you, and I will see you later today!
03-24-2026 12:58 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Hi, good afternoon.This is Daisy.Hey, I was gonna let you know that I'm probably gonna have to cancel for today.For both of the boys, we were up late last night because they weren't feeling good.When was growing up?And the other one was having diarrhea, they didn't even go to school today.They're asleep at the moment.So I just wanted to let you know that I will see you on Thursday.Sorry for the inconvenience
03-24-2026 01:22 PM	Lauryn Barlow	Oh no, I'm sorry to hear that! I hope they feel better soon, hopefully they'll feel better by our Thursday session. If not, just let me know by Wednesday evening if they'll be able to make it or not. Then we'll schedule some makeup visits next week :) I will go ahead cancel both boys' appointments for today.
03-24-2026 01:24 PM	Sebastian Cedillos	Sebastian (Prim) Replied: Thank you so much for your understanding.I do appreciate it.There's been so much going on when the process of moving to the other apartment
03-24-2026 01:24 PM	Lauryn Barlow	Lauryn Barlow CANCELLED: 5:00PM-3/24/2026 92507: Speech & Language Visit
03-24-2026 03:58 PM	Lauryn Barlow	No worries, just don't forget to submit your signature for last Thursday's session :)
03-25-2026 06:30 PM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:15 PM	Lauryn Barlow	Good afternoon! How are the boys feeling? If you feel they should rest up the rest of the week, we can try next week to see them. If they are feeling 100%, then let's keep our session for tomorrow. Let me know what you would prefer. Thank you, and hope you are all doing well.
03-26-2026 07:54 AM	Lauryn Barlow	Hi, this is a just a reminder that Sebastian has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-26-2026 11:57 AM	Lauryn Barlow	Lauryn Barlow CANCELLED: 5:00PM-3/26/2026 92507: Speech & Language Visit
03-26-2026 01:18 PM	Saul Tercero Jr.	Good afternoon, my name is Saul Tercero, occupational therapist from New Beginnings Pediatrics, I received a referral for both Sebastian and Moises to complete an occupational therapy evaluation. I wanted to share my next available dates and times: 3/30 Monday at 11, 12 or 1pm or on 3/31 Tuesday at 3pm. Will one of these days and times work for you all?
03-27-2026 07:11 AM	Sebastian Cedillos	Sebastian (Prim) Replied: Hi this is daisy cedillos set alarm, getting back to you were in the process of moving apartments.So it's been so busy if you can get a chance to give me a call.So we could talk about the evaluation and what day I know for sure I can go Tuesday?I have a social security appointment , but if you can give me a call 915)443- 8947
03-27-2026 07:11 AM	Sebastian Cedillos	Sebastian (Prim) Replied: Whatever apartment number you have. If you can, please change it to apartment 19, it's no longer 46.