Patient Name: Moises

Patient Information:

Patient ID: 9913
Patient First Name: Moises
Patient Date of Birth: 01-23-2020
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. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23603Active03-09-202609-04-2026Superior Health Plan52000
23631Active03-23-202604-17-2026Superior Health Plan0010

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2631302-12-2026Speech Initial EvaluationF84.0, F90.9, F80.2
Speech Background History: Moises is a 6-year-old male with a medical history significant for chromosomal deletion, behavioral concerns, Attention-Deficit/Hyperactivity Disorder (ADHD), and insomnia, as reported by the caregiver. Father reported that pregnancy was complicated by maternal diabetes, and delivery occurred at approximately 37 weeks gestation following induction. Birth history was notable for perinatal complications requiring brief resuscitation and an extended neonatal stay in an incubator for approximately one month to support growth and stabilization. Caregiver reported ongoing follow-up with neurology and a behavioral specialist, with current medication management addressing behavioral regulation and sleep difficulties. Father reported concerns related to attention, activity level, and behavioral regulation both at home and across environments. During the evaluation, Moises demonstrated significant difficulty maintaining attention to tasks and remaining seated. He was observed to frequently leave his seat and required repeated redirection to return to structured activities. Caregiver reported similar behaviors at home, describing persistent high activity levels and difficulty with sustained attention. These behaviors impacted his ability to fully participate in structured assessment tasks and may influence performance during testing.
Speech Medical History:
Speech Medications: Father reported that Moises is currently prescribed medication for behavioral regulation and sleep management, including Quillivant (6 mL) and clonidine administered at bedtime.
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: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Speech Communication Strengths: Auditory and visually alert and attentive, Easily separated from Parents, Interactive, Responds to greetings,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Unable to answer questions,
Speech Background Summary:
Speech Diagnosis/Impressions: Based on standardized assessment results, clinical observation, and parent report, Moises presents with a severe mixed receptive-expressive language disorder characterized by significant deficits in language comprehension, expressive language formulation, and functional communication when compared to same-aged peers. At approximately 6 years of age, children are expected to understand increasingly complex sentences, follow multi-step directions, answer and ask a variety of questions, understand inferencing and more abstract language concepts, maintain attention for structured tasks, and communicate using organized sentences to clearly express ideas and needs across settings. Expressively, children at this age typically use grammatically complete sentences, a broad vocabulary including multiple word types, and speech that is largely intelligible to both familiar and unfamiliar listeners. During assessment, Moises demonstrated skills significantly below these developmental expectations, with notable difficulty understanding complex language, answering questions, using varied sentence structures, and maintaining clarity of speech. His language deficits are further impacted by reduced attention to task, difficulty with self-regulation, and decreased intelligibility secondary to rapid rate of speech and phonological errors, all of which significantly interfered with his ability to participate and communicate effectively during testing. Parent report indicates that similar challenges occur in the home environment, including difficulty maintaining positive interactions with siblings and frequent conflicts related to communication breakdowns and regulation challenges. Although Moises demonstrates emerging language strengths, his overall communication skills remain substantially delayed and continue to impact functional communication, social participation, and academic readiness. Skilled speech-language therapy is medically necessary to address receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills to reduce frustration, improve participation across environments, and increase safety and independence. Without intervention, Moises remains at risk for ongoing communication failure, reduced social participation, and continued difficulty meeting age-appropriate communication demands.
Speech Diagnosis/Impressions: Based on standardized assessment results, clinical observation, and parent report, Moises presents with a severe mixed receptive-expressive language disorder characterized by significant deficits in language comprehension, expressive language formulation, and functional communication when compared to same-aged peers. At approximately 6 years of age, children are expected to understand increasingly complex sentences, follow multi-step directions, answer and ask a variety of questions, understand inferencing and more abstract language concepts, maintain attention for structured tasks, and communicate using organized sentences to clearly express ideas and needs across settings. Expressively, children at this age typically use grammatically complete sentences, a broad vocabulary including multiple word types, and speech that is largely intelligible to both familiar and unfamiliar listeners. During assessment, Moises demonstrated skills significantly below these developmental expectations, with notable difficulty understanding complex language, answering questions, using varied sentence structures, and maintaining clarity of speech. His language deficits are further impacted by reduced attention to task, difficulty with self-regulation, and decreased intelligibility secondary to rapid rate of speech and phonological errors, all of which significantly interfered with his ability to participate and communicate effectively during testing. Parent report indicates that similar challenges occur in the home environment, including difficulty maintaining positive interactions with siblings and frequent conflicts related to communication breakdowns and regulation challenges. Although Moises demonstrates emerging language strengths, his overall communication skills remain substantially delayed and continue to impact functional communication, social participation, and academic readiness. Skilled speech-language therapy is medically necessary to address receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills to reduce frustration, improve participation across environments, and increase safety and independence. Without intervention, Moises remains at risk for ongoing communication failure, reduced social participation, and continued difficulty meeting age-appropriate communication demands.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
58791
Plan Date: 02-12-2026
Speech Assessment Summary: Based on standardized assessment results, clinical observation, and parent report, Moises presents with a severe mixed receptive-expressive language disorder characterized by significant deficits in language comprehension, expressive language formulation, and functional communication when compared to same-aged peers. At approximately 6 years of age, children are expected to understand increasingly complex sentences, follow multi-step directions, answer and ask a variety of questions, understand inferencing and more abstract language concepts, maintain attention for structured tasks, and communicate using organized sentences to clearly express ideas and needs across settings. Expressively, children at this age typically use grammatically complete sentences, a broad vocabulary including multiple word types, and speech that is largely intelligible to both familiar and unfamiliar listeners. During assessment, Moises demonstrated skills significantly below these developmental expectations, with notable difficulty understanding complex language, answering questions, using varied sentence structures, and maintaining clarity of speech. His language deficits are further impacted by reduced attention to task, difficulty with self-regulation, and decreased intelligibility secondary to rapid rate of speech and phonological errors, all of which significantly interfered with his ability to participate and communicate effectively during testing. Parent report indicates that similar challenges occur in the home environment, including difficulty maintaining positive interactions with siblings and frequent conflicts related to communication breakdowns and regulation challenges. Although Moises demonstrates emerging language strengths, his overall communication skills remain substantially delayed and continue to impact functional communication, social participation, and academic readiness. Skilled speech-language therapy is medically necessary to address receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills to reduce frustration, improve participation across environments, and increase safety and independence. Without intervention, Moises remains at risk for ongoing communication failure, reduced social participation, and continued difficulty meeting age-appropriate communication demands.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement is fair to good. Moises demonstrates emerging receptive and expressive language skills and benefits from structured support; however, severity of language impairment, reduced attention to task, and decreased intelligibility are expected to impact rate of progress. With consistent, skilled speech-language therapy and caregiver involvement, Moises is expected to make measurable gains in language comprehension, expressive communication, and speech clarity. Continued intervention is necessary to support functional communication, academic readiness, and successful participation across environments.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive LanguageWithin 12 months, Moises will improve receptive language skills by demonstrating understanding of age-appropriate directions, sentence structures, and language concepts with at least 80% accuracy across environments to increase participation in academic and social activities.
Expressive LanguageWithin 12 months, Moises will improve expressive language and speech intelligibility by producing organized, functional verbal messages that are understood by familiar and unfamiliar listeners in 4 out of 5 opportunities across settings.
Speech and Language Short Term Goals:
CategoryGoal Description
Receptive LanguageWithin 6 months, Moises will follow one to two step directions during functional activities (e.g., play routines, clean-up, daily tasks) with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues in order to improve participation in home and preschool routines.
Receptive LanguageWithin 6 months, Moises will answer simple WH-questions (who, what, where) during play activities or picture description tasks with 60% accuracy across three consecutive sessions with minimal to moderate cues in order to improve functional comprehension and conversational participation.
Receptive LanguageWithin 6 months, Moises will demonstrate understanding of basic language concepts (e.g., spatial concepts, pronouns, descriptive concepts) during structured play or daily routines with 60% accuracy across three consecutive sessions in order to improve understanding of directions and classroom expectations.
Expressive LanguageWithin 6 months, Moises will verbally label actions using verbs (e.g., running, eating, jumping) during play or picture description tasks with 80% accuracy across three consecutive sessions with minimal cues in order to improve functional expressive communication.
Expressive LanguageWithin 6 months, Moises will produce three to four word utterances to request, comment, or describe objects and actions during play and daily communication opportunities with 60% accuracy across three consecutive sessions with minimal to moderate cues in order to improve functional communication with caregivers and peers.
Expressive LanguageWithin 6 months, Moises will produce multisyllabic words with appropriate syllable structure and improved intelligibility during functional communication tasks with 80% accuracy across three consecutive sessions with minimal to moderate cues in order to improve listener understanding during daily communication interactions.

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
88151692523: Artic & Language Eval02-12-2026 12:00 PM02-12-2026 01:00 PMStephanie EscobarNB1 east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
91099092507: Speech & Language Visit03-24-2026 05:30 PM03-24-2026 06:00 PMLauryn BarlowNB1 east sideCanceled
91102692507: Speech & Language Visit03-26-2026 05:30 PM03-26-2026 06:00 PMLauryn BarlowNB1 east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
91099192507: Speech & Language Visit03-31-2026 05:30 PM03-31-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91102792507: Speech & Language Visit04-02-2026 05:30 PM04-02-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099292507: Speech & Language Visit04-07-2026 05:30 PM04-07-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91102892507: Speech & Language Visit04-09-2026 05:30 PM04-09-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099392507: Speech & Language Visit04-14-2026 05:30 PM04-14-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91102992507: Speech & Language Visit04-16-2026 05:30 PM04-16-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099492507: Speech & Language Visit04-21-2026 05:30 PM04-21-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103092507: Speech & Language Visit04-23-2026 05:30 PM04-23-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099592507: Speech & Language Visit04-28-2026 05:30 PM04-28-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103192507: Speech & Language Visit04-30-2026 05:30 PM04-30-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099692507: Speech & Language Visit05-05-2026 05:30 PM05-05-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103292507: Speech & Language Visit05-07-2026 05:30 PM05-07-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099792507: Speech & Language Visit05-12-2026 05:30 PM05-12-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103392507: Speech & Language Visit05-14-2026 05:30 PM05-14-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099892507: Speech & Language Visit05-19-2026 05:30 PM05-19-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103492507: Speech & Language Visit05-21-2026 05:30 PM05-21-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91099992507: Speech & Language Visit05-26-2026 05:30 PM05-26-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103592507: Speech & Language Visit05-28-2026 05:30 PM05-28-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100092507: Speech & Language Visit06-02-2026 05:30 PM06-02-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103692507: Speech & Language Visit06-04-2026 05:30 PM06-04-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100192507: Speech & Language Visit06-09-2026 05:30 PM06-09-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103792507: Speech & Language Visit06-11-2026 05:30 PM06-11-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100292507: Speech & Language Visit06-16-2026 05:30 PM06-16-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103892507: Speech & Language Visit06-18-2026 05:30 PM06-18-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100392507: Speech & Language Visit06-23-2026 05:30 PM06-23-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91103992507: Speech & Language Visit06-25-2026 05:30 PM06-25-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100492507: Speech & Language Visit06-30-2026 05:30 PM06-30-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104092507: Speech & Language Visit07-02-2026 05:30 PM07-02-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100592507: Speech & Language Visit07-07-2026 05:30 PM07-07-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104192507: Speech & Language Visit07-09-2026 05:30 PM07-09-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100692507: Speech & Language Visit07-14-2026 05:30 PM07-14-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104292507: Speech & Language Visit07-16-2026 05:30 PM07-16-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100792507: Speech & Language Visit07-21-2026 05:30 PM07-21-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104392507: Speech & Language Visit07-23-2026 05:30 PM07-23-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100892507: Speech & Language Visit07-28-2026 05:30 PM07-28-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104492507: Speech & Language Visit07-30-2026 05:30 PM07-30-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91100992507: Speech & Language Visit08-04-2026 05:30 PM08-04-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104592507: Speech & Language Visit08-06-2026 05:30 PM08-06-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91101092507: Speech & Language Visit08-11-2026 05:30 PM08-11-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104692507: Speech & Language Visit08-13-2026 05:30 PM08-13-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91101192507: Speech & Language Visit08-18-2026 05:30 PM08-18-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104792507: Speech & Language Visit08-20-2026 05:30 PM08-20-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91101292507: Speech & Language Visit08-25-2026 05:30 PM08-25-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104892507: Speech & Language Visit08-27-2026 05:30 PM08-27-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91101392507: Speech & Language Visit09-01-2026 05:30 PM09-01-2026 06:00 PMLauryn BarlowNB1 east sideScheduled
91104992507: Speech & Language Visit09-03-2026 05:30 PM09-03-2026 06:00 PMLauryn BarlowNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
03-19-2026Shekinah VelasquezST auth approved starting 03/09/2026 - 09/04/2026 2x/ week = 52 visits
03-12-2026Shekinah VelasquezAdditional info submitted to SHP via fax. Pending determination
03-05-2026Shekinah VelasquezST auth request submitted to SHP via fax. Pending approval
03-03-2026Shekinah VelasquezParent called to ask that all records be sent to Dr. Antonwon due to a long turn around with signatures. Resending all paperwork being sent to PCP. Call being to PCP office to get update. Pending signatures.
03-03-2026Julie MoraDr office called requesting us to refax ST documentation for Dr signatures. Pending signatures
02-25-2026Shekinah VelasquezST paperwork sent to PCP via fax. Pending signatures
01-16-2026Avery FontenotCalled doctors office and they stated pt has to be seen but they have an appointment on the 23.
01-14-2026Avery FontenotFront 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:

DateServiceTherapistDescription
03-26-202692507Barlow, LaurynThe parent updated the therapist around 7 hours before the scheduled appointment.
03-24-202692507Barlow, LaurynThe parent notified the therapist around 4 hours before scheduled session.

Paient Messages Admin:

DatePosted ByMessage
09-05-2025 03:11 PMAvery FontenotPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2160
01-13-2026 01:27 PMAvery FontenotPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2160
01-13-2026 07:54 PMShekinah VelasquezMoises 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=9913&type=1&wid=487
01-13-2026 07:55 PMShekinah VelasquezMoises 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=9913&type=3&wid=488
01-20-2026 12:09 PMCaleb 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 02:28 PMAvery FontenotEmail for New Beginnings: Jmora@newbeginnings-elp.com
02-03-2026 03:51 PMCaleb 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 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:49 PMStephen TulliusPlease 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=9913
02-18-2026 04:16 PMStephen TulliusFor those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :)

Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 PMStephen TulliusPlease 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=9913
03-11-2026 05:39 PMStephen TulliusHello, 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 01:33 PMShekinah VelasquezHi, Moises 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=9913&tid=144

Paient Messages Therapist:

DatePosted ByMessage
02-11-2026 06:30 PMStephanie EscobarHi, this is a just a reminder that Moises has a Speech Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 07:53 AMStephanie EscobarHi, this is a just a reminder that Moises has a Speech Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 11:45 AMStephanie EscobarMoises Cedillos : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881516
02-12-2026 01:46 PMStephanie EscobarHello these are the questions that I needed answered :) 1.) Any complications with pregnancy or birth? 2.) major illnesses or accident since last check up? Any medical diagnoses (i.e., Autism, ADHD, down syndrome, etc.)? 3.) developmental milestones met within normal limits? or delayed? 4.) sleeping or breathing issues? does patient get 8-10 hrs sleep? wake up several times a night? snoring? sleep with mouth open or closed? enlarged tonsils? 5.) medications? 6.) education? (i.e., day care, preschool) 7.) vision or hearing issues? 8.) In your a few words write your parental concerns with SPEECH and LANGUAGE along with your child’s strengths. 9.) when did your concerns begin? 10) Any history of previous therapy (i.e., speech, occupational therapy, physical therapy, counseling, etc.) Thank you so much!
02-13-2026 01:13 PMMoises CedillosMoises (Prim) Replied: Hi good afternoon
02-13-2026 01:13 PMStephanie EscobarHi, 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.
02-13-2026 01:17 PMMoises CedillosMoises (Prim) Replied: As far as the pregnancy goes, I was induced at 37 weeks because of my diabetes.As far as complications during labor moises got stuck in my pelvic area and I had a hard time pushing him out.I had to have a lot of the nurses helped me because it was just too difficult.He lost for about a couple of minutes, so they did have to revive him.He spent about a month in the incubator until he gained a little bit of weight , he's been Seen a neurologists since he's been born we don't see him as much, but he is still his doctor so he appointed us to a behavioral specialist I'll, send you a picture of her card and she's the one who's been seeing him prescribing autism , his medications , we try to see her every thirty days
02-13-2026 01:17 PMStephanie EscobarHi, 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.
02-13-2026 01:19 PMMoises CedillosMoises (Prim) Replied: Moises was diagnosed with CHROMOSOME DELETION , BEHAVIORAL PROBLEMS ADHD ,AND INSOMNIA
02-13-2026 01:19 PMStephanie EscobarHi, 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.
02-13-2026 01:24 PMMoises CedillosMoises (Prim) Replied: His medications are quivalent 6mL for behavior,and clonidine 4tablets at bedtimeFor insomnia
02-13-2026 01:25 PMStephanie EscobarHi, 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.
02-13-2026 01:27 PMMoises CedillosMoises (Prim) Replied: As far as him reaching his milestones on time that has definitely been a delay. He definitely did things out of later time than most kids.As far as him being able to communicate, he's doing a lot better but definitely needs a lot of help.I can pretty much understand most of what he needs or wants , but there are some occasions that I just don't understand he gets very upset he's doing a lot better than what he was and he is an awesome student according to the teacher
02-13-2026 01:27 PMStephanie EscobarHi, 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.
02-13-2026 01:30 PMMoises CedillosMoises (Prim) Replied: As far as his sleeping patterns we're still trying to get him to where he needs to be as far as sleeping all night. He wakes up several times out of the night. Whether it's for something to eat or something a drink, he's up regardless of his medication, he thinks it's playtime all day and all night, so it's definitely been a challenge. I tend to put him to bed a little earlier than usual because of this fact that he has a full schedule and he is nonstop , so I get a little complicated for me to keep up sometimes he goes to better round seven and he does have his 8 hours so he does wake up feeling very energetic i have tried to do bedtime at 8 but he still gets his full 8 hours of sleep and is right back up again.
02-13-2026 01:30 PMStephanie EscobarHi, 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.
02-13-2026 01:32 PMMoises CedillosMoises (Prim) Replied: He had his six year physical on his birthday , january twenty third , and we found out that his tonsils are very large and almost touching.So I already made an appointment for the sleep study and for nose, throat and ear. , doctor to see if he needs surgery, those appointments will be coming up pretty soon.
02-13-2026 01:32 PMStephanie EscobarHi, 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.
02-13-2026 01:34 PMMoises CedillosMoises (Prim) Replied: I have less of my concern of his communication because he is definitely doing well, we just need to continue to practice. His behavior could be a lot better and testing my patients went off medication as far as his strengths he's a bright child, he's very fun-loving, he's very strong-minded and opinionated, he knows what he likes and wants, and he's not afraid to go for it.
02-13-2026 01:34 PMStephanie EscobarHi, 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.
02-13-2026 01:36 PMMoises CedillosMoises (Prim) Replied: My concern began when he was 3 years old before that, he was a normal child.\n They did testing and the neurologist. Called me to let me know what the problem was and why he was having such a difficult time, all of a sudden, and that's when we found out about his chromosome deletion diagnosis, our whole life changed.he wasn't the same little boy it took some time to get used to the new child.I had an even till now.I'm still not fully adjusted.There's a long road ahead of us
02-13-2026 01:36 PMStephanie EscobarHi, 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.
02-13-2026 01:38 PMMoises CedillosMoises (Prim) Replied: He was doing o t for tots until they shut down but he is definitely getting all these services in school. The occupational therapies speech therapy counseling, we're in a diaper program since he doesn't eat very well. I just started boost kids program for the health drinks. He\nHas disability medicaid star plus so it allows him to get whatever services he needs without being denied
02-13-2026 01:38 PMStephanie EscobarHi, 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.
02-13-2026 01:38 PMMoises CedillosMoises (Prim) Replied: I hope this helps please.If you need any more information, don't hesitate to text me or call me.My phone number is 9154438947 call anytime.Thank you
02-13-2026 01:38 PMStephanie EscobarHi, 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.
03-20-2026 05:27 PMLauryn BarlowGood evening! Great news, I was able to squeeze Moises into my schedule right after Sebastian's sessions. Does 5:30 pm on Tuesdays and Thursdays work well for you all?
03-22-2026 04:02 PMLauryn BarlowHi, this is a just a reminder that Cedillos, Moises has a Speech Therapy appointment on 03-24-2026 at 5:30 PM, and on 03-26-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:45 PMMoises CedillosMoises (Prim) Replied: Yes
03-22-2026 04:45 PMLauryn BarlowHi, 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 PMLauryn BarlowHi, this is a just a reminder that Moises has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:08 AMLauryn BarlowHi, this is a just a reminder that Moises has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-24-2026 01:24 PMLauryn BarlowLauryn Barlow CANCELLED:
5:30PM-3/24/2026
92507: Speech & Language Visit
03-25-2026 06:30 PMLauryn BarlowHi, this is a just a reminder that Moises has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-26-2026 07:57 AMLauryn BarlowHi, this is a just a reminder that Moises has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-26-2026 09:39 AMMoises CedillosMoises (Prim) Replied: Hi, good morning.I was gonna let you know that if we could go ahead and start the sessions again next week.The reason being is because I'm in the process of moving and we have a lot to get done.We have a deadline to get out of the other apartment and we have a lot to move.So if we can , please schedule everything for next week on tuesday for both as a boy that would be awesome
03-26-2026 11:55 AMLauryn BarlowNo problem, I understand :) We will talk about scheduling the make-up sessions next week. Good luck with the move!
03-26-2026 11:58 AMLauryn BarlowLauryn Barlow CANCELLED:
5:30PM-3/26/2026
92507: Speech & Language Visit
03-26-2026 12:36 PMSaul Tercero Jr.Good afternoon, my name is Saul Tercero, occupational therapist from New Beginnings Pediatrics, I received a referrals 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 11am, 12 or 1pm, I also have 3/31 Tuesday open at 3pm. Will one of these days and times work for you all?