Patient Name: Noah

Patient Information:

Patient ID: 9915
Patient First Name: Noah
Patient Date of Birth: 10-10-2014
Gender: male
Assigned Office: NB1 east side
Primary Care Physician: Teresa , Marquez Smith
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
23605Active03-16-202609-11-2026Superior Health Plan52000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2624102-03-2026Speech Initial EvaluationF80.2
Speech Background History: Noah is an 11 year, 3 month old male who was evaluated due to parent concerns with speech and answering questions. Mother reported Noah does not do well with multistep directions and requires instructions to be broken down 1-step at a time.
Speech Medical History: Mother reported Noah was born prematurely at 32 weeks and spent 28 days in the NICU. His last check up was reported to be on January 2026 with no concerns reported.
Speech Medications: Atomoxetine 60mg
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Easily separated from Parents,
Speech Communication Weaknesses: Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize), Word finding difficulties,
Speech Background Summary:
Speech Diagnosis/Impressions: Based on parent report, clinical observations, and standardized testing Noah presents with a PROFOUND mixed expressive-receptive language disorder. Noah demonstrates significant deficits in semantic knowledge, comprehension of multistep and conditional directions, sentence formulation, grammatical complexity, and linguistic working memory. These deficits are expected to impact academic performance and functional communication, supporting the need for speech-language intervention.
Speech Diagnosis/Impressions: Based on parent report, clinical observations, and standardized testing Noah presents with a PROFOUND mixed expressive-receptive language disorder. Noah demonstrates significant deficits in semantic knowledge, comprehension of multistep and conditional directions, sentence formulation, grammatical complexity, and linguistic working memory. These deficits are expected to impact academic performance and functional communication, supporting the need for speech-language intervention.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
58377
Plan Date: 02-03-2026
Speech Assessment Summary: Based on parent report, clinical observations, and standardized testing Noah presents with a PROFOUND mixed expressive-receptive language disorder. Noah demonstrates significant deficits in semantic knowledge, comprehension of multistep and conditional directions, sentence formulation, grammatical complexity, and linguistic working memory. These deficits are expected to impact academic performance and functional communication, supporting the need for speech-language intervention.
Speech Progress to Date: Initial evaluation administered.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support
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.
Expressive LanguageWithin 12 months, Noah will improve expressive language skills by formulating grammatically complete and semantically appropriate sentences that include age-appropriate vocabulary and syntactic structures (e.g., adjectives, adverbs, subordinate clauses) in structured tasks with 70% accuracy across 3 consecutive sessions, as measured by clinician data.
Receptive LanguageWithin 12 months, Noah will improve receptive language skills by accurately comprehending and following multistep and conditional verbal directions containing temporal and linguistic concepts with 70% accuracy across 3 consecutive sessions, as measured by clinician data.
Speech and Language Short Term Goals:
CategoryGoal Description
Expressive LanguageWithin 6 months, Noah will formulate simple to expanded sentences when provided a target word, using correct word order and basic grammatical markers (e.g., adjectives or adverbs) with 60% accuracy across 2 consecutive sessions, given visual and verbal cues.
Receptive LanguageWithin 6 months, Noah will demonstrate improved comprehension of semantic relationships (e.g., cause/effect, part/whole, compare/contrast) by answering structured questions with 60% accuracy across 2 consecutive sessions, given models and cueing.
Receptive LanguageWithin 6 months, Noah will follow 2–3 step verbal directions that include temporal, spatial, and conditional concepts with 60% accuracy across 2 consecutive sessions, given repetition and visual supports.
Receptive LanguageWithin 6 months, Noah will demonstrate improved auditory working memory by accurately recalling key details from short spoken sentences or directions with 60% accuracy across 2 consecutive sessions, given chunking and repetition.
Expressive LanguageWithin 6 months, Noah will improve expressive working memory by accurately repeating or paraphrasing key details in stories or events with 60% accuracy across 2 consecutive sessions, given reduced rate and repetition.

Speech and Language Soap Note/Visit:

IDSoap Note

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
87548392523: Artic & Language Eval02-03-2026 04:30 PM02-03-2026 05:30 PMDaniella AnchondoNB1 east sideCompleted

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
91088792507: Speech & Language Visit03-31-2026 09:30 AM03-31-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092492507: Speech & Language Visit04-02-2026 09:30 AM04-02-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91088892507: Speech & Language Visit04-07-2026 09:30 AM04-07-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092592507: Speech & Language Visit04-09-2026 09:30 AM04-09-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91088992507: Speech & Language Visit04-14-2026 09:30 AM04-14-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092692507: Speech & Language Visit04-16-2026 09:30 AM04-16-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089092507: Speech & Language Visit04-21-2026 09:30 AM04-21-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092792507: Speech & Language Visit04-23-2026 09:30 AM04-23-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089192507: Speech & Language Visit04-28-2026 09:30 AM04-28-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092892507: Speech & Language Visit04-30-2026 09:30 AM04-30-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089292507: Speech & Language Visit05-05-2026 09:30 AM05-05-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91092992507: Speech & Language Visit05-07-2026 09:30 AM05-07-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089392507: Speech & Language Visit05-12-2026 09:30 AM05-12-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093092507: Speech & Language Visit05-14-2026 09:30 AM05-14-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089492507: Speech & Language Visit05-19-2026 09:30 AM05-19-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093192507: Speech & Language Visit05-21-2026 09:30 AM05-21-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089592507: Speech & Language Visit05-26-2026 09:30 AM05-26-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093292507: Speech & Language Visit05-28-2026 09:30 AM05-28-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089692507: Speech & Language Visit06-02-2026 09:30 AM06-02-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093392507: Speech & Language Visit06-04-2026 09:30 AM06-04-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089792507: Speech & Language Visit06-09-2026 09:30 AM06-09-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093492507: Speech & Language Visit06-11-2026 09:30 AM06-11-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089892507: Speech & Language Visit06-16-2026 09:30 AM06-16-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093592507: Speech & Language Visit06-18-2026 09:30 AM06-18-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91089992507: Speech & Language Visit06-23-2026 09:30 AM06-23-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093692507: Speech & Language Visit06-25-2026 09:30 AM06-25-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090092507: Speech & Language Visit06-30-2026 09:30 AM06-30-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093792507: Speech & Language Visit07-02-2026 09:30 AM07-02-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090192507: Speech & Language Visit07-07-2026 09:30 AM07-07-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093892507: Speech & Language Visit07-09-2026 09:30 AM07-09-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090292507: Speech & Language Visit07-14-2026 09:30 AM07-14-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91093992507: Speech & Language Visit07-16-2026 09:30 AM07-16-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090392507: Speech & Language Visit07-21-2026 09:30 AM07-21-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094092507: Speech & Language Visit07-23-2026 09:30 AM07-23-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090492507: Speech & Language Visit07-28-2026 09:30 AM07-28-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094192507: Speech & Language Visit07-30-2026 09:30 AM07-30-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090592507: Speech & Language Visit08-04-2026 09:30 AM08-04-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094292507: Speech & Language Visit08-06-2026 09:30 AM08-06-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090692507: Speech & Language Visit08-11-2026 09:30 AM08-11-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094392507: Speech & Language Visit08-13-2026 09:30 AM08-13-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090792507: Speech & Language Visit08-18-2026 09:30 AM08-18-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094492507: Speech & Language Visit08-20-2026 09:30 AM08-20-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090892507: Speech & Language Visit08-25-2026 09:30 AM08-25-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094592507: Speech & Language Visit08-27-2026 09:30 AM08-27-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91090992507: Speech & Language Visit09-01-2026 09:30 AM09-01-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094692507: Speech & Language Visit09-03-2026 09:30 AM09-03-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91091092507: Speech & Language Visit09-08-2026 09:30 AM09-08-2026 10:00 AMLauryn BarlowNB1 east sideScheduled
91094792507: Speech & Language Visit09-10-2026 09:30 AM09-10-2026 10:00 AMLauryn BarlowNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
03-19-2026Shekinah VelasquezST auth approved starting 03/16/2026 - 09/11/2026 2x/ week = 52 visits. Therapist assigned and notified.
03-13-2026Julie MoraReferral expired for OT, requesting new referral from PCP.
03-12-2026Shekinah VelasquezST auth request submitted to SHP via fax. Pending approval.
02-17-2026Shekinah VelasquezST IE paperwork sent to PCP via fax. Pending signatures
01-22-2026Julie MoraMessaged parent to confirm OT services. Only ST was selected during registration.
01-16-2026Julie MoraPending Superior insurance card. Messaged parent.

Paient Messages Admin:

DatePosted ByMessage
01-14-2026 10:20 AMJulie MoraPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2541
01-14-2026 10:48 AMShekinah VelasquezNoah 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=9915&type=1&wid=492
01-16-2026 02:29 PMJulie MoraHello, this is the front office at New Beginning. After reviewing Noah's registration we noticed that the insurance card uploaded is the Texas Medicaid. Unfortunately, we can not accept the Tx Medicaid card. We will need a copy of Noah's Superior Insurance card. Please email a copy to jmora@newbeginnings-elp.com at your earliest convenience. If you have any questions please call us at 915-855-0601.
01-16-2026 03:07 PMJulie MoraThank you, we received the insurance card :)
01-16-2026 03:34 PMAvery FontenotHi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9915
01-16-2026 03:41 PMAvery FontenotHi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9915
01-20-2026 12:10 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! 💙
01-22-2026 09:47 AMJulie MoraGood morning,

This is the front office at New Beginnings. We are reviewing the patient’s registration and wanted to clarify services.

At this time, only Speech Therapy (ST) is selected on the registration. Please let us know if you would also like Occupational Therapy (OT) services added and be placed on the waiting list for OT, as we do have a referral for OT.

Thank you, and we look forward to your response.

Kind regards,
Front Office
New Beginnings
01-22-2026 09:48 AMNoah GebhartYes please we would like OT too.
01-22-2026 10:02 AMJulie MoraPerfect, I will update the registration. Thank you.
01-22-2026 01:06 PMJulie MoraNoah 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/register/waitlist_status.aspx?pid=9915&type=3&wid=516
02-03-2026 03:52 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 05:27 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:48 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=9915
02-18-2026 04:15 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=9915
03-11-2026 05:40 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 06:09 PMShekinah VelasquezHi, Noah 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=9915&tid=144

Paient Messages Therapist:

DatePosted ByMessage
01-19-2026 03:14 PMDaniella AnchondoHello! My name is Daniella Anchondo - speech language pathologist at New Beginnings. I will be administering Noah's evaluation. My next available date is Thursday January 29th at 2pm. Does this work for you? Thank you
01-19-2026 03:37 PMNoah GebhartNoah (Prim) Replied: Would you happen to have anything later starting at 430?
01-19-2026 03:43 PMDaniella AnchondoUnfortunately, I don't have that time until February 3rd. I could schedule him at 4pm or 4:30pm...
01-19-2026 03:44 PMNoah GebhartNoah (Prim) Replied: Could we do February 3rd at 430?
01-19-2026 03:46 PMDaniella AnchondoYes, I'll schedule him for then. Thank you
01-19-2026 03:46 PMNoah GebhartNoah (Prim) Replied: Thank you as well!
02-02-2026 06:30 PMDaniella AnchondoHi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled tomorrow at 04:30 PM. See you soon! - New Beginnings 🙂
02-02-2026 06:43 PMNoah GebhartNoah (Prim) Replied: What is the address?
02-03-2026 07:59 AMDaniella AnchondoHi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled today at 04:30 PM. See you soon! - New Beginnings 🙂
02-03-2026 10:25 AMDaniella AnchondoHello, it is 1512 N Zaragoza Ste C-1
02-03-2026 04:15 PMDaniella AnchondoNoah Gebhart : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875483
02-03-2026 04:20 PMNoah GebhartNoah is CHECKED IN for:
4:30PM-2/3/2026
92523: Artic & Language Eval
02-03-2026 04:31 PMNoah GebhartNoah is CHECKED IN for:
4:30PM-2/3/2026
92523: Artic & Language Eval
03-20-2026 09:44 AMLauryn BarlowGood morning, my name is Lauryn, and I will be the Speech Language Pathologist Assistant working with Noah. We just received authorization from insurance to begin services. Noah was approved for the frequency of 2x a week starting the week of 03/16/2026. I would like to go ahead and get them scheduled in for their set times every week. These are the days and times that I have available: Monday 8am-3pm; Tuesday 8am-9:30am, 10:30am- 12pm, and 1pm-3pm; Wednesday 8am-3pm; Thursday 8am-9:30am, 10:30am-12pm, and 1pm-1:30pm. Please let me know which of these times works best for you. Thank you and I look forward to meeting you both!
03-20-2026 11:27 AMNoah GebhartNoah (Prim) Replied: Is there any availability for after 4pm? I really don't want to pull him out of school two times a week. Or is it possible for him to receive services as his school?
03-20-2026 12:09 PMLauryn BarlowUnfortunately, I do not have any availability after 4pm at the moment. To pull him out for speech is an excusable absence, it may be best to speak to his teacher about the best time to take him out. New Beginnings does not provide services outside the clinic.
03-20-2026 12:10 PMNoah GebhartNoah (Prim) Replied: How long are the sessions? And are they in person?
03-20-2026 12:14 PMLauryn BarlowThe sessions would be 30 minutes each, and to start I would like to do in-person. Though, we do offer telehealth sessions.
03-20-2026 12:16 PMNoah GebhartNoah (Prim) Replied: Okay. Let's do Tuesdays and Thursdays at 9:30am.
03-20-2026 05:02 PMLauryn BarlowPerfect, I will see you on Tuesday, 3/24 at 9:30 am for our first session. My office is in a different building from the main one, the address is 1540 N Zaragoza B1. Have a great weekend!
03-22-2026 04:02 PMLauryn BarlowHi, this is a just a reminder that Gebhart, Noah has a Speech Therapy appointment on 03-24-2026 at 9:30 AM, and on 03-26-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:31 PMLauryn BarlowHi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 08:07 AMLauryn BarlowHi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 09:20 AMNoah GebhartNoah (Prim) Replied: Good morning. I'm at 1540 N zaragoza and they said they don't do speech therapy here.
03-24-2026 09:22 AMLauryn BarlowMake sure you come to building 1, it should have the New Beginnings logo on the front door :)
03-24-2026 09:24 AMNoah GebhartNoah (Prim) Replied: I've walked around this building and there no other office
03-24-2026 09:25 AMNoah GebhartNoah (Prim) Replied:
03-24-2026 09:27 AMLauryn BarlowI'm so sorry, the address is 1510 N Zaragoza B1.
03-25-2026 06:30 PMLauryn BarlowHi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
03-26-2026 08:00 AMLauryn BarlowHi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
03-26-2026 01:15 PMLauryn BarlowNoah Gebhart : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913296