New Beginnings | NB1-Office

Patient Name: Hailey

Patient Information:

Patient ID: 9939

Patient First Name: Hailey

Patient Date of Birth: 06-06-2024

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Andres, Aristizabal

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Haduck, Rachael

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
23407	Active	02-23-2026	08-21-2026	El Paso First Health Plans	52	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26209	02-06-2026	Speech Initial Evaluation	F80.2
Speech Background History: Hailey is a 1-year, 7-month old female who was seen at New Beginnings Pediatrics on February 6th, 2025 from 9:00am to 10:00am for an initial speech and language evaluation. Hailey was accompanied by her mother who served as her primary informant regarding her medical history. Parent reports there is a history of speech and language delays within the family. Hailey was referred due to parental and physician concerns with her receptive and expressive language skills. Currently, Hailey does not produce words but it reported to babble. She is not reported to imitate word and/or animal/environmental/play noises. There are no concerns with fluency, voice, or feeding at this time. Hailey's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: There is no significant medical history or chronic conditions. Hailey was born at 39 weeks’ gestation via emergency cesarean section due to breech presentation, weighing 7 pounds 14 ounces. At birth, Hailey experienced respiratory distress and required a four-day stay in the NICU for monitoring and stabilization. Prenatally, small cardiac septal defects (“holes in the heart”) were identified; however, follow-up with cardiology at one year of age indicated spontaneous resolution, and no ongoing cardiology care is required. Hailey'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 her history.
Speech Medications: Hailey is not taking any prescribed or over-the-counter medications at this time.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some 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, Auditory and visually alert and attentive, Follows verbal command with cues, Interactive, Responds to greetings, Takes turns, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Irrelevent replies to questions, Poor vocabulary, Problems with organization and relevance, Unable to answer questions, Unable to participate in a conversation, 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. Hailey demonstrates emerging pragmatic skills, including appropriate eye contact and engagement during social interactions. She actively participates in both formal and informal social exchanges and demonstrates good emerging attention to verbal and nonverbal cues. She is able to follow basic commands with verbal and gestural prompts as needed.
Speech Diagnosis/Impressions: Hailey is 1-year, 7-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Hailye's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Hailey 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. Hailey 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 Hailey'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 her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Hailey is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Hailey 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: Hailey is 1-year, 7-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Hailye's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Hailey 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. Hailey 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 Hailey'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 her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Hailey is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Hailey 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

58320

Plan Date: 02-06-2026

Speech Assessment Summary: Hailey is 1-year, 7-month old female who is demonstrating a Moderate to Severe Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Hailye's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Hailey 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. Hailey 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 Hailey'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 her goals (criteria must be met for all goals) and demonstrating a standard score of 85 or higher on the most current standardized test. The overall goal is to demonstrate age-appropriate (average) and/or functional speech and language skills. Medical necessity for skilled speech and language therapy services is indicated as Hailey is not able to clearly or effectively communicate her needs and wants for her personal health and safety. Unclear speech can prevent individuals from having their physical and psychosocial needs met, potentially leading to feelings of isolation, depression, and social difficulties. Therefore, early intervention is crucial to address these issues and reduce the need for more intensive, longterm services in the future. Developmental conditions refer to specific impairments that differ from the normal condition and meet the definition of medical necessity. Development is a natural state but when paired with disorder, disability or delay it indicates an abnormal state. A diagnosis of a severe speech impairment in a patient indicates an abnormal state of function, and speech-language treatment services are as medically necessary for the patient as therapy are for an adult who has suffered a stroke and lost speech and language function. Impaired speech and language, loss of hearing, and swallowing difficulties all reflect deficit or loss of body functions and therefore services to treat such impairments meet the definition of medical necessity. Therefore, Hailey 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. Hailey will be discharged from speech therapy when all of her goals are met and she receives a standard score above 1.5 standard deviations for all impairments, indicating that her expressive and receptive language abilities are within the mild or average range. The parents/caregivers will be responsible for incorporating her Home Management Intervention Program at home. The frequency of therapy sessions will be 2x/week for 30-45 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, Hailey will improve her 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, Hailey will improve her 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, Hailey will increase her ability to use 1-2 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving her functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Hailey will increase her ability to label a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Hailey will produce a variety of C-V combinations (CVC, CVCV, CVCVC) using age appropriate consonants with 30% accuracy across 3 consecutive sessions, improving her overall speech sound production skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Hailey will increase her 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 her receptive language skills, as measured by therapist collected data and observations.
Receptive Language	#2.2: Within 6 months, Hailey will increase her ability to identify a variety of developmentally appropriate nouns and verbs with 30% accuracy across 3 consecutive sessions, improving her receptive and expressive vocabulary skills, as measured by therapist collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

490952

Note Date: 03-23-2026

Subjective:

Assessment of Goals/Response to Treatment: #1.1: Within 6 months, Hailey will increase her ability to use 1-2 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 30% accuracy across 3 consecutive sessions, improving her functional and intentional communication skills, as measured by therapist collected data and observations. - During play-based activities, clinician modeled many single words + sign for a variety of pragmatic functions. Models include but are not limited to: help, more, yeah, no, etc. as well as a variety of nouns. Utilized HOH when allowed. Hailey was observed to attend to most models and carryover in <15-20% of opportunities. Observed imitations include but are not limited to: more, open, colors, and common animals, etc. with verbal approximation. She IND produced 'bye, down, ball, huh, oh, okay, done' etc with verbal approximation. #1.3: Within 6 months, Hailey will produce a variety of C-V combinations (CVC, CVCV, CVCVC) using age appropriate consonants with 30% accuracy across 3 consecutive sessions, improving her overall speech sound production skills, as measured by therapist collected data and observations. - Utilized Kaufman Kit 1, CVCV. Hailey was observed to attend to some models with MIN-MOD imitation. She continued to babble significantly this date. #2.1: Within 6 months, Hailey will increase her 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 her receptive language skills, as measured by therapist collected data and observations. - Hailey followed basic 1-step directions/commands (i.e., pick up, sit down, give me) in 7/10 opportunities given MOD multi-sensory input. She benefitted most from gestural cues and repetition of name (i..e, point - Hailey, get the block).

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
884650	92523: Artic & Language Eval	02-06-2026 09:00 AM	02-06-2026 10:00 AM	Rachael Haduck	NB1 east side	Completed
893463	92507: Speech & Language Visit	02-23-2026 05:30 PM	02-23-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed
893501	92507: Speech & Language Visit	02-26-2026 04:30 PM	02-26-2026 05:00 PM	Rachael Haduck	NB1 east side	Completed
893464	92507: Speech & Language Visit	03-02-2026 05:30 PM	03-02-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed
893502	92507: Speech & Language Visit	03-05-2026 05:30 PM	03-05-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed
893465	92507: Speech & Language Visit	03-09-2026 03:30 PM	03-09-2026 04:00 PM	Rachael Haduck	NB1 east side	Completed
893503	92507: Speech & Language Visit	03-12-2026 04:00 PM	03-12-2026 04:30 PM	Rachael Haduck	NB1 east side	Completed
893504	92507: Speech & Language Visit	03-19-2026 03:30 PM	03-19-2026 04:00 PM	Rachael Haduck	NB1 east side	Completed
908666	92507: Speech & Language Visit	03-20-2026 02:00 PM	03-20-2026 02:30 PM	Rachael Haduck	NB1 east side	Completed
893467	92507: Speech & Language Visit	03-23-2026 05:30 PM	03-23-2026 06:00 PM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
893466	92507: Speech & Language Visit	03-16-2026 04:30 PM	03-16-2026 05:00 PM	Rachael Haduck	NB1 east side	Canceled
893505	92507: Speech & Language Visit	03-26-2026 05:30 PM	03-26-2026 06:00 PM	Rachael Haduck	NB1 east side	Canceled
893469	92507: Speech & Language Visit	04-06-2026 05:30 PM	04-06-2026 06:00 PM	Rachael Haduck	NB1 east side	Canceled
893507	92507: Speech & Language Visit	04-09-2026 05:30 PM	04-09-2026 06:00 PM	Rachael Haduck	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
893468	92507: Speech & Language Visit	03-30-2026 05:30 PM	03-30-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893506	92507: Speech & Language Visit	04-02-2026 05:30 PM	04-02-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893470	92507: Speech & Language Visit	04-13-2026 05:30 PM	04-13-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893508	92507: Speech & Language Visit	04-16-2026 05:30 PM	04-16-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893471	92507: Speech & Language Visit	04-20-2026 05:30 PM	04-20-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893509	92507: Speech & Language Visit	04-23-2026 05:30 PM	04-23-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893472	92507: Speech & Language Visit	04-27-2026 05:30 PM	04-27-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893510	92507: Speech & Language Visit	04-30-2026 05:30 PM	04-30-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893473	92507: Speech & Language Visit	05-04-2026 05:30 PM	05-04-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893511	92507: Speech & Language Visit	05-07-2026 05:30 PM	05-07-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893474	92507: Speech & Language Visit	05-11-2026 05:30 PM	05-11-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893512	92507: Speech & Language Visit	05-14-2026 05:30 PM	05-14-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893475	92507: Speech & Language Visit	05-18-2026 05:30 PM	05-18-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893513	92507: Speech & Language Visit	05-21-2026 05:30 PM	05-21-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893476	92507: Speech & Language Visit	05-25-2026 05:30 PM	05-25-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893514	92507: Speech & Language Visit	05-28-2026 05:30 PM	05-28-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893477	92507: Speech & Language Visit	06-01-2026 05:30 PM	06-01-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893515	92507: Speech & Language Visit	06-04-2026 05:30 PM	06-04-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893478	92507: Speech & Language Visit	06-08-2026 05:30 PM	06-08-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893516	92507: Speech & Language Visit	06-11-2026 05:30 PM	06-11-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893479	92507: Speech & Language Visit	06-15-2026 05:30 PM	06-15-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893517	92507: Speech & Language Visit	06-18-2026 05:30 PM	06-18-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893480	92507: Speech & Language Visit	06-22-2026 05:30 PM	06-22-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893518	92507: Speech & Language Visit	06-25-2026 05:30 PM	06-25-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893481	92507: Speech & Language Visit	06-29-2026 05:30 PM	06-29-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893519	92507: Speech & Language Visit	07-02-2026 05:30 PM	07-02-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893482	92507: Speech & Language Visit	07-06-2026 05:30 PM	07-06-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893520	92507: Speech & Language Visit	07-09-2026 05:30 PM	07-09-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893483	92507: Speech & Language Visit	07-13-2026 05:30 PM	07-13-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893521	92507: Speech & Language Visit	07-16-2026 05:30 PM	07-16-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893484	92507: Speech & Language Visit	07-20-2026 05:30 PM	07-20-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893522	92507: Speech & Language Visit	07-23-2026 05:30 PM	07-23-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893485	92507: Speech & Language Visit	07-27-2026 05:30 PM	07-27-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893523	92507: Speech & Language Visit	07-30-2026 05:30 PM	07-30-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893486	92507: Speech & Language Visit	08-03-2026 05:30 PM	08-03-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893524	92507: Speech & Language Visit	08-06-2026 05:30 PM	08-06-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893487	92507: Speech & Language Visit	08-10-2026 05:30 PM	08-10-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893525	92507: Speech & Language Visit	08-13-2026 05:30 PM	08-13-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893488	92507: Speech & Language Visit	08-17-2026 05:30 PM	08-17-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled
893526	92507: Speech & Language Visit	08-20-2026 05:30 PM	08-20-2026 06:00 PM	Rachael Haduck	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
02-17-2026	Shekinah Velasquez	ST auth approved starting 02/23/2026 - 08/21/2026 2x/ week = 52 visits. Therapist assigned and notified
02-13-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval
02-10-2026	Shekinah Velasquez	ST IE paperwork sent to PCP via fax. Pending signatures and THsteps

Paient Missed Visit Notes:

Date	Service	Therapist	Description
04-09-2026	92507	Haduck, Rachael	Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
04-06-2026	92507	Haduck, Rachael	Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
03-26-2026	92507	Haduck, Rachael	Dear parents, I will be out of the office on Thursday, March 26th. If you would still like to be seen at your scheduled therapy time that day and are open to seeing another therapist, Lauryn (SLPA)—who is located in the same building as me—may be available. If you’re interested, please reply “YES” and I will notify her and the front office. If you would prefer not to see another therapist, please reply “NO.” In that case, I will reach out to you to help schedule a make-up session with me at another time. Thank you! Kindest, Rachael, CCC-SLP
03-16-2026	92507	Haduck, Rachael

Paient Messages Admin:

Date	Posted By	Message
01-21-2026 05:08 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2562
01-23-2026 01:29 PM	Avery Fontenot	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2562
01-24-2026 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=2562
01-25-2026 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=2562
01-26-2026 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=2562
01-26-2026 06:02 PM	Shekinah Velasquez	Hailey 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=9939&type=1&wid=528
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9939
02-17-2026 03:33 PM	Shekinah Velasquez	Hi, Hailey as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Rachael https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9939&tid=141
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/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9939
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

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
02-05-2026 06:31 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 07:37 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 08:45 AM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884650
02-06-2026 08:45 AM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=884650
02-06-2026 08:59 AM	Hailey Monsivais	Hailey is CHECKED IN for: 9:00AM-2/6/2026 92523: Artic & Language Eval
02-17-2026 02:35 PM	Rachael Haduck	hello! Hailey just got approved and ready to be seen beginning Thursday :)
02-17-2026 02:39 PM	Hailey Monsivais	Hailey (Prim) Replied: That's great news! Thank you :)
02-17-2026 03:37 PM	Rachael Haduck	yes! but actually, front office is going to have it begin next Monday so instead of Thursday, we will start Monday :)
02-17-2026 03:39 PM	Hailey Monsivais	Hailey (Prim) Replied: Ok perfect. Thank you
02-17-2026 03:48 PM	Rachael Haduck	Also, I am so sorry. I forgot I have a doctors appointment tomorrow and will need to cancel session. Are you able to come in the morning to make-up for it? I have 9:00am, 9:30am, and 10:00am available. sorry again! these last few days have been hectic with my husband needing to leave earlier than anticipated.
02-22-2026 04:03 PM	Rachael Haduck	Hi, this is a just a reminder that Monsivais, Hailey has a Speech Therapy appointment on 02-23-2026 at 5:30 PM, and on 02-26-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:57 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893463
02-23-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893463
02-23-2026 05:15 PM	Hailey Monsivais	Hailey is CHECKED IN for: 5:30PM-2/23/2026 92507: Speech & Language Visit
02-25-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
02-26-2026 07:58 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
02-26-2026 04:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893501
02-26-2026 04:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893501
03-01-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Monsivais, Hailey has a Speech Therapy appointment on 03-02-2026 at 5:30 PM, and on 03-05-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893464
03-02-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893464
03-04-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-05-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-05-2026 01:44 PM	Rachael Haduck	hi!! I'm not sure if you are here around 4:00pm today, but if so, I can see Hailey at 4:00pm today :) my 4:00pm got rescheduled earlier for the day! :) i will have to see Isaiah at his scheduled time since I have someone at 4:30pm
03-05-2026 02:02 PM	Hailey Monsivais	Hailey (Prim) Replied: Hi unfortunately we won't be there at 4 today I apologize. We usually are but my other son did not get scheduled for today
03-05-2026 02:07 PM	Rachael Haduck	no worries :) is your son a 30-min? if so I can ask front office to possibly place him on for the day? but if not, no worries!
03-05-2026 02:07 PM	Rachael Haduck	I will see you guys at 5:00pm anyway!
03-05-2026 02:08 PM	Hailey Monsivais	Hailey (Prim) Replied: Yes he is :)
03-05-2026 02:09 PM	Rachael Haduck	if he has any make-up sessions to complete, I can check with front office and see! if he does, it would just be a 30-min gap between him and isaiah due to having a re-occurring 4:30pm patient
03-05-2026 02:10 PM	Rachael Haduck	which son is it so I can ask them?
03-05-2026 02:10 PM	Hailey Monsivais	Hailey (Prim) Replied: Yes of course I don't mind! Thank you. And yes i understand will have that gap it's ok
03-05-2026 02:10 PM	Hailey Monsivais	Hailey (Prim) Replied: Azul Monsivais
03-05-2026 02:15 PM	Rachael Haduck	i just asked front office so waiting on a response!
03-05-2026 02:17 PM	Hailey Monsivais	Hailey (Prim) Replied: Ok thank you
03-05-2026 02:50 PM	Rachael Haduck	I reached out to Jazmine to check about make-ups but I haven't heard back yet. I'm positive she is out of office today. If anything are you able to come in at 4:30pm for Isaiah and Hailey? My 4:30pm has moved up!
03-05-2026 02:51 PM	Rachael Haduck	Isaiah and Hailey would be back-to-back! start at 4:30, end at 5:30 :)
03-05-2026 03:00 PM	Hailey Monsivais	Hailey (Prim) Replied: Yes that works for us
03-05-2026 03:00 PM	Hailey Monsivais	Hailey (Prim) Replied: Thank you!
03-05-2026 03:06 PM	Rachael Haduck	okay perfect! Jazmine answered me back so just getting confirmation/clarification on make-ups!
03-05-2026 03:21 PM	Hailey Monsivais	Hailey (Prim) Replied: Got it! Thank you! :)
03-05-2026 03:43 PM	Hailey Monsivais	Hailey (Prim) Replied: What time are you going to see Azul?
03-05-2026 03:44 PM	Rachael Haduck	i can see him 4:30 and then Hailey and Isaiah at their regular times!
03-05-2026 03:47 PM	Hailey Monsivais	Hailey (Prim) Replied: Ok thank you! See you soon
03-05-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893502
03-05-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893502
03-08-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Monsivais, Hailey has a Speech Therapy appointment on 03-09-2026 at 5:30 PM, and on 03-12-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:48 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-09-2026 02:10 PM	Rachael Haduck	hi! is hailey okay to be seen today at 4:30pm? since other siblings will be here for speech at 3:45 :) I can even offer one at 3:30pm
03-09-2026 02:26 PM	Hailey Monsivais	Hailey (Prim) Replied: Yes that works for us
03-09-2026 02:35 PM	Rachael Haduck	I appreciate it!! :) I can see Hailey at 3:30 and then Isaiah at 4:30 as I have a 4:00pm patient :)
03-09-2026 02:36 PM	Hailey Monsivais	Hailey (Prim) Replied: Ok that sounds good thank you
03-09-2026 03:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893465
03-09-2026 03:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893465
03-09-2026 03:38 PM	Hailey Monsivais	Hailey (Prim) Replied: Im so sorry im right around the corner if you're still ok to see Hailey
03-09-2026 03:40 PM	Hailey Monsivais	Hailey is CHECKED IN for: 3:30PM-3/9/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 07:49 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
03-12-2026 03:45 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893503
03-12-2026 03:45 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893503
03-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Monsivais, Hailey has a Speech Therapy appointment on 03-16-2026 at 5:30 PM, and on 03-19-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-15-2026 08:30 PM	Rachael Haduck	Good evening! I'm so sorry to be reaching out so late in the evening, but I wanted reach out and ask if you are open to Hailey being seen at 4:30pm tomorrow :)? (I had a cancellation) In addition to this, I know I already mentioned it but I will be sending out my 2 messages tomorrow notifying families of the days I will be out of office, 3/26 and 4/6-4/10. Are you open to completing make-up sessions this week? I can offer morning or afternoon. - Tuesday: 11:00, 11:30, 12:00, 12:30, 1:00 - Wednesday: 9:00, 9:30, 11:00, 11:30, 12:00, 1:00, 1:30 Thank you :)
03-16-2026 07:47 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-16-2026 10:42 AM	Rachael Haduck	Haduck, Rachael: Dear parents, I will be out of the office on Thursday, March 26th. If you would still like to be seen at your scheduled therapy time that day and are open to seeing another therapist, Lauryn (SLPA)—who is located in the same building as me—may be available. If you’re interested, please reply “YES” and I will notify her and the front office. If you would prefer not to see another therapist, please reply “NO.” In that case, I will reach out to you to help schedule a make-up session with me at another time. Thank you! Kindest, Rachael, CCC-SLP
03-16-2026 12:10 PM	Hailey Monsivais	Hailey (Prim) Replied: Hi Rachel! I'm going to need to cancel therapy today I apologize for any inconvenience!
03-16-2026 12:11 PM	Rachael Haduck	No worries! I will get sessions canceled. I hope everything is okay!
03-16-2026 12:12 PM	Rachael Haduck	Rachael Haduck CANCELLED: 4:30PM-3/16/2026 92507: Speech & Language Visit
03-18-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-19-2026 07:49 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-19-2026 03:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893504
03-19-2026 03:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893504
03-19-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
03-20-2026 07:36 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
03-22-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Monsivais, Hailey has a Speech Therapy appointment on 03-23-2026 at 5:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled tomorrow at 05:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:49 AM	Rachael Haduck	Hi, this is a just a reminder that Hailey has a Speech Therapy appointment scheduled today at 05:30 PM. See you soon! - New Beginnings 🙂
03-23-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893467
03-23-2026 05:15 PM	Rachael Haduck	Hailey Monsivais : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893467
03-26-2026 04:03 PM	Rachael Haduck	Haduck, Rachael: Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP
03-26-2026 04:05 PM	Rachael Haduck	Haduck, Rachael: Dear parents, This is Rachael, CCC-SLP with New Beginnings Pediatrics. I will be out of the office from April 6th through April 10th and will return on Monday, April 13th. I will be reaching out shortly to schedule make-up sessions. Kindest, Rachael, CCC-SLP