Patient Name: Elian Adriel

Patient Information:

Patient ID: 9949
Patient First Name: Elian Adriel
Patient Date of Birth: 09-22-2023
Gender: male
Assigned Office: NB1 east side
Primary Care Physician: Brianna, Garza
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Milan, Carla
FD - Feeding Therapy:
OT - Occupational Therapy:
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23566Active03-16-202609-11-2026El Paso First Health Plans52000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2635202-11-2026Speech Initial EvaluationF80.2
Speech Background History: Elian is a 2 year, 6 month old male who was seen on the above date for an initial evaluation per referral of PCP to determine his current level of functioning and if skilled speech intervention is warranted at this time. Elian was accompanied by his mother and, who provided pertinent verbal and written information referenced in this report. Spanish is the primary language in the home and in the academic setting. Parent’s reported their main concerns revolve around Elian's limited verbal output.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Responds to greetings,
Speech Communication Weaknesses: Diminished vocabulary, Unable to answer questions, Unable to participate in a conversation, Use of jargon,
Speech Background Summary:
Speech Diagnosis/Impressions: Based on standardized assessments, parent interview, and skilled clinical observation, Elian presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Elian's communication skills are significantly below age expectations. Without skilled speech-language intervention, Elian's safety risk is elevated, as his limited receptive language skills may impact his ability to understand directions and safety commands, and his expressive language deficits may prevent him from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in Spanish, as this is Elian's primary language of exposure, to ensure effective skill acquisition and generalization within his natural environment.
Speech Diagnosis/Impressions: Based on standardized assessments, parent interview, and skilled clinical observation, Elian presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Elian's communication skills are significantly below age expectations. Without skilled speech-language intervention, Elian's safety risk is elevated, as his limited receptive language skills may impact his ability to understand directions and safety commands, and his expressive language deficits may prevent him from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in Spanish, as this is Elian's primary language of exposure, to ensure effective skill acquisition and generalization within his natural environment.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
58657
Plan Date: 02-11-2026
Speech Assessment Summary: Based on standardized assessments, parent interview, and skilled clinical observation, Elian presents with a SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is strongly recommended at this time, as Elian's communication skills are significantly below age expectations. Without skilled speech-language intervention, Elian's safety risk is elevated, as his limited receptive language skills may impact his ability to understand directions and safety commands, and his expressive language deficits may prevent him from effectively communicating wants, needs, discomfort, or distress. Therapy will be conducted in Spanish, as this is Elian's primary language of exposure, to ensure effective skill acquisition and generalization within his natural environment.
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.
Receptive LanguageWithin 12 months, Elian will demonstrate appropriate receptive language skills with 70% accuracy in order to omprove his overall understanding with peers and caregivers.
Expressive LanguageWithin 12 months, Elian will demonstrate appropriate expressive language skills with 70% accuracy in order to increase his overall communication for ADLs.
Speech and Language Short Term Goals:
CategoryGoal Description
Expressive LanguageWithin 6 months, Elian will imitate environmental sounds, animal sounds, exclamatory words (e.g., uh-oh, wow, beep), and simple word approximations using total communication methods (e.g., vocalizations, gestures, and/or signs) with 60% accuracy given moderate cues across 3 consecutive sessions to improve early expressive language skills.
Expressive LanguageWithin 6 months, Elian will use 1–2 word utterances using total communication (e.g., gestures, signs, verbalizations, and/or AAC) during play or structured activities with 60% accuracy given moderate cues across 3 consecutive sessions to communicate wants, needs, and comments.uel will use total communication methods (e.g., vocalizations, gestures, and/or signs) to imitate or produce modeled first words, environmental sounds, animal sounds, and exclamatory sounds with 60% accuracy given moderate cues across 3 consecutive sessions to improve expressive communication skills.
Receptive LanguageWithin 6 months, Elian will follow simple one-step directions incorporating basic language concepts and core vocabulary (e.g., open, close, stop, go, sit, give) with 60% accuracy given moderate cues across 3 consecutive sessions to improve receptive language skills and participation in daily routines.
Receptive LanguageWithin 6 months, Elian will locate, retrieve, point to, or label common objects when named with 50% accuracy given moderate multimodal cues across 3 consecutive sessions to increase vocabulary development and comprehension of object labels.

Speech and Language Soap Note/Visit:

IDSoap Note
491544
Note Date: 03-26-2026
Subjective: Patient was friendly and cooperative,
Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Elian imitate environmental sounds, animal sounds, exclamatory words (e.g., uh-oh, wow, beep), and simple word approximations using total communication methods (e.g., vocalizations, gestures, and/or signs) with 30% accuracy given maximum cues . Elian imitated :moo, woof-woof, and meow.
Plans: Continue with current Plan of Care,
Additional Notes: Home Education Program was reviewed with mother. Mother had no additional questions or concerns.

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
88728292523: Artic & Language Eval02-11-2026 11:00 AM02-11-2026 12:00 PMJazmin LopezNB1 east sideCompleted
90867092507: Speech & Language Visit03-19-2026 09:00 AM03-19-2026 09:30 AMCarla MilanNB1 east sideCompleted
90867392507: Speech & Language Visit03-24-2026 01:30 PM03-24-2026 02:00 PMCarla MilanNB1 east sideCompleted
90867292507: Speech & Language Visit03-25-2026 01:15 PM03-25-2026 01:45 PMCarla MilanNB1 east sideCompleted
913783NB001: Supervision03-25-2026 01:15 PM03-25-2026 01:45 PMDaniella AnchondoNB2 far east sideCompleted
90867492507: Speech & Language Visit03-26-2026 10:30 AM03-26-2026 11:00 AMCarla MilanNB1 east sideCompleted

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
91159592507: Speech & Language Visit03-30-2026 11:00 AM03-30-2026 11:30 AMCarla MilanNB1 east sideScheduled
91160292507: Speech & Language Visit03-31-2026 11:30 AM03-31-2026 12:00 PMCarla MilanNB1 east sideScheduled
91160392507: Speech & Language Visit04-02-2026 10:30 AM04-02-2026 11:00 AMCarla MilanNB1 east sideScheduled

Paient Notes:

DatePosted ByDescription
03-13-2026Shekinah VelasquezST auth approved starting 03/16/2026 - 09/11/2026 2x/ week = 52 visits. Therapist assigned and notified.
03-11-2026Shekinah VelasquezST auth request submitted to EPH. Pending approval
03-06-2026Shekinah VelasquezST paperwork sent to PCP via fax. Pending signatures and THsteps

Paient Messages Admin:

DatePosted ByMessage
02-04-2026 01:56 PMJulie MoraPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2598
02-04-2026 02:09 PMShekinah VelasquezElian Adriel 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=9949&type=1&wid=539
03-09-2026 07:23 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=9949
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/
03-13-2026 03:15 PMShekinah VelasquezHi, Elian Adriel as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Carla https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9949&tid=45

Paient Messages Therapist:

DatePosted ByMessage
02-10-2026 06:30 PMJazmin LopezHola, esto es solo un recordatorio de que Elian Adriel tiene una cita programada para una evaluación de terapia de habla y lenguaje manana a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
02-10-2026 06:32 PMElian Adriel SotoElian Adriel (Prim) Replied: Hola si !! Nos vemos mañana
02-10-2026 06:49 PMJazmin LopezGracias! 😊
02-11-2026 07:59 AMJazmin LopezHola, esto es solo un recordatorio de que Elian Adriel tiene una cita programada para una evaluación de terapia de habla y lenguaje hoy a las 11:00 AM. Nos vemos pronto! - New Beginnings 🙂
02-11-2026 10:45 AMJazmin LopezElian Adriel Soto : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887282
02-11-2026 10:52 AMElian Adriel SotoElian Adriel is CHECKED IN for:
11:00AM-2/11/2026
92523: Artic & Language Eval
02-11-2026 11:04 AMElian Adriel SotoElian Adriel is CHECKED IN for:
11:00AM-2/11/2026
92523: Artic & Language Eval
03-17-2026 09:43 AMCarla MilanBuenos dias mi Nombre es Carla Milan y sere la nueva terapista de Elian. Me gustaria preguntar cual es su disponibilidad ya que Elian fue aprovado para ser visto 2 veces por semana ?
03-17-2026 09:45 AMElian Adriel SotoElian Adriel (Prim) Replied: Hola buenos dias , pues yo estoy libre toda la semana no se que dias lo puedas acomodar
03-17-2026 09:47 AMCarla MilanSeria posible verlo el Jueves a las 9 am ?
03-17-2026 09:49 AMElian Adriel SotoElian Adriel (Prim) Replied: Si esta bien
03-17-2026 10:26 AMCarla MilanMuchas gracias !
03-18-2026 09:59 AMCarla MilanBuenos dias tuve una cancelacion el Dia de hoy estaria interesa en tambien traer a Elian hoy a las 1 pm ?
03-18-2026 12:39 PMElian Adriel SotoElian Adriel (Prim) Replied: Hola buenas tardes sabes que elian hoy tenia otra cita a la 1230 y es aca en juarez no voy a poder llevarlo
03-18-2026 06:30 PMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada manana a las 09:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-19-2026 08:01 AMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada hoy a las 09:00 AM. Nos vemos pronto! - New Beginnings 🙂
03-19-2026 08:45 AMCarla MilanElian Adriel Soto : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908670
03-19-2026 08:53 AMElian Adriel SotoElian Adriel is CHECKED IN for:
9:00AM-3/19/2026
92507: Speech & Language Visit
03-19-2026 03:21 PMCarla MilanLa proxima semana vere a Elian Martes a la 1:30, Miercoles a las 1:15 y Jueves a las 10:30 am. Gracias si algo cambia yo le informo . Pase bonito dia!
03-19-2026 03:21 PMElian Adriel SotoElian Adriel (Prim) Replied: Okay Gracias , igualmente!
03-19-2026 03:23 PMCarla MilanGracias
03-22-2026 04:00 PMCarla MilanHola, esto es solo un recordatorio de que Soto, Elian Adriel tiene una cita de terapia del lenguaje programada el 03-24-2026 a las 1:30 PM, y el 03-25-2026 a las 1:15 PM, y el 03-26-2026 a las 10:30 AM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
03-22-2026 04:03 PMElian Adriel SotoElian Adriel (Prim) Replied: Si
03-22-2026 04:03 PMCarla MilanHi, 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 PMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada manana a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-23-2026 06:38 PMElian Adriel SotoElian Adriel (Prim) Replied: Si gracias
03-24-2026 08:04 AMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada hoy a las 01:30 PM. Nos vemos pronto! - New Beginnings 🙂
03-24-2026 01:15 PMCarla MilanElian Adriel Soto : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908673
03-24-2026 01:26 PMElian Adriel SotoElian Adriel is CHECKED IN for:
1:30PM-3/24/2026
92507: Speech & Language Visit
03-24-2026 06:30 PMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada manana a las 01:15 PM. Nos vemos pronto! - New Beginnings 🙂
03-25-2026 07:56 AMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada hoy a las 01:15 PM. Nos vemos pronto! - New Beginnings 🙂
03-25-2026 01:00 PMCarla MilanElian Adriel Soto : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908672
03-25-2026 01:10 PMElian Adriel SotoElian Adriel is CHECKED IN for:
1:15PM-3/25/2026
92507: Speech & Language Visit
03-25-2026 06:30 PMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada manana a las 10:30 AM. Nos vemos pronto! - New Beginnings 🙂
03-26-2026 07:55 AMCarla MilanHola, esto es solo un recordatorio de que Elian Adriel tiene una cita de terapia de habla y lenguaje programada hoy a las 10:30 AM. Nos vemos pronto! - New Beginnings 🙂
03-26-2026 10:15 AMCarla MilanElian Adriel Soto : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908674
03-26-2026 10:24 AMElian Adriel SotoElian Adriel is CHECKED IN for:
10:30AM-3/26/2026
92507: Speech & Language Visit
03-26-2026 01:05 PMCarla MilanLa proxima semana puedo ver a Elian el Lunes a las 11, El Martes a las 11:30 y el Jueves a las 10:30am?
03-26-2026 05:24 PMElian Adriel SotoElian Adriel (Prim) Replied: Si esta bien