New Beginnings | NB1-Office

Patient Name: Elaine

Patient Information:

Patient ID: 9953

Patient First Name: Elaine

Patient Date of Birth: 03-30-2021

Gender: Female

Assigned Office: NB1 east side

Primary Care Physician: Andres, Boadella

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Medina, Norma

FD - Feeding Therapy:

OT - Occupational Therapy: Barnes, Michael

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23562	Active	03-16-2026	09-11-2026	El Paso First Health Plans	52	0	0	0
23521	Active	03-09-2026	09-04-2026	El Paso First Health Plans	0	0	625	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26322	02-16-2026	Speech Initial Evaluation	F80.2
Speech Background History: Elaine is a 4 year, 10 month old female referred for a speech-language evaluation due to concerns regarding language development and reduced speech intelligibility. Mother reported a full-term pregnancy and delivery with no complications. No surgeries or significant medical history were reported. Mother stated that Elaine experienced RSV during infancy; however, no ongoing medical concerns, accidents, or illnesses were reported. Developmentally, mother reported that Elaine did not crawl but began walking early. Mother also reported that early speech development was present. Elaine is currently enrolled in school and is not receiving any special services at this time; however, mother reported that her teacher has recommended speech-language services due to concerns with communication skills. Socially, mother stated that Elaine attempts to make friends but experiences difficulty interacting with peers due to reduced intelligibility and others having difficulty understanding her speech. Elaine is exposed to both English and Spanish; however, mother reported that she demonstrates stronger comprehension and follows directions more consistently in English. Mother’s primary concerns at this time include language development and overall speech intelligibility.
Speech Medical History:
Speech Medications: None
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: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Auditory and visually alert and attentive, Easily separated from Parents, Interactive,
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 caregiver report, Elaine presents with a severe mixed receptive-expressive language disorder, with language abilities falling significantly below age expectations. Deficits in receptive language, including reduced understanding of descriptive concepts, inferencing, and complex language structures, combined with expressive language limitations characterized by reduced sentence length and difficulty answering questions, significantly impact her functional communication. These language deficits negatively affect Elaine’s ability to effectively communicate her ideas, participate in peer interactions, and engage in age-appropriate learning and social activities. Parent report indicates that reduced intelligibility further contributes to communication breakdowns and difficulty interacting with peers. Due to the severity of language impairment and the functional impact across environments, skilled speech-language therapy is medically necessary to address underlying receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills. Without intervention, Elaine is at risk for continued communication failure, reduced social participation, delayed academic readiness, and increasing frustration related to difficulty being understood and expressing her needs effectively.
Speech Diagnosis/Impressions: Based on standardized assessment results, clinical observation, and caregiver report, Elaine presents with a severe mixed receptive-expressive language disorder, with language abilities falling significantly below age expectations. Deficits in receptive language, including reduced understanding of descriptive concepts, inferencing, and complex language structures, combined with expressive language limitations characterized by reduced sentence length and difficulty answering questions, significantly impact her functional communication. These language deficits negatively affect Elaine’s ability to effectively communicate her ideas, participate in peer interactions, and engage in age-appropriate learning and social activities. Parent report indicates that reduced intelligibility further contributes to communication breakdowns and difficulty interacting with peers. Due to the severity of language impairment and the functional impact across environments, skilled speech-language therapy is medically necessary to address underlying receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills. Without intervention, Elaine is at risk for continued communication failure, reduced social participation, delayed academic readiness, and increasing frustration related to difficulty being understood and expressing her needs effectively.
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 30 to 45 minute sessions

Speech and Language Plan of Care:

Plan of Care

58529

Plan Date: 02-16-2026

Speech Assessment Summary: Based on standardized assessment results, clinical observation, and caregiver report, Elaine presents with a severe mixed receptive-expressive language disorder, with language abilities falling significantly below age expectations. Deficits in receptive language, including reduced understanding of descriptive concepts, inferencing, and complex language structures, combined with expressive language limitations characterized by reduced sentence length and difficulty answering questions, significantly impact her functional communication. These language deficits negatively affect Elaine’s ability to effectively communicate her ideas, participate in peer interactions, and engage in age-appropriate learning and social activities. Parent report indicates that reduced intelligibility further contributes to communication breakdowns and difficulty interacting with peers. Due to the severity of language impairment and the functional impact across environments, skilled speech-language therapy is medically necessary to address underlying receptive and expressive language deficits, improve intelligibility, and support development of functional communication skills. Without intervention, Elaine is at risk for continued communication failure, reduced social participation, delayed academic readiness, and increasing frustration related to difficulty being understood and expressing her needs effectively.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement is good given Elaine’s strengths in symbolic play, ability to combine words, and willingness to engage during structured activities. Progress is expected with consistent skilled speech-language therapy and caregiver support. Ongoing intervention is recommended to improve language comprehension, expressive communication, and intelligibility in order to support successful peer interactions and functional communication across environments.

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.
Receptive Language	Within 12 months, Elaine will improve receptive language skills by accurately understanding age-appropriate spoken directions and language concepts to support functional participation across environments.
Expressive Language	Within 12 months, Elaine will improve expressive language skills by using longer and more organized verbal utterances to communicate wants, needs, and ideas.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, Elaine will identify descriptive concepts (e.g., big/small, hot/cold) with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues.
Receptive Language	Within 6 months, Elaine will answer simple WH-questions (who, what, where) with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues.
Expressive Language	Within 6 months, Elaine will produce 3+word utterances to request or describe during structured tasks with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues.
Expressive Language	Within 6 months, Elaine will label actions using present progressive verb forms (-ing) with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues
Oral Motor/Articulation	Within 6 months, Elaine will produce CVC and CVCV word shapes (e.g., “cat,” “dog,” “sun”) without deleting sounds or syllables with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues
Expressive Language	Within 6 months, Elaine will use basic descriptors (e.g., colors, size words) within verbal phrases with 60% accuracy across three consecutive therapy sessions with minimal to moderate cues

Speech and Language Soap Note/Visit:

Soap Note

491543

Note Date: 03-26-2026

Subjective:

Assessment of Goals/Response to Treatment: Elaine answered simple WH-questions (who, what, where) with 30% accuracy across three consecutive therapy sessions with minimal to moderate cues. Elaine labeled actions using present progressive verb forms (-ing) with 20% accuracy across three consecutive therapy sessions with minimal to moderate cues

Plans: Continue with current Plan of Care,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4184	02-16-2026	Occupational Initial Evaluation	R62.50
Occupational Background History: Elaine is a 4.10 year old girl who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother Elizabeth, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born full term. Child did not experience any complications at birth, does not have any visual or hearing deficits. Per parental report child struggles with overall executive functioning skills leading to poor attention, comprehension and accuracy. Child also presents with anxious behaviors further increasing fleeing attention to tasks.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: With some prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Shy, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Body Awareness, Cooperative,
Occupational Communication Weaknesses: Anxiety, Attention to Task, Behavior (defiance, resistance to authority, etc.), Manual Dexterity, Self-Control, Self-Esteem, Sensory Process/Mod, Social Interaction,
Occupational Background Summary: Child demos difficulty with in-hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as writing, grasping small objects, and fastening clothing. Weaknesses in fine motor skills can affect a child's ability to eat, write legibly, use a computer, turn pages in a book, and perform personal care tasks such as dressing and grooming.
Occupational Diagnosis/Impressions: Diagnosis/Impressions Elaine is a 4-year, 9-month-old (57 months) female who presents with significant developmental delays in the areas of fine motor coordination, visual-motor integration, self-care, and sensory processing. The evaluation was prompted by parental concerns regarding challenges with executive functioning, attention, and anxiety that impact functional performance. Throughout the assessment, Elaine was observed to be distractible with a moderately delayed response rate, requiring some prompts to maintain cooperation, which is consistent with parental reports. These attentional and regulatory challenges appear to directly and negatively influence her ability to engage in and learn from age-appropriate activities. Standardized assessment using the Peabody Developmental Motor Scales, Second Edition (PDMS-2) provided objective data confirming the presence of significant deficits. At a chronological age of 57 months, Elaine’s performance on the Grasping subtest yielded a standard score of 5, placing her at the 5th percentile, which is -1.67 standard deviations below the mean and reflects an age equivalency of 37 months. This constitutes a substantial 20-month delay. Similarly, her performance on the Visual Motor Integration subtest resulted in a standard score of 5 (5th percentile, -1.67 standard deviations), corresponding to an age equivalency of 34 months, which indicates a profound 23-month delay. Both scores are significantly below the 50th percentile, and the delays quantified in months far exceed the six-month threshold for a significant delay. Functionally, these profound delays in fine and visual-motor skills pervasively impact Elaine’s participation in age-appropriate occupations. Deficits in manual dexterity and grasping compromise her ability to use tools such as crayons and scissors effectively, manipulate fasteners on clothing for dressing, and engage in constructive play with small objects. The visual-motor integration deficit impairs her ability to perform foundational pre-academic tasks like copying shapes, completing puzzles, and coordinating bilateral hand use, placing her at a significant disadvantage for school readiness. These underlying motor and processing deficits, compounded by challenges with attention and sensory modulation, directly contribute to her dependency in activities of daily living, as evidenced by parental report of requiring moderate to maximal assistance for toileting and hygiene. The combination of motor-planning deficits, poor attention, and potential tactile defensiveness creates significant barriers to her independence in self-care routines. Therefore, skilled occupational therapy services are medically necessary to address these quantifiable deficits, which impede her ability to function independently and safely in home, school, and community environments. Based on the severity of the developmental delays, with deficits approaching two years behind her chronological age, and the pervasive impact across multiple functional domains including self-care, play, and pre-academics, ongoing occupational therapy is recommended at a frequency of two sessions per week. This intensity is required to provide sufficient intervention to remediate foundational skill deficits, improve safety and independence in daily living skills, close the significant developmental gap, and prevent the risk of continued regression or widening functional impairment as academic and social demands increase.

Occupational Therapy Plan of Care:

Plan of Care

5283

Plan Date: 02-16-2026

Occupational Assessment Summary: Diagnosis/Impressions Elaine is a 4-year, 9-month-old (57 months) female who presents with significant developmental delays in the areas of fine motor coordination, visual-motor integration, self-care, and sensory processing. The evaluation was prompted by parental concerns regarding challenges with executive functioning, attention, and anxiety that impact functional performance. Throughout the assessment, Elaine was observed to be distractible with a moderately delayed response rate, requiring some prompts to maintain cooperation, which is consistent with parental reports. These attentional and regulatory challenges appear to directly and negatively influence her ability to engage in and learn from age-appropriate activities. Standardized assessment using the Peabody Developmental Motor Scales, Second Edition (PDMS-2) provided objective data confirming the presence of significant deficits. At a chronological age of 57 months, Elaine’s performance on the Grasping subtest yielded a standard score of 5, placing her at the 5th percentile, which is -1.67 standard deviations below the mean and reflects an age equivalency of 37 months. This constitutes a substantial 20-month delay. Similarly, her performance on the Visual Motor Integration subtest resulted in a standard score of 5 (5th percentile, -1.67 standard deviations), corresponding to an age equivalency of 34 months, which indicates a profound 23-month delay. Both scores are significantly below the 50th percentile, and the delays quantified in months far exceed the six-month threshold for a significant delay. Functionally, these profound delays in fine and visual-motor skills pervasively impact Elaine’s participation in age-appropriate occupations. Deficits in manual dexterity and grasping compromise her ability to use tools such as crayons and scissors effectively, manipulate fasteners on clothing for dressing, and engage in constructive play with small objects. The visual-motor integration deficit impairs her ability to perform foundational pre-academic tasks like copying shapes, completing puzzles, and coordinating bilateral hand use, placing her at a significant disadvantage for school readiness. These underlying motor and processing deficits, compounded by challenges with attention and sensory modulation, directly contribute to her dependency in activities of daily living, as evidenced by parental report of requiring moderate to maximal assistance for toileting and hygiene. The combination of motor-planning deficits, poor attention, and potential tactile defensiveness creates significant barriers to her independence in self-care routines. Therefore, skilled occupational therapy services are medically necessary to address these quantifiable deficits, which impede her ability to function independently and safely in home, school, and community environments. Based on the severity of the developmental delays, with deficits approaching two years behind her chronological age, and the pervasive impact across multiple functional domains including self-care, play, and pre-academics, ongoing occupational therapy is recommended at a frequency of two sessions per week. This intensity is required to provide sufficient intervention to remediate foundational skill deficits, improve safety and independence in daily living skills, close the significant developmental gap, and prevent the risk of continued regression or widening functional impairment as academic and social demands increase.

Occupational Rehabilitation Potential: Good. with consistent Occupational Therapy and parental support

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Transition	Within 6 months, Elaine will be able to initiate 6/8 nonpreferred tasks with 3 or less verbal cues across 4/5 sessions in order to increase task independence. Currently requires mod to max A to initiate and terminate task
Attention	Within 6 months, Elaine will be able to achieve optimal state of alertness with only min A in order to demonstrate atleast 4 minutes of sustained attention with 70% consistency across sessions. Baseline 0%
Self Care	Within 6 months, Elaine will complete a 5-step toileting hygiene sequence (including clothing management, wiping, flushing, and hand washing) with minimal verbal cues and no physical assistance in 80% of opportunities to improve self-care independence and personal safety. Currently requires mod to max A
Sensory Integration	Within 6 months, Elaine will engage in a 5-minute messy play activity with ( 3 wet/sticky) textures with no aversion to textures in 3 consecutive sessions. Currently, avoids textures that are wet, sticky will throw the objects to the floor requiring HOHA

Occupational Short Term Goals:

Category	Goal Description
Transition	Within 3 months, Elaine will be able to initiate 3/4 nonpreferred tasks with 3 or less verbal cues across 3 sessions in order to increase task independence. Currently requires mod to max A to initiate and terminate task
Attention	Within 3 months, Elaine will be able to achieve optimal state of alertness with MOD A in order to demonstrate atleast 3 minutes of sustained attention with 70% consistency across sessions. Baseline 0%
Self Care	Within 3 months, Elaine will complete a 5-step toileting hygiene sequence (including clothing management, wiping, flushing, and hand washing) with MOD A in 70% of opportunities to improve self-care independence and personal safety. Currently requires mod to max A
Sensory Integration	Within 3 months, Elaine will engage in a 5-minute messy play activity with ( 2/3 wet/sticky) textures with no aversion to textures in 3 consecutive sessions. Currently, avoids textures that are wet, sticky will throw the objects to the floor requiring HOHA

Occupational Therapy Soap Note/Visit:

Soap Note

148082

Note Date: 03-26-2026

Subjective: Patient completed all required tasks,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: The patient presented as alert and oriented, and was an active participant in the session. Skilled occupational therapy intervention focused on enhancing psychosocial, cognitive, and self-care skills. During a simulated toileting task designed to improve problem-solving and sequencing for self-care, the patient experienced an episode of incontinence, soiling themself. This event highlights a significant deficit in functional toileting performance. To address sensory integration deficits, the session also included a messy play activity with wet and sticky textures. The patient demonstrated significant tactile defensiveness, exhibiting avoidant behaviors such as throwing the sensory materials to the floor. Maximum hand-over-hand assistance was required to facilitate even brief interaction with the textures, indicating a lack of progress toward the goal of tolerating these stimuli. This avoidant behavior also negatively impacted the patient's ability to sustain attention and appropriately initiate and terminate the activity, requiring maximal therapist support to complete the task.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
889979	97167: OT Evaluation	02-16-2026 01:00 PM	02-16-2026 02:00 PM	Saul Tercero Jr.	NB1 east side	Completed
887831	92523: Artic & Language Eval	02-16-2026 02:00 PM	02-16-2026 03:00 PM	Stephanie Escobar	NB1 east side	Completed
908922	NB001: Supervision	03-18-2026 10:30 AM	03-18-2026 11:00 AM	Victoria Chacon	NB2 far east side	Completed
908053	92507: Speech & Language Visit	03-18-2026 10:30 AM	03-18-2026 11:00 AM	Norma Medina	NB1 east side	Completed
908014	OT-VIS: OT Visit	03-18-2026 11:00 AM	03-18-2026 12:00 PM	Ruben Arreola	NB1 east side	Completed
908450	92507: Speech & Language Visit	03-23-2026 02:00 PM	03-23-2026 02:30 PM	Norma Medina	NB1 east side	Completed
910159	OT-VIS: OT Visit	03-23-2026 03:00 PM	03-23-2026 04:00 PM	Michael Barnes	NB1 east side	Completed
908163	92507: Speech & Language Visit	03-25-2026 10:30 AM	03-25-2026 11:00 AM	Norma Medina	NB1 east side	Completed
908015	OT-VIS: OT Visit	03-25-2026 11:00 AM	03-25-2026 12:00 PM	Ruben Arreola	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
887218	92523: Artic & Language Eval	02-09-2026 12:00 PM	02-09-2026 01:00 PM	Katelyn Vera	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
908495	92507: Speech & Language Visit	03-30-2026 02:30 PM	03-30-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910160	OT-VIS: OT Visit	03-30-2026 03:00 PM	03-30-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908164	92507: Speech & Language Visit	04-01-2026 10:30 AM	04-01-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908016	OT-VIS: OT Visit	04-01-2026 11:00 AM	04-01-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908496	92507: Speech & Language Visit	04-06-2026 02:30 PM	04-06-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910161	OT-VIS: OT Visit	04-06-2026 03:00 PM	04-06-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908165	92507: Speech & Language Visit	04-08-2026 10:30 AM	04-08-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908017	OT-VIS: OT Visit	04-08-2026 11:00 AM	04-08-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
910162	OT-VIS: OT Visit	04-13-2026 03:00 PM	04-13-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908166	92507: Speech & Language Visit	04-15-2026 10:30 AM	04-15-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908018	OT-VIS: OT Visit	04-15-2026 11:00 AM	04-15-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
910163	OT-VIS: OT Visit	04-20-2026 03:00 PM	04-20-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908167	92507: Speech & Language Visit	04-22-2026 10:30 AM	04-22-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908019	OT-VIS: OT Visit	04-22-2026 11:00 AM	04-22-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
910164	OT-VIS: OT Visit	04-27-2026 03:00 PM	04-27-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908168	92507: Speech & Language Visit	04-29-2026 10:30 AM	04-29-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908020	OT-VIS: OT Visit	04-29-2026 11:00 AM	04-29-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
910165	OT-VIS: OT Visit	05-04-2026 03:00 PM	05-04-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908169	92507: Speech & Language Visit	05-06-2026 10:30 AM	05-06-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908021	OT-VIS: OT Visit	05-06-2026 11:00 AM	05-06-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
910166	OT-VIS: OT Visit	05-11-2026 03:00 PM	05-11-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908170	92507: Speech & Language Visit	05-13-2026 10:30 AM	05-13-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908022	OT-VIS: OT Visit	05-13-2026 11:00 AM	05-13-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908497	92507: Speech & Language Visit	05-18-2026 02:30 PM	05-18-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910167	OT-VIS: OT Visit	05-18-2026 03:00 PM	05-18-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908171	92507: Speech & Language Visit	05-20-2026 10:30 AM	05-20-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908023	OT-VIS: OT Visit	05-20-2026 11:00 AM	05-20-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908498	92507: Speech & Language Visit	05-25-2026 02:30 PM	05-25-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910168	OT-VIS: OT Visit	05-25-2026 03:00 PM	05-25-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908172	92507: Speech & Language Visit	05-27-2026 10:30 AM	05-27-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908024	OT-VIS: OT Visit	05-27-2026 11:00 AM	05-27-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908499	92507: Speech & Language Visit	06-01-2026 02:30 PM	06-01-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910169	OT-VIS: OT Visit	06-01-2026 03:00 PM	06-01-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908173	92507: Speech & Language Visit	06-03-2026 10:30 AM	06-03-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908025	OT-VIS: OT Visit	06-03-2026 11:00 AM	06-03-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908500	92507: Speech & Language Visit	06-08-2026 02:30 PM	06-08-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910170	OT-VIS: OT Visit	06-08-2026 03:00 PM	06-08-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908174	92507: Speech & Language Visit	06-10-2026 10:30 AM	06-10-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908026	OT-VIS: OT Visit	06-10-2026 11:00 AM	06-10-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908501	92507: Speech & Language Visit	06-15-2026 02:30 PM	06-15-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910171	OT-VIS: OT Visit	06-15-2026 03:00 PM	06-15-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908175	92507: Speech & Language Visit	06-17-2026 10:30 AM	06-17-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908027	OT-VIS: OT Visit	06-17-2026 11:00 AM	06-17-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908502	92507: Speech & Language Visit	06-22-2026 02:30 PM	06-22-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910172	OT-VIS: OT Visit	06-22-2026 03:00 PM	06-22-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908176	92507: Speech & Language Visit	06-24-2026 10:30 AM	06-24-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908028	OT-VIS: OT Visit	06-24-2026 11:00 AM	06-24-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908503	92507: Speech & Language Visit	06-29-2026 02:30 PM	06-29-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910173	OT-VIS: OT Visit	06-29-2026 03:00 PM	06-29-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908177	92507: Speech & Language Visit	07-01-2026 10:30 AM	07-01-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908029	OT-VIS: OT Visit	07-01-2026 11:00 AM	07-01-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908504	92507: Speech & Language Visit	07-06-2026 02:30 PM	07-06-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910174	OT-VIS: OT Visit	07-06-2026 03:00 PM	07-06-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908178	92507: Speech & Language Visit	07-08-2026 10:30 AM	07-08-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908030	OT-VIS: OT Visit	07-08-2026 11:00 AM	07-08-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908505	92507: Speech & Language Visit	07-13-2026 02:30 PM	07-13-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910175	OT-VIS: OT Visit	07-13-2026 03:00 PM	07-13-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908179	92507: Speech & Language Visit	07-15-2026 10:30 AM	07-15-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908031	OT-VIS: OT Visit	07-15-2026 11:00 AM	07-15-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908506	92507: Speech & Language Visit	07-20-2026 02:30 PM	07-20-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910176	OT-VIS: OT Visit	07-20-2026 03:00 PM	07-20-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908180	92507: Speech & Language Visit	07-22-2026 10:30 AM	07-22-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908032	OT-VIS: OT Visit	07-22-2026 11:00 AM	07-22-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908507	92507: Speech & Language Visit	07-27-2026 02:30 PM	07-27-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910177	OT-VIS: OT Visit	07-27-2026 03:00 PM	07-27-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908181	92507: Speech & Language Visit	07-29-2026 10:30 AM	07-29-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908033	OT-VIS: OT Visit	07-29-2026 11:00 AM	07-29-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908508	92507: Speech & Language Visit	08-03-2026 02:30 PM	08-03-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910178	OT-VIS: OT Visit	08-03-2026 03:00 PM	08-03-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908182	92507: Speech & Language Visit	08-05-2026 10:30 AM	08-05-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908034	OT-VIS: OT Visit	08-05-2026 11:00 AM	08-05-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908509	92507: Speech & Language Visit	08-10-2026 02:30 PM	08-10-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910179	OT-VIS: OT Visit	08-10-2026 03:00 PM	08-10-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908183	92507: Speech & Language Visit	08-12-2026 10:30 AM	08-12-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908035	OT-VIS: OT Visit	08-12-2026 11:00 AM	08-12-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908510	92507: Speech & Language Visit	08-17-2026 02:30 PM	08-17-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910180	OT-VIS: OT Visit	08-17-2026 03:00 PM	08-17-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908184	92507: Speech & Language Visit	08-19-2026 10:30 AM	08-19-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908036	OT-VIS: OT Visit	08-19-2026 11:00 AM	08-19-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908511	92507: Speech & Language Visit	08-24-2026 02:30 PM	08-24-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910181	OT-VIS: OT Visit	08-24-2026 03:00 PM	08-24-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908185	92507: Speech & Language Visit	08-26-2026 10:30 AM	08-26-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908037	OT-VIS: OT Visit	08-26-2026 11:00 AM	08-26-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908512	92507: Speech & Language Visit	08-31-2026 02:30 PM	08-31-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
910182	OT-VIS: OT Visit	08-31-2026 03:00 PM	08-31-2026 04:00 PM	Michael Barnes	NB1 east side	Scheduled
908186	92507: Speech & Language Visit	09-02-2026 10:30 AM	09-02-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled
908038	OT-VIS: OT Visit	09-02-2026 11:00 AM	09-02-2026 12:00 PM	Ruben Arreola	NB1 east side	Scheduled
908513	92507: Speech & Language Visit	09-07-2026 02:30 PM	09-07-2026 03:00 PM	Norma Medina	NB1 east side	Scheduled
908187	92507: Speech & Language Visit	09-09-2026 10:30 AM	09-09-2026 11:00 AM	Norma Medina	NB1 east side	Scheduled

Paient Notes:

Date	Posted By	Description
03-13-2026	Shekinah Velasquez	ST auth approved starting 03/16/26 - 09/11/2026 2x/ week = 52 visits. Therapist notified and assigned.
03-10-2026	Shekinah Velasquez	ST auth request submitted to EPH. Pending approval.
03-06-2026	Shekinah Velasquez	OT auth approved starting 03/09/2026 - 09/04/2026 2x/ week = 52 visits (208 units). Therapist notified
02-27-2026	Shekinah Velasquez	OT auth request submitted to SHP. Pending approval
02-25-2026	Shekinah Velasquez	ST paperwork sent to PCP via fax. Pending signatures and THsteps
02-17-2026	Avery Fontenot	Faxed OT paperwork and request for THSTEPS to PCP. pending.
02-16-2026	Stephanie Escobar	Patient was seen for a speech and language evaluation on this date (2/16/2026). Following the assessment, clinician provided parent education regarding bilingual language exposure. Parent was counseled to continue exposing the child to both languages, provided that appropriate and consistent language models are used in each language. Clinician discussed current evidence-based research indicating that bilingualism does not cause language confusion or delay. It was explained that children can successfully learn two languages when given meaningful exposure, quality input, and functional opportunities to communicate. Parent was encouraged to model language naturally, avoid limiting to one language out of concern for confusion, and focus on clear, rich language interactions in daily routines. Parent verbalized understanding and agreement with recommendations. Continued monitoring and support for bilingual language development will be provided as part of the plan of care.
02-09-2026	Katelyn Vera	Elaine was scheduled on 2/6/26 by front office for an evaluation 2/9/26. Parent listed evaluation needed in English on intake document. Therapist sent the following message to parent: Katelyn Vera 2/8/2026 1:13 PM Good Afternoon, this is Katie from New Beginnings and I am the Speech Language Pathologist that will be conducting Elaine’s speech and language evaluation. The evaluation is scheduled for tomorrow, February 9th at 12:00pm. I wanted to reach out ahead of the evaluation to learn more about your primary concerns for Elaine. Please answer the following questions at your earliest convenience: 1.) Length of pregnancy, please list any complications during pregnancy or birth. 2.) Please list any major illnesses, accidents, surgeries, and/or medical diagnoses (e.g., Autism, ADHD, down syndrome, etc.) 3.) Were developmental milestones met as expected or delayed? 4.) Does your child wake up several times a night or are there instances of snoring? Does your child’s pediatrician have any concerns with tonsils? 5.) Please list any medications your child takes (e.g., prescribed, over the counter, vitamins) 6.) Is your child currently enrolled in daycare or school? 7.) Please list any vision or hearing concerns. 8.) Please describe your concerns with speech and/or language. 9.) When did these concerns begin? 10.) Please list any history of previous therapy (e.g., speech therapy, occupational therapy, physical therapy, feeding, therapy, counseling, etc.) 11.) Please list your child’s dominant language. Are they exposed to multiple languages (e.g., at home, at school) Please let me know if you have any questions :) Mother did not respond. Mother and pt attended evaluation and intake information was gathered during the evaluation. Elaine’s mother reported that she is exposed to Spanish when with her and is currently enrolled in a dual language pre-k class. Therapist informed mother that she was not a bilingual therapist and stated evaluation completed by bilingual therapist would be essential to accurately distinguish between a language difference vs. a true language disorder. Mother verbalized understanding. Pt will be rescheduled with Steph on 2/16/26 at 2pm.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-09-2026	92523	Vera, Katelyn	Intake information stated primary language was english, however, during initial evaluation mother reported that pt is exposed to Spanish when with mother and is enrolled in dual language pre-k class. Evaluation to be rescheduled with a bilingual therapist at a later date.

Paient Messages Admin:

Date	Posted By	Message
02-05-2026 01:05 PM	Avery Fontenot	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2602
02-05-2026 01:33 PM	Shekinah Velasquez	Elaine 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=9953&type=1&wid=543
02-05-2026 01:33 PM	Shekinah Velasquez	Elaine 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=9953&type=3&wid=544
02-06-2026 10:23 AM	Julie Mora	Hello, this is Julie from New Beginnings. I noticed you uploaded the Texas Medicaid card. Unfortunately we can not accept the TX Medicaid card. We will need a copy of the El Paso Health insurance card in order to be able to see the patient. If you can please email a copy to jmora@newbeginnings-elp.com I would appreciate it. Thank you.
02-06-2026 12:30 PM	Julie Mora	Hello, I just received the referral for OT. I will forward Elaine's file to our OT director. He will contact you to schedule.
03-06-2026 06:42 PM	Shekinah Velasquez	Hi, Elaine as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Michael https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9953&tid=78
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9953
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/
03-13-2026 12:54 PM	Shekinah Velasquez	Hi, Elaine as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Norma https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9953&tid=22

Paient Messages Therapist:

Date	Posted By	Message
02-08-2026 01:13 PM	Katelyn Vera	Good Afternoon, this is Katie from New Beginnings and I am the Speech Language Pathologist that will be conducting Elaine’s speech and language evaluation. The evaluation is scheduled for tomorrow, February 9th at 12:00pm. I wanted to reach out ahead of the evaluation to learn more about your primary concerns for Elaine. Please answer the following questions at your earliest convenience: 1.) Length of pregnancy, please list any complications during pregnancy or birth. 2.) Please list any major illnesses, accidents, surgeries, and/or medical diagnoses (e.g., Autism, ADHD, down syndrome, etc.) 3.) Were developmental milestones met as expected or delayed? 4.) Does your child wake up several times a night or are there instances of snoring? Does your child’s pediatrician have any concerns with tonsils? 5.) Please list any medications your child takes (e.g., prescribed, over the counter, vitamins) 6.) Is your child currently enrolled in daycare or school? 7.) Please list any vision or hearing concerns. 8.) Please describe your concerns with speech and/or language. 9.) When did these concerns begin? 10.) Please list any history of previous therapy (e.g., speech therapy, occupational therapy, physical therapy, feeding, therapy, counseling, etc.) 11.) Please list your child’s dominant language. Are they exposed to multiple languages (e.g., at home, at school) Please let me know if you have any questions :)
02-08-2026 06:30 PM	Katelyn Vera	Hi, this is a just a reminder that Elaine has a Speech Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 08:00 AM	Katelyn Vera	Hi, this is a just a reminder that Elaine has a Speech Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 11:45 AM	Katelyn Vera	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887218
02-09-2026 12:26 PM	Katelyn Vera	Katelyn Vera CANCELLED: 12:00PM-2/9/2026 92523: Artic & Language Eval
02-15-2026 06:30 PM	Stephanie Escobar	Hi, this is a just a reminder that Elaine has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
02-15-2026 06:30 PM	Saul Tercero Jr.	Hi, this is a just a reminder that Elaine has a Occupational Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 07:51 AM	Stephanie Escobar	Hi, this is a just a reminder that Elaine has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 07:53 AM	Saul Tercero Jr.	Hi, this is a just a reminder that Elaine has a Occupational Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 12:45 PM	Saul Tercero Jr.	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=889979
02-16-2026 12:45 PM	Elaine De lo rios De la rosa	Elaine is CHECKED IN for: 1:00PM-2/16/2026 97167: OT Evaluation
02-16-2026 01:45 PM	Stephanie Escobar	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887831
03-16-2026 08:24 AM	Michael Barnes	Good morning, my name is Michael. I will be therapist seeing Ms. Elaine for Occupational Therapy along with Mr. Ruben. Elaine was approved for 2 visits per week. I would like to get her scheduled for her permanent time slots. I have Monday at 3:00 pm available. For Mr. Ruben he has Wednesday at 11:00 am available. Please let me know if these dates and times work for you all. :)
03-16-2026 10:39 AM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Good morning Mr Michael, Thank you for reaching out to coordinate these times for Elaine. Both of those time slots work well for us: • Mondays at 3:00 pm (with you) • Wednesdays at 11:00 am (with Mr. Ruben) We look forward to the sessions, thank you.
03-16-2026 11:57 AM	Norma Medina	Good Afternoon, this is Norma and I will be Elaine’s speech therapist. We can go ahead and start with her sessions this week. I have tomorrow Tuesday available at 1230pm. Elaine was approved for 2x a week and we can sit down to coordinate a permanent schedule for her. Let me know if this works for you :)
03-16-2026 12:01 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Hello good afternoon Norma ! Nice to meet you, by any chance do you have wensday available in the morning? She will be going to OT on Mondays at 3:00 and wensdays at 11:00.
03-16-2026 12:02 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Thank you :)
03-16-2026 12:10 PM	Norma Medina	I currently only have an 11am on Wednesdays. I’m sorry. But I can try and coordinate something for her permanently starting next week, bc this week I only have tomorrow available.
03-16-2026 12:40 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Mrs. Norma, the problem is that I would like to coordinate both Speech and OT. I have school on campus on Tuesdays, Thursdays, and Fridays. I don’t have availability and It’s difficult for me to keep going back and forth many times, so I was hoping we could coordinate the schedules if possible.
03-16-2026 12:45 PM	Norma Medina	Yes< I completely understand. I’m currently working on swapping some current patients of mine to coordinate better for Elaine. Would 10;30am be ok? I’m also trying to give her Mondayat 330pm but for now we can do Wednesday for this week :)
03-16-2026 12:46 PM	Norma Medina	10:30am Wednesday *
03-16-2026 12:52 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Wednesday at 10:30am works perfect since she will have OT at 11, but for Monday it wont work she has OT with Mr . Mike
03-16-2026 12:53 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: At 3:00pm
03-16-2026 12:57 PM	Norma Medina	Oh! her sessions are more than 30 minutes long w OT. Let me try and get her a 230pm But we are set for Wednesdays
03-16-2026 12:58 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Yes OT is form 3:00pm-3:55pm Mondays
03-17-2026 09:35 AM	Norma Medina	Hello good morning! Its Norma and wanted to confirm our appointment times. I was able to adjust and we can do Mondays at 2:30pm and Wednesdays at 10:30am I will see you all tomorrow 😀
03-17-2026 12:30 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Sounds perfect thank you Norma ❤️
03-17-2026 01:18 PM	Norma Medina	You're Welcome 😄
03-17-2026 06:30 PM	Ruben Arreola	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 06:30 PM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 08:01 AM	Ruben Arreola	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 08:01 AM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 10:15 AM	Norma Medina	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908053
03-18-2026 10:45 AM	Ruben Arreola	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908014
03-18-2026 11:57 AM	Norma Medina	Hello! It was great meeting you all, for next Monday, I would like to see Elaine at 2pm. It will be the only time it is 30 minutes earlier. With kids in spring break, My schedule is a bit different with adjustments. It will only be this Monday and wednesday will be at regular time, 10:30am :) Thank you and see you next week
03-18-2026 12:00 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: It was great meeting you as well! Yes that's fine for only this Monday at 2pm thank you so much Mrs Norma ❤️
03-22-2026 04:00 PM	Norma Medina	Hi, this is a just a reminder that De lo rios De la rosa, Elaine has a Speech Therapy appointment on 03-23-2026 at 2:00 PM, and on 03-25-2026 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Michael Barnes	Hi, this is a just a reminder that De lo rios De la rosa, Elaine has a Occupational Therapy appointment on 03-23-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Yes
03-22-2026 04:01 PM	Norma Medina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 04:02 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Yes
03-22-2026 04:02 PM	Michael Barnes	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 04:02 PM	Ruben Arreola	Hi, this is a just a reminder that De lo rios De la rosa, Elaine has a Occupational Therapy appointment on 03-25-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
03-22-2026 06:30 PM	Michael Barnes	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:56 AM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:58 AM	Michael Barnes	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 01:18 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Good afternoon
03-23-2026 01:18 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Mrs Norma do you think I could get a note for Elaine's school please
03-23-2026 01:19 PM	Norma Medina	Hello! Yes of course, I can have that ready for you!
03-23-2026 01:20 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Thank you
03-23-2026 01:45 PM	Norma Medina	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908450
03-23-2026 01:52 PM	Elaine De lo rios De la rosa	Elaine is RUNNING LATE for: 2:00PM-3/23/2026 92507: Speech & Language Visit
03-23-2026 02:07 PM	Elaine De lo rios De la rosa	Elaine (Prim) Replied: Mrs Norma ya nomas pasamos ?
03-23-2026 02:45 PM	Michael Barnes	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910159
03-23-2026 02:45 PM	Elaine De lo rios De la rosa	Elaine is CHECKED IN for: 3:00PM-3/23/2026 OT-VIS: OT Visit
03-24-2026 06:30 PM	Ruben Arreola	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 06:30 PM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:55 AM	Ruben Arreola	Hi, this is a just a reminder that Elaine has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:55 AM	Norma Medina	Hi, this is a just a reminder that Elaine has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
03-25-2026 10:15 AM	Norma Medina	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908163
03-25-2026 10:16 AM	Elaine De lo rios De la rosa	Elaine is CHECKED IN for: 10:30AM-3/25/2026 92507: Speech & Language Visit
03-25-2026 10:45 AM	Ruben Arreola	Elaine De lo rios De la rosa : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908015
03-25-2026 10:50 AM	Elaine De lo rios De la rosa	Elaine is CHECKED IN for: 11:00AM-3/25/2026 OT-VIS: OT Visit