New Beginnings | NB1-Office

Patient Name: Luke

Patient Information:

Patient ID: 9987

Patient First Name: Luke

Patient Date of Birth: 11-12-2021

Gender: male

Assigned Office: NB1 east side

Primary Care Physician: Osama, Naga

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
23491	Active	03-02-2026	08-28-2026	Self Pay	52	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26346	02-27-2026	Speech Initial Evaluation	F80.9, F80.2
Speech Background History: Luke is a 4-year, 3-month male who was see at New Beginnings Pediatrics on February 27th, 2026 from 10:00am to 11:00am for an initial speech and language evaluation. Luke was accompanied by his mother who served at his primary informant regarding his medical history. Parent reports there is no history of speech and language delays in the family. Luke was referred due to parental and physician concerns with his receptive and expressive language skills. Currently, Luke produces approximately 100words (colors, clothing items, what is that). He is reported to have a recent increase word and animal/environmental noise imitation. Luke previously received speech therapy services through ECI but has since then aged out. There are no concerns with fluency or voice at this time. Parent expressed concerns about feeding difficulties. Luke's primary language is English, therefore, this evaluation was conducted in English.
Speech Medical History: There is no significant medical history or chronic conditions reported. Luke was born at 35 weeks and 5 days gestation via vaginal delivery, weighing 6 pounds, 0 ounces. During delivery, Luke reportedly turned blue for approximately one minute and required brief oxygen administration by nursing staff. The parent also reported that the placenta appeared to be ripped at the time of delivery; however, this was not medically confirmed. There were no additional reported perinatal complications, and Luke did not require admission to the NICU. Luke’s hearing and vision are within normal limits (WNL), with no current concerns or impairments noted. There is no reported history of allergies. No other surgical procedures or hospitalizations are documented in his medical history.
Speech Medications: Luke is currently prescribed leucovorin (folinic acid) 5 mg, which he has been taking for the past five months. The parent was unsure of the specific medical indication for this medication at the time of reporting.
Speech Behavioral Observations: Attending Skills: Alert, Response Rate: Moderate delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Follows verbal command with cues, Takes turns, Understood inhibitory words with signs,
Speech Communication Weaknesses: Delayed echolalia, Immediate echolalia, Perseverations, Problems with organization and relevance, Repetitiveness, Restrictive affect, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, 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, evaluating pragmatics involves observing a child's ability to initiate and maintain conversations, take turns, interpret nonverbal cues, and use language appropriately in different social situations. Difficulties with pragmatics can manifest as challenges in social interactions, problem-solving, and understanding figurative language. Luke presented as reserved and passive. He demonstrated appropriate and consistent eye contact; however, he did not independently initiate conversations or engage in social routines such as greetings or farewells. Participation in both structured and unstructured interactions was limited, and he required prompting to engage. Luke exhibited fleeting attention to verbal and nonverbal cues and required frequent verbal and gestural prompts, as well as occasional tactile cues, to respond to simple directions. Overall, his pragmatic language skills appear to be emerging but remain below age-level expectations, particularly in the areas of social initiation and reciprocal interaction.
Speech Diagnosis/Impressions: Luke is a 4-year, 3-month old male who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Luke's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Luke receives services 2x/week for up to 60-minute 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. Luke 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 Luke'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 his 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 Luke is not able to clearly or effectively communicate his needs and wants for his 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, Luke 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: Luke is a 4-year, 3-month old male who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Luke's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Luke receives services 2x/week for up to 60-minute 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. Luke 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 Luke'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 his 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 Luke is not able to clearly or effectively communicate his needs and wants for his 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, Luke 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

58618

Plan Date: 02-27-2026

Speech Assessment Summary: Luke is a 4-year, 3-month old male who is demonstrating a Moderate Mixed Receptive and Expressive Language Disorder (F80.2). These deficits impact Luke's ability to effectively communicate with family, peers, and community members, contributing to communication breakdowns and frustration. It is recommended Luke 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. Luke 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 Luke'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 his 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 Luke is not able to clearly or effectively communicate his needs and wants for his 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, Luke 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 skilled speech language therapy is good; prognosis without therapy is guarded. Luke presents with a moderate mixed receptive and expressive language disorder, requiring ongoing intervention to improve his ability to understand and use age-appropriate language, communicate his wants and needs effectively, engage in back-and-forth interactions, and develop early social-pragmatic skills within daily routines and play-based activities. He will be discharged from therapy when all goals are met and he demonstrates functional age-appropriate pragmatic skills, supported by standardized scores above –1.5 SD in all targeted areas, indicating skills within the mild or average range.

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, Luke will improve his 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, Luke will improve his 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.
Pragmatic Language	#3: By discharge, Luke will improve his functional social communication skills to support meaningful interactions across home, school, and community settings, as evidenced by increased use of AAC and/or verbalizations to express basic needs, make choices, and participate in simple social routines 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, Luke will increase his ability to use 3-5 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 40% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations.
Expressive Language	#1.2: Within 6 months, Luke will improve his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 30% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations.
Expressive Language	#1.3: Within 6 months, Luke will imitate actions/gestures, environmental sounds, exclamatory words with 40% accuracy across 3 consecutive sessions, improving prelinguistic communication skills, as measured by therapist collected data and observations.
Receptive Language	#2.1: Within 6 months, Luke will increase his ability to follow 1-step directions containing at least one developmentally appropriate vocabulary and/or concept (e.g. spatial, modified nouns, etc.) in 4/5 opportunities across 3 consecutive sessions, improving his receptive language skills, as measured by therapist collected data and observations.
Pragmatic Language	#3.1: Within 6 months, Luke will engage in joint attention routines (e.g., looking toward partner, orienting to name, following partner’s point, sharing an activity) for at least 1-minute in 3/5 opportunities across 3 consecutive sessions, improving his social engagement and shared attention skills, as measured by therapist collected data and observations.
Pragmatic Language	#3.2: Within 6 months, Luke will participate in simple turn-taking routines (e.g., rolling a ball, activating a toy, completing a structured game turn) for at least 3 turns in 3/5 opportunities across 3 consecutive sessions, improving his reciprocal social interaction and early pragmatic skills, as measured by therapist-collected data and observations.

Speech and Language Soap Note/Visit:

Soap Note

491452

Note Date: 03-25-2026

Subjective:

Assessment of Goals/Response to Treatment: #1.1: Within 6 months, Luke will increase his ability to use 3-5 words/signs for a variety of pragmatic functions (requesting, protesting, making choices, labeling, etc.) with 40% accuracy across 3 consecutive sessions, improving his functional and intentional communication skills, as measured by therapist collected data and observations. - During play-based activities, clinician modeled many 2+ words for a variety of pragmatic functions. Models include but are not limited to: 'I' statement, SVO, help me, look at this, etc. Luke was observed to imitate in <10% of opportunities. He was observed to consistently babble this date, however intelligibility was a barrier. He IND carried over 'let's go see mom, push in chair, the purple cat,' etc. with verbal approximation. #1.2: Within 6 months, Luke will improve his ability to answer a variety of "who, what (do), where" questions (factual, personal, recall, comprehension) to 30% accuracy across 3 consecutive sessions, improving his receptive and expressive language skills, as measured by therapist collected data and observations. - During semi-structured tasks, clinician modeled many 'who, what, where' questions. Luke attended to most models with MIN imitation. He IND labeled 'mom' several times, 'car' 2x, and 'tv' 1x.

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899142	92523: Artic & Language Eval	02-27-2026 10:00 AM	02-27-2026 11:00 AM	Rachael Haduck	NB1 east side	Completed
902706	92507: Speech & Language Visit	03-04-2026 10:30 AM	03-04-2026 11:00 AM	Rachael Haduck	NB1 east side	Completed
902707	92507: Speech & Language Visit	03-09-2026 10:00 AM	03-09-2026 10:30 AM	Rachael Haduck	NB1 east side	Completed
902744	92507: Speech & Language Visit	03-11-2026 10:00 AM	03-11-2026 10:45 AM	Rachael Haduck	NB1 east side	Completed
902708	92507: Speech & Language Visit	03-16-2026 10:00 AM	03-16-2026 10:45 AM	Rachael Haduck	NB1 east side	Completed
902745	92507: Speech & Language Visit	03-18-2026 10:00 AM	03-18-2026 10:45 AM	Rachael Haduck	NB1 east side	Completed
907902	92507: Speech & Language Visit	03-23-2026 10:00 AM	03-23-2026 10:45 AM	Rachael Haduck	NB1 east side	Completed
907896	92507: Speech & Language Visit	03-24-2026 11:00 AM	03-24-2026 11:45 AM	Rachael Haduck	NB1 east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907904	92507: Speech & Language Visit	04-06-2026 10:00 AM	04-06-2026 10:45 AM	Rachael Haduck	NB1 east side	Canceled
907938	92507: Speech & Language Visit	04-08-2026 10:00 AM	04-08-2026 10:45 AM	Rachael Haduck	NB1 east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907903	92507: Speech & Language Visit	03-30-2026 10:00 AM	03-30-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907937	92507: Speech & Language Visit	04-01-2026 10:00 AM	04-01-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907905	92507: Speech & Language Visit	04-13-2026 10:00 AM	04-13-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907939	92507: Speech & Language Visit	04-15-2026 10:00 AM	04-15-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907906	92507: Speech & Language Visit	04-20-2026 10:00 AM	04-20-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907940	92507: Speech & Language Visit	04-22-2026 10:00 AM	04-22-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907907	92507: Speech & Language Visit	04-27-2026 10:00 AM	04-27-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907941	92507: Speech & Language Visit	04-29-2026 10:00 AM	04-29-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907908	92507: Speech & Language Visit	05-04-2026 10:00 AM	05-04-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907942	92507: Speech & Language Visit	05-06-2026 10:00 AM	05-06-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907909	92507: Speech & Language Visit	05-11-2026 10:00 AM	05-11-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907943	92507: Speech & Language Visit	05-13-2026 10:00 AM	05-13-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907910	92507: Speech & Language Visit	05-18-2026 10:00 AM	05-18-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907944	92507: Speech & Language Visit	05-20-2026 10:00 AM	05-20-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907911	92507: Speech & Language Visit	05-25-2026 10:00 AM	05-25-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907945	92507: Speech & Language Visit	05-27-2026 10:00 AM	05-27-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907912	92507: Speech & Language Visit	06-01-2026 10:00 AM	06-01-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907946	92507: Speech & Language Visit	06-03-2026 10:00 AM	06-03-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907913	92507: Speech & Language Visit	06-08-2026 10:00 AM	06-08-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907947	92507: Speech & Language Visit	06-10-2026 10:00 AM	06-10-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907914	92507: Speech & Language Visit	06-15-2026 10:00 AM	06-15-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907948	92507: Speech & Language Visit	06-17-2026 10:00 AM	06-17-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907915	92507: Speech & Language Visit	06-22-2026 10:00 AM	06-22-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907949	92507: Speech & Language Visit	06-24-2026 10:00 AM	06-24-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907916	92507: Speech & Language Visit	06-29-2026 10:00 AM	06-29-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907950	92507: Speech & Language Visit	07-01-2026 10:00 AM	07-01-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907917	92507: Speech & Language Visit	07-06-2026 10:00 AM	07-06-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907951	92507: Speech & Language Visit	07-08-2026 10:00 AM	07-08-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907918	92507: Speech & Language Visit	07-13-2026 10:00 AM	07-13-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907952	92507: Speech & Language Visit	07-15-2026 10:00 AM	07-15-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907919	92507: Speech & Language Visit	07-20-2026 10:00 AM	07-20-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907953	92507: Speech & Language Visit	07-22-2026 10:00 AM	07-22-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907920	92507: Speech & Language Visit	07-27-2026 10:00 AM	07-27-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907954	92507: Speech & Language Visit	07-29-2026 10:00 AM	07-29-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907921	92507: Speech & Language Visit	08-03-2026 10:00 AM	08-03-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907955	92507: Speech & Language Visit	08-05-2026 10:00 AM	08-05-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907922	92507: Speech & Language Visit	08-10-2026 10:00 AM	08-10-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907956	92507: Speech & Language Visit	08-12-2026 10:00 AM	08-12-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907923	92507: Speech & Language Visit	08-17-2026 10:00 AM	08-17-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907957	92507: Speech & Language Visit	08-19-2026 10:00 AM	08-19-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907924	92507: Speech & Language Visit	08-24-2026 10:00 AM	08-24-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled
907958	92507: Speech & Language Visit	08-26-2026 10:00 AM	08-26-2026 10:45 AM	Rachael Haduck	NB1 east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
2/27/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	220.00	-220.00
2/27/26	Card Payment for ST eval. Receipt #: N2cy	220.00	220.00	0.00
3/4/26	Card Payment for ST visit. Receipt #: 1gxh	285.00	220.00	65.00
3/4/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	285.00	285.00	0.00
3/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	285.00	350.00	-65.00
3/9/26	Patient Payment Received (Stripe)	350.00	350.00	0.00
3/11/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	350.00	415.00	-65.00
3/11/26	Patient Payment Received (Stripe)	415.00	415.00	0.00
3/16/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	415.00	480.00	-65.00
3/17/26	Patient Payment Received (Stripe)	480.00	480.00	0.00
3/18/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	480.00	545.00	-65.00
3/19/26	Patient Payment Received (Stripe)	545.00	545.00	0.00
3/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	545.00	610.00	-65.00
3/23/26	Patient Payment Received (Stripe)	610.00	610.00	0.00
3/24/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	610.00	675.00	-65.00
3/25/26	Patient Payment Received (Stripe)	675.00	675.00	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
2/27/26	92523: Artic & Language Eval	1	345.00	Billed and Paid
3/4/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/9/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/11/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/16/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/18/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/23/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/24/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
02-23-2026	Shekinah Velasquez	Parent is okay with times 10am and on for eval and treatment.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
04-08-2026	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

Paient Messages Admin:

Date	Posted By	Message
02-19-2026 09:44 AM	Julie Mora	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2657
02-21-2026 07:05 AM	Shekinah Velasquez	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9987
02-21-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9987
02-22-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9987
02-23-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9987
02-23-2026 11:17 AM	Julie Mora	Luke 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/register/waitlist_status.aspx?pid=9987&type=1&wid=604
02-27-2026 07:32 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39652. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-28-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Luke Mann from therapy on 02-27-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39652. Thank you for allowing us to serve your child! 🙂
02-28-2026 07:31 AM	Luke Mann	Hello - we went in person to the main office to pay for the consult on Friday 2/27 with a credit card
03-03-2026 03:27 PM	Shekinah Velasquez	Hello, yes we do have that on record, please disregard the messages sent. Thank you and have a great day!
03-03-2026 03:28 PM	Luke Mann	Thank you!
03-04-2026 10:43 AM	Shekinah Velasquez	Hi, Luke 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=9987&tid=141
03-05-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Luke Mann from therapy on 03-04-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39758. Thank you for allowing us to serve your child! 🙂
03-05-2026 11:08 AM	Luke Mann	Hello - we went in person to the main office to pay the visit for Wednesday 3/4 with a credit card
03-09-2026 07:30 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39969. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9987
03-11-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40059. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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/
03-16-2026 07:30 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40174. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-17-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Luke Mann from therapy on 03-16-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40174. Thank you for allowing us to serve your child! 🙂
03-18-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40252. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-19-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Luke Mann from therapy on 03-18-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40252. Thank you for allowing us to serve your child! 🙂
03-23-2026 07:30 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40483. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-23-2026 11:13 AM	Julie Mora	Hi, it looks like we need to reschedule your Occupational Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/otevaluation.aspx?pid=9987
03-24-2026 07:31 AM	Shekinah Velasquez	New Beginnings just sent you an invoice for Luke Mann. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40517. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-24-2026 08:36 AM	Shekinah Velasquez	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9987
03-24-2026 09:11 AM	Shekinah Velasquez	Luke 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=9987&type=3&wid=685
03-25-2026 07:30 AM	Shekinah Velasquez	REMINDER: You have an outstanding invoice for Luke Mann from therapy on 03-24-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40517. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
02-25-2026 02:54 PM	Rachael Haduck	Hello! This is Rachael, CCC-SLP with New Beginnings Pediatrics. I wanted to reach out ahead of Luke's evaluation to learn more about your primary concerns for him. Are your concerns related to language, articulation (speech sounds), stuttering, social skills, or something else not listed? This information helps me select the most appropriate testing materials.
02-25-2026 03:18 PM	Luke Mann	Luke (Prim) Replied: Good afternoon Rachel, thank you for your message. With Luke we have heard him say words, even put sentences together for example "What's that I hear it," and "macaroni please" but we are not able to have conversations with Luke. If I ask him to perform a task for example please "turn on the light " he will. Would it be alright if I send over some videos I have taken to give better insight?
02-25-2026 03:26 PM	Rachael Haduck	hi! Unfortunately our messaging system does not allow us to receive videos :( but I may be able to call you this evening if you are available and hear him talk over the phone. In the meantime, how is he with: - WH-questions (who, what (do), where, when): is he able to understand and answer WH-questions? - labeling pictured or tangible items: is he able? - identifying pictured or tangible items: is he able? - pronouns (I, mine, he, she, yours): is he able to use? - how many words is he able to string together to make a sentence? phrase? - how many words does he have in his vocabulary? - perseverations or self-stimulatory behaviors?
02-25-2026 03:45 PM	Luke Mann	Luke (Prim) Replied: He is able to identify certain things but he does struggle with this and who what where when questions as well. He is good with puzzles (wooden puzzles, matching animals, fruits etc) regarding vocabulary I would say he has about 50 words in his vocabulary and I have heard him put up to 5 words together to say a sentence. He is good a repeating but I hope this doesn't sound strange some moments very verbal and some moments more silent. I can show you the videos when we see you all in person perhaps?
02-25-2026 04:02 PM	Rachael Haduck	Thank you! It sounds like he may be demonstrating a mixed receptive and expressive language delay, but once I evaluate him, I will be able to provide more once I see and hear him. For understanding, receptive language is our ability to understand (comprehend wh-questions, follow directions) and expressive is our ability to answer (wh-questions, comment, decline, request). Do you have any other concers outside of his language? like articulation?
02-25-2026 04:37 PM	Luke Mann	Luke (Prim) Replied: Articulation would definitely be great to touch on and I feel embarrassed to say but I am struggling to have him drink from a straw, this may also be affecting his speech perhaps?
02-25-2026 04:41 PM	Rachael Haduck	there is nothing to be embarrassed about, we are here to help :) Drinking from a straw or open cup are superior to traditional sippy cups for speech development, as they promote mature swallowing and strengthen oral muscles. Straws are excellent for strengthening lips, cheeks, and tongue retraction, while open cups encourage proper tongue elevation and swallowing patterns. Do you have other feeding concerns? Limited food and drink diet intake, choking or coughing when eating or drinking?
02-25-2026 04:48 PM	Luke Mann	Luke (Prim) Replied: Thank you ☺️ we are very excited and grateful to be able to get Luke seen/evaluated. He does at time have mild gag reflex when chewing. He does eat with his hands but I have trouble with him using a spoon/fork
02-25-2026 04:59 PM	Rachael Haduck	yes! He may benefit from occupational therapy as well but we can discuss that more in-depth on Friday? Can I ask if you have insurance at all and if so, what company? If not, no worries, you are noted as self-pay but I just wanted to double check!
02-25-2026 05:01 PM	Luke Mann	Luke (Prim) Replied: That will be great to discuss OT on Friday as well. We do have BCBS but it's the HMO so we will be under the option self pay
02-25-2026 05:05 PM	Rachael Haduck	As an HMO you can get a referral sent over to us from your PCP. You will more than likely have a co-pay to pay that should be lower that the self-pay cost. Can you call your PCP to get in and receive a referral? Or do you already know your plan does not cover? If not, then you pay be able to submit clams and receive reimbursements for services. You would have to cal BCBS for more information:)
02-25-2026 05:05 PM	Rachael Haduck	may be able* to submit claims*
02-25-2026 05:08 PM	Luke Mann	Luke (Prim) Replied: I submitted the referral from our Pediatrician thru the link that was provided via text, but I was told that BCBS HMO was not accepted at the office, only the PPO plan which is no problem. We are willing and able to do the self pay 😃
02-25-2026 05:08 PM	Rachael Haduck	oh man I had no idea! Thank you for letting me know :)
02-25-2026 05:18 PM	Luke Mann	Luke (Prim) Replied: 😃
02-26-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Evaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 06:30 PM	Luke Mann	Luke (Prim) Replied: We will be there thank you !
02-27-2026 07:38 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Evaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-27-2026 08:35 AM	Rachael Haduck	Good morning! Here is how you get to my office in the parking lot: I am located in 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 B” — 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. **This office building used to be the old OT for TOTs :)
02-27-2026 08:55 AM	Luke Mann	Luke (Prim) Replied: Thank you
02-27-2026 08:55 AM	Rachael Haduck	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.
02-27-2026 01:26 PM	Luke Mann	Luke (Prim) Replied: Hello Rachel, just making sure I have the correct time for Luke's session on Monday March 2nd at 10:00 AM?
02-27-2026 01:26 PM	Rachael Haduck	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.
02-27-2026 02:12 PM	Rachael Haduck	Hi!! Yes, we can do Mondays and Wednesdays at 10:00am. As long as front office is able to input everything into the system for his authorization, he can be seen as early as Monday, March 2nd :) I also wanted to mention that we have this wonderful new hire, her office is right next door to mine, who is able to offer you Tuesdays and Thursdays at 10:00am if that schedule works better for you. We can also offer split days between the two of us if you preferred one day on with me! I wanted to give you this option so you know you are not just limited to my currently availability :) settling in on a schedule can sometimes be tricky, so whatever is easiest for you and your husband, you have another option for days and times :) Just let me know whatever works best for you! :)
02-27-2026 02:16 PM	Luke Mann	Luke (Prim) Replied: Thank you so much for all the information. If that's alright for now we will keep the Monday and Wednesday next week at 10:00 AM schedule 😃
02-27-2026 02:16 PM	Rachael Haduck	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.
03-02-2026 08:10 AM	Rachael Haduck	Good morning! I wanted to inform you that we are currently experiencing an issue with our medical documentation system that is preventing both myself and our front office staff from submitting Luke’s plan of care. As a result, I may not be able to see him today. The system has been generating an error code for the past 24 hours and is not registering the plan of care submission. Our IT specialist has been working to resolve the issue and had anticipated it would be fixed this morning; however, it appears the problem is still ongoing. I sincerely apologize for the inconvenience and appreciate your understanding. I will provide an update as soon as the issue is resolved!
03-02-2026 08:11 AM	Rachael Haduck	He should be good to go by Wednesday, but as of right now, I/we haven't experienced this error before :(
03-02-2026 08:17 AM	Luke Mann	Luke (Prim) Replied: Good morning, thank you so much for your message I appreciate the update. We hope to see you on Wednesday!
03-02-2026 08:19 AM	Rachael Haduck	thank you so much for your understanding! and yes, Wednesday should be good as long as we get this fixed within <48 hours :)
03-03-2026 09:01 AM	Rachael Haduck	hi!! just wanted to give you an update that our IT person was able to fix my account by end of day yesterday and I was complete Luke's POC. I turned it into front office this morning and all they need to do in place his auth into the system and I will be able to see him tomorrow :) it may be closer to end of day that I am schedule him but just so you are aware! tomorrow will be for 10:30am (due an eval that was scheduled in advance) but moving forward next week, it will be Monday and Wednesday at 10:00am.
03-03-2026 09:05 AM	Luke Mann	Luke (Prim) Replied: Hello 👋🏻 good morning! Thank you so much for the update! We will see you tomorrow at 10:30. 🤗
03-04-2026 08:49 AM	Rachael Haduck	hi! just wanted to send you a friendly reminder that I will see you guys today at 10:30am :)
03-04-2026 08:51 AM	Luke Mann	Luke (Prim) Replied: Hello good morning, thank you for the reminder. We will see you at 10:30 😃
03-04-2026 10:15 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902706
03-04-2026 10:28 AM	Luke Mann	Luke (Prim) Replied: Done ✅😃
03-08-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Mann, Luke has a Speech Therapy appointment on 03-09-2026 at 10:00 AM, and on 03-11-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:03 PM	Luke Mann	Luke (Prim) Replied: YES
03-08-2026 04:03 PM	Rachael Haduck	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.
03-08-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-08-2026 06:31 PM	Luke Mann	Luke (Prim) Replied: Thank you for your message, see you tomorrow!
03-08-2026 06:31 PM	Rachael Haduck	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.
03-09-2026 07:54 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 09:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902707
03-09-2026 09:46 AM	Luke Mann	Luke is CHECKED IN for: 10:00AM-3/9/2026 92507: Speech & Language Visit
03-09-2026 11:30 AM	Luke Mann	Luke (Prim) Replied: Good morning Rachel! I hope you’re having a wonderful morning. I had a quick question please— would it be alright for Luke to stay for the 45-minute sessions?
03-09-2026 11:33 AM	Rachael Haduck	yes :)
03-09-2026 11:33 AM	Rachael Haduck	1x or 2x/week? meaning do you want one session 30 and the other to be 45? or both 45?
03-09-2026 11:34 AM	Luke Mann	Luke (Prim) Replied: If possible both sessions (twice a week) for 45 minutes 😊 would be fantastic
03-09-2026 11:35 AM	Rachael Haduck	sure! wednesday will begin 45-min. starting next week it will be 2x/week for 45
03-09-2026 11:37 AM	Luke Mann	Luke (Prim) Replied: Perfect! Thank you so much!
03-10-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 06:31 PM	Luke Mann	Luke (Prim) Replied: Thanks for the reminder, see you tomorrow!
03-11-2026 07:57 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:57 AM	Luke Mann	Luke (Prim) Replied: Thanks for the reminder, see you soon!
03-11-2026 09:42 AM	Luke Mann	Luke (Prim) Replied: Good morning we have arrived 😊
03-11-2026 09:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902744
03-11-2026 09:45 AM	Luke Mann	Luke is CHECKED IN for: 10:00AM-3/11/2026 92507: Speech & Language Visit
03-15-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Mann, Luke has a Speech Therapy appointment on 03-16-2026 at 10:00 AM, and on 03-18-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:02 PM	Luke Mann	Luke (Prim) Replied: YES
03-15-2026 04:02 PM	Rachael Haduck	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.
03-15-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-15-2026 06:31 PM	Luke Mann	Luke (Prim) Replied: Thank you!
03-15-2026 06:31 PM	Rachael Haduck	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.
03-16-2026 07:52 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 07:52 AM	Luke Mann	Luke (Prim) Replied: Thank you, see you soon!
03-16-2026 08:52 AM	Rachael Haduck	Good morning! I will be out of office on Wednesday, March 25th from 9:00am to 12:30pm and will need to cancel Luke's session that day. Are you or your parents able to bring Luke in on Tuesday March 24th at 11:00am?
03-16-2026 08:53 AM	Luke Mann	Luke (Prim) Replied: Good morning Rachel! Thank you for your message. Yes I can take Luke on Tuesday March 24th at 11:00 AM
03-16-2026 08:55 AM	Rachael Haduck	thank you :) I will get session rescheduled :)!
03-16-2026 08:57 AM	Luke Mann	Luke (Prim) Replied: Thank you!
03-16-2026 09:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902708
03-16-2026 09:45 AM	Luke Mann	Luke is CHECKED IN for: 10:00AM-3/16/2026 92507: Speech & Language Visit
03-17-2026 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 06:31 PM	Luke Mann	Luke (Prim) Replied: Thank you!
03-18-2026 07:53 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 09:43 AM	Luke Mann	Luke (Prim) Replied: Good morning ☀️ we have arrived
03-18-2026 09:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902745
03-18-2026 09:49 AM	Luke Mann	Luke is CHECKED IN for: 10:00AM-3/18/2026 92507: Speech & Language Visit
03-22-2026 04:02 PM	Rachael Haduck	Hi, this is a just a reminder that Mann, Luke has a Speech Therapy appointment on 03-23-2026 at 10:00 AM, and on 03-24-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:05 PM	Luke Mann	Luke (Prim) Replied: YES
03-22-2026 04:05 PM	Rachael Haduck	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 06:30 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:56 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:57 AM	Luke Mann	Luke (Prim) Replied: Thank you see you soon!
03-23-2026 08:08 AM	Rachael Haduck	hi! unfortunately, I do not this week :( but if you are open to seeing another therapist, her name is Lauryn and she is an SLPA. She will be able to offer you 8:00 and 8:30am availability!
03-23-2026 08:11 AM	Rachael Haduck	sorry!!
03-23-2026 08:11 AM	Rachael Haduck	please ignore that message
03-23-2026 08:14 AM	Rachael Haduck	my messaging system glitched/didn't update fast enough and I clicked our messages! I will see you guys soon :)
03-23-2026 08:21 AM	Luke Mann	Luke (Prim) Replied: Good morning Rachel, no problem, see you soon!
03-23-2026 09:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907902
03-23-2026 09:50 AM	Luke Mann	Luke is CHECKED IN for: 10:00AM-3/23/2026 92507: Speech & Language Visit
03-23-2026 06:31 PM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 06:34 PM	Luke Mann	Luke (Prim) Replied: Thank you!
03-24-2026 08:03 AM	Rachael Haduck	Hi, this is a just a reminder that Luke has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 10:45 AM	Rachael Haduck	Luke Mann : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907896
03-24-2026 10:45 AM	Luke Mann	Luke is CHECKED IN for: 11:00AM-3/24/2026 92507: Speech & Language Visit
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