Patient Name: Ava

Patient Information:

Patient ID: 10006
Patient First Name: Ava
Patient Date of Birth: 03-31-2022
Gender: Female
Assigned Office: NB2 far east side
Primary Care Physician: Huma, Lodhi
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Gallegos, Gabriela
FD - Feeding Therapy:
OT - Occupational Therapy:
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
23654Active03-30-202609-27-2026Self Pay26000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2643703-24-2026Speech Initial EvaluationF80.2
Speech Background History: Ava is a 3 year 11 month old female that was referred for a speech and language evaluation due to mother’s concern language development. Ava was accompanied by her mother, who served as the informant for the evaluation. According to mother, Ava was born at full-term with no complications. Per parent report, Ava met most of her developmental milestones with average timeframe, but mother felt that Ava’s speech was delayed. Mother could not recall exact dates as to when Ava said her first words nor when she combined words. According to mother, Ava has difficulty formulating sentences, making her thoughts known and adequately expressing herself to all communication partners. Ava is regularly exposed to English and Spanish, as English is solely spoken at her household, and Spanish is spoken at the father’s household. Ava is currently enrolled in a bilingual preschool classroom in the public school. Based on clinical observations, Ava’s current communication was characterized as short 1-2 word phrases to label and comment, with a delay in response when asked questions, or remained silent when unsure of how to respond to questions directed to her. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Ava’s receptive and expressive language skills. Based on Ava’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None. Ava takes cetirizine due to seasonal allergies.
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Auditory and visually alert and attentive, Follows verbal command with cues,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor vocabulary, Unable to answer questions, Word finding difficulties,
Speech Background Summary: The evaluation took place at the therapy room worktable. Ava required minimal verbal redirections to attend to the assessment from her mother as Ava often turned to her mother when unsure of the questions she was asked. Overall, Ava’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Ava is a 3 year 11 month old female that was referred for a speech and language evaluation due to mother’s concern language development. Ava was accompanied by her mother, who served as the informant for the evaluation. According to mother, Ava was born at full-term with no complications. Per parent report, Ava met most of her developmental milestones with average timeframe, but mother felt that Ava’s speech was delayed. Mother could not recall exact dates as to when Ava said her first words nor when she combined words. According to mother, Ava has difficulty formulating sentences, making her thoughts known and adequately expressing herself to all communication partners. Ava is regularly exposed to English and Spanish, as English is solely spoken at her household, and Spanish is spoken at the father’s household. Ava is currently enrolled in a bilingual preschool classroom in the public school. Based on clinical observations, Ava’s current communication was characterized as short 1-2 word phrases to label and comment, with a delay in response when asked questions, or remained silent when unsure of how to respond to questions directed to her. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, DELAY in response rate, WNL level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Ava’s receptive and expressive language skills. Ava received the following scores on the PLS-5: Auditory Comprehension 70 (raw score: 41, percentile: 9, age-equivalent: 2 years 9 months), Expressive Communication 76 (raw score: 31, percentile: 5, age-equivalent: 2 years 4 months), and Total Language Score 77 (raw score: 66, percentile: 6, age-equivalent: 2 years 7 months); all of which are BELOW average for a child her age. According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Ava presented with a MILD-MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language (MODERATE) score was more severe than her receptive language (MILD) score. Ava would benefit from speech therapy targeting the following: making inferences, understanding analogies, understanding sentences with post-noun elaboration, understanding spatial concepts, using a variety of using a variety of nouns, verbs + -ing, modifiers, and pronouns, answering what and where questions, and producing 4-5 word utterances to communicate wants/needs. Speech therapy is highly recommended at this time as Ava’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Ava’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Ava’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Ava’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Diagnosis/Impressions: Ava is a 3 year 11 month old female that was referred for a speech and language evaluation due to mother’s concern language development. Ava was accompanied by her mother, who served as the informant for the evaluation. According to mother, Ava was born at full-term with no complications. Per parent report, Ava met most of her developmental milestones with average timeframe, but mother felt that Ava’s speech was delayed. Mother could not recall exact dates as to when Ava said her first words nor when she combined words. According to mother, Ava has difficulty formulating sentences, making her thoughts known and adequately expressing herself to all communication partners. Ava is regularly exposed to English and Spanish, as English is solely spoken at her household, and Spanish is spoken at the father’s household. Ava is currently enrolled in a bilingual preschool classroom in the public school. Based on clinical observations, Ava’s current communication was characterized as short 1-2 word phrases to label and comment, with a delay in response when asked questions, or remained silent when unsure of how to respond to questions directed to her. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, DELAY in response rate, WNL level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Ava’s receptive and expressive language skills. Ava received the following scores on the PLS-5: Auditory Comprehension 70 (raw score: 41, percentile: 9, age-equivalent: 2 years 9 months), Expressive Communication 76 (raw score: 31, percentile: 5, age-equivalent: 2 years 4 months), and Total Language Score 77 (raw score: 66, percentile: 6, age-equivalent: 2 years 7 months); all of which are BELOW average for a child her age. According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Ava presented with a MILD-MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language (MODERATE) score was more severe than her receptive language (MILD) score. Ava would benefit from speech therapy targeting the following: making inferences, understanding analogies, understanding sentences with post-noun elaboration, understanding spatial concepts, using a variety of using a variety of nouns, verbs + -ing, modifiers, and pronouns, answering what and where questions, and producing 4-5 word utterances to communicate wants/needs. Speech therapy is highly recommended at this time as Ava’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Ava’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Ava’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Ava’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
59028
Plan Date: 03-24-2026
Speech Assessment Summary: Ava is a 3 year 11 month old female that was referred for a speech and language evaluation due to mother’s concern language development. Ava was accompanied by her mother, who served as the informant for the evaluation. According to mother, Ava was born at full-term with no complications. Per parent report, Ava met most of her developmental milestones with average timeframe, but mother felt that Ava’s speech was delayed. Mother could not recall exact dates as to when Ava said her first words nor when she combined words. According to mother, Ava has difficulty formulating sentences, making her thoughts known and adequately expressing herself to all communication partners. Ava is regularly exposed to English and Spanish, as English is solely spoken at her household, and Spanish is spoken at the father’s household. Ava is currently enrolled in a bilingual preschool classroom in the public school. Based on clinical observations, Ava’s current communication was characterized as short 1-2 word phrases to label and comment, with a delay in response when asked questions, or remained silent when unsure of how to respond to questions directed to her. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, DELAY in response rate, WNL level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Ava’s receptive and expressive language skills. Ava received the following scores on the PLS-5: Auditory Comprehension 70 (raw score: 41, percentile: 9, age-equivalent: 2 years 9 months), Expressive Communication 76 (raw score: 31, percentile: 5, age-equivalent: 2 years 4 months), and Total Language Score 77 (raw score: 66, percentile: 6, age-equivalent: 2 years 7 months); all of which are BELOW average for a child her age. According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Ava presented with a MILD-MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language (MODERATE) score was more severe than her receptive language (MILD) score. Ava would benefit from speech therapy targeting the following: making inferences, understanding analogies, understanding sentences with post-noun elaboration, understanding spatial concepts, using a variety of using a variety of nouns, verbs + -ing, modifiers, and pronouns, answering what and where questions, and producing 4-5 word utterances to communicate wants/needs. Speech therapy is highly recommended at this time as Ava’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Ava’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Ava’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Ava’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Rehabilitation Potential: Good. Prognosis for improvement in the area of Ava’s impairments is good with consistent speech therapy. Ava will be discharged when she achieves a standard score above - 1.5 standard deviations from the mean for all impairments, indicating that her speech and language skills will be in the mild-to-average range and she will have met all long-term therapy goals.
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive LanguageIn 12 months, Ava will improve her expressive language skills in order to effectively communicate pain (i.e., tell her mom if stomach hurts) and safety issues (i.e., express when someone hits or bites her at school) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive LanguageIn 12 months, Ava will improve her receptive language skills in order to follow safety concerns (i.e., follow safety personnel) and provide vital information to emergency personnel (i.e., name) with 50% accuracy across 5 consecutive sessions.
Speech and Language Short Term Goals:
CategoryGoal Description
Receptive LanguageIn 6 months, Ava will demonstrate understanding of spatial concepts with 30% accuracy across 3 consecutive sessions in order to comprehend instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Receptive LanguageIn 6 months, Ava will listen to a story through a picture book with visuals and point to pictures to indicate 'Who', and 'What happened' with 30% accuracy in at least 3 consecutive sessions in order for Ava to make appropriate inferences and answer questions from family and others in her daily skills.
Receptive LanguageIn 6 months, Ava will understand analogies by pointing to target stimuli when presented with a field of 2-3 pictures in 3 out of 10 opportunities across 3 consecutive sessions in order to comprehend instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).
Expressive LanguageIn 6 months, Ava will use present progressive verbs by pointing at or imitating the appropriate verb(s) with 30% accuracy across 3 consecutive sessions in order to foster opportunities for language development and in turn increase her expressive language with family and others in her daily routine.
Expressive LanguageIn 6 months, Ava will produce simple sentences containing morphological structures: plural ¬s, possessive ¬s, and third person singular verbs with 30% accuracy across 3/5 consecutive session in order to label and/or give information to family or others.
Expressive LanguageIn 6 months, Ava will use 4-5 word phrases to label/request and give function of items/information during structured target play activities with 30% accuracy across 3/5 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e., stating what she wants to play/eat).

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
90941892523: Artic & Language Eval03-24-2026 02:00 PM03-24-2026 03:00 PMAnnette BarronNB2 far east sideCompleted

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
91489892507: Speech & Language Visit04-06-2026 10:00 AM04-06-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91436592507: Speech & Language Visit04-13-2026 10:00 AM04-13-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91436692507: Speech & Language Visit04-20-2026 10:00 AM04-20-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91436792507: Speech & Language Visit04-27-2026 10:00 AM04-27-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91489992507: Speech & Language Visit05-04-2026 10:00 AM05-04-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490092507: Speech & Language Visit05-11-2026 10:00 AM05-11-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490192507: Speech & Language Visit05-18-2026 10:00 AM05-18-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490292507: Speech & Language Visit05-25-2026 10:00 AM05-25-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490392507: Speech & Language Visit06-01-2026 10:00 AM06-01-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490492507: Speech & Language Visit06-08-2026 10:00 AM06-08-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490592507: Speech & Language Visit06-15-2026 10:00 AM06-15-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490692507: Speech & Language Visit06-22-2026 10:00 AM06-22-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91490792507: Speech & Language Visit06-29-2026 10:00 AM06-29-2026 11:00 AMGabriela GallegosNB2 far east sideScheduled
91436892507: Speech & Language Visit07-27-2026 10:00 AM07-27-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91436992507: Speech & Language Visit08-03-2026 10:00 AM08-03-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437092507: Speech & Language Visit08-10-2026 10:00 AM08-10-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437192507: Speech & Language Visit08-17-2026 10:00 AM08-17-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437292507: Speech & Language Visit08-24-2026 10:00 AM08-24-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437392507: Speech & Language Visit08-31-2026 10:00 AM08-31-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437492507: Speech & Language Visit09-07-2026 10:00 AM09-07-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437592507: Speech & Language Visit09-14-2026 10:00 AM09-14-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled
91437692507: Speech & Language Visit09-21-2026 10:00 AM09-21-2026 10:45 AMGabriela GallegosNB2 far east sideScheduled

Payments History:

DateService Description$Credit$Debit$Balance
3/24/26Patient visit charged - Artic & Language Eval: Artic & Language Eval0.00220.00-220.00
3/24/26Patient Payment Received (Stripe)220.00220.000.00

Billing History:

DateService DescriptionUnits$Amount$Status
3/24/2692523: Artic & Language Eval1345.00Unbilled

Paient Notes:

DatePosted ByDescription
03-18-2026Asbel GuajardoMom wants to do self pay

Paient Messages Admin:

DatePosted ByMessage
03-02-2026 11:16 AMAsbel GuajardoPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2691
03-02-2026 12:31 PMPatsy GuajardoAva 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=10006&type=1&wid=625
03-03-2026 11:00 AMAsbel GuajardoHi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=10006
03-03-2026 12:03 PMPatsy GuajardoReschedule Evaluation: When you are ready to reschedule your evaluation, click this link https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=10006
03-03-2026 06:30 PMPatsy GuajardoWAIT LIST UPDATE: Ava's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=10006&type=1&wid=625
03-05-2026 06:30 PMPatsy GuajardoWAIT LIST UPDATE: Ava's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=10006&type=1&wid=625
03-07-2026 06:30 PMPatsy GuajardoWAIT LIST UPDATE: Ava's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=10006&type=1&wid=625
03-09-2026 07:22 PMStephen TulliusPlease join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=10006
03-10-2026 06:30 PMPatsy GuajardoWAIT LIST UPDATE: Ava's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=10006&type=1&wid=625
03-11-2026 05:39 PMStephen TulliusHello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-18-2026 09:36 AMAsbel GuajardoHello this Asbel from New Beginnings and I am reaching out because I wanted to clarify if you wanted to go through insurance or self pay?
03-18-2026 10:09 AMAsbel GuajardoOk the just to let you know the medicaid is active
03-24-2026 07:30 AMPatsy GuajardoNew Beginnings just sent you an invoice for Ava Chavez. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40513. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-25-2026 03:07 PMPatsy GuajardoHi, Ava as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Gabriela https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=10006&tid=26

Paient Messages Therapist:

DatePosted ByMessage
03-18-2026 12:00 PMAnnette BarronGood afternoon. My name is Annette from New Beginnings, and I will be completing Ava's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Ava be available to come in on Tuesday, March 24th, at 2 PM? We are located at 3551 Rich Beem Blvd, Suite B, 79938. Please let me know if you would like to confirm the appointment. Thank you.
03-18-2026 12:14 PMAva ChavezAva (Prim) Replied: Good afternoon, yes Tuesday at 2 works perfect
03-18-2026 12:15 PMAnnette BarronGreat. Ava is scheduled for a speech evaluation on Tuesday, March 24th, at 2 PM at our Far East location (3551 Rich Beem Blvd, suite B). What are your concerns? Is Ava not using enough words, and/or difficult to understand?
03-18-2026 12:24 PMAva ChavezAva (Prim) Replied: Okay great. Yes both. I feel she is not using enough words and difficult to understand. She is also struggling putting words/phrases together
03-18-2026 12:28 PMAnnette BarronOK, thank you for the information. I am going to send you a questionnaire in preparation for the evaluation. It is a series of 9 questions. Please complete when you have a moment. If you do not receive all 9 questions, please let me know as soon as possible, and I will send the questions in smaller messages.
03-18-2026 12:31 PMAnnette BarronSpeech History Questionnaire for Ava C:
1.) Name and DOB
2.) Any complications with pregnancy or birth?
3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)?
4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word?
5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils?
6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history?
7.) Which language(s) is the child exposed to regularly?
8.) Vision or hearing issues?
9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
03-18-2026 12:50 PMAva ChavezAva (Prim) Replied: Okay sounds good
03-18-2026 12:56 PMAnnette BarronI sent the questions. Please complete as soon as you get a chance. Thank you.
03-18-2026 12:57 PMAva ChavezAva (Prim) Replied: Did you send them through email?
03-18-2026 12:58 PMAnnette BarronNo, through this patient portal messaging system. If you did not receive it, I will break them up into smaller messages.
03-18-2026 01:37 PMAva ChavezAva (Prim) Replied: Sorry no I did not receive them
03-18-2026 03:07 PMAnnette BarronQuestions 1-3
Speech History Questionnaire for Ava C:
1.) Name and DOB
2.) Any complications with pregnancy or birth?
3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)?
03-18-2026 03:07 PMAnnette BarronQuestions 4-6
4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word?
5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils?
6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history?
03-18-2026 03:07 PMAnnette BarronQuestions 7-9
7.) Which language(s) is the child exposed to regularly?
8.) Vision or hearing issues?
9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
03-18-2026 03:08 PMAnnette BarronI just sent them in smaller messages. Please let me know if you received them.
03-18-2026 03:25 PMAva ChavezAva (Prim) Replied: Yes I received them thank you
03-23-2026 06:31 PMAnnette BarronHi, this is a just a reminder that Ava has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:53 PMAva ChavezAva (Prim) Replied: Speech Therapy Questionnaire answers for Ava C:

1. Ava Chavez 03/31/2022
2. No
3. Seasonal allergies
4. Started walking-14 months Fed self- 18 months Potty Trained- 2 1/12 years old
5. Has a hard time falling asleep. Wakes up at least once, usually 2-3 times. Maximum 6 hours of uninterrupted sleep sleeps with mouth closed.
6. Attends Pre-School
7. English and Spanish
8. Needs glasses but refuses to wear them
9. Ava struggles with enunciating words and forming sentences/ complete thoughts. I would like for her to be able to feel confident putting her thought into words and be able to communicate more clearly.
03-23-2026 07:53 PMAnnette BarronHi, 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.
03-24-2026 08:06 AMAnnette BarronHi, this is a just a reminder that Ava has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 01:45 PMAnnette BarronAva Chavez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909418
03-24-2026 01:57 PMAva ChavezAva is CHECKED IN for:
2:00PM-3/24/2026
92523: Artic & Language Eval
03-25-2026 10:34 AMAnnette BarronGood morning. Here is a brief summary for yesterday’s evaluation. Ava has been diagnosed with a mild-moderate mixed receptive-expressive language disorder, where her expressive language (moderate) score was more severe than her receptive language (mild) score. Ava would benefit from speech therapy targeting the following: making inferences, understanding analogies, understanding sentences with post-noun elaboration, understanding spatial concepts, using a variety of using a variety of nouns, verbs + -ing, modifiers, and pronouns, answering what and where questions, and producing 4-5 word utterances to communicate wants/needs. Her report will be submitted this week. Someone from the front office or the treating therapist will be in contact with you as soon as they are ready to place you on their schedule. If you have any questions, please let me know. Thank you.
03-26-2026 10:20 AMGabriela GallegosGood morning! This is Ms. Gabby from New Beginnings Far East location - I am texting you from our patient portal which is a secure texting only system. I have been assigned as Ava’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet her and the family! We may begin our speech services! I have an opening next week on Monday at 09:00AM. Would this work for his 1st initial session with me?
03-26-2026 05:30 PMAva ChavezAva (Prim) Replied: Hi, I'm so sorry for the late response. By chance do you have availability Tuesday morning?
03-26-2026 05:53 PMGabriela GallegosNo worries, I completely understand. Thank you for replying. Unfortunately , I do not have Tuesday available. I apologize
03-26-2026 07:03 PMAva ChavezAva (Prim) Replied: If Wednesday or Thursday? I'm so sorry
03-26-2026 07:04 PMAva ChavezAva (Prim) Replied: Or Wednesday or Thursday I'm so sorry
03-27-2026 04:00 PMGabriela GallegosHello following up on yesterdays message. I do not have availability on those other days, unless there is a cancelation, at which point I can let you know the date and time that is available. Another option , If it works better for your schedule we can start seeing Ava on Monday April 6th @10am . Mondays at 10am would be her permanent day and time for all future session. Let me know what you think =)
03-27-2026 04:13 PMAva ChavezAva (Prim) Replied: Okay yes I think that would work best, I'm so sorry it's because I don't get back into town until Monday night
03-27-2026 04:13 PMGabriela GallegosHi, 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.
03-27-2026 04:17 PMGabriela GallegosNo problem, I completely understand. That is also why i have limit availability next week as well , I leave out of town on Wednesday. I am glad it all worked out. Thank you for communicating so promptly. We will see you on Monday April 6th. =)
03-27-2026 04:47 PMAva ChavezAva (Prim) Replied: Sounds good, thank you! (:
03-27-2026 04:47 PMGabriela GallegosHi, 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.