New Beginnings | NB1-Office

Patient Name: Levi

Patient Information:

Patient ID: 9578

Patient First Name: Levi

Patient Date of Birth: 03-30-2024

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Nicolas , Rich

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Gallegos, Gabriela

FD - Feeding Therapy: Rodriguez, Andrea

OT - Occupational Therapy: Marsland, Kaitlin

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23575	Active	04-06-2026	10-02-2026	El Paso First Health Plans	0	0	209	0
23017	Active	01-26-2026	07-22-2026	El Paso First Health Plans	26	26	0	0
22289	Active	10-06-2025	04-02-2026	El Paso First Health Plans	0	0	209	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25125	07-14-2025	Speech Initial Evaluation	F80.2
Speech Background History: Levi is a 1 year-old and 3 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Amaya and Mr. Lopez, Levi's parents, accompanied him and served as the primary informants during the evaluation. Both parents expressed concerns regarding Levi’s limited expressive language, noting that he uses fewer than five words to communicate his needs and wants. Additionally, they reported that he rarely uses pointing gestures and has recently begun pulling at their clothing to gain attention. They also observed that Levi frequently does not respond to his name being called and appears unaware of his surroundings. Furthermore, they reported that he demonstrates a strong interest in spinning toys and in holding onto balls, but does not engage in functional or symbolic play with them. During the evaluation, Levi’s expressive language was characterized primarily by vocalizations. According to developmental norms, a typically developing child of Levi’s age should have an expressive vocabulary of approximately 5 to 10 words. Levi was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Levi’s parents reported that he is primarily exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Levi did not demonstrate any verbal output. According to parental report, all of his spoken words are in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English.
Speech Medical History: Per parent report, medical history is not remarkable. According to the parent report, Levi was born without any complications prior to, during, or after delivery.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Poor, Awarencess of Environmental Events: Good, Social Interactions: Occasionally, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths:
Speech Communication Weaknesses: Inflexibility, Poor use of eye contact, Unable to take turns,
Speech Background Summary: Levi was accompanied by his parents to the evaluation, which was conducted in the clinic room. During the evaluation, Levi exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process.
Speech Diagnosis/Impressions: Levi is a 1 year-old and 3 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Amaya and Mr. Lopez, Levi's parents, accompanied him and served as the primary informants during the evaluation. Both parents expressed concerns regarding Levi’s limited expressive language, noting that he uses fewer than five words to communicate his needs and wants. Additionally, they reported that he rarely uses pointing gestures and has recently begun pulling at their clothing to gain attention. They also observed that Levi frequently does not respond to his name being called and appears unaware of his surroundings. Furthermore, they reported that he demonstrates a strong interest in spinning toys and in holding onto balls, but does not engage in functional or symbolic play with them. During the evaluation, Levi’s expressive language was characterized primarily by vocalizations. According to developmental norms, a typically developing child of Levi’s age should have an expressive vocabulary of approximately 5 to 10 words. Levi was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Levi’s parents reported that he is primarily exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Levi did not demonstrate any verbal output. According to parental report, all of his spoken words are in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Levi exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. He was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 7, percentile:1, age equivalent 3 months), Expressive Communication 50 (raw score: 2, percentile: 1, age equivalent: 2 months, and Total Language Score 50 (percentile: 1, age equivalent: 2 months). According to the Standard Scores that Levi received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Levi's PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is highly recommended at this time as Levi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Levi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Levi would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating awareness of his name, following simple step commands with gestures, imitating non-speech sounds/environmental sounds, imitating gestures, using total communication to express his needs and wants. Levi’s mother will be responsible for his Home Exercise program (HEP).
Speech Diagnosis/Impressions: Levi is a 1 year-old and 3 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Amaya and Mr. Lopez, Levi's parents, accompanied him and served as the primary informants during the evaluation. Both parents expressed concerns regarding Levi’s limited expressive language, noting that he uses fewer than five words to communicate his needs and wants. Additionally, they reported that he rarely uses pointing gestures and has recently begun pulling at their clothing to gain attention. They also observed that Levi frequently does not respond to his name being called and appears unaware of his surroundings. Furthermore, they reported that he demonstrates a strong interest in spinning toys and in holding onto balls, but does not engage in functional or symbolic play with them. During the evaluation, Levi’s expressive language was characterized primarily by vocalizations. According to developmental norms, a typically developing child of Levi’s age should have an expressive vocabulary of approximately 5 to 10 words. Levi was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Levi’s parents reported that he is primarily exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Levi did not demonstrate any verbal output. According to parental report, all of his spoken words are in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Levi exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. He was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 7, percentile:1, age equivalent 3 months), Expressive Communication 50 (raw score: 2, percentile: 1, age equivalent: 2 months, and Total Language Score 50 (percentile: 1, age equivalent: 2 months). According to the Standard Scores that Levi received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Levi's PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is highly recommended at this time as Levi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Levi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Levi would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating awareness of his name, following simple step commands with gestures, imitating non-speech sounds/environmental sounds, imitating gestures, using total communication to express his needs and wants. Levi’s mother will be responsible for his Home Exercise program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

55581

Plan Date: 07-14-2025

Speech Assessment Summary: Levi is a 1 year-old and 3 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Amaya and Mr. Lopez, Levi's parents, accompanied him and served as the primary informants during the evaluation. Both parents expressed concerns regarding Levi’s limited expressive language, noting that he uses fewer than five words to communicate his needs and wants. Additionally, they reported that he rarely uses pointing gestures and has recently begun pulling at their clothing to gain attention. They also observed that Levi frequently does not respond to his name being called and appears unaware of his surroundings. Furthermore, they reported that he demonstrates a strong interest in spinning toys and in holding onto balls, but does not engage in functional or symbolic play with them. During the evaluation, Levi’s expressive language was characterized primarily by vocalizations. According to developmental norms, a typically developing child of Levi’s age should have an expressive vocabulary of approximately 5 to 10 words. Levi was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Levi’s parents reported that he is primarily exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Levi did not demonstrate any verbal output. According to parental report, all of his spoken words are in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Levi exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. He was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 7, percentile:1, age equivalent 3 months), Expressive Communication 50 (raw score: 2, percentile: 1, age equivalent: 2 months, and Total Language Score 50 (percentile: 1, age equivalent: 2 months). According to the Standard Scores that Levi received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Levi's PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Speech therapy is highly recommended at this time as Levi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Levi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Levi would greatly benefit from speech therapy that targets the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating awareness of his name, following simple step commands with gestures, imitating non-speech sounds/environmental sounds, imitating gestures, using total communication to express his needs and wants. Levi’s mother will be responsible for his Home Exercise program (HEP).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Levi will be discharged when he achieves a standard score above -1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all long-term therapy goals.

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	In 12 months, Levi will improve his expressive language skills in order to effectively communicate pain (i.e., tell his mom if stomach hurts) and safety issues (i.e., express if he is hungry) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive Language	In 12 months, Levi will improve his receptive language skills in order to follow safety concerns (i.e., follow simple instructions) and provide vital information to emergency personnel (i.e., name) with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Levi will respond to his name with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Levi can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting
Play/Socialization	Within 6 months, using play-based therapy techniques, Levi will demonstrate functional play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Levi demonstrates ageappropriate play with peers.
Expressive Language	Within 6 months, using play-based therapy techniques, Levi will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate ageappropriate phonemes and eventually core vocabulary.
Expressive Language	Within 6 months, using play-based therapy techniques, Levi will imitate actions/ gestures (e.i. wave hi, bye) with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate ageappropriate phonemes and eventually core vocabulary.
Receptive Language	Within 6 months, using play-based therapy techniques, Levi will follow simple step instructions (e.i. sit down, come here) with multisensory cues in 3 out of 10 opportunities across 3 out of 5 consecutive sessions in order to promote safety so that Angel can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting
Expressive Language	In 6 months, Levi will use total communication (gestures, eye contact, purposeful vocalizations, etc.) to express wants/needs WITHOUT ADVERSE BEHAVIORS (whining, crying, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).

57393

Plan Date: 11-18-2025

Speech Assessment Summary: Levi is a 1 year-old and 7 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Amaya and Mr. Lopez, Levi's parents, accompanied him and served as the primary informants during the evaluation. Both parents expressed concerns regarding Levi’s limited expressive language, noting that he uses fewer than five words to communicate his needs and wants. Additionally, they reported that he rarely uses pointing gestures and has recently begun pulling at their clothing to gain attention. They also observed that Levi frequently does not respond to his name being called and appears unaware of his surroundings. Furthermore, they reported that he demonstrates a strong interest in spinning toys and in holding onto balls, but does not engage in functional or symbolic play with them. During the evaluation, Levi’s expressive language was characterized primarily by vocalizations. According to developmental norms, a typically developing child of Levi’s age should have an expressive vocabulary of approximately 5 to 10 words. Levi was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Levi’s parents reported that he is primarily exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Levi did not demonstrate any verbal output. According to parental report, all of his spoken words are in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Levi exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. He was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 53 (raw score: 12, percentile:1, age equivalent 0 years 8 months), Expressive Communication 52 (raw score: 10, percentile: 1, age equivalent: 0 years 5 months, and Total Language Score 50 (raw score: 22, percentile: 1, age equivalent: 0 years 6 months). According to the Standard Scores that Levi received, he presents with a PROFOUNDLY SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes. Levi's mean length of utterance is 0 words. Levi is currently receiving Feeding Therapy and Occupational Therapy. Levi is using signs for "more" and "bye." Levi is now babbling, however, the babbling is inconsistent. Levi is now walking into therapy on his own and he is able to participate in floor and table activities. Speech therapy is highly recommended at this time as Levi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Levi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Levi would greatly benefit from speech therapy that targets the following age-appropriate concepts: joint attention/sustaining attention to tasks, demonstrating awareness of his name, following simple step commands with gestures, imitating non-speech sounds/environmental sounds, imitating gestures, using total communication to express his needs and wants. Levi’s mother will be responsible for his Home Exercise program (HEP).

Speech Progress to Date: The following are Levi's goals and progress for each: 1. Within 6 months, using play-based therapy techniques, Levi will respond to his name with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Levi can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting BEGAN @ 0% acc NOW @ 30% acc --- GOAL MET 2. Within 6 months, using play-based therapy techniques, Levi will demonstrate functional play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Levi demonstrates ageappropriate play with peers. BEGAN @ % acc NOW @ 20% acc 3. Within 6 months, using play-based therapy techniques, Levi will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate ageappropriate phonemes and eventually core vocabulary. BEGAN @ 0% acc NOW @ 0% acc 4. Within 6 months, using play-based therapy techniques, Levi will imitate actions/ gestures (e.i. wave hi, bye) with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate age-appropriate phonemes and eventually core vocabulary. BEGAN @ 0% acc NOW @ 10% acc 5. Within 6 months, using play-based therapy techniques, Levi will follow simple step instructions (e.i. sit down, come here) with multisensory cues in 3 out of 10 opportunities across 3 out of 5 consecutive sessions in order to promote safety so that Angel can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting BEGAN @ 0 out of 10 opportunities NOW @ 1 out of 10 opportunities 6. In 6 months, Levi will use total communication (gestures, eye contact, purposeful vocalizations, etc.) to express wants/needs WITHOUT ADVERSE BEHAVIORS (whining, crying, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). BEGAN @ 0 out of 10 opportunities NOW @ 1 out of 10 opportunities

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	In 12 months, Levi will improve his expressive language skills in order to effectively communicate pain (i.e., tell his mom if stomach hurts) and safety issues (i.e., express if he is hungry) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive Language	In 12 months, Levi will improve his receptive language skills in order to follow safety concerns (i.e., follow simple instructions) and provide vital information to emergency personnel (i.e., name) with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Levi will respond to his name with decreasing multisensory cues with 60% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Levi can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting
Play/Socialization	Within 6 months, using play-based therapy techniques, Levi will demonstrate functional play with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Levi demonstrates ageappropriate play with peers.
Expressive Language	Within 6 months, using play-based therapy techniques, Levi will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate ageappropriate phonemes and eventually core vocabulary.
Expressive Language	Within 6 months, using play-based therapy techniques, Levi will imitate actions/ gestures (e.i. wave hi, bye) with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Angel can begin to imitate ageappropriate phonemes and eventually core vocabulary.
Receptive Language	Within 6 months, using play-based therapy techniques, Levi will follow simple step instructions (e.i. sit down, come here) with multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Angel can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting
Expressive Language	In 6 months, Levi will use total communication (gestures, eye contact, purposeful vocalizations, etc.) to express wants/needs WITHOUT ADVERSE BEHAVIORS (whining, crying, etc.) with 30% accuracy across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).

Speech and Language Soap Note/Visit:

Soap Note

490126

Note Date: 03-17-2026

Subjective: Patient was eager to participate,Patient was friendly and cooperative,

Plans: Continue with current Plan of Care,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25140	07-23-2025	Feeding Initial Evaluation	R63.32, R13.11
Feeding Background History: Levi is a 1 year 3 month old male who was referred by his pediatrician due to concerns related to food and fluid intake. Levi’s parents served as primary informants during this evaluation. According to Mrs. Lopez, Levi does not self feed and demonstrates aversion to new foods. Mrs. Lopez reported that her concerns regarding Levi’s feeding behaviors have been present since he was approximately 10 months old, although he did experience reflux as an infant. His current diet consists primarily of pureed foods, but he will consume soft foods at times such as eggs. Levi will also accept rice, but only when it is mixed with broth or cream based soups to create a softer, more uniform texture. All fruits and vegetables must be in pureed form or consumed through pouches. Levi reportedly only accepts food when spoon fed by his parents using a specific spoon. Meals are typically conducted in front of the television, as this is the only context in which Levi will consistently accept food. Levi reportedly displays tactile aversion to food, avoiding contact with food items and actively pushing them off his tray when presented. He currently consumes four 9 oz bottles of whole milk daily and participates in only two solid feedings per day, with no additional snacks throughout the day. Levi reportedly does not like snacks. A bedside feeding evaluation and structured meal observation were conducted to assess Levi’s feeding and swallowing skills.
Feeding Medical History: Levi was born full term at 39 weeks via vaginal delivery. There were no reported complications with the pregnancy or birth.
Feeding Medications: None
Feeding Behavioral Observations: Attending Skills: Distractible, Response Rate: Mild delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Levi's pragmatic skills were not formally assessed as this was not the purpose of the evaluation or referral.
Feeding Diagnosis/Impressions: PATIENT HX: Levi is a 1 year 3 month old male who was referred by his pediatrician due to concerns related to food and fluid intake. Levi’s parents served as primary informants during this evaluation. According to Mrs. Lopez, Levi does not self feed and demonstrates aversion to new foods. Mrs. Lopez reported that her concerns regarding Levi’s feeding behaviors have been present since he was approximately 10 months old, although he did experience reflux as an infant. His current diet consists primarily of pureed foods, but he will consume soft foods at times such as eggs. Levi will also accept rice, but only when it is mixed with broth or cream based soups to create a softer, more uniform texture. All fruits and vegetables must be in pureed form or consumed through pouches. Levi reportedly only accepts food when spoon fed by his parents using a specific spoon. Meals are typically conducted in front of the television, as this is the only context in which Levi will consistently accept food. Levi reportedly displays tactile aversion to food, avoiding contact with food items and actively pushing them off his tray when presented. He currently consumes four 9 oz bottles of whole milk daily and participates in only two solid feedings per day, with no additional snacks throughout the day. Levi reportedly does not like snacks. A bedside feeding evaluation and structured meal observation were conducted to assess Levi’s feeding and swallowing skills. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Levi’s young age and resistance to any stimulation around his face or within his oral cavity. Levi is reportedly aversive to any stimuli near or around his face and oral cavity, and he has never engaged in typical oral exploration behaviors, such as mouthing toys or hands. Levi was not receptive to teething toys or teething foods. It is recommended that Levi’s treating clinician continue to monitor his oral structures and complete a more thorough assessment when he demonstrates increased tolerance. It is important to note that Levi was previously evaluated for tethered oral tissues; a pediatric dentist identified a lip tie but did not recommend intervention at that time. Levi presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed along with limited oral motor movements when consuming solids, likely influenced by texture aversions. No drooling was noted during the evaluation. Due to limited cooperation, Levi’s palate could not be formally assessed. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Levi presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Levi’s PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple factors, including medical history (e.g., reflux as an infant), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities and decreased oral motor skills), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). Levi’s ORAL DYSPHAGIA is characterized by decreased oral motor skills required for effective mastication of age-appropriate solids. These deficits likely contribute to his limited acceptance of varied food textures and his persistent reliance on purees or soup like meals. FOOD REPERTOIRE: Levi is reported to prefer foods with smooth and chewy textures. He demonstrates a strong preference for salty, sweet, and flavored foods, and shows a preference for both warm and cool temperatures. His appetite is described as variable. Levi’s current food inventory consists of more than 25 items; however, most must be presented in pureed form. He has limited protein and starch intake. Protein sources include deli meat mixed into scrambled eggs, baby oatmeal, yogurt, and cheddar cheese when blended into other foods. Levi consumes 13 fruits and 6 vegetables, but only in pureed form and either via pouch or when spoon-fed by his mother. For starches, Levi will occasionally eat mashed potatoes or French fries, rice, and caldo. In terms of liquids, he drinks only whole milk and water. It is important to note that Levi has already exhibited food jagging with items such as mac and cheese and chicken noodle soup. FEEDING SCHEDULE: Levi currently drinks four 9 ounce bottles of whole milk per day and consumes two solid meals (puree) daily. He will only drink milk from a specific Avent clear wide neck bottle and refuses milk from any other bottle or cup. His mother has introduced an adapter nipple with a straw for water, which he will accept; however, he rejects any other drinking tools. Levi’s solid meals are limited to purees or soup textured rice dishes. He does not consume snacks, reportedly due to lack of interest. Levi requires the use of a television for meal engagement and total assistance to eat. His mother reports that Levi shows no awareness of food; instead, he passively opens his mouth when presented with the spoon. She also shared that she sometimes tricks or force feeds him to encourage tasting new foods, though he typically accepts only one bite before refusing further attempts. NORM-REFERENCED ASSESSMENT: Levi’s mother completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children aged 6 months to 7 years. Levi received an overall rating of “concern,” particularly in the domains of selective/restrictive eating and problematic mealtime behaviors. These caregiver-reported concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: During the feeding observation, Levi was seated in a high chair and required full assistance from his mother to consume his preferred foods. When offered the opportunity to self feed, he pushed the spoon off the tray and began to cry. Non preferred foods were also introduced, but Levi rejected them by crying and pushing them away. When food was placed directly on his tray, he immediately pushed it off. Attempts by his mother to spoon feed the non preferred food were met with head turning and refusal. With clinician support, Levi was encouraged to explore yogurt, banana, and a meltable Gerber cracker. He used his fingertips to push these items into a discard bowl, though he did get some yogurt on his finger and spontaneously placed it in his mouth - an action his mother reported had never occurred before. Levi also mouthed a teething tool briefly for the first time. Throughout the session, he demonstrated signs of sensory discomfort, including body and hand shivering and facial grimacing when interacting with food items. SWALLOW/ORAL MOTOR EVALUATION: Levi demonstrated reduced oral motor skills. He accepted only soft pureed foods and refused soft cubes and meltables. No signs of munching or chewing patterns were observed. However, Levi demonstrated timely anterior-posterior transit of pureed foods and no anterior spillage. Levi also demonstrated a closed mouth swallow. No clinical signs or symptoms of aspiration or penetration were noted during the session, and there is no history of aspiration pneumonia. Based on the foods trialed and behaviors observed, Levi’s oral motor skills appear delayed and are likely contributing to his limited acceptance of age appropriate solids. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. Intervention should focus on increasing Levi’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Levi to explore food on his tray and with his hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address self-feeding skills to increase Levi’s independence and engagement during meals. At his current age, Levi’s primary source of nutrition should come from a variety of age-appropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. He should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Levi may be at risk for compromised nutrition due to the limited and restricted nature of his current diet. Mr. and Mrs. Lopez will play a critical role in supporting carryover through participation in Levi’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

55658

Plan Date: 07-23-2025

Feeding Assessment Summary: PATIENT HX: Levi is a 1 year 3 month old male who was referred by his pediatrician due to concerns related to food and fluid intake. Levi’s parents served as primary informants during this evaluation. According to Mrs. Lopez, Levi does not self feed and demonstrates aversion to new foods. Mrs. Lopez reported that her concerns regarding Levi’s feeding behaviors have been present since he was approximately 10 months old, although he did experience reflux as an infant. His current diet consists primarily of pureed foods, but he will consume soft foods at times such as eggs. Levi will also accept rice, but only when it is mixed with broth or cream based soups to create a softer, more uniform texture. All fruits and vegetables must be in pureed form or consumed through pouches. Levi reportedly only accepts food when spoon fed by his parents using a specific spoon. Meals are typically conducted in front of the television, as this is the only context in which Levi will consistently accept food. Levi reportedly displays tactile aversion to food, avoiding contact with food items and actively pushing them off his tray when presented. He currently consumes four 9 oz bottles of whole milk daily and participates in only two solid feedings per day, with no additional snacks throughout the day. Levi reportedly does not like snacks. A bedside feeding evaluation and structured meal observation were conducted to assess Levi’s feeding and swallowing skills. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Levi’s young age and resistance to any stimulation around his face or within his oral cavity. Levi is reportedly aversive to any stimuli near or around his face and oral cavity, and he has never engaged in typical oral exploration behaviors, such as mouthing toys or hands. Levi was not receptive to teething toys or teething foods. It is recommended that Levi’s treating clinician continue to monitor his oral structures and complete a more thorough assessment when he demonstrates increased tolerance. It is important to note that Levi was previously evaluated for tethered oral tissues; a pediatric dentist identified a lip tie but did not recommend intervention at that time. Levi presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed along with limited oral motor movements when consuming solids, likely influenced by texture aversions. No drooling was noted during the evaluation. Due to limited cooperation, Levi’s palate could not be formally assessed. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Levi presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Levi’s PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple factors, including medical history (e.g., reflux as an infant), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities and decreased oral motor skills), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). Levi’s ORAL DYSPHAGIA is characterized by decreased oral motor skills required for effective mastication of age-appropriate solids. These deficits likely contribute to his limited acceptance of varied food textures and his persistent reliance on purees or soup like meals. FOOD REPERTOIRE: Levi is reported to prefer foods with smooth and chewy textures. He demonstrates a strong preference for salty, sweet, and flavored foods, and shows a preference for both warm and cool temperatures. His appetite is described as variable. Levi’s current food inventory consists of more than 25 items; however, most must be presented in pureed form. He has limited protein and starch intake. Protein sources include deli meat mixed into scrambled eggs, baby oatmeal, yogurt, and cheddar cheese when blended into other foods. Levi consumes 13 fruits and 6 vegetables, but only in pureed form and either via pouch or when spoon-fed by his mother. For starches, Levi will occasionally eat mashed potatoes or French fries, rice, and caldo. In terms of liquids, he drinks only whole milk and water. It is important to note that Levi has already exhibited food jagging with items such as mac and cheese and chicken noodle soup. FEEDING SCHEDULE: Levi currently drinks four 9 ounce bottles of whole milk per day and consumes two solid meals (puree) daily. He will only drink milk from a specific Avent clear wide neck bottle and refuses milk from any other bottle or cup. His mother has introduced an adapter nipple with a straw for water, which he will accept; however, he rejects any other drinking tools. Levi’s solid meals are limited to purees or soup textured rice dishes. He does not consume snacks, reportedly due to lack of interest. Levi requires the use of a television for meal engagement and total assistance to eat. His mother reports that Levi shows no awareness of food; instead, he passively opens his mouth when presented with the spoon. She also shared that she sometimes tricks or force feeds him to encourage tasting new foods, though he typically accepts only one bite before refusing further attempts. NORM-REFERENCED ASSESSMENT: Levi’s mother completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children aged 6 months to 7 years. Levi received an overall rating of “concern,” particularly in the domains of selective/restrictive eating and problematic mealtime behaviors. These caregiver-reported concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: During the feeding observation, Levi was seated in a high chair and required full assistance from his mother to consume his preferred foods. When offered the opportunity to self feed, he pushed the spoon off the tray and began to cry. Non preferred foods were also introduced, but Levi rejected them by crying and pushing them away. When food was placed directly on his tray, he immediately pushed it off. Attempts by his mother to spoon feed the non preferred food were met with head turning and refusal. With clinician support, Levi was encouraged to explore yogurt, banana, and a meltable Gerber cracker. He used his fingertips to push these items into a discard bowl, though he did get some yogurt on his finger and spontaneously placed it in his mouth - an action his mother reported had never occurred before. Levi also mouthed a teething tool briefly for the first time. Throughout the session, he demonstrated signs of sensory discomfort, including body and hand shivering and facial grimacing when interacting with food items. SWALLOW/ORAL MOTOR EVALUATION: Levi demonstrated reduced oral motor skills. He accepted only soft pureed foods and refused soft cubes and meltables. No signs of munching or chewing patterns were observed. However, Levi demonstrated timely anterior-posterior transit of pureed foods and no anterior spillage. Levi also demonstrated a closed mouth swallow. No clinical signs or symptoms of aspiration or penetration were noted during the session, and there is no history of aspiration pneumonia. Based on the foods trialed and behaviors observed, Levi’s oral motor skills appear delayed and are likely contributing to his limited acceptance of age appropriate solids. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. Intervention should focus on increasing Levi’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Levi to explore food on his tray and with his hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address self-feeding skills to increase Levi’s independence and engagement during meals. At his current age, Levi’s primary source of nutrition should come from a variety of age-appropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. He should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Levi may be at risk for compromised nutrition due to the limited and restricted nature of his current diet. Mr. and Mrs. Lopez will play a critical role in supporting carryover through participation in Levi’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.

Feeding Rehabilitation Potential: Good. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Levi will be discharged when his food inventory and feeding/swallowing skills are clinically deemed adequate for his age, nutritional needs, and safety.

Feeding 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.
Feeding/Swallowing	In 12 months, Levi will improve his feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Levi will touch non preferred foods using his finger tips OR hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Levi will touch non preferred foods using his head OR face in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Levi will complete facial stimulation via z-vibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve facial sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Levi will complete oral stimulation via z-vibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Levi will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.

57507

Plan Date: 12-01-2025

Feeding Assessment Summary: PATIENT HX: Levi is a 1 year 8 month old male who was referred by his pediatrician due to concerns related to food and fluid intake. Levi’s parents served as primary informants during this evaluation. According to Mrs. Lopez, Levi does not self feed and demonstrates aversion to new foods. Mrs. Lopez reported that her concerns regarding Levi’s feeding behaviors have been present since he was approximately 10 months old, although he did experience reflux as an infant. His current diet consists primarily of pureed foods, but he will consume soft foods at times such as eggs. Levi will also accept rice, but only when it is mixed with broth or cream based soups to create a softer, more uniform texture. All fruits and vegetables must be in pureed form or consumed through pouches. Levi reportedly only accepts food when spoon fed by his parents using a specific spoon. Meals are typically conducted in front of the television, as this is the only context in which Levi will consistently accept food. Levi reportedly displays tactile aversion to food, avoiding contact with food items and actively pushing them off his tray when presented. He currently consumes four 9 oz bottles of whole milk daily and participates in only two solid feedings per day, with no additional snacks throughout the day. Levi reportedly does not like snacks. Levi is due for a re evaluation to determine if continued feeding therapy is warranted. Levi's feeding skills were reevaluated using a bedside feeding evaluation and skilled meal feeding observation. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Levi’s young age and resistance to any stimulation around his face or within his oral cavity. Levi is reportedly aversive to any stimuli near or around his face and oral cavity, and he has never engaged in typical oral exploration behaviors, such as mouthing toys or hands. Levi was not receptive to teething toys or teething foods. It is recommended that Levi’s treating clinician continue to monitor his oral structures and complete a more thorough assessment when he demonstrates increased tolerance. It is important to note that Levi was previously evaluated for tethered oral tissues; a pediatric dentist identified a lip tie but did not recommend intervention at that time. Levi presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed along with limited oral motor movements when consuming solids, likely influenced by texture aversions. No drooling was noted during the evaluation. Due to limited cooperation, Levi’s palate could not be formally assessed. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Levi continues to present with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Levi’s PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple factors, including medical history (e.g., reflux as an infant), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities and decreased oral motor skills), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). Levi’s ORAL DYSPHAGIA is characterized by decreased oral motor skills required for effective mastication of age-appropriate solids. These deficits likely contribute to his limited acceptance of varied food textures and his persistent reliance on purees or soup like meals. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. Intervention should focus on increasing Levi’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Levi to explore food on his tray and with his hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address self-feeding skills to increase Levi’s independence and engagement during meals. At his current age, Levi’s primary source of nutrition should come from a variety of age-appropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. He should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Levi may be at risk for compromised nutrition due to the limited and restricted nature of his current diet. Mr. and Mrs. Lopez will play a critical role in supporting carryover through participation in Levi’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.

Feeding Progress to Date: 1. In 6 months, Levi will touch non preferred foods using his finger tips OR hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment. BASELINE: 0% CURRENT: 30% --- GOAL MET 2. In 6 months, Levi will touch non preferred foods using his head OR face in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment. BASELINE: 0% CURRENT: 10% 3. In 6 months, Levi will complete facial stimulation via z-vibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve facial sensitivity and awareness for future food exploration. BASELINE: 0% CURRENT: 30% --- GOAL MET 4. In 6 months, Levi will complete oral stimulation via z-vibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration. BASELINE: 0% CURRENT: 30% --- GOAL MET 5. In 6 months, Levi will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety. BASELINE: 0% CURRENT: 10%

Feeding 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.
Feeding/Swallowing	In 12 months, Levi will improve his feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Levi will touch non preferred foods using his finger tips OR hands in 4 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Levi will touch non preferred foods using his head OR face in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Levi will complete facial stimulation via z-vibe in 4 out of 10 opportunities across 3 consecutive sessions in order to improve facial sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Levi will complete oral stimulation via z-vibe in 4 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Levi will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.

Feeding Therapy Soap Note/Visit:

Soap Note

490855

Note Date: 03-23-2026

Subjective:

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Levi touched non preferred foods using his finger tips OR hands in 3 out of 10 opportunities with MAX cues in order to improve acceptance and exploration of non preferred foods in his immediate environment. Levi touched non preferred foods using his head OR face in 1 out of 10 opportunities with MAX cues in order to improve acceptance and exploration of non preferred foods in his immediate environment. Levi completed facial stimulation via z-vibe in 3 out of 10 opportunities with MAX cues in order to improve facial sensitivity and awareness for future food exploration. Levi completed oral stimulation via z-vibe in 3 out of 10 opportunities with MAX cues in order to improve oral sensitivity and awareness for future food exploration. Levi consumed solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 1 out of 10opportunities with MAX cues as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3709	09-12-2025	Occupational Initial Evaluation	R62.0
Occupational Background History: Levi is a 1.5 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 39 weeks gestation via natural birth. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and no seasonal allergies.
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: Mild delays, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Poor, Reliability of Scores: Questionable, Awarencess of Environmental Events: Occasionally, Social Interactions: Withdrawn, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Balance, Postural Stability/Trunk Support, UE Strength, Upper Limb Coordination,
Occupational Communication Weaknesses: Attention to Task, Body Awareness, Eye-Hand Coordination, Grasp, Manual Dexterity, Problem Solving, Self-Control, Sensory Process/Mod, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Levi 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: Levi was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Levi falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 6 months to 11 months compared to his chronological age of 17 months, placing him at least (-3 to -2) standard deviations behind his peers. Levi demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 20-30 secs before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Per clinical observation child demo retention of primitive reflexes such as babinski, palmar and rooting reflexes which decrease his body and safety awareness, which hinders his participation in activities of daily living. Levi demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

4813

Plan Date: 09-12-2025

Occupational Assessment Summary: Levi was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Levi falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 6 months to 11 months compared to his chronological age of 17 months, placing him at least (-3 to -2) standard deviations behind his peers. Levi demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 20-30 secs before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Per clinical observation child demo retention of primitive reflexes such as babinski, palmar and rooting reflexes which decrease his body and safety awareness, which hinders his participation in activities of daily living. Levi demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	In 6 months, Levi will demonstrate social reciprocity by engaging in at least 3 verbal or nonverbal backandforth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 4/5 trials. Baseline- MAX VCs
Motor Planning/Praxis	In 6 months, Levi will attend to and complete a 4-step familiar task (e.g., pick up toy and put it in the bin, washing hands) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 4/5 trials. Baseline- MAX VCs to sequence multi-step tasks
Self Care	In 6 months, Levi will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, tooth-brush) on the hands and face for at least 10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MOD assistance, 4/5 trials. Baseline- MAX aversion/assistance

Occupational Short Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	In 3 months, Levi will demonstrate social reciprocity by engaging in at least 1-3 verbal or nonverbal backandforth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. Baseline- MAX VCs
Motor Planning/Praxis	In 3 months, Levi will attend to and complete a 2-4-step familiar task (e.g., pick up toy and put it in the bin, washing hands) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline- MAX VCs to sequence multi-step tasks
Self Care	In 3 months, Levi will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, tooth-brush) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MOD assistance, 3/4 trials. Baseline- MAX aversion/assistance

5308

Plan Date: 02-24-2026

Occupational Assessment Summary: Levi was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Levi falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 13 months compared to his chronological age of 22 months, placing him at least (-2) standard deviations behind his peers. Levi demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 20-30 secs before attempting to flee. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Per clinical observation child demo retention of primitive reflexes such as babinski, palmar and rooting reflexes which decrease his body and safety awareness, which hinders his participation in activities of daily living. Levi demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Levi demonstrates consistent progress with occupational therapy services evident by meeting 100% of previous goals with at least 70% accuracy, increased standardized assessment scores, per clinical observations and per parental report. In 3 months, Levi will demonstrate social reciprocity by engaging in at least 1-3 verbal or nonverbal back-and-forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Levi will attend to and complete a 2-4 step familiar task (e.g., pick up toy and put it in the bin, washing hands) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Levi will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, toothbrush) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MOD assistance, 3/4 trials. GOAL MET- 4/4 trials

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Motor Planning/Praxis	In 6 months, Levi will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 4/5 trials. Baseline- MAX assist to cross midline when participating in functional tasks
Bilateral Coordination	In 6 months, Levi will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 4/5 trials. Baseline- MAX assist
Sensory Issues/Self Regulation	In 6 months, Levi will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, toothbrush) on the hands and face for at least 10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MIN assistance, 4/5 trials. Baseline- MOD assist

Occupational Short Term Goals:

Category	Goal Description
Motor Planning/Praxis	In 3 months, Levi will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 3/4 trials. Baseline- MAX assist to cross midline when participating in functional tasks
Bilateral Coordination	In 3 months, Levi will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 3/4 trials. Baseline- MAX assist
Sensory Issues/Self Regulation	In 3 months, Levi will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, toothbrush) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MIN assistance, 3/4 trials. Baseline- MOD assist

Occupational Therapy Soap Note/Visit:

Soap Note

147658

Note Date: 03-23-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Levi increased social reciprocity when engaged in verbal and nonverbal back and forth exchanges when commenting, requesting activities via pointing, and imitating actions/words during structured play, with only MIN cueing. Levi attended to and completed a 2 step activity when retrieving colored bears from a dry texture sensory bin and placing them into a cup with only MIN cues. He also engaged in the first 2 steps of lacing beads with MOD A for manipulation to increase bilateral coordination and FM manipulation/VMI skills. He also attempted to place shapes into a simple puzzle with MOD A for orientation during 4/5 trials. Levi tolerated contact with bilateral hands with dry textures with only MIN A via modeling and verbal encouragement. He was able to remove objects from a dry texture sensory bin IND with no aversion and only showed MIN aversion to pushing his hands into kinetic sand. He continued to show MOD aversion to wet/sticky textures when immediately wiping his hands after touching and pushing therapists hand toward the texture instead. He showed increased engagement when therapist drew letters in shaving cream and he attempted to "wipe" the letters with MOD A.

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
759483	92523: Artic & Language Eval	07-14-2025 03:00 PM	07-14-2025 04:00 PM	Jessica Ortiz	NB2 far east side	Completed
761914	92610: Feeding Evaluation	07-23-2025 03:00 PM	07-23-2025 03:45 PM	Jordan Orozco	NB2 far east side	Completed
776000	92507: Speech & Language Visit	08-06-2025 10:45 AM	08-06-2025 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
783176	92507: Speech & Language Visit	08-07-2025 10:00 AM	08-07-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
781991	92507: Speech & Language Visit	08-13-2025 10:00 AM	08-13-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
782210	92507: Speech & Language Visit	08-14-2025 10:00 AM	08-14-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
782407	92507: Speech & Language Visit	08-19-2025 10:00 AM	08-19-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
787560	92507: Speech & Language Visit	08-20-2025 10:00 AM	08-20-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
787565	92526: Feeding Visit	08-21-2025 10:15 AM	08-21-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Completed
791325	92507: Speech & Language Visit	08-26-2025 10:00 AM	08-26-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
787566	92526: Feeding Visit	08-28-2025 10:15 AM	08-28-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Completed
787567	92526: Feeding Visit	09-04-2025 10:15 AM	09-04-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Completed
800831	92507: Speech & Language Visit	09-05-2025 09:00 AM	09-05-2025 09:45 AM	Gabriela Gallegos	NB2 far east side	Completed
791327	92507: Speech & Language Visit	09-09-2025 10:00 AM	09-09-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
804863	97167: OT Evaluation	09-12-2025 01:00 PM	09-12-2025 02:00 PM	Bertha Solis	NB2 far east side	Completed
791328	92507: Speech & Language Visit	09-16-2025 10:00 AM	09-16-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
804857	92507: Speech & Language Visit	09-17-2025 11:30 AM	09-17-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
787569	92526: Feeding Visit	09-18-2025 10:15 AM	09-18-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Completed
791329	92507: Speech & Language Visit	09-23-2025 10:00 AM	09-23-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
787570	92526: Feeding Visit	09-25-2025 11:30 AM	09-25-2025 12:00 PM	Andrea Rodriguez	NB2 far east side	Completed
791330	92507: Speech & Language Visit	09-30-2025 10:00 AM	09-30-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
812013	92526: Feeding Visit	10-01-2025 12:30 PM	10-01-2025 01:00 PM	Andrea Rodriguez	NB2 far east side	Completed
787571	92526: Feeding Visit	10-02-2025 10:15 AM	10-02-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Completed
791331	92507: Speech & Language Visit	10-07-2025 10:00 AM	10-07-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
813444	92526: Feeding Visit	10-09-2025 12:30 PM	10-09-2025 01:00 PM	Andrea Rodriguez	NB2 far east side	Completed
817723	OT-VIS: OT Visit	10-13-2025 10:00 AM	10-13-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
791332	92507: Speech & Language Visit	10-14-2025 10:00 AM	10-14-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
817760	OT-VIS: OT Visit	10-15-2025 10:00 AM	10-15-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
813445	92526: Feeding Visit	10-16-2025 12:30 PM	10-16-2025 01:00 PM	Andrea Rodriguez	NB2 far east side	Completed
817724	OT-VIS: OT Visit	10-20-2025 10:00 AM	10-20-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
791333	92507: Speech & Language Visit	10-21-2025 10:45 AM	10-21-2025 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
817761	OT-VIS: OT Visit	10-24-2025 11:00 AM	10-24-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817725	OT-VIS: OT Visit	10-27-2025 10:00 AM	10-27-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
791334	92507: Speech & Language Visit	10-28-2025 10:00 AM	10-28-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
813447	92526: Feeding Visit	10-30-2025 12:30 PM	10-30-2025 01:00 PM	Andrea Rodriguez	NB2 far east side	Completed
817762	OT-VIS: OT Visit	10-31-2025 11:00 AM	10-31-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
833155	92526: Feeding Visit	11-03-2025 09:15 AM	11-03-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817726	OT-VIS: OT Visit	11-03-2025 10:00 AM	11-03-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
791335	92507: Speech & Language Visit	11-04-2025 10:00 AM	11-04-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
817763	OT-VIS: OT Visit	11-07-2025 11:00 AM	11-07-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
833156	92526: Feeding Visit	11-10-2025 09:15 AM	11-10-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817727	OT-VIS: OT Visit	11-10-2025 10:00 AM	11-10-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
817764	OT-VIS: OT Visit	11-14-2025 10:00 AM	11-14-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
817728	OT-VIS: OT Visit	11-17-2025 10:00 AM	11-17-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
846053	S9152: Reevaluation	11-18-2025 09:00 AM	11-18-2025 09:45 AM	Christine Adame	NB2 far east side	Completed
791337	92507: Speech & Language Visit	11-20-2025 10:00 AM	11-20-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
817765	OT-VIS: OT Visit	11-21-2025 11:00 AM	11-21-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
833159	S9152: Reevaluation	12-01-2025 09:15 AM	12-01-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817730	OT-VIS: OT Visit	12-01-2025 10:00 AM	12-01-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
791339	92507: Speech & Language Visit	12-02-2025 10:00 AM	12-02-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
851106	NB001: Supervision	12-02-2025 10:00 AM	12-02-2025 10:45 AM	Christine Adame	NB2 far east side	Completed
817767	OT-VIS: OT Visit	12-05-2025 11:00 AM	12-05-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
833160	92526: Feeding Visit	12-08-2025 09:15 AM	12-08-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817731	OT-VIS: OT Visit	12-08-2025 10:00 AM	12-08-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
802140	92507: Speech & Language Visit	12-09-2025 10:00 AM	12-09-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
833161	92526: Feeding Visit	12-15-2025 09:30 AM	12-15-2025 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
817732	OT-VIS: OT Visit	12-15-2025 10:00 AM	12-15-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
802139	92507: Speech & Language Visit	12-16-2025 10:00 AM	12-16-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
817769	OT-VIS: OT Visit	12-19-2025 10:00 AM	12-19-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
833164	92526: Feeding Visit	01-05-2026 09:15 AM	01-05-2026 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817735	OT-VIS: OT Visit	01-05-2026 10:00 AM	01-05-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
802137	92507: Speech & Language Visit	01-06-2026 10:00 AM	01-06-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
817772	OT-VIS: OT Visit	01-09-2026 11:00 AM	01-09-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
866265	92507: Speech & Language Visit	01-09-2026 12:00 PM	01-09-2026 12:45 PM	Gabriela Gallegos	NB2 far east side	Completed
833165	92526: Feeding Visit	01-12-2026 09:15 AM	01-12-2026 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817736	OT-VIS: OT Visit	01-12-2026 10:00 AM	01-12-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
802135	92507: Speech & Language Visit	01-13-2026 10:00 AM	01-13-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
862742	92507: Speech & Language Visit	01-14-2026 10:45 AM	01-14-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
817774	OT-VIS: OT Visit	01-23-2026 11:00 AM	01-23-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817738	OT-VIS: OT Visit	01-26-2026 10:00 AM	01-26-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
873803	92526: Feeding Visit	01-26-2026 11:00 AM	01-26-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
817775	OT-VIS: OT Visit	01-27-2026 09:00 AM	01-27-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
871597	92507: Speech & Language Visit	01-27-2026 10:00 AM	01-27-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
873804	92526: Feeding Visit	02-02-2026 09:15 AM	02-02-2026 09:45 AM	Andrea Rodriguez	NB2 far east side	Completed
817739	OT-VIS: OT Visit	02-02-2026 10:00 AM	02-02-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
871598	92507: Speech & Language Visit	02-03-2026 10:45 AM	02-03-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
817776	OT-VIS: OT Visit	02-06-2026 11:00 AM	02-06-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817740	OT-VIS: OT Visit	02-09-2026 10:00 AM	02-09-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
883461	92526: Feeding Visit	02-09-2026 11:00 AM	02-09-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883106	92507: Speech & Language Visit	02-10-2026 10:45 AM	02-10-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
817777	OT-VIS: OT Visit	02-13-2026 11:00 AM	02-13-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
883107	92507: Speech & Language Visit	02-17-2026 10:45 AM	02-17-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
892268	OT-VIS: OT Visit	02-19-2026 11:00 AM	02-19-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817778	OT-VIS: OT Visit	02-20-2026 11:00 AM	02-20-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
883108	92507: Speech & Language Visit	02-24-2026 10:45 AM	02-24-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
894689	97168: OT Re-Evaluation	02-24-2026 01:00 PM	02-24-2026 02:00 PM	Bertha Solis	NB2 far east side	Completed
893975	92507: Speech & Language Visit	02-26-2026 10:00 AM	02-26-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
896703	OT-VIS: OT Visit	02-26-2026 11:00 AM	02-26-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817779	OT-VIS: OT Visit	02-27-2026 11:00 AM	02-27-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817743	OT-VIS: OT Visit	03-02-2026 10:00 AM	03-02-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
883463	92526: Feeding Visit	03-02-2026 11:00 AM	03-02-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883109	92507: Speech & Language Visit	03-03-2026 10:45 AM	03-03-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
905147	OT-SUP: OT Supervision	03-09-2026 10:00 AM	03-09-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
817744	OT-VIS: OT Visit	03-09-2026 10:00 AM	03-09-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
883464	92526: Feeding Visit	03-09-2026 11:00 AM	03-09-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883110	92507: Speech & Language Visit	03-10-2026 10:15 AM	03-10-2026 11:00 AM	Gabriela Gallegos	NB2 far east side	Completed
817781	OT-VIS: OT Visit	03-13-2026 11:00 AM	03-13-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
817745	OT-VIS: OT Visit	03-16-2026 10:00 AM	03-16-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
883465	92526: Feeding Visit	03-16-2026 11:00 AM	03-16-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883111	92507: Speech & Language Visit	03-17-2026 10:45 AM	03-17-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Completed
817782	OT-VIS: OT Visit	03-20-2026 11:00 AM	03-20-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
911749	OT-SUP: OT Supervision	03-23-2026 10:00 AM	03-23-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
817746	OT-VIS: OT Visit	03-23-2026 10:00 AM	03-23-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
883466	92526: Feeding Visit	03-23-2026 11:00 AM	03-23-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
791326	92507: Speech & Language Visit	09-02-2025 10:00 AM	09-02-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Canceled
796993	92526: Feeding Visit	09-10-2025 09:30 AM	09-10-2025 10:00 AM	Andrea Rodriguez	NB2 far east side	Canceled
787568	92526: Feeding Visit	09-11-2025 10:15 AM	09-11-2025 10:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
799978	92507: Speech & Language Visit	09-11-2025 10:45 AM	09-11-2025 11:30 AM	Gabriela Gallegos	NB2 far east side	Canceled
813446	92526: Feeding Visit	10-23-2025 12:30 PM	10-23-2025 01:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
791336	92507: Speech & Language Visit	11-12-2025 11:30 AM	11-12-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
833157	92526: Feeding Visit	11-17-2025 09:15 AM	11-17-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
833158	92526: Feeding Visit	11-24-2025 09:30 AM	11-24-2025 10:00 AM	Andrea Rodriguez	NB2 far east side	Canceled
817729	OT-VIS: OT Visit	11-24-2025 10:00 AM	11-24-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
791338	92507: Speech & Language Visit	11-25-2025 10:00 AM	11-25-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Canceled
817766	OT-VIS: OT Visit	11-25-2025 11:00 AM	11-25-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
817768	OT-VIS: OT Visit	12-12-2025 11:00 AM	12-12-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
833162	92526: Feeding Visit	12-22-2025 09:15 AM	12-22-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
817733	OT-VIS: OT Visit	12-22-2025 10:00 AM	12-22-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
817770	OT-VIS: OT Visit	12-26-2025 11:00 AM	12-26-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
833163	92526: Feeding Visit	12-29-2025 09:15 AM	12-29-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
817734	OT-VIS: OT Visit	12-29-2025 10:00 AM	12-29-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
817771	OT-VIS: OT Visit	01-02-2026 11:00 AM	01-02-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
817773	OT-VIS: OT Visit	01-16-2026 11:00 AM	01-16-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
833166	92526: Feeding Visit	01-19-2026 09:15 AM	01-19-2026 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
817737	OT-VIS: OT Visit	01-19-2026 10:00 AM	01-19-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
871413	92526: Feeding Visit	02-16-2026 09:15 AM	02-16-2026 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
817741	OT-VIS: OT Visit	02-16-2026 10:00 AM	02-16-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
817742	OT-VIS: OT Visit	02-23-2026 10:00 AM	02-23-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
883462	92526: Feeding Visit	02-23-2026 11:00 AM	02-23-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
817780	OT-VIS: OT Visit	03-06-2026 11:00 AM	03-06-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
883112	92507: Speech & Language Visit	03-24-2026 11:30 AM	03-24-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
817783	OT-VIS: OT Visit	03-27-2026 11:00 AM	03-27-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
817747	OT-VIS: OT Visit	03-30-2026 10:00 AM	03-30-2026 11:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
883467	92526: Feeding Visit	03-30-2026 11:00 AM	03-30-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883113	92507: Speech & Language Visit	03-31-2026 10:45 AM	03-31-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883468	92526: Feeding Visit	04-06-2026 11:00 AM	04-06-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883114	92507: Speech & Language Visit	04-07-2026 10:45 AM	04-07-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883469	92526: Feeding Visit	04-13-2026 11:00 AM	04-13-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883115	92507: Speech & Language Visit	04-14-2026 10:45 AM	04-14-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883470	92526: Feeding Visit	04-20-2026 11:00 AM	04-20-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883116	92507: Speech & Language Visit	04-21-2026 10:45 AM	04-21-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883471	92526: Feeding Visit	04-27-2026 11:00 AM	04-27-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883117	92507: Speech & Language Visit	04-28-2026 10:45 AM	04-28-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883472	92526: Feeding Visit	05-04-2026 11:00 AM	05-04-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883118	92507: Speech & Language Visit	05-05-2026 10:45 AM	05-05-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883473	92526: Feeding Visit	05-11-2026 11:00 AM	05-11-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883119	92507: Speech & Language Visit	05-12-2026 10:45 AM	05-12-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883474	92526: Feeding Visit	05-18-2026 11:00 AM	05-18-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883120	92507: Speech & Language Visit	05-19-2026 10:45 AM	05-19-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883475	92526: Feeding Visit	05-25-2026 11:00 AM	05-25-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883121	92507: Speech & Language Visit	05-26-2026 10:45 AM	05-26-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883476	92526: Feeding Visit	06-01-2026 11:00 AM	06-01-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883122	92507: Speech & Language Visit	06-02-2026 10:45 AM	06-02-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883477	92526: Feeding Visit	06-08-2026 11:00 AM	06-08-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883123	92507: Speech & Language Visit	06-09-2026 10:45 AM	06-09-2026 11:30 AM	Gabriela Gallegos	NB2 far east side	Scheduled
883478	92526: Feeding Visit	06-15-2026 11:00 AM	06-15-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883479	92526: Feeding Visit	06-22-2026 11:00 AM	06-22-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883480	92526: Feeding Visit	06-29-2026 11:00 AM	06-29-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883481	92526: Feeding Visit	07-06-2026 11:00 AM	07-06-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883482	92526: Feeding Visit	07-13-2026 11:00 AM	07-13-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
883483	92526: Feeding Visit	07-20-2026 11:00 AM	07-20-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-27-2026	OT-VIS	Marsland, Kaitlin
03-24-2026	92507	Gallegos, Gabriela	Parent canceled sessin, conversation as follows, "Levi Lopez 3/24/2026 8:34 AM Levi (Prim) Replied: Good morning ma gabby, I have to cancel our appointment for today. My little one has had a fever all night, taking him to the dr. I will keep you updated on tomorrow's appointment Sorry for the last minute cancellation"
03-06-2026	OT-VIS	Marsland, Kaitlin
02-23-2026	92526	Rodriguez, Andrea
02-23-2026	OT-VIS	Marsland, Kaitlin
02-16-2026	OT-VIS	Marsland, Kaitlin
02-16-2026	92526	Rodriguez, Andrea	Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
01-19-2026	OT-VIS	Marsland, Kaitlin
01-19-2026	92526	Rodriguez, Andrea
01-19-2026	92526	Rodriguez, Andrea
01-16-2026	OT-VIS	Marsland, Kaitlin
01-02-2026	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-29-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-29-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-26-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-22-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-22-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-12-2025	OT-VIS	Marsland, Kaitlin
11-25-2025	OT-VIS	Marsland, Kaitlin
11-25-2025	92507	Gallegos, Gabriela
11-24-2025	OT-VIS	Marsland, Kaitlin
11-24-2025	92526	Rodriguez, Andrea
11-17-2025	92526	Rodriguez, Andrea
11-12-2025	92507	Gallegos, Gabriela	Parent canceled session, conversation as follows, “Levi Lopez 11/11/2025 6:31 PM Levi (Prim) Replied: Good afternoon, I need to cancel tomorrow's appointment. We had a dentist appointment scheduled for that day as wells sorry!”
10-23-2025	92526	Rodriguez, Andrea
09-11-2025	92507	Gallegos, Gabriela	Parent canceled session, conversation as follows, "Levi Lopez 9/8/2025 12:30 PM Levi (Prim) Replied: I have to cancel Thursday's appointment, Levi has a follow up drs appointment and the latest appointment/only time available was at 11:00 . Sorry to have to cancel out appointment this week"
09-11-2025	92526	Rodriguez, Andrea
09-10-2025	92526	Rodriguez, Andrea
09-02-2025	92507	Gallegos, Gabriela	Parent canceled session, conversation s follows, "Levi Lopez 9/2/2025 6:01 AM Levi (Prim) Replied: Good morning Ms. Gaby (sorry for such an early and last minute text) Levi isn't feeling too good, he's been throwing up since early this morning,not sure if it's just something he ate or some sort of stomach bug but I don't want to risk taking him out the house and getting you or anyone else sick. So we won't be making today's class. I apologize for canceling with such short notice"

Paient Messages Admin:

Date	Posted By	Message
07-08-2025 10:41 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=1941
07-08-2025 11:34 AM	Levi Lopez	Good morning, I finished filling out the forms but the link to schedule evaluation is expired
07-09-2025 12:32 PM	Asbel Guajardo	aguajardo@newbeginnings-elp.com
07-09-2025 01:44 PM	Levi Lopez	Send the referral via email thank you
07-09-2025 02:25 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9578
07-09-2025 02:36 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9578
07-10-2025 02:43 PM	Asbel Guajardo	Thank you
07-21-2025 04:18 PM	Stephen Tullius	Notice to all Rich Beem Office families: We have been informed that one of our parking lot entrances will be closed due to utility work starting Wednesday, July 23rd and continuing through Friday, July 25th. Please be careful around the construction. The entrance by the bakery will still be open. Thank you!
07-31-2025 01:34 PM	Patsy Guajardo	Lopez, Levi has been assigned a therapist.
07-31-2025 01:34 PM	Levi Lopez	Great, for food or speech ?
07-31-2025 01:41 PM	Patsy Guajardo	This will be for Speech
08-13-2025 10:58 AM	Patsy Guajardo	Lopez, Levi has been assigned a therapist.
08-13-2025 10:59 AM	Levi Lopez	Food therapy ?
08-13-2025 11:04 AM	Patsy Guajardo	Yes, the therapist will reach out to schedule the appointment
09-08-2025 11:39 AM	Celeste Collette	Dear Valued Parent, This is a general broadcast to all parents, do not text this number to reply. As always, we at New Beginnings strive to keep our patients, parents, therapists, and staff safe and healthy. We have thermometers in our front lobbies and will be checking for high temperatures as we begin the traditional time of year for an increase in flu, colds, and COVID. Any child or parent with a temperature of 100 degrees and above will be asked to reschedule for another day & time. If you or your child or someone in your home has COVID, we continue to ask that you stay home and quarantine to stop the spread. The CDC urges people sick with symptoms of respiratory viruses to stay home until their fever has disappeared for at least 24 hours without relying on fever-lowering medications. Please do not come to therapy if you or your child are experiencing the following symptoms: fever, body aches, chills, vomiting, diarrhea, headache. Your treating therapist would be happy to reschedule your visit for you. Please feel free to call our offices if you have any questions. Far East (Rich Beem) (915) 303-5177 OR East (Zaragoza) (915) 855-0601. Thank you in advance for your help keeping others safe and healthy! Team New Beginnings Pediatric Therapy Services
09-09-2025 10:32 AM	Asbel Guajardo	aguajardo@newbeginnings-elp.com
09-09-2025 10:33 AM	Asbel Guajardo	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=9578
09-09-2025 10:34 AM	Levi Lopez	It's showing expired link
09-10-2025 08:35 AM	Patsy Guajardo	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=9578
10-06-2025 11:41 AM	Patsy Guajardo	Lopez, Levi has been assigned a therapist.
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:53 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9578
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 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=9578
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
07-13-2025 06:39 PM	Jessica Ortiz	Hi, my name is Jessica, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9578&tid=44
07-13-2025 06:39 PM	Levi Lopez	Levi SCHEDULED: 3:00PM-7/14/2025 92523: Speech Evaluation
07-14-2025 08:52 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Levi’s speech evaluation. I am texting you from our patient portal, which is a secure texting-only system. I wanted to confirm our evaluation date, which is July 14th, 2025, at 3:00 pm. Our address is 3551 Rich Been, Suite B, 79938. Please complete this questionnaire before our appointment.
07-14-2025 08:53 AM	Jessica Ortiz	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.)? Does the patient take any medication? 4. When were these developmental milestones met (please be specific): crawling, sitting up, standing up, walking, feeding self, dressing self, potty training, first word, word combinations? 5. Sleeping or breathing issues? Does the 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: Does the patient attend school or daycare? 7. Does the patient speak any languages other than English? Has the patient been exposed to languages other than English in the home or educational environment? 8. Vision or hearing issues? When was the last hearing screening done? Did the patient pass or fail it? 9. Write your main concerns regarding the patient’s speech and/or language, please be specific.
07-14-2025 08:54 AM	Jessica Ortiz	Good morning, Mrs. Amaya! I just sent you nine questions. Did you receive them?
07-14-2025 09:24 AM	Levi Lopez	Levi (Prim) Replied: Good morning, no I have not received the questionnaire. Can you please resend it. I checked back on the old link from the patient portal but it takes me to the scheduling link
07-14-2025 09:31 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/07142025093103-Initial-questionnaire--(1).docx
07-14-2025 09:31 AM	Jessica Ortiz	I just sent them as an attachment, please let me know if you received them :)
07-14-2025 09:47 AM	Levi Lopez	Levi (Prim) Replied: Received attachment. Do I just answer them via text as well?
07-14-2025 09:55 AM	Jessica Ortiz	Yes ma'am. Thank you so much for your flexibility. See you at 3 pm :)
07-14-2025 10:11 AM	Levi Lopez	Levi (Prim) Replied:
07-14-2025 10:15 AM	Jessica Ortiz	Thank you, Mrs. Amaya, I'll wait for your answers :)
07-14-2025 02:45 PM	Jessica Ortiz	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=759483
07-14-2025 02:45 PM	Levi Lopez	Levi is CHECKED IN for: 3:00PM-7/14/2025 92523: Artic & Language Eval
07-15-2025 02:19 PM	Jordan Orozco	Good afternoon, this is Jordan from New Beginnings. I will be completing Levi's feeding evaluation. I see he just had his speech evaluation yesterday. Are you available next week for the feeding evaluation? :)
07-15-2025 02:21 PM	Levi Lopez	Levi (Prim) Replied: Hi Jordan, Yes of course what day and time do you have
07-15-2025 02:39 PM	Jordan Orozco	I have next Wednesday July 23rd at 5pm available, would this work for you and Levi?
07-15-2025 03:49 PM	Levi Lopez	Levi (Prim) Replied: Yes that works
07-15-2025 03:49 PM	Levi Lopez	Levi (Prim) Replied: Will it be at the same location ? Rich Beem ?
07-15-2025 03:59 PM	Jordan Orozco	Great, Levi is scheduled for next Wednesday July 23rd at 5PM. And yes ma'am it is at our Rich Beem location (3551 Rich Beem Blvd Unit B). Do you have access to a printer? There are 3 feeding intake forms that will need to be completed prior to the evaluation.
07-15-2025 04:09 PM	Levi Lopez	Levi (Prim) Replied: Yes I do
07-15-2025 07:49 PM	Jordan Orozco	Great, what is your email? I also just got a cancellation so I can offer 3:45PM instead of 5PM next Wednesday. Would that by chance work?
07-15-2025 07:53 PM	Levi Lopez	Levi (Prim) Replied: Sure 3:45 works amayamichelle1208@icloud.com
07-15-2025 07:53 PM	Jordan Orozco	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.
07-16-2025 08:12 AM	Jordan Orozco	Great, Levi is scheduled next Wednesday at 3:45PM. Before I send you that intake paperwork can you give me a brief description of your concerns with Levi's eating? That way I send the appropriate paperwork. :)
07-16-2025 09:31 AM	Levi Lopez	Levi (Prim) Replied: My main concern is that he won't self feed. I have tried and tried and he just refuses to even try.
07-16-2025 09:36 AM	Jordan Orozco	Is he a picky eater? Or have difficulty with certain textures?
07-16-2025 09:39 AM	Levi Lopez	Levi (Prim) Replied: Yes he's picky and will only eat certain things, mostly things he is familiar with. He is 15 months and for the most part only eats things that are mushy / puréed foods. I've noticed new things he isn't comfortable with the textures
07-16-2025 11:46 AM	Jordan Orozco	okay, thank you for this information. I sent you 3 different PDFs for the feeding intake paperwork, did you receive them?
07-16-2025 12:53 PM	Levi Lopez	Levi (Prim) Replied: On the portal ?
07-16-2025 01:04 PM	Levi Lopez	Levi (Prim) Replied: I received them via email I'll fill them out. Do you me to send them back before our appointment or day of is fine ?
07-16-2025 01:14 PM	Jordan Orozco	If you can print them and bring them completed to the evaluation that would be perfect! Also if you can please bring 2-3 preferred foods and 2-3 non preferred foods as well as the cup that Levi usually drinks from with liquid in it. You may also bring whatever utensil or bowl/plate that you usually feed Levi from to the evaluation. Let me know if you have questions. :)
07-16-2025 01:20 PM	Levi Lopez	Levi (Prim) Replied: Will do. See you next week.
07-16-2025 02:20 PM	Jordan Orozco	See you next week. Have a good weekend!
07-22-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Levi has a Feeding Evaluation appointment scheduled tomorrow at 03:45 PM. See you soon! - New Beginnings 🙂
07-23-2025 07:48 AM	Jordan Orozco	Hi, this is a just a reminder that Levi has a Feeding Evaluation appointment scheduled today at 03:45 PM. See you soon! - New Beginnings 🙂
07-23-2025 10:00 AM	Jordan Orozco	Good morning, it looks like I might have a cancellation. Would you by chance like to come at 3 instead of 345? I am still waiting on a confirmation from that parent but wanted to give you a heads up in case they do cancel.
07-23-2025 10:01 AM	Levi Lopez	Levi (Prim) Replied: Of course 3 works for us
07-23-2025 10:57 AM	Jordan Orozco	Okay great, I am awaiting to hear back from this parent - she has not confirmed her cancellation just yet. Can I let you know by 1:30PM if we are on for 3PM? I usually do not like to change things last minute on my patients but I wanted to offer that earlier time in the case that it helped.
07-23-2025 10:58 AM	Levi Lopez	Levi (Prim) Replied: That's fine
07-23-2025 10:59 AM	Levi Lopez	Levi (Prim) Replied: I'll wait for your text either time works
07-23-2025 12:08 PM	Jordan Orozco	Okay I can see Levi at 3PM if that still works for you. :)
07-23-2025 12:08 PM	Levi Lopez	Levi (Prim) Replied: Perfect
07-23-2025 12:11 PM	Jordan Orozco	see you soon!
07-23-2025 02:45 PM	Jordan Orozco	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=761914
07-23-2025 02:59 PM	Levi Lopez	Levi is CHECKED IN for: 3:00PM-7/23/2025 92610: Feeding Evaluation
07-31-2025 02:29 PM	Gabriela Gallegos	Good afternoon! 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 Levi’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet him and the family! We may begin our speech services! I have an opening next week on Wednesday at 10:45 AM. Would this work for his 1st initial session with me?
07-31-2025 03:32 PM	Levi Lopez	Levi (Prim) Replied: Perfect that day and time works for us
07-31-2025 03:33 PM	Gabriela Gallegos	Perfect! I will go ahead and schedule him in. See you next week! TY!
08-03-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 08-06-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-03-2025 04:06 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-05-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
08-06-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
08-06-2025 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=776000
08-06-2025 10:35 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-8/6/2025 92507: Speech & Language Visit
08-06-2025 04:50 PM	Gabriela Gallegos	Hi Ms. Amaya, I have an opening for tomorrow and wanted to offer the extra session to Levi, May I see him tomorrow, Thursday at 10am?
08-06-2025 05:29 PM	Levi Lopez	Levi (Prim) Replied: Sure we will be there
08-07-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-07-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=783176
08-07-2025 09:48 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/7/2025 92507: Speech & Language Visit
08-07-2025 11:34 AM	Gabriela Gallegos	Hi, for next week , may I see Levi on Wednesday and Thursday at 10am ?
08-07-2025 11:35 AM	Levi Lopez	Levi (Prim) Replied: That works for us, see you then!
08-07-2025 11:43 AM	Gabriela Gallegos	Thank you!
08-10-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 08-13-2025 at 10:00 AM, and on 08-14-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-10-2025 04:01 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-12-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-13-2025 07:50 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-13-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=781991
08-13-2025 09:50 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/13/2025 92507: Speech & Language Visit
08-13-2025 11:13 AM	Andrea Rodriguez Stokes	Good morning, this is Andrea from New Beginnings. I will be Levi’s feeding therapist. The reason why I am reaching out is that I wanted to set a date and time for his sessions. Starting next week, I have Thursdays available at 10:15 am. Would that work for you?
08-13-2025 12:04 PM	Levi Lopez	Levi (Prim) Replied: We have speech therapy tomorrow at 10, do you something else available
08-13-2025 12:04 PM	Levi Lopez	Levi (Prim) Replied: Next week will be our last week doing twice a week for speech and we usually go Wednesday & Thursday
08-13-2025 12:12 PM	Andrea Rodriguez Stokes	Unfortunately, we are not able to schedule speech and feeding appointments on the same day due to insurance policy. Next week, he has speech appointments for Tuesday and Wednesday :) I believe his recurring speech appointment is on Tuesdays. The only times that I have available starting next week for Levi's feeding appointments would be Thursday at 10:15 am or the following week, Wednesdays at 2:30 pm. Let me know what time works best for you. Thank you :)
08-13-2025 12:16 PM	Levi Lopez	Levi (Prim) Replied: Next Thursday works for us
08-13-2025 01:49 PM	Andrea Rodriguez Stokes	Perfect! We will be targeting mashed table foods and soft cubes. These consistencies will allow Levi to hold food items and eventually mash/munch. If you could please bring 1 protein (ex: scrambled eggs, shredded chicken, black beans, baked fish), 1 fruit (ex: banana, diced pear cup, diced peaches cup, etc), 1 vegetable (ex: cooked vegetables), and 1 preferred item, as well as, utensils he is using at home. Thank you, and I look forward to working with him :)
08-13-2025 01:52 PM	Levi Lopez	Levi (Prim) Replied: Sounds good, see you next Thursday! Thank you
08-13-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-14-2025 07:47 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-14-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=782210
08-14-2025 09:48 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/14/2025 92507: Speech & Language Visit
08-14-2025 10:56 AM	Gabriela Gallegos	Hi, I told you wrong for permanent days. Permanent days will be on Tuesday at 10am. Next week I will see him Tuesday and Wednesday at 10am. starting Week of 8/25 only Tuesdays at 10am
08-14-2025 10:57 AM	Gabriela Gallegos	I apologize for the confusion
08-14-2025 12:14 PM	Levi Lopez	Levi (Prim) Replied: No worries. See you next week
08-17-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 08-19-2025 at 10:00 AM, and on 08-20-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-17-2025 04:01 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-17-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 08-21-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-17-2025 04:02 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-18-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-19-2025 07:50 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-19-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=782407
08-19-2025 09:55 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/19/2025 92507: Speech & Language Visit
08-19-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-20-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-20-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787560
08-20-2025 09:50 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/20/2025 92507: Speech & Language Visit
08-20-2025 03:40 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon I had a question about tomorrow's appointment... should I not feed him breakfast prior to going ? So he is more into the feedings I usually try to feed him breakfast prior to our appointments
08-20-2025 03:51 PM	Andrea Rodriguez Stokes	Hi! Yes, please go ahead and give him breakfast at his usual time. It is important that he doesn't come overly hungry, because that can potentially make him upset and less willing to try new foods. We'll still be able to work on feeding during the session. We can keep his routine, and we'll use the session to build on it. Thank you so much! :)
08-20-2025 03:54 PM	Levi Lopez	Levi (Prim) Replied: Thank you, see you tomorrow
08-20-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
08-21-2025 07:48 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
08-21-2025 10:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787565
08-21-2025 11:02 AM	Andrea Rodriguez Stokes	Hi! Here is the link to the z-vibe on amazon https://www.amazon.com/Special-Supplies-Stimulation-Interchangeable-Vibrations/dp/B0BKHF12KY/ref=mp_s_a_1_3?dib=eyJ2IjoiMSJ9.T81A3z5fx6ibmRwQMAB5Vp0hw86tegPtg4kR5b9xKH1fm8g7ZEaOAcmZXcNpbTuzaHD8jIvqxZRBiLSKXR_Scf0W1T4dZJbJZloxRT3zvZ74C318wV5kNTI186YhGKlz_GBtSeQOfVdlXY5yKcWVd5bg50QG2JhIv4yyPG6A1chLfoY3tzCga-D60FDdMRFEsweuREDCWZVqV_57S09B5g.BsNtTpiiFAy2L_ecjDGRKDg25_OAOlm8iznpzEBPtHM&dib_tag=se&keywords=z+vibe&qid=1755795680&sr=8-3
08-21-2025 11:11 AM	Andrea Rodriguez Stokes	🥚 Food Chaining Eggs Current barrier: texture (scrambled eggs too lumpy for now) 1. Start with egg yolk mixed into purees (e.g., smooth veggie purée with a little cooked yolk blended in). 2. Progress to smooth mashed hard-boiled yolk thinned with milk or broth. 3. Try egg custard/puréed flan (smooth, pudding-like). 4. Mashed soft scrambled eggs blended with a familiar puree (keep it creamy). 5. Gradually reduce puree, leaving tiny soft egg curds.
08-21-2025 11:15 AM	Andrea Rodriguez Stokes	🧀 Mac & Cheese Food Chain (starting with Kraft) Base safe food: Kraft Mac & Cheese (classic blue box) 1. Same brand, small change • Kraft Shapes (e.g., SpongeBob, Paw Patrol, Spirals) → Same flavor, new noodle shape. 2. Same brand, slight flavor shift • Kraft Three Cheese or White Cheddar (but same noodle type). 3. Same brand, new format • Kraft Easy Mac (microwave cups). • Similar taste, different preparation. 4. Different brand, same flavor • Annie’s Classic Cheddar (closest to Kraft taste). • Serve in Kraft bowl/packaging at first if needed. 5. Different pasta with Kraft sauce • Use Kraft powder but with a different pasta shape (e.g., shells, rotini, penne). 6. Homemade “Kraft-style” mac • Homemade cheese sauce but try to match Kraft flavor (mild cheddar, milk, butter). • Mix with elbow pasta to keep the look familiar. 7. Other cheesy pastas • Lasagna with cheese sauce puréed/mashed. • Cheesy noodles or Alfredo sauce. • Expands flavor base beyond Kraft.
08-21-2025 11:19 AM	Levi Lopez	Levi (Prim) Replied: Thank you
08-21-2025 11:20 AM	Andrea Rodriguez Stokes	When helping Levi learn to accept new foods, it’s very important to go one small step at a time. Each step builds on what he already accepts, so the food still feels familiar and safe. 🔹 One step at a time: • Only introduce one small change (such as a different texture, shape, or flavor). • Do not move to the next step until he is comfortable with the current step. • “Comfortable” means they can eat it without stress on several different occasions. 🔹 Exposure is key: • Children often need 10–15 exposures (sometimes more) before we know if they truly like or dislike a food. • An “exposure” doesn’t have to mean eating it — it can be seeing, touching, smelling, licking, or tasting a tiny bite. • Keep experiences positive and pressure-free. Even small steps count as progress! 🔹 How you can help: • Offer the target food step alongside something safe that Levi already eats. • Stay neutral — avoid pressure like “just one bite.” Instead, praise exploration (“You touched it! You smelled it!”). • Repeat exposures over several days or weeks — slow and steady is the goal.
08-24-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 08-26-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-24-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 08-28-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-24-2025 07:09 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-24-2025 07:09 PM	Levi Lopez	Levi (Prim) Replied: Yes
08-25-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
08-26-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
08-26-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791325
08-26-2025 09:58 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-8/26/2025 92507: Speech & Language Visit
08-27-2025 10:16 AM	Andrea Rodriguez Stokes	Good morning! I will not be at the clinic on Thursday, the 11th, since I will be at a training out of town. I wanted to offer Levi a makeup session on Wednesday, the 3rd, at 9:30 am in case it works with your schedule. If that is not the case, I can offer more in the next weeks. Thank you!
08-27-2025 10:49 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 10:15AM-9/11/2025 92526: Feeding Visit
08-27-2025 11:55 AM	Levi Lopez	Levi (Prim) Replied: Good morning, the 3rd we have a drs appointment so can't take that make up session but it's ok no worries we can see if something comes up later on
08-27-2025 11:56 AM	Andrea Rodriguez Stokes	Would Wednesday, the 10th, at 9:30 am work for you? :)
08-27-2025 11:57 AM	Levi Lopez	Levi (Prim) Replied: Sure that works, thank you
08-27-2025 11:59 AM	Andrea Rodriguez Stokes	Awesome! Thank you, and I will see you tomorrow.
08-27-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
08-28-2025 07:44 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
08-28-2025 10:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787566
08-28-2025 10:11 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-8/28/2025 92526: Feeding Visit
08-28-2025 11:02 AM	Andrea Rodriguez Stokes	🍎 With Purees: 1. Dipping Game • Dip the Z-Vibe tip in a puree (applesauce, yogurt, mashed sweet potato). • Let him explore • You can model dipping & licking too. 2. Paint the Lips • Lightly “paint” puree on his lips with the Z-Vibe so he licks it off. • This helps desensitize and makes contact fun. 3. Dot & Lick • Place small dots of puree on the Z-Vibe tip and encourage him to lick them. • If he won’t lick, you can show him first in a playful way. ⸻ 🍌 With Soft Table Foods: 1. Food on the Tip • Stick a small piece of very soft food (banana, avocado, cooked carrot) on the Z-Vibe tip. • Present it so he controls whether to lick, bite, or just touch. 2. Mash & Try • Gently mash a soft food with the Z-Vibe and offer the mashed bit on the tip. • Works great for things like peas, sweet potato, or soft pasta.
08-28-2025 11:02 AM	Andrea Rodriguez Stokes	For Levi to learn best, he needs to be in a calm and regulated state. If he is upset, tired, or overwhelmed, his body is focused on “protecting” rather than learning. Before using the Z-Vibe or exploring new foods, make sure he is calm—this is when his brain and body are ready to take in new experiences. Ways you can help him regulate: • Use calming strategies he enjoys (rocking, singing softly, deep breaths, gentle squeezes, or a favorite toy). • Give him breaks if he starts to fuss or pull away. • Keep sessions short and fun—end on a positive note.
08-28-2025 11:03 AM	Andrea Rodriguez Stokes	We follow a step-by-step hierarchy that starts with safe exploration on his hands before moving food or the Z-Vibe to his mouth. This helps his brain learn that different textures are safe and fun. 1. Fingertips: Let him touch or play with puree/soft food with his hands. 2. Palms/Arms: Allow him to smear, pat, or clap with food (messy play). 3. Cheeks/Chin: Dab a little on his face with the Z-Vibe or your finger. 4. Lips: Light touches with food or Z-Vibe, allowing him to lick it off. 5. Teeth/Tongue: Present food on the Z-Vibe tip for him to mouth and explore. 6. Oral exploration → Eating: Over time, he learns to accept and swallow. He can move at his own pace. It’s okay if he stays at one step for a while—the important thing is progress forward, no matter how small.
08-28-2025 11:03 AM	Andrea Rodriguez Stokes	Model everything you want him to try. If you want him to lick yogurt off the Z-Vibe, show him how you do it first. If you want him to touch food with his fingers, do it right beside him. • Exaggerate your enjoyment (big smiles, “Mmm, this is yummy!”). • Show him that it’s safe and fun by doing it yourself.
08-28-2025 11:05 AM	Andrea Rodriguez Stokes	Thank you and I will see you next week!
08-31-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 09-02-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-31-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 09-04-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-01-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-02-2025 06:01 AM	Levi Lopez	Levi (Prim) Replied: Good morning Ms. Gaby (sorry for such an early and last minute text) Levi isn't feeling too good, he's been throwing up since early this morning,not sure if it's just something he ate or some sort of stomach bug but I don't want to risk taking him out the house and getting you or anyone else sick. So we won't be making today's class. I apologize for canceling with such short notice
09-02-2025 06:01 AM	Gabriela Gallegos	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.
09-02-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-02-2025 08:07 AM	Gabriela Gallegos	HI, thank yo for letting me know, I will cancel his session for today. If you want I can reschedule for Thursday. We will keep it tentative depending how he feels. Praying for a speedy recovery.
09-02-2025 08:08 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:00AM-9/2/2025 92507: Speech & Language Visit
09-03-2025 12:28 PM	Levi Lopez	Levi (Prim) Replied: Loved “HI, thank yo for letting me know, I will cancel his session for today. If you want I can reschedule for Thursday. We will keep it tentative depending how he feels. Praying for a speedy recovery.”
09-03-2025 12:28 PM	Levi Lopez	Levi (Prim) Replied: Hi good afternoon, Levi is feeling better but we have food therapy tomorrow. We can't do both in one day right ?
09-03-2025 02:55 PM	Gabriela Gallegos	Glad to hear he is feeling better No unfortunately we can't bt what about friday morning at 9am?
09-03-2025 04:54 PM	Levi Lopez	Levi (Prim) Replied: Sure that's fine we can do Friday morning. Thank you
09-03-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
09-04-2025 07:45 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
09-04-2025 10:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787567
09-04-2025 10:11 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-9/4/2025 92526: Feeding Visit
09-04-2025 11:16 AM	Andrea Rodriguez Stokes	Hi! Regarding today’s session; it’s important that he continues to have regular meals during the day with his usual foods, so that mealtimes stay consistent and he is getting the nutrition he needs. In addition, we’ll begin incorporating “therapy meals”—these are short, playful opportunities to explore new textures without pressure to eat. Since he is currently aversive to touching foods, we’ll introduce his Z-Vibe tool to help him get used to oral and tactile input. Please start by offering soft table foods and mashed foods during therapy meals. Examples include soft banana, mashed sweet potato, or well-cooked pasta. The focus right now is on exploration—he can touch, smell, or bring foods close to his mouth. Any interaction counts as progress, even if he doesn’t eat right away. During regular mealtimes, keep things low-stress and offer his preferred foods. During therapy meals, encourage exploration with the Z-Vibe and the soft foods. Always give positive praise for any attempt he makes, even very small ones. Please let me know how he responds, and we’ll adjust as he gets more comfortable!
09-04-2025 11:17 AM	Andrea Rodriguez Stokes	We will start with him touching non-preferred items with a utensil, z-vibe, or his hands and we will move up the hierarchy as he becomes consistent. Thank you!!
09-04-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-05-2025 07:39 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-05-2025 08:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=800831
09-05-2025 09:01 AM	Levi Lopez	Levi is CHECKED IN for: 9:00AM-9/5/2025 92507: Speech & Language Visit
09-07-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 09-09-2025 at 10:00 AM, and on 09-11-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-07-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 09-10-2025 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-07-2025 04:50 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-07-2025 04:50 PM	Gabriela Gallegos	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.
09-07-2025 04:51 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-07-2025 04:51 PM	Andrea Rodriguez Stokes	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.
09-08-2025 12:29 PM	Levi Lopez	Levi (Prim) Replied: Good morning Ms. Gabby, Levi woke up with a swollen eye so I took him to the dr to make sure it wasn't pink eye, he is clear and not contagious. Just in case his eye is still swollen tomorrow here is a dr note (if needed)
09-08-2025 12:29 PM	Levi Lopez	Levi (Prim) Replied:
09-08-2025 12:30 PM	Levi Lopez	Levi (Prim) Replied: I have to cancel Thursday's appointment, Levi has a follow up drs appointment and the latest appointment/only time available was at 11:00 . Sorry to have to cancel out appointment this week
09-08-2025 12:33 PM	Gabriela Gallegos	Hello, thank you for letting me know, we will keep our Tuesday appt and cancel our Thursday appt. We will try again next week, no worries! Praying for a speedy recover for little Levi.
09-08-2025 12:34 PM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:45AM-9/11/2025 92507: Speech & Language Visit
09-08-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-09-2025 07:48 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-09-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791327
09-09-2025 10:04 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-9/9/2025 92507: Speech & Language Visit
09-09-2025 02:18 PM	Bertha Solis	Hello, this is Bertha Solis OTD, OTR/L the occupational therapist at New Beginnings; I received a referral for OT evaluation for Levi; I happen to have a 12:00pm available tomorrow for OT evaluation; would this work for you all- If not no worries I can find another time that works best for you all (:
09-09-2025 02:57 PM	Bertha Solis	Also, if tomorrow does not work; I also have a 1:00pm on Friday (:
09-09-2025 03:50 PM	Bertha Solis	Also, if tomorrow does not work; I also have a 1:00pm on Friday (:
09-09-2025 04:12 PM	Levi Lopez	Levi (Prim) Replied: Hi, Let's do the 1:00pm Friday
09-09-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
09-10-2025 07:45 AM	Levi Lopez	Levi (Prim) Replied: Good morning ms. Andrea, sorry for texting so early and also sorry for having to cancel day of. Levi woke up with his eye completely shut and extremely swollen this morning ( we've been dealing with his eye being swollen since Monday but it has progressively gotten worse) I will be taking him to the Dr this morning. Sorry I apologize for having to cancel especially with such short notice
09-10-2025 07:47 AM	Andrea Rodriguez Stokes	Good morning! Please do not apologize, his health comes first! I hope he feels better soon. We can always do a makeup session in the following weeks. Praying for a fast recovery. I will see you next week!
09-10-2025 07:48 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:30AM-9/10/2025 92526: Feeding Visit
09-10-2025 07:49 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
09-10-2025 09:15 AM	Bertha Solis	Hi, my name is Bertha, with New Beginnings, and I will be performing your child's Occupational Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9578&tid=119
09-10-2025 09:15 AM	Levi Lopez	Levi SCHEDULED: 10:00AM-9/17/2025 97167: Occupational Evaluation
09-10-2025 12:38 PM	Bertha Solis	Hello I wanted to confirm the 1pm OT evaluation on friday? I saw you attempted to schedule for next week Wednesday at 10; however that time is not available unfortunately (:
09-10-2025 12:42 PM	Levi Lopez	Levi (Prim) Replied: Do you have anything available next week ?
09-10-2025 12:44 PM	Levi Lopez	Levi (Prim) Replied: This Friday at 1:00 is fine. :)
09-10-2025 12:46 PM	Bertha Solis	9 am Monday? (:
09-10-2025 12:46 PM	Levi Lopez	Levi (Prim) Replied: Let's stay with Friday if it's still available
09-10-2025 12:55 PM	Bertha Solis	Sounds good, will see you all friday at 1pm (:
09-11-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Levi has a Occupational Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
09-12-2025 07:34 AM	Bertha Solis	Hi, this is a just a reminder that Levi has a Occupational Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
09-12-2025 12:45 PM	Bertha Solis	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804863
09-12-2025 12:51 PM	Levi Lopez	Levi is CHECKED IN for: 1:00PM-9/12/2025 97167: OT Evaluation
09-14-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 09-15-2025 at 12:00 PM, and on 09-16-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-14-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 09-18-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-14-2025 04:02 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon ms gabby, I wasn't aware of what day our make up appointment would fall on but I can't do tomorrow we have another appointments but we will be there Tuesday :)
09-14-2025 04:02 PM	Gabriela Gallegos	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.
09-14-2025 04:02 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-14-2025 04:02 PM	Andrea Rodriguez Stokes	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.
09-14-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
09-14-2025 07:13 PM	Gabriela Gallegos	Hello Ms. Michelle, would it be possible to move Levi's Monday's speech session over to Wednesday at 1130am? Let me know if we can TY!
09-14-2025 07:19 PM	Levi Lopez	Levi (Prim) Replied: Wednesday works, thank you for making it work so he doesn't miss out on sessions. We appreciate you
09-14-2025 07:19 PM	Gabriela Gallegos	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.
09-14-2025 07:21 PM	Gabriela Gallegos	Thank you for confirming, see you on Tuesday and Wednesday for speech this week =)
09-15-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-16-2025 07:43 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-16-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791328
09-16-2025 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-9/16/2025 92507: Speech & Language Visit
09-16-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
09-17-2025 07:53 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
09-17-2025 11:15 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804857
09-17-2025 11:21 AM	Levi Lopez	Levi is CHECKED IN for: 11:30AM-9/17/2025 92507: Speech & Language Visit
09-17-2025 11:21 AM	Levi Lopez	Levi is CHECKED IN for: 11:30AM-9/17/2025 92507: Speech & Language Visit
09-17-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
09-18-2025 07:39 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
09-18-2025 10:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787569
09-18-2025 10:10 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-9/18/2025 92526: Feeding Visit
09-18-2025 10:53 AM	Andrea Rodriguez Stokes	You can begin family meals with the following. Try to have meals at a scheduled time, so that Levi knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing him to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation.
09-18-2025 10:53 AM	Andrea Rodriguez Stokes	3. Sit at the table - Start with empty tray/plate to decrease frustration before meals. - Check Levi's seat so he is positioned 90 degrees at the hips, knees, and ankles. We want to make sure his feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously. 4. Family-style serving - Everyone has to take some of each food offered (you can include a "learning plate", meaning an empty bowl, placed in front of his plate, where he can place the food items he does not want) - Make sure there are at least 2 preferred item so he can have something to eat and remains engaged.
09-18-2025 10:54 AM	Andrea Rodriguez Stokes	5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models. have pleasant conversation, and to let him do what he can by himself. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Levi engage with food.
09-18-2025 10:54 AM	Andrea Rodriguez Stokes	7. After 20 minutes, if he is still not eating, you can introduce a preferred item such as a small toy for him to return to the table and keep observing your modeling cues. 8. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If he has been eating all along and is done eating sooner, do clean up sooner - If he really cannot sit any longer, may need to do clean up earlier.
09-18-2025 10:55 AM	Andrea Rodriguez Stokes	The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of Julian's plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I do not want to eat the ham, but I can put it on my learning plate'. You should begin with an empty plate to decrease frustration before meals. Make sure plates, napkins, cups, and placemats are all plain and white (again, the focus should be the food). These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors. Whenever you have a moment, please send me his updated food inventory. Thank you!
09-18-2025 10:56 AM	Andrea Rodriguez Stokes	Let me know if you received all 8 steps! Sometimes the system does not process long texts. If you didn't, I can send it to you via email :)
09-18-2025 12:01 PM	Levi Lopez	Levi (Prim) Replied: Received all 8 steps, thank you
09-18-2025 12:01 PM	Levi Lopez	Levi (Prim) Replied: I will work on his preferred items list and send it as soon as I have it
09-18-2025 08:06 PM	Levi Lopez	Levi (Prim) Replied: Levi’s preferred food items: Breakfast: -Eggs - scrambled or sunny side up with beans (whole or smashed) -pancakes - homemade or store bought ( De Wafelbakkers buttermilk mini pancakes) -stonyfield strawberry banana yogurt -stonyfield blueberry yogurt -fruit & veggie pouches (any brand) anything with cherry or blueberry are his favorite -oatmeal with fruit pouch mixed in ( earths best multi grain cereal) Lunch/dinner -Mac and cheese ( kraft deluxe original cheddar) -Panera white cheddar Mac and cheese -Mexican rice & beans -white rice (jasmine) with mixed vegetables & crème of mushroom -Albondigas -Marie Callenders Swedish meatballs -Marie Callenders cheesy chicken rice -chic fil a chicken noodle soup -chic fil a Mac and cheese -McAllister Mac and cheese Snacks: Fruit & veggie pouches Stonyfield yogurt
09-18-2025 08:06 PM	Andrea Rodriguez Stokes	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.
09-19-2025 09:22 AM	Andrea Rodriguez Stokes	Hi! Thank you for your response. For next week could you please bring: mac and cheese, banana, stonyfield strawberry banana yogurt, and banana chips (they can be dried or any hard texture chip you find). Thank you!! :)
09-21-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 09-23-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-21-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 09-25-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-21-2025 05:48 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-21-2025 05:48 PM	Gabriela Gallegos	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.
09-21-2025 05:48 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-21-2025 05:48 PM	Andrea Rodriguez Stokes	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.
09-22-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-23-2025 07:44 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-23-2025 09:14 AM	Andrea Rodriguez Stokes	Good morning! Would it be possible to see Levi tomorrow at 9:30 am for a makeup session and move Thursday's appointment to 11:30 am? Let me know if that works for you. Thank you!
09-23-2025 09:20 AM	Levi Lopez	Levi (Prim) Replied: Good morning, Thursday to 11:30 is perfect. But tomorrow we have a dr appointment at that time already so wouldn't be able to make the make up appointment
09-23-2025 09:21 AM	Levi Lopez	Levi (Prim) Replied: Do you have something later tomorrow, maybe 11:30?
09-23-2025 09:24 AM	Andrea Rodriguez Stokes	No problem! For tomorrow, I do not have any other opening. Let me know if next Wednesday, the 1st, at 12:30 works for you for a makeup session. I am not aware of Levi's nap times, but if it interferes with that, we can come up with another time. Just a reminder for Thursday to please bring: mac and cheese, banana, Stonyfield strawberry banana yogurt, and banana chips (they can be dried or any hard-texture chip you find). Thank you!! :)
09-23-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791329
09-23-2025 09:57 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-9/23/2025 92507: Speech & Language Visit
09-23-2025 10:00 AM	Levi Lopez	Levi (Prim) Replied: Next Wednesday works. His nap time is usually around 2:00 so that time is perfect
09-23-2025 10:01 AM	Levi Lopez	Levi (Prim) Replied: See you Thursday at 11:30
09-23-2025 10:40 AM	Andrea Rodriguez Stokes	Thank you!!
09-24-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
09-25-2025 07:41 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
09-25-2025 11:15 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787570
09-25-2025 11:16 AM	Levi Lopez	Levi is CHECKED IN for: 11:30AM-9/25/2025 92526: Feeding Visit
09-25-2025 12:02 PM	Andrea Rodriguez Stokes	Hi! For next week, I will see him on Wednesday at 12:30 pm and on Thursday at 10:15 am. For the following week, I have Thursdays at 12:30 pm available. Would you like me to start seeing him at that time, starting the week of Oct. 6th? :)
09-25-2025 12:03 PM	Levi Lopez	Levi (Prim) Replied: Yes the 12:30 is perfect thank you
09-25-2025 12:03 PM	Levi Lopez	Levi (Prim) Replied: See you next week
09-25-2025 01:53 PM	Andrea Rodriguez Stokes	Perfect! Thank you!
09-28-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 09-30-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 10-01-2025 at 12:30 PM, and on 10-02-2025 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:16 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-28-2025 04:16 PM	Gabriela Gallegos	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.
09-28-2025 04:16 PM	Levi Lopez	Levi (Prim) Replied: Yes
09-28-2025 04:16 PM	Andrea Rodriguez Stokes	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.
09-29-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-30-2025 07:41 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-30-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791330
09-30-2025 09:53 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-9/30/2025 92507: Speech & Language Visit
09-30-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
10-01-2025 07:47 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
10-01-2025 12:15 PM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=812013
10-01-2025 12:17 PM	Levi Lopez	Levi is CHECKED IN for: 12:30PM-10/1/2025 92526: Feeding Visit
10-01-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
10-02-2025 07:17 AM	Andrea Rodriguez Stokes	Good morning! I have an opening today at 11:45 am in case you prefer a later appointment or we can also keep the 10:15 am. Let me know your preference:)
10-02-2025 07:37 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
10-02-2025 08:34 AM	Andrea Rodriguez Stokes	Good morning! I have an opening today at 11:45 am in case you prefer a later appointment or we can also keep the 10:15 am. Let me know your preference:)
10-02-2025 08:38 AM	Levi Lopez	Levi (Prim) Replied: Good morning, let's keep the 10:15 for today. Thank you
10-02-2025 08:38 AM	Andrea Rodriguez Stokes	See you soon! :)
10-02-2025 10:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=787571
10-02-2025 10:01 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-10/2/2025 92526: Feeding Visit
10-02-2025 05:11 PM	Andrea Rodriguez Stokes	Good afternoon! Let me know if I can do an extra session for Levi on Monday at 1:00 pm. Thank you! :)
10-02-2025 05:43 PM	Levi Lopez	Levi (Prim) Replied: I'm not home right now to check our calendar but I think we have an appointment that day already. I will let you know later today or tomorrow morning
10-02-2025 05:45 PM	Andrea Rodriguez Stokes	Okay! Let me know when you have time. Thank you and have a great weekend!
10-03-2025 08:34 AM	Levi Lopez	Levi (Prim) Replied: Good morning, this coming Monday we can't, have an appointment scheduled around the same time.
10-03-2025 08:34 AM	Andrea Rodriguez Stokes	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.
10-03-2025 08:56 AM	Andrea Rodriguez Stokes	No problem! I will see you on Thursday:)
10-05-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 10-07-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 10-09-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 05:11 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-05-2025 05:11 PM	Gabriela Gallegos	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.
10-05-2025 05:11 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-05-2025 05:11 PM	Andrea Rodriguez Stokes	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.
10-06-2025 12:51 PM	Kaitlin Marsland	Hello, my name is Kaitlin and I will be seeing Levi for Occupational therapy with New Beginnings! He qualified for sessions twice a week. Currently I only have morning appointments on Mondays at 10:00am and Fridays at 11:00am. Please let me know if you'd like for me to schedule him starting next week :)
10-06-2025 01:12 PM	Levi Lopez	Levi (Prim) Replied: Yes please
10-06-2025 03:24 PM	Kaitlin Marsland	Wonderful! I have him scheduled. I look forward to meeting Levi!
10-06-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 07:42 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791331
10-07-2025 09:52 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/7/2025 92507: Speech & Language Visit
10-08-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
10-09-2025 07:46 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
10-09-2025 12:15 PM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813444
10-09-2025 12:21 PM	Levi Lopez	Levi is CHECKED IN for: 12:30PM-10/9/2025 92526: Feeding Visit
10-09-2025 01:21 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 12:30PM-10/23/2025 92526: Feeding Visit
10-12-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 10-14-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 10-13-2025 at 10:00 AM, and on 10-17-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 10-16-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 05:16 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-12-2025 05:16 PM	Gabriela Gallegos	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.
10-12-2025 05:16 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-12-2025 05:16 PM	Andrea Rodriguez Stokes	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.
10-12-2025 05:16 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-12-2025 05:16 PM	Kaitlin Marsland	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.
10-12-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-13-2025 07:50 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-13-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817723
10-13-2025 09:53 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/13/2025 OT-VIS: OT Visit
10-13-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-14-2025 07:42 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-14-2025 09:01 AM	Kaitlin Marsland	Hello, may I see Levi for OT tomorrow (Wednesday) at 10:00am instead of Friday for OT? :)
10-14-2025 09:10 AM	Levi Lopez	Levi (Prim) Replied: Sure that's fine, see you tomorrow
10-14-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791332
10-14-2025 09:50 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/14/2025 92507: Speech & Language Visit
10-14-2025 09:55 AM	Kaitlin Marsland	Thank you :)
10-14-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-15-2025 07:52 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-15-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817760
10-15-2025 09:57 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/15/2025 OT-VIS: OT Visit
10-15-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
10-16-2025 07:44 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
10-16-2025 12:15 PM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813445
10-16-2025 12:21 PM	Levi Lopez	Levi is CHECKED IN for: 12:30PM-10/16/2025 92526: Feeding Visit
10-19-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 10-20-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 10-20-2025 at 10:00 AM, and on 10-24-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 05:43 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-19-2025 05:43 PM	Gabriela Gallegos	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.
10-19-2025 05:43 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-19-2025 05:43 PM	Kaitlin Marsland	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.
10-19-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-19-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-19-2025 08:38 PM	Levi Lopez	Levi (Prim) Replied: I have OT tomorrow at the same time , was our usual Tuesday appointment changed ?
10-19-2025 08:38 PM	Gabriela Gallegos	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.
10-20-2025 07:41 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-20-2025 07:51 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-20-2025 08:16 AM	Gabriela Gallegos	Gm! Yes I apologize no speech for today. I must have moved our appointment on accident. Speech will be on Tuesday
10-20-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817724
10-20-2025 09:50 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/20/2025 OT-VIS: OT Visit
10-20-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-21-2025 07:41 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-21-2025 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791333
10-21-2025 10:38 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-10/21/2025 92507: Speech & Language Visit
10-21-2025 04:39 PM	Andrea Rodriguez Stokes	Hello! Let me know if you are available tomorrow at 11:45 am for a feeding session since I will not be here on Thursday. If it doesn’t work with your schedule, I will see you next week :)
10-21-2025 04:59 PM	Levi Lopez	Levi (Prim) Replied: We have dr appointments tomorrow , thank you though I appreciate you trying to schedule us so we don't miss an appointment. See you next week
10-22-2025 09:23 AM	Andrea Rodriguez Stokes	Thank you! I will try to do a makeup session in the following weeks. See you next week :)
10-23-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
10-24-2025 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
10-24-2025 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817761
10-24-2025 10:54 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-10/24/2025 OT-VIS: OT Visit
10-26-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 10-28-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 10-27-2025 at 10:00 AM, and on 10-31-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 10-30-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:32 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-26-2025 04:32 PM	Gabriela Gallegos	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.
10-26-2025 04:33 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-26-2025 04:33 PM	Andrea Rodriguez Stokes	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.
10-26-2025 04:33 PM	Levi Lopez	Levi (Prim) Replied: Yes
10-26-2025 04:33 PM	Kaitlin Marsland	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.
10-26-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-27-2025 07:49 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-27-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817725
10-27-2025 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/27/2025 OT-VIS: OT Visit
10-27-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-28-2025 07:22 AM	Gabriela Gallegos	Hi GM, this week we will have activities for halloween. Today is PJ day at New Beginnings. please bring kids in pajamas to join the fun =)
10-28-2025 07:42 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-28-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791334
10-28-2025 09:51 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-10/28/2025 92507: Speech & Language Visit
10-29-2025 03:20 PM	Andrea Rodriguez Stokes	Good afternoon! Starting next week, I will have an opening on Mondays at 9:15 am. The sessions will be ending around 9:45 am, so there will be a 15-minute gap between feeding and occupational therapies. Let me know if you prefer this time or if you want to keep Thursdays at 12:30 pm. I will see you tomorrow :)
10-29-2025 05:14 PM	Levi Lopez	Levi (Prim) Replied: Sure, Let's try Mondays. Thank you.
10-29-2025 05:15 PM	Levi Lopez	Levi (Prim) Replied: See you tomorrow
10-29-2025 05:27 PM	Levi Lopez	Levi (Prim) Replied: Is tomorrow a dress up day too ?
10-29-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
10-29-2025 06:44 PM	Andrea Rodriguez Stokes	Perfect! I will schedule him on Mondays. Yes tomorrow Levi can wear his halloween costume if you’d like :) see you tomorrow!
10-30-2025 07:46 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
10-30-2025 12:15 PM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813447
10-30-2025 12:27 PM	Levi Lopez	Levi is CHECKED IN for: 12:30PM-10/30/2025 92526: Feeding Visit
10-30-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
10-31-2025 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
10-31-2025 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817762
10-31-2025 10:56 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-10/31/2025 OT-VIS: OT Visit
11-02-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 11-04-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 11-03-2025 at 10:00 AM, and on 11-07-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 11-03-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-02-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
11-02-2025 07:58 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-02-2025 07:58 PM	Gabriela Gallegos	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.
11-02-2025 07:59 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-02-2025 07:59 PM	Andrea Rodriguez Stokes	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.
11-03-2025 07:47 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-03-2025 07:56 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
11-03-2025 09:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833155
11-03-2025 09:10 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-11/3/2025 92526: Feeding Visit
11-03-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817726
11-03-2025 09:45 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/3/2025 OT-VIS: OT Visit
11-03-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-04-2025 07:39 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-04-2025 09:03 AM	Christine Adame	Good morning! My name is Christine, I'm Ms. Gabby's supervisor. It is time for me to re-evaluate Levi for continuation of ST. I have next Tuesday at 9:45 am available to re-evaluate Levi. Would you like to confirm?
11-04-2025 09:04 AM	Levi Lopez	Levi (Prim) Replied: Perfect, that time works. See you then
11-04-2025 09:06 AM	Christine Adame	Thank you for confirming!! :)
11-04-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791335
11-04-2025 09:57 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/4/2025 92507: Speech & Language Visit
11-06-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-07-2025 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
11-07-2025 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817763
11-07-2025 10:52 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-11/7/2025 OT-VIS: OT Visit
11-09-2025 12:14 PM	Christine Adame	Good afternoon! I apologize, I need to cancel Levi's re-evaluation for this week. I'm very close to delivering my baby. I see my regular and high risk ob/gyn twice a week. Unfortunately, my regular ob/gyn can only see me on Tuesday. I will look at my schedule for next week. I apologize once again.
11-09-2025 12:16 PM	Levi Lopez	Levi (Prim) Replied: No worries , whenever you can is fine with me. I know how those appointments go.
11-09-2025 12:16 PM	Christine Adame	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.
11-09-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 11-12-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 11-10-2025 at 10:00 AM, and on 11-14-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 11-10-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 05:28 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-09-2025 05:28 PM	Kaitlin Marsland	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.
11-09-2025 05:37 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-09-2025 05:37 PM	Andrea Rodriguez Stokes	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.
11-09-2025 05:38 PM	Levi Lopez	Levi (Prim) Replied: Our evaluation appointment was canceled, do you have our original Tuesday appointment available?
11-09-2025 05:38 PM	Gabriela Gallegos	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.
11-09-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-09-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
11-10-2025 07:47 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-10-2025 07:54 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
11-10-2025 09:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833156
11-10-2025 09:10 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-11/10/2025 92526: Feeding Visit
11-10-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817727
11-10-2025 09:48 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/10/2025 OT-VIS: OT Visit
11-11-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
11-11-2025 06:31 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon, I need to cancel tomorrow's appointment. We had a dentist appointment scheduled for that day as wells sorry!
11-12-2025 07:13 AM	Gabriela Gallegos	Gm! Thank you for letting me know, I will cancel his session for today
11-12-2025 07:14 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-11/12/2025 92507: Speech & Language Visit
11-13-2025 05:02 PM	Kaitlin Marsland	Hello, sorry for the late message. Am I able to see Levi at 9:00 or 10:00am tomorrow? :)
11-13-2025 05:05 PM	Levi Lopez	Levi (Prim) Replied: Sure can we do 10:00
11-13-2025 05:09 PM	Kaitlin Marsland	Perfect, thank you for your flexibility :)
11-13-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-14-2025 07:32 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-14-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817764
11-14-2025 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/14/2025 OT-VIS: OT Visit
11-16-2025 04:00 PM	Christine Adame	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 11-18-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 11-20-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 11-17-2025 at 10:00 AM, and on 11-21-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 11-17-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:30 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-16-2025 04:30 PM	Kaitlin Marsland	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.
11-16-2025 04:31 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-16-2025 04:31 PM	Andrea Rodriguez Stokes	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.
11-16-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-16-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
11-17-2025 07:12 AM	Andrea Rodriguez Stokes	Good morning! I wanted to let you know that I’m not feeling well today, so I will need to cancel our session. I’m very sorry for the inconvenience. Let me know if this Wednesday at 9:00 am works for you for Levi’s feeding session. Thank you!!
11-17-2025 07:13 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:15AM-11/17/2025 92526: Feeding Visit
11-17-2025 07:44 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-17-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817728
11-17-2025 09:57 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/17/2025 OT-VIS: OT Visit
11-17-2025 09:59 AM	Levi Lopez	Levi (Prim) Replied: No worries hope you feel better!
11-17-2025 09:59 AM	Levi Lopez	Levi (Prim) Replied: I will let you know later on today if Wednesday work, I need to check our calendar at home
11-17-2025 06:23 PM	Levi Lopez	Levi (Prim) Replied: We have an appointment scheduled Wednesday so we won't be available that day. Thank you for trying to schedule us though, we appreciate you
11-17-2025 06:27 PM	Andrea Rodriguez Stokes	Thank you for letting me know! I will see you next week :)
11-17-2025 06:30 PM	Christine Adame	Hi, this is a just a reminder that Levi has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-18-2025 07:55 AM	Christine Adame	Hi, this is a just a reminder that Levi has a Speech/Feeding Reevaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-18-2025 08:45 AM	Christine Adame	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837934
11-18-2025 08:52 AM	Levi Lopez	Levi is CHECKED IN for: 9:00AM-11/18/2025 S9152: Reevaluation
11-18-2025 12:25 PM	Kaitlin Marsland	Hello, next week since we are closed for Thanksgiving I wanted to offer Tuesday at 11:00am to make-up for Thursday. So he would have OT on Monday at 10:00am and Tuesday at 11:00am if that works for you?
11-18-2025 12:29 PM	Levi Lopez	Levi (Prim) Replied: Sure that works for us, thank you !
11-18-2025 12:30 PM	Levi Lopez	Levi (Prim) Replied: Is it ok if we do speech and OT the same day ? We have speech tuesdays at 10:00
11-18-2025 12:30 PM	Kaitlin Marsland	Great :) he is scheduled, thank you!
11-18-2025 12:59 PM	Kaitlin Marsland	Yes Speech and OT are ok on the same day so that will work out perfect :)
11-19-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791337
11-20-2025 09:57 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-11/20/2025 92507: Speech & Language Visit
11-20-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-21-2025 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
11-21-2025 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817765
11-21-2025 10:55 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-11/21/2025 OT-VIS: OT Visit
11-23-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 11-25-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:00 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 11-24-2025 at 10:00 AM, and on 11-25-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 11-24-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:14 PM	Andrea Rodriguez Stokes	Hi! I can see Levi tomorrow at 9:30 am instead of 9:15 am and transition him to OT. Let me know if that works:)
11-23-2025 05:17 PM	Levi Lopez	Levi (Prim) Replied: No
11-23-2025 05:17 PM	Gabriela Gallegos	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.
11-23-2025 05:22 PM	Levi Lopez	Levi (Prim) Replied: Sorry for having to cancel with such short notice. Levi has been sick all weekend. Hes been running a slight fever, has an ear infection, cough and runny nose. Don't want anyone to get sick because of him. Have a Happy Thanksgiving, see you next week !
11-23-2025 05:22 PM	Gabriela Gallegos	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.
11-23-2025 05:22 PM	Levi Lopez	Levi (Prim) Replied: Hi, Sorry for having to cancel with such short notice. Levi has been sick all weekend. Hes been running a slight fever, has an ear infection, cough and runny nose. Don't want anyone to get sick because of him. Have a Happy Thanksgiving, see you next week !
11-23-2025 05:22 PM	Andrea Rodriguez Stokes	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.
11-23-2025 05:23 PM	Levi Lopez	Levi (Prim) Replied:
11-23-2025 05:23 PM	Gabriela Gallegos	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.
11-23-2025 05:23 PM	Levi Lopez	Levi (Prim) Replied: Sorry for having to cancel with such short notice. Levi has been sick all weekend. Hes been running a slight fever, has an ear infection, cough and runny nose. Don't want anyone to get sick because of him. Have a Happy Thanksgiving, see you next week !
11-23-2025 05:23 PM	Kaitlin Marsland	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.
11-23-2025 05:23 PM	Levi Lopez	Levi (Prim) Replied:
11-23-2025 05:23 PM	Andrea Rodriguez Stokes	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.
11-23-2025 05:23 PM	Levi Lopez	Levi (Prim) Replied:
11-23-2025 05:23 PM	Kaitlin Marsland	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.
11-23-2025 05:26 PM	Kaitlin Marsland	I’m sorry he’s not well, hope he feels better soon!
11-23-2025 05:26 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 10:00AM-11/24/2025 OT-VIS: OT Visit
11-23-2025 06:15 PM	Andrea Rodriguez Stokes	I am sorry to hear he is not feeling well! I hope he feels better soon. I will see you next week :)
11-23-2025 06:18 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:30AM-11/24/2025 92526: Feeding Visit
11-23-2025 06:20 PM	Gabriela Gallegos	Hope he feels better soon, down worry about his speech session.
11-23-2025 06:23 PM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:00AM-11/25/2025 92507: Speech & Language Visit
11-24-2025 04:47 PM	Kaitlin Marsland	Hello, sorry just to confirm that I can go ahead and cancel Levi's OT session tomorrow?
11-24-2025 04:49 PM	Levi Lopez	Levi (Prim) Replied: Yes please cancel it. Thank you
11-24-2025 04:52 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-11/25/2025 OT-VIS: OT Visit
11-30-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 12-02-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 12-01-2025 at 10:00 AM, and on 12-05-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 12-01-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:13 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-30-2025 04:13 PM	Gabriela Gallegos	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.
11-30-2025 04:13 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-30-2025 04:13 PM	Andrea Rodriguez Stokes	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.
11-30-2025 04:13 PM	Levi Lopez	Levi (Prim) Replied: Yes
11-30-2025 04:13 PM	Kaitlin Marsland	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.
11-30-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-30-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
12-01-2025 07:43 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-01-2025 07:48 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Speech/Feeding Reevaluation appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
12-01-2025 09:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833159
12-01-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817730
12-01-2025 09:52 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/1/2025 OT-VIS: OT Visit
12-01-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791339
12-02-2025 09:54 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/2/2025 92507: Speech & Language Visit
12-02-2025 10:19 AM	Andrea Rodriguez Stokes	Good morning! Whenever you have a moment, can you please send me Levi's current food inventory, including any specific brands, flavors, etc? As well as, cups he is using and how many ounces of milk he is drinking per day. Thank you! :)
12-02-2025 10:26 AM	Levi Lopez	Levi (Prim) Replied: Breakfast: -Eggs (scrambled or sunny side up) with beans -Mini pancakes ( de wafflebakers) -Baby cereal with fruit puree (any fruit puree) Lunch / dinner : -Kraft macaroni and cheese ( deluxe cups) - Swedish meatballs (Marie Callenders) - pasta with Alfredo ( Rao's pasta sauce) -white rice with mixed veggies - chicken meatballs (kid fresh brand) Snacks: Yougurt pouches (any brand) The following are hit or miss: ( when he is in the mood he really enjoys them) - albondigas soup (with mini albondigas) - caldo de pollo w/ rice - ground turkey with chopped potatoes, zucchini and carrots
12-02-2025 10:27 AM	Levi Lopez	Levi (Prim) Replied: He drinks 16oz of milk per day (2 bottles) The rest of the day he drinks water
12-02-2025 10:28 AM	Levi Lopez	Levi (Prim) Replied: He drinks out of a Phillips Avent Bottle with a flow 5 nipple And for his sippy cup it's the same bottle just has a straw adapter nipple
12-02-2025 10:29 AM	Levi Lopez	Levi (Prim) Replied:
12-02-2025 11:43 AM	Andrea Rodriguez Stokes	Thank you! I will be sending you a Food Chaining Form that you can start targeting at home. As the form says, change one slight thing at a time. You can start by changing the type of pasta he likes to one that is slightly different in form. Try cutting the mixed veggies into slightly different shapes. Add a mild seasoning to the chicken meatballs. Very small changes because if we offer something that looks familiar but tastes very different, we run the risk of him dropping that item from his food inventory. Let me know how it goes! For next week, you can bring: Mini pancakes, maple syrup, any kind of shredded cheese, and non-preferred cereal. Thank you!
12-02-2025 11:43 AM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12022025114354--A-Parent’s-Guide-to-Expanding-Your-Child’s-Diet.pdf
12-02-2025 04:09 PM	Andrea Rodriguez Stokes	Thank you! I sent you a Food Chaining Form that you can start targeting at home. As the form says, change one slight thing at a time. You can start by changing the type of pasta he likes to one that is slightly different in form. Try cutting the mixed veggies into slightly different shapes.
12-02-2025 04:10 PM	Andrea Rodriguez Stokes	Add a mild seasoning to the chicken meatballs. Very small changes because if we offer something that looks familiar but tastes very different, we run the risk of him dropping that item from his food inventory. Let me know how it goes! For next week, you can bring: Mini pancakes, maple syrup, any kind of shredded cheese, and non-preferred cereal. Thank you!
12-02-2025 04:11 PM	Levi Lopez	Levi (Prim) Replied: Will do. Thank you for all your help.
12-04-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-05-2025 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-05-2025 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817767
12-07-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 12-09-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 12-08-2025 at 10:00 AM, and on 12-12-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 12-08-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:27 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-07-2025 04:27 PM	Gabriela Gallegos	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.
12-07-2025 04:27 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-07-2025 04:27 PM	Andrea Rodriguez Stokes	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.
12-07-2025 04:27 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-07-2025 04:27 PM	Kaitlin Marsland	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.
12-07-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-07-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:39 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:43 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
12-08-2025 09:00 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833160
12-08-2025 09:14 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-12/8/2025 92526: Feeding Visit
12-08-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817731
12-08-2025 09:49 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/8/2025 OT-VIS: OT Visit
12-08-2025 09:55 AM	Andrea Rodriguez Stokes	For this week: add a very small amount of cheese to his scrambled eggs to slightly change consistency and flavor. Introduce him to mini waffles. Introduce him to different macaroni and cheese from his preferred brand (Kraft, Deluxe Cups). Next week, please pack him the same items. Thank you!
12-08-2025 10:08 AM	Levi Lopez	Levi (Prim) Replied: Will do! Thank you
12-08-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 07:38 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=802140
12-09-2025 10:02 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/9/2025 92507: Speech & Language Visit
12-11-2025 11:09 AM	Levi Lopez	Levi (Prim) Replied: Good morning, sorry for the late notice but I have to cancel tomorrow appointment. I was just notified of an appointment I have tomorrow, I tried to change the date but that's all they have before the year is over. See you Monday. Have a good weekend.
12-11-2025 11:54 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-12/12/2025 OT-VIS: OT Visit
12-11-2025 01:08 PM	Kaitlin Marsland	No worries, thank you for letting me know, see you Monday :)
12-14-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 12-16-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:00 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-14-2025 04:00 PM	Gabriela Gallegos	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.
12-14-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 12-15-2025 at 10:00 AM, and on 12-19-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 12-15-2025 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:02 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-14-2025 04:02 PM	Andrea Rodriguez Stokes	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.
12-14-2025 04:02 PM	Levi Lopez	Levi (Prim) Replied: Yes
12-14-2025 04:02 PM	Kaitlin Marsland	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.
12-14-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-14-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
12-15-2025 07:39 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-15-2025 07:42 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
12-15-2025 07:47 AM	Andrea Rodriguez Stokes	Good morning! May I see Levi at 9:30 am today? :)
12-15-2025 07:47 AM	Levi Lopez	Levi (Prim) Replied: Good morning! Sure, no problem. See you then
12-15-2025 07:50 AM	Andrea Rodriguez Stokes	Thank you!
12-15-2025 09:15 AM	Andrea Rodriguez Stokes	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833161
12-15-2025 09:27 AM	Levi Lopez	Levi is CHECKED IN for: 9:30AM-12/15/2025 92526: Feeding Visit
12-15-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817732
12-15-2025 09:45 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/15/2025 OT-VIS: OT Visit
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:58 AM	Andrea Rodriguez Stokes	Hi! Today we targeted engaging with food at the level of his fingers and hands without throwing things off the tray. We also worked on stimulation with the z-vibe on his face and oral cavity. He did very well! He was engaged and he didn’t throw food to the floor. He touched all food items. He is with Ms. Kaitlin right now. Just a reminder, we will be closed the next two weeks. I will see you again on the 5th. Thank you!!
12-15-2025 10:14 AM	Levi Lopez	Levi (Prim) Replied: The only thing that happened this week was when I offered new things like the waffles or French toast he would make himself throw up. The Mac and cheese change he didn't mind
12-15-2025 10:15 AM	Levi Lopez	Levi (Prim) Replied: See you next year! Thank you
12-15-2025 10:20 AM	Andrea Rodriguez Stokes	Can you please tell me how he would make himself throw up? Was he putting his fingers in his mouth?
12-15-2025 10:22 AM	Levi Lopez	Levi (Prim) Replied: As soon as I would put the spoon with food in his mouth and he felt the difference in texture he would gag and would make himself throw up and wouldn't want to try that item again.
12-15-2025 10:30 AM	Andrea Rodriguez Stokes	Okay! When introducing new items even if they look very similar we want to put them on the tray first. That way we can determine how high in the hierarchy we can go. If he seems ready to consume then you can try placing them in his oral cavity. If he shows signs of discomfort then you can work at the level of his fingers. We want to follow his lead! You can try again with those consistencies at the level of his fingers. You can also feed him a preferred item while a non-preferred is on the tray. Continue to do very small changes to his preferred items. Also continue to introduce items that are similar to what he likes. Remember it takes 15-20 times for a child to know if he likes a food or not. Let me know how it goes! Thank you :)
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=802139
12-16-2025 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/16/2025 92507: Speech & Language Visit
12-18-2025 08:59 AM	Kaitlin Marsland	Hello, is there any way I could see Levi at 10:00am tomorrow? :)
12-18-2025 09:36 AM	Levi Lopez	Levi (Prim) Replied: Yes of course, see you tomorrow at 10
12-18-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-19-2025 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-19-2025 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817769
12-19-2025 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-12/19/2025 OT-VIS: OT Visit
01-04-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 01-06-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 01-05-2026 at 10:00 AM, and on 01-09-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-04-2026 04:01 PM	Kaitlin Marsland	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.
01-04-2026 04:01 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-04-2026 04:01 PM	Gabriela Gallegos	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.
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 01-05-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-04-2026 04:02 PM	Andrea Rodriguez	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.
01-04-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-04-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:36 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:39 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
01-05-2026 09:00 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833164
01-05-2026 09:09 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-1/5/2026 92526: Feeding Visit
01-05-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817735
01-05-2026 09:48 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-1/5/2026 OT-VIS: OT Visit
01-05-2026 01:11 PM	Andrea Rodriguez	For next week, please pack Levi: Waffles, maple syrup, shredded cheese, yogurt, and apple sauce. Thank you!
01-05-2026 02:24 PM	Levi Lopez	Levi (Prim) Replied: Will do, thank you
01-05-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=802137
01-06-2026 09:58 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-1/6/2026 92507: Speech & Language Visit
01-07-2026 12:51 PM	Gabriela Gallegos	Hello, would it be possible to see Levi today? I have a 230pm available
01-07-2026 01:12 PM	Levi Lopez	Levi (Prim) Replied: Hi, sorry I can't at that time I have an appointment from 2-3, do you happen to have something later ?
01-08-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
01-09-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-09-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
01-09-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817772
01-09-2026 10:50 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-1/9/2026 OT-VIS: OT Visit
01-09-2026 11:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=866265
01-09-2026 11:47 AM	Levi Lopez	Levi is CHECKED IN for: 12:00PM-1/9/2026 92507: Speech & Language Visit
01-11-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 01-13-2026 at 10:00 AM, and on 01-14-2026 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 01-12-2026 at 10:00 AM, and on 01-16-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 01-12-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:35 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-11-2026 04:35 PM	Kaitlin Marsland	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.
01-11-2026 04:35 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-11-2026 04:35 PM	Andrea Rodriguez	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.
01-11-2026 04:35 PM	Levi Lopez	Levi (Prim) Replied: Yes
01-11-2026 04:35 PM	Gabriela Gallegos	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.
01-11-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-11-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:37 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:39 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
01-12-2026 09:00 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833165
01-12-2026 09:11 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-1/12/2026 92526: Feeding Visit
01-12-2026 09:11 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-1/12/2026 92526: Feeding Visit
01-12-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817736
01-12-2026 09:55 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-1/12/2026 OT-VIS: OT Visit
01-12-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 07:38 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=802135
01-13-2026 09:52 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-1/13/2026 92507: Speech & Language Visit
01-13-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-14-2026 07:55 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-14-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=862742
01-14-2026 10:35 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-1/14/2026 92507: Speech & Language Visit
01-15-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:05 PM	Levi Lopez	Levi (Prim) Replied: Good Evening Ms. Kaitlin, I have to cancel tomorrow therapy. Levi and his brother are both sick, I don't want to get anyone else sick. Thank you for everything, See you Monday. Have a good weekend!
01-15-2026 08:46 PM	Kaitlin Marsland	No worries thank you for letting me know and I hope they feel better!
01-15-2026 08:47 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-1/16/2026 OT-VIS: OT Visit
01-18-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 01-19-2026 at 10:00 AM, and on 01-23-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 01-19-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 05:19 PM	Levi Lopez	Levi (Prim) Replied: NO
01-18-2026 05:19 PM	Andrea Rodriguez	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.
01-18-2026 05:20 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon ms. Andrea, we have to cancel tomorrow's therapy. Levi and his brother have the flu, pediatrician recommended we keep him home till after Tuesday to prevent getting anyone else sick with the flu. If you happen to have a cancellation later on the week we are open to making up the missed appointment
01-18-2026 05:20 PM	Andrea Rodriguez	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.
01-18-2026 05:22 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon ms. Kaitlin, we have to cancel tomorrow's therapy. Levi and his brother tested positive for the flu on Friday , pediatrician recommended we keep him home till after Tuesday to prevent getting anyone else sick with the flu. If you happen to have a cancellation later on the week we are open to making up the missed appointment
01-18-2026 05:22 PM	Kaitlin Marsland	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.
01-18-2026 05:36 PM	Andrea Rodriguez	I am sorry to hear that! I hope they both feel better soon! I will let you know if I get a cancellation to see if it works with your schedule. Praying for a speedy recovery:)
01-18-2026 05:38 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 9:15AM-1/19/2026 92526: Feeding Visit
01-18-2026 05:38 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 9:15AM-1/19/2026 92526: Feeding Visit
01-18-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-18-2026 09:08 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 10:00AM-1/19/2026 OT-VIS: OT Visit
01-18-2026 09:15 PM	Kaitlin Marsland	Thank you for letting me know. I hope they feel better soon! I can let you know if anything opens up :)
01-22-2026 09:07 AM	Kaitlin Marsland	Hello, I hope everyone is feeling better :) I wanted to ask you if I could see Levi on Monday at 10:00am and Tuesday at 9:00am next week instead of Friday? I have an appointment on Friday
01-22-2026 09:13 AM	Levi Lopez	Levi (Prim) Replied: Hi, thankfully everyone is feeling back to normal. & yes of course, that works for us. See you next week, have a good weekend!!
01-22-2026 09:39 AM	Kaitlin Marsland	Perfect thank you :) and you as well!
01-22-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 06:32 PM	Levi Lopez	Levi (Prim) Replied: I confused myself - did we reschedule tomorrow's or next Friday ? Lol 😅
01-22-2026 06:32 PM	Kaitlin Marsland	Next Friday sorry!
01-22-2026 06:33 PM	Levi Lopez	Levi (Prim) Replied: No I read it wrong but that still worked for us , See you tomorrow
01-22-2026 06:35 PM	Kaitlin Marsland	Perfect see you then! Sorry for the confusion
01-23-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-23-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817774
01-23-2026 10:48 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-1/23/2026 OT-VIS: OT Visit
01-25-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 01-27-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 01-26-2026 at 10:00 AM, and on 01-27-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 01-26-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-25-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
01-25-2026 07:47 PM	Andrea Rodriguez	Hi! May I see Levi tomorrow at 11:00 am, after his OT appointment? Let me know if that works for you. Thank you:)
01-25-2026 07:54 PM	Levi Lopez	Levi (Prim) Replied: Yes that works for us ! See you tomorrow at 11:00
01-25-2026 07:54 PM	Andrea Rodriguez	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.
01-25-2026 08:15 PM	Andrea Rodriguez	Thank you!
01-26-2026 07:36 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:53 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817738
01-26-2026 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-1/26/2026 OT-VIS: OT Visit
01-26-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873803
01-26-2026 10:46 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-1/26/2026 92526: Feeding Visit
01-26-2026 11:39 AM	Andrea Rodriguez	Sun City Dietitians- https://suncitydietitians.com
01-26-2026 11:41 AM	Andrea Rodriguez	For unflavored nutrient powders, I would definitely reach out to the dietitians or his pcp for recommendations.
01-26-2026 11:44 AM	Andrea Rodriguez	Remember to serve preferred and non-preferred foods at the same time during meals. This helps avoid creating a routine where Levi learns that if he doesn’t interact with food, a preferred item will appear later. When preferred foods are already on the plate, he can stay seated, feel safe, and meet his hunger needs, while also being exposed to new foods without pressure.
01-26-2026 11:44 AM	Andrea Rodriguez	The goal isn’t for him to eat the non-preferred foods right away, but to gradually build tolerance, looking at them, touching them, smelling them—while still having something he accepts. This supports long-term progress with flexibility and food variety :)
01-26-2026 01:24 PM	Levi Lopez	Levi (Prim) Replied: Thank you I will try this approach
01-26-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 07:39 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 07:58 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 08:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817775
01-27-2026 08:56 AM	Levi Lopez	Levi is CHECKED IN for: 9:00AM-1/27/2026 OT-VIS: OT Visit
01-27-2026 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=871597
02-01-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 02-03-2026 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 02-02-2026 at 10:00 AM, and on 02-06-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 02-02-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-01-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:36 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
02-02-2026 09:00 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873804
02-02-2026 09:14 AM	Levi Lopez	Levi is CHECKED IN for: 9:15AM-2/2/2026 92526: Feeding Visit
02-02-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817739
02-02-2026 09:45 AM	Andrea Rodriguez	Hi! Today we worked on touching and smelling non-preferred. Levi ate a small piece of cheese and touched the waffles with his Z-vibe and proceeded to kiss it. We are still targeting the water bottle. He was a little more curious today in seeing how it worked. We worked on the floor. He is now with Ms. Kaitlin. I will see you next week :)
02-02-2026 09:46 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-2/2/2026 OT-VIS: OT Visit
02-02-2026 09:52 AM	Levi Lopez	Levi (Prim) Replied: Thank you! I have noticed he will try and drink and is curious with cups without the lid. This weekend he tried and enjoyed cheese pizza. He touched it and picked it up but didn't feed himself. But he ate half a kids pizza so I was very surprised and happy. He no longer likes sitting in the high chair so we either sit on the floor with him or on the dining room chairs we got him an adapter chair for it See you week
02-02-2026 10:22 AM	Andrea Rodriguez	Those are wonderful news! I am glad to see he tried something different. Keep modeling and following his pace. I wanted to ask if, starting next week, I can see Levi on Mondays at 11:00 am after his OT appointment. Let me know if that works for you. Thank you!
02-02-2026 10:30 AM	Andrea Rodriguez	Rodriguez, Andrea: Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
02-02-2026 12:06 PM	Levi Lopez	Levi (Prim) Replied: That's perfect, works for us.
02-02-2026 12:20 PM	Andrea Rodriguez	Thank you!!
02-02-2026 04:18 PM	Kaitlin Marsland	Hello, I have an opening tomorrow at 9:00am I could see Levi before speech if you'd like an additional session. I know there would be a gap between OT and speech so if it doesn't work for you its ok, but wanted to offer :)
02-02-2026 04:48 PM	Levi Lopez	Levi (Prim) Replied: I have lab work at that time so won't be able to make it. Thank you though
02-02-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-03-2026 07:57 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-03-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=871598
02-03-2026 10:38 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-2/3/2026 92507: Speech & Language Visit
02-05-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817776
02-06-2026 10:51 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/6/2026 OT-VIS: OT Visit
02-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 02-10-2026 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 02-09-2026 at 10:00 AM, and on 02-13-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 02-09-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 06:11 PM	Levi Lopez	Levi (Prim) Replied: Yes
02-08-2026 06:11 PM	Gabriela Gallegos	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.
02-08-2026 06:12 PM	Levi Lopez	Levi (Prim) Replied: Yes
02-08-2026 06:12 PM	Andrea Rodriguez	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.
02-08-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-08-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 07:37 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 07:55 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817740
02-09-2026 09:58 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-2/9/2026 OT-VIS: OT Visit
02-09-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883461
02-09-2026 10:56 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/9/2026 92526: Feeding Visit
02-09-2026 11:17 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02092026111722-IMG_0964.jpeg
02-09-2026 11:17 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02092026111740-IMG_0919.jpeg
02-09-2026 11:17 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02092026111759-IMG_0929.jpeg
02-09-2026 01:33 PM	Andrea Rodriguez	Hi! We still want seated meals: • Feeding while moving becomes a self-regulation crutch • It limits skill-building (self-feeding, chewing, joint attention) • It makes it harder for him to understand when meals start and end
02-09-2026 01:33 PM	Andrea Rodriguez	1. Seated eating with built-in movement Instead of unlimited roaming: • Sit in high chair • Eat for 2–3 minutes • Then give a planned movement break (30–60 sec) • push wall • jump 5 times • carry a heavy toy • Back to chair → eat again
02-09-2026 01:33 PM	Andrea Rodriguez	No chasing and no grazing
02-09-2026 01:34 PM	Andrea Rodriguez	2. Visual + concrete cues • Use one consistent phrase: • “Sit and eat” • “All done” • Pair with gesture or picture • Optional: visual timer or sand timer Consistency > explanation.
02-09-2026 01:34 PM	Andrea Rodriguez	3. Reduce spoon-feeding over time • That’s okay for now • But start: • Hand-over-hand once • Then let Levi try • Even touching the spoon counts Autonomy reduces avoidance.
02-09-2026 01:35 PM	Andrea Rodriguez	4. Hunger still matters We don’t want him starving, but we do want him to feel a little hunger so eating has meaning. So: • No constant snacks • Clear meal/snack schedule • Water between meals only
02-09-2026 01:36 PM	Andrea Rodriguez	Let me know how it goes! I’ll see you in two weeks :)
02-09-2026 02:12 PM	Levi Lopez	Levi (Prim) Replied: Will start on that today ! 🤞🏻 see you in two weeks
02-09-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-10-2026 08:03 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-10-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883106
02-10-2026 10:42 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-2/10/2026 92507: Speech & Language Visit
02-12-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-13-2026 07:32 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-13-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817777
02-13-2026 10:49 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/13/2026 OT-VIS: OT Visit
02-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 02-17-2026 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 02-16-2026 at 10:00 AM, and on 02-20-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-16-2026 06:27 AM	Kaitlin Marsland	Hello, I apologize but I am not feeling well and need to cancel Levi's OT appointment. I have an opening Thursday at 11:00am if that works for you? I apologize for the inconvenience.
02-16-2026 06:31 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 10:00AM-2/16/2026 OT-VIS: OT Visit
02-16-2026 07:47 AM	Levi Lopez	Levi (Prim) Replied: No worries hope you feel better! Thursday works for us see you then.
02-16-2026 07:48 AM	Kaitlin Marsland	Thank you!
02-16-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-17-2026 07:57 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-17-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883107
02-17-2026 10:37 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-2/17/2026 92507: Speech & Language Visit
02-18-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 07:59 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892268
02-19-2026 10:55 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/19/2026 OT-VIS: OT Visit
02-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-20-2026 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-20-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817778
02-20-2026 10:54 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/20/2026 OT-VIS: OT Visit
02-20-2026 04:09 PM	Bertha Solis	Hello, this is Bertha the OT; Levi is due for OT re-eval and I was wondering if you could bring him on Tuesday Feb 24th at 1pm? (:
02-20-2026 04:17 PM	Levi Lopez	Levi (Prim) Replied: Hi, yes that works. See you then ! Thank you. If I have Speech Therapy that same day is that ok ?
02-20-2026 04:25 PM	Bertha Solis	Yes! Speech and OT can be done same day; however is it okay that you will be coming twice to the clinic? I can find maybe a different time? Or if you don't mind then I can schedule it (:
02-20-2026 04:26 PM	Levi Lopez	Levi (Prim) Replied: I don't mind, we can schedule it for the 24th.
02-20-2026 04:31 PM	Bertha Solis	Okay perfect, see you all Tuesday the 24th at 1pm (:
02-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 02-24-2026 at 10:45 AM, and on 02-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 02-23-2026 at 10:00 AM, and on 02-27-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 02-24-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 02-23-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:08 PM	Levi Lopez	Levi (Prim) Replied: Yes
02-22-2026 04:08 PM	Kaitlin Marsland	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.
02-22-2026 04:08 PM	Levi Lopez	Levi (Prim) Replied: Yes
02-22-2026 04:08 PM	Bertha Solis	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.
02-22-2026 04:09 PM	Levi Lopez	Levi (Prim) Replied: Yes
02-22-2026 04:09 PM	Andrea Rodriguez	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.
02-22-2026 05:48 PM	Levi Lopez	Levi (Prim) Replied: Hi ms Andrea sorry for short notice cancellation but we can make it tomorrow! Had a little bit of a family emergency. If you happen to have a cancellation later on this week please let me know
02-22-2026 05:48 PM	Andrea Rodriguez	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.
02-22-2026 05:56 PM	Levi Lopez	Levi (Prim) Replied: Hi! sorry for short notice cancellation but we can make it tomorrow! Had a little bit of a family emergency. If you happen to have a cancellation later on this week please let me know
02-22-2026 05:56 PM	Kaitlin Marsland	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.
02-22-2026 06:01 PM	Andrea Rodriguez	I hope everything is fine! No worries at all, I will go ahead and cancel tomorrow’s session. I’ll you know if I have a cancellation during the week.
02-22-2026 06:02 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 11:00AM-2/23/2026 92526: Feeding Visit
02-22-2026 06:02 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 10:00AM-2/23/2026 OT-VIS: OT Visit
02-22-2026 06:03 PM	Kaitlin Marsland	No problem, I have 11:00am on Thursday :) Hope all is well!
02-22-2026 06:16 PM	Levi Lopez	Levi (Prim) Replied: I'll double check my calendar when I get home and let you know if Thursday works
02-22-2026 06:16 PM	Kaitlin Marsland	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.
02-22-2026 06:16 PM	Levi Lopez	Levi (Prim) Replied: Thank you
02-22-2026 06:16 PM	Kaitlin Marsland	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.
02-23-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-23-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Levi has a Occupational Reevaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 07:55 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-24-2026 08:03 AM	Bertha Solis	Hi, this is a just a reminder that Levi has a Occupational Reevaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 08:34 AM	Levi Lopez	Levi (Prim) Replied: Good morning, I forgot to text you yesterday. If this Thursday is still available we will take it.
02-24-2026 08:48 AM	Kaitlin Marsland	Perfect, he is scheduled :) see you then
02-24-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883108
02-24-2026 10:40 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-2/24/2026 92507: Speech & Language Visit
02-24-2026 12:45 PM	Bertha Solis	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894689
02-24-2026 12:56 PM	Levi Lopez	Levi is CHECKED IN for: 1:00PM-2/24/2026 97168: OT Re-Evaluation
02-25-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-25-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:58 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 08:02 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 09:45 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893975
02-26-2026 09:55 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-2/26/2026 92507: Speech & Language Visit
02-26-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896703
02-26-2026 10:51 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/26/2026 OT-VIS: OT Visit
02-26-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-27-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-27-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817779
02-27-2026 10:59 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-2/27/2026 OT-VIS: OT Visit
03-01-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 03-03-2026 at 10:45 AM, and on 03-04-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 03-02-2026 at 10:00 AM, and on 03-06-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 03-02-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-01-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:47 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817743
03-02-2026 09:53 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-3/2/2026 OT-VIS: OT Visit
03-02-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883463
03-02-2026 10:45 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-3/2/2026 92526: Feeding Visit
03-02-2026 11:21 AM	Andrea Rodriguez	At home, please try Eggo French Toast Sticks, lentils, and hummus. Add a little bit of mashed fruit into his preferred fruit puree. The appearance must remain almost the same, but the consistency should be a little bit more chunky. Next week, preferred mini pancakes, French toast, plain spaghetti noodles, and apples. Thank you!
03-02-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:54 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
03-03-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883109
03-03-2026 10:44 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-3/3/2026 92507: Speech & Language Visit
03-03-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 07:57 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 09:36 AM	Levi Lopez	Levi (Prim) Replied: Good morning ma. Kaitlin, I have to cancel Fridays appointment, we won't be in town. Thank you see you next week!
03-04-2026 09:37 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-3/6/2026 OT-VIS: OT Visit
03-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 03-10-2026 at 10:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 03-09-2026 at 10:00 AM, and on 03-13-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 03-09-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-08-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 07:44 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817744
03-09-2026 09:58 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-3/9/2026 OT-VIS: OT Visit
03-09-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883464
03-09-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:50 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
03-10-2026 10:00 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883110
03-10-2026 10:07 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-3/10/2026 92507: Speech & Language Visit
03-12-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-13-2026 07:31 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-13-2026 08:56 AM	Kaitlin Marsland	Hello, I had a cancellation. Would it be possible to see Levi at 10:00 or 10:30am?
03-13-2026 09:04 AM	Levi Lopez	Levi (Prim) Replied: We could do 10:30
03-13-2026 09:06 AM	Kaitlin Marsland	Sounds good, see you then :)
03-13-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817781
03-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 03-17-2026 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 03-16-2026 at 10:00 AM, and on 03-20-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 03-16-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-15-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-15-2026 08:06 PM	Gabriela Gallegos	Please sign signature link for Levis speech session on Tuesday, TY!
03-16-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 07:44 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817745
03-16-2026 09:56 AM	Levi Lopez	Levi is CHECKED IN for: 10:00AM-3/16/2026 OT-VIS: OT Visit
03-16-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883465
03-16-2026 12:03 PM	Andrea Rodriguez	Please introduce him to egg bites and keep introducing new brands of mac and cheese that look similar to his preferred (Annie's, Great Value, goodles).
03-16-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:48 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
03-17-2026 10:30 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883111
03-17-2026 10:43 AM	Levi Lopez	Levi is CHECKED IN for: 10:45AM-3/17/2026 92507: Speech & Language Visit
03-18-2026 06:50 PM	Andrea Rodriguez	Good afternoon! I wanted to offer an extra session tomorrow at 11:15 am in case it works with your schedule. If not, no worries! I’ll see you next week :)
03-18-2026 06:58 PM	Levi Lopez	Levi (Prim) Replied: Good afternoon! Tomorrow we can't 🫠thank you for offering though, we appreciate you! See you next week
03-18-2026 07:04 PM	Andrea Rodriguez	See you next week! Have a good day :)
03-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-20-2026 07:32 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-20-2026 10:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817782
03-20-2026 10:57 AM	Levi Lopez	Levi is CHECKED IN for: 11:00AM-3/20/2026 OT-VIS: OT Visit
03-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Lopez, Levi has a Speech Therapy appointment on 03-24-2026 at 11:30 AM, 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	Kaitlin Marsland	Hi, this is a just a reminder that Lopez, Levi has a Occupational Therapy appointment on 03-23-2026 at 10:00 AM, and on 03-27-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Lopez, Levi has a Feeding Therapy appointment on 03-23-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-22-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Levi has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:45 AM	Andrea Rodriguez	Hi, this is a just a reminder that Levi has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 09:45 AM	Kaitlin Marsland	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817746
03-23-2026 10:45 AM	Andrea Rodriguez	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883466
03-23-2026 11:38 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-3/27/2026 OT-VIS: OT Visit
03-23-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:50 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 08:34 AM	Levi Lopez	Levi (Prim) Replied: Good morning ma gabby, I have to cancel our appointment for today. My little one has had a fever all night, taking him to the dr. I will keep you updated on tomorrow's appointment Sorry for the last minute cancellation
03-24-2026 10:08 AM	Gabriela Gallegos	Thank you for letting me know, I hope he feels better soon.
03-24-2026 10:09 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-3/24/2026 92507: Speech & Language Visit
03-24-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 06:45 PM	Gabriela Gallegos	Hello Mrs. Lopez, hope all is well. I am following up on this mornings message. Will I be able to see Levi tomorrow, I know we were pending visit depending how little brother was feeling. Let me know when you get a chance TY!
03-24-2026 06:46 PM	Levi Lopez	Levi (Prim) Replied: Yes we will be there, see you tomorrow. Thank you
03-24-2026 06:47 PM	Gabriela Gallegos	Sounds good! Would it be possible to see Levi 15 minutes earlier? May i see him at 1015am?
03-24-2026 07:18 PM	Levi Lopez	Levi (Prim) Replied: Sure that works.
03-25-2026 07:55 AM	Gabriela Gallegos	Hi, this is a just a reminder that Levi has a Speech Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
03-25-2026 10:00 AM	Gabriela Gallegos	Levi Lopez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907830
03-25-2026 10:06 AM	Levi Lopez	Levi is CHECKED IN for: 10:15AM-3/25/2026 92507: Speech & Language Visit