New Beginnings | NB1-Office

Patient Name: Sophia

Patient Information:

Patient ID: 9622

Patient First Name: Sophia

Patient Date of Birth: 10-05-2006

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Iris, Tomas

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Barron, Annette

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23558	Active	03-30-2026	09-28-2026	Superior Health Plan	0	26	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25509	08-12-2025	Feeding Initial Evaluation	R13.11, R63.32
Feeding Background History: Sophia is an 18 year 10 month old female referred for a feeding evaluation by her pediatrician due to long standing feeding difficulties. According to her mother, who served as the primary informant, Sophia has been a very picky eater since the age of four, to the extent that the family avoids traveling due to the limitations of her eating habits. She tends to overstuff her mouth, eats rapidly, and often needs verbal prompts to slow down; on some occasions, she eats so quickly that she vomits. Her eating schedule is irregular, typically consisting of breakfast, dinner, and a late night snack. Sophia was diagnosed with Autism at age 3, intellectual disability at age 6, and OCD and ADHD at age 8. Her pediatrician suspects a possible diagnosis of Cushing’s syndrome. Sophia has no prior history of feeding therapy. A bedside feeding evaluation and skilled meal observation were completed to assess her feeding and swallowing skills in more detail.
Feeding Medical History: Sophia was born at 36 weeks via vaginal delivery with no complications or NICU stay.
Feeding Medications: Fluoxetine 25 ml, Guanfacine 1mg (1 tablet AM, Noon, and PM), Mirtazapine 30 mg, Hydroxyzine 50 mg, and Trazodone.
Feeding Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, 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: Sophia’s pragmatic skills were not assessed as this was not the purpose of the evaluation/referral.
Feeding Diagnosis/Impressions: PATIENT HX: Sophia is an 18 year 10 month old female referred for a feeding evaluation by her pediatrician due to long standing feeding difficulties. According to her mother, who served as the primary informant, Sophia has been a very picky eater since the age of four, to the extent that the family avoids traveling due to the limitations of her eating habits. She tends to overstuff her mouth, eats rapidly, and often needs verbal prompts to slow down; on some occasions, she eats so quickly that she vomits. Her eating schedule is irregular, typically consisting of breakfast, dinner, and a late night snack. Sophia was diagnosed with Autism at age 3, intellectual disability at age 6, and OCD and ADHD at age 8. Her pediatrician suspects a possible diagnosis of Cushing’s syndrome. Sophia has no prior history of feeding therapy. A bedside feeding evaluation and skilled meal observation were completed to assess her feeding and swallowing skills in more detail. ORAL MECH EXAM: Sophia’s oral structure and function present with some structural and functional differences; however, they appear adequate for feeding and swallowing at this time. Observations include an overjet bite, a flat, shallow, and wide palate, significant gapping between the front teeth, and spacing between other teeth. No tethered oral tissues were observed or reported. Functionally, Sophia demonstrates decreased tongue coordination and reduced functional tongue movements, which may impact her feeding habits (overstuffing and fast rate of intake). FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Sophia presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Sophia’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (e.g., Autism, ID, OCD, ADHD, reflux, constipation), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities to foods and decreased oral motor coordination), and psychosocial dysfunction (problematic mealtime behaviors). Sophia’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. These deficits likely contribute to her overstuffing behavior, which appears to be a compensatory strategy for her reduced oral motor abilities. FOOD REPERTOIRE: Sophia is reported to prefer foods that are crisp, crunchy, or hard. She shows a strong taste preference for salty flavors and favors cool/warm foods. Her appetite is reported to be good. Currently, Sophia’s food inventory consists of only 14 foods. For proteins, she accepts bacon, hot dogs, bologna, and cheese (only on pizza). She does not consume vegetables. For fruits, Sophia eats apples, pears, bananas, grapes, and oranges. For starches, Sophia eats crackers, chips, bread, french fries, pancakes, and pizza. In terms of liquids, she only drinks 2 beverages including water and orange juice. It is important to note that Sophia previously accepted a wider variety of foods, but has been consistently dropping items from her diet. Sophia’s mother expressed a desire for her to eat more proteins and salads. NORM REFERENCED ASSESSMENT: Sophia’s PediEAT (Pediatric Eating Assessment Tool) was not administered due to her age exceeding the tool’s intended range and limited evaluation time after her mother had forgotten the completed paperwork. Instead, the mother was interviewed to capture relevant information, describing both physiological symptoms (e.g., vomiting, rapid eating) and problematic mealtime behaviors (e.g., extreme picky eating, schedule irregularities), thereby providing valuable insight in lieu of formal PediEAT scoring. MEALTIME FEEDING OBSERVATION: Sophia was seated at the feeding table and allowed to self-feed her preferred items, during which she displayed a rapid rate of intake and habitual overstuffing of food in her mouth. Her mother confirmed that these behaviors are consistent at home, noting that Sophia typically relies on electronic distractions to eat. When presented with non-preferred foods, Sophia exhibited immediate refusal behaviors as she attempted to escape her seat, covered her nose, turned away, and tried to shut the container lid. With clinician guidance, she briefly tolerated touching the non-preferred foods with her fingertips, but only in an effort to push them away. At higher levels of the eating progression hierarchy, Sophia refused to engage with any of the non-preferred items. SWALLOW/ORAL MOTOR EVALUATION: Sophia demonstrated decreased oral motor skills with the consistencies offered during the evaluation. Her chewing pattern was observed to be primarily vertical, utilizing a basic munching motion, particularly when her oral cavity became overstuffed. She also exhibited decreased and disorganized tongue lateralization during chewing. Slightly delayed anterior posterior transit of preferred foods was noted, which may be attributed to prolonged chewing due to overstuffing. No clinical signs or symptoms of aspiration or penetration were observed during the session. Sophia’s mother stated she is concerned that Sophia will choke due to her fast rate of intake and overstuffing habits. However, Sophia has never had a choking episode and also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Sophia’s oral motor skills appear to be reduced and are likely impacting her feeding function. IMPORTANT NOTE ON PFD DIAGNOSIS: Although the diagnostic criteria for PFD are formally defined for individuals up to 17 years of age, Sophia continues to demonstrate feeding difficulties that began in early childhood and remain consistent with the clinical features of PFD. The longstanding nature of the disorder, its persistence across developmental stages, and its ongoing impact on nutrition, hydration, and functional participation support the continued use of PFD as a secondary diagnosis. Assigning PFD acknowledges the chronicity and developmental origin of the feeding difficulties while allowing the primary diagnosis (Oral Dysphagia) to reflect her current age and medical status. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Sophia’s CHRONIC PFD and ORAL DYSPHAGIA. Sophia is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child of Sophia’s age is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. In addition, food chaining strategies should be implemented to expand Sophia’s food repertoire by building on existing preferred foods. Parent education on mealtime behaviors and safe swallow precautions (slow rate of intake, small bites, decreased distractions, etc.) will also be a key component of therapy. Without intervention, Sophia may be at increased risk for nutritional deficiencies and inadequate growth due to her restricted dietary variety. Sophia’s mother will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

56670

Plan Date: 08-12-2025

Feeding Assessment Summary: PATIENT HX: Sophia is an 18 year 10 month old female referred for a feeding evaluation by her pediatrician due to long standing feeding difficulties. According to her mother, who served as the primary informant, Sophia has been a very picky eater since the age of four, to the extent that the family avoids traveling due to the limitations of her eating habits. She tends to overstuff her mouth, eats rapidly, and often needs verbal prompts to slow down; on some occasions, she eats so quickly that she vomits. Her eating schedule is irregular, typically consisting of breakfast, dinner, and a late night snack. Sophia was diagnosed with Autism at age 3, intellectual disability at age 6, and OCD and ADHD at age 8. Her pediatrician suspects a possible diagnosis of Cushing’s syndrome. Sophia has no prior history of feeding therapy. A bedside feeding evaluation and skilled meal observation were completed to assess her feeding and swallowing skills in more detail. ORAL MECH EXAM: Sophia’s oral structure and function present with some structural and functional differences; however, they appear adequate for feeding and swallowing at this time. Observations include an overjet bite, a flat, shallow, and wide palate, significant gapping between the front teeth, and spacing between other teeth. No tethered oral tissues were observed or reported. Functionally, Sophia demonstrates decreased tongue coordination and reduced functional tongue movements, which may impact her feeding habits (overstuffing and fast rate of intake). FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Sophia presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Sophia’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (e.g., Autism, ID, OCD, ADHD, reflux, constipation), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities to foods and decreased oral motor coordination), and psychosocial dysfunction (problematic mealtime behaviors). Sophia’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. These deficits likely contribute to her overstuffing behavior, which appears to be a compensatory strategy for her reduced oral motor abilities. FOOD REPERTOIRE: Sophia is reported to prefer foods that are crisp, crunchy, or hard. She shows a strong taste preference for salty flavors and favors cool/warm foods. Her appetite is reported to be good. Currently, Sophia’s food inventory consists of only 14 foods. For proteins, she accepts bacon, hot dogs, bologna, and cheese (only on pizza). She does not consume vegetables. For fruits, Sophia eats apples, pears, bananas, grapes, and oranges. For starches, Sophia eats crackers, chips, bread, french fries, pancakes, and pizza. In terms of liquids, she only drinks 2 beverages including water and orange juice. It is important to note that Sophia previously accepted a wider variety of foods, but has been consistently dropping items from her diet. Sophia’s mother expressed a desire for her to eat more proteins and salads. NORM REFERENCED ASSESSMENT: Sophia’s PediEAT (Pediatric Eating Assessment Tool) was not administered due to her age exceeding the tool’s intended range and limited evaluation time after her mother had forgotten the completed paperwork. Instead, the mother was interviewed to capture relevant information, describing both physiological symptoms (e.g., vomiting, rapid eating) and problematic mealtime behaviors (e.g., extreme picky eating, schedule irregularities), thereby providing valuable insight in lieu of formal PediEAT scoring. MEALTIME FEEDING OBSERVATION: Sophia was seated at the feeding table and allowed to self-feed her preferred items, during which she displayed a rapid rate of intake and habitual overstuffing of food in her mouth. Her mother confirmed that these behaviors are consistent at home, noting that Sophia typically relies on electronic distractions to eat. When presented with non-preferred foods, Sophia exhibited immediate refusal behaviors as she attempted to escape her seat, covered her nose, turned away, and tried to shut the container lid. With clinician guidance, she briefly tolerated touching the non-preferred foods with her fingertips, but only in an effort to push them away. At higher levels of the eating progression hierarchy, Sophia refused to engage with any of the non-preferred items. SWALLOW/ORAL MOTOR EVALUATION: Sophia demonstrated decreased oral motor skills with the consistencies offered during the evaluation. Her chewing pattern was observed to be primarily vertical, utilizing a basic munching motion, particularly when her oral cavity became overstuffed. She also exhibited decreased and disorganized tongue lateralization during chewing. Slightly delayed anterior posterior transit of preferred foods was noted, which may be attributed to prolonged chewing due to overstuffing. No clinical signs or symptoms of aspiration or penetration were observed during the session. Sophia’s mother stated she is concerned that Sophia will choke due to her fast rate of intake and overstuffing habits. However, Sophia has never had a choking episode and also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Sophia’s oral motor skills appear to be reduced and are likely impacting her feeding function. IMPORTANT NOTE ON PFD DIAGNOSIS: Although the diagnostic criteria for PFD are formally defined for individuals up to 17 years of age, Sophia continues to demonstrate feeding difficulties that began in early childhood and remain consistent with the clinical features of PFD. The longstanding nature of the disorder, its persistence across developmental stages, and its ongoing impact on nutrition, hydration, and functional participation support the continued use of PFD as a secondary diagnosis. Assigning PFD acknowledges the chronicity and developmental origin of the feeding difficulties while allowing the primary diagnosis (Oral Dysphagia) to reflect her current age and medical status. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Sophia’s CHRONIC PFD and ORAL DYSPHAGIA. Sophia is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child of Sophia’s age is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. In addition, food chaining strategies should be implemented to expand Sophia’s food repertoire by building on existing preferred foods. Parent education on mealtime behaviors and safe swallow precautions (slow rate of intake, small bites, decreased distractions, etc.) will also be a key component of therapy. Without intervention, Sophia may be at increased risk for nutritional deficiencies and inadequate growth due to her restricted dietary variety. Sophia’s mother will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Rehabilitation Potential: Good. Prognosis is good with consistent feeding therapy and parental support. Sophia will be discharged when her feeding/swallowing skills and food inventory are deemed adequate to support her nutritional needs.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Sophia will improve her feeding/swallowing skills in 5 out of 10 trials in order to optimize safe and effective nutrition to meet her nutritional needs.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Sophia will add 1 to 2 food chained items to her food inventory in order to increase quantity and variety of her food inventory to support her nutritional needs.
Feeding/Swallowing	In 6 months, Sophia will tolerate non preferred foods directly in front of her in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will interact with non preferred foods using utensils, napkins, etc. in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will interact with non preferred foods using her fingers OR hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will not overstuff her oral cavity during PO intake of preferred items in 3 out of 10 opportunities across 3 consecutive sessions in order to improve safe and efficient behaviors for adequate feeding/swallowing.
Home Management Intervention Program	In 6 months, when counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity with 80% accuracy to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

58619

Plan Date: 02-25-2026

Feeding Assessment Summary: Sophia is now 19 years 4 months old and is due for a review of her feeding skills since beginning skilled intervention 6 months ago. According to mother, Sophia was diagnosed with Autism at age 3, intellectual disability at age 6, and OCD and ADHD at age 8. Her pediatrician suspects a possible diagnosis of Cushing’s syndrome. Sophia has no prior history of feeding therapy. However, recently began seeking services from a certified nutrition/dietician. A bedside swallow evaluation and skilled meal feeding observation revealed that Sophia continues to present with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA as characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (Autism), nutritional status (limited nutritional intake), feeding skill (sensory sensitivities), and/or psychosocial dysfunction (problematic mealtime/learned responses). Although Sophia’s oral structure and function present with some structural and functional differences, they appear adequate for feeding and swallowing at this time. Functionally, Sophia has demonstrated decreased tongue coordination and reduced functional tongue movements, which may have impacted her feeding habits (i.e., overstuffing and fast rate of intake). FOOD REPERTOIRE Sophia’s food inventory: PROTEIN: bacon, hot dogs, bologna, cheese pizza, mozzarella cheese; STARCHES: chips (corn only), crackers, bread, french fries (Whataburger only); FRUITS: apples, pear, banana, grapes, orange; VEGETABLES: None. In January 2026, Sophia was seen by a dietician, who agreed with the findings from Sophia’s initial feeding evaluation. The dietician recommended an increase of fruits into Sophia’s diet and more exposure to vegetables. According to her mother, Sophia continues to maintain minimal interest with the family’s typically preferred foods during mealtimes, and Sophia will join the family as they gather together for meals. As per the dietician’s recommendations, Sophia’s mother has begun including fruit slices on Sophia’s plate during mealtimes. Although Sophia does not always consume the fruit, she has increased her tolerance of the items on her plate. Due to these small changes, mother has stated that Sophia has lost 8 pounds since beginning feeding therapy, along with the incorporation of the dietician’s recommendations. MEALTIME FEEDING OBSERVATION During Sophia’s bedside feeding and swallowing evaluation, she was presented with non-preferred food items (bologna sandwich, whole pear, corn on the cob, and raw broccoli), and preferred food items (hot dogs, and corn chips). Sophia did not vocally protest, and followed the visual schedule, preparing the non-preferred food items by handing item to clinician when ready to begin interacting with foods. She required maximum verbal cues and prompts to engage with foods via touching, picking up, touching the food to her lips and taking a small bite. Sophia made a bologna sandwich, used the cookie cutter to cut out a shape, she used a butter knife to cut slices of her pear. She used her hands and a fork to pick up the non-preferred foods, smelled them, and took small bites. Sophia tolerated the sight and smell of the raw broccoli, using her fingers to tear the broccoli into smaller pieces. Sophia displayed a rapid rate of intake and habitual overstuffing of food in her mouth when given the opportunity to consume her preferred foods. However, when reminded of the visual schedule to slow down, take small bites, and not to overstuff her mouth, Sophia followed the cues and prompts. According to her mother, Sophia has made an effort to slow down her food intake at home and her mother has worked on taking away the electronic devices during mealtimes. However, Sophia still maintains a poor eating schedule, often due to Sophia’s difficulty sleeping. When presented with non-preferred foods, Sophia did not exhibit immediate refusal behaviors nor did she attempted to escape her seat. Although she covered her nose, and turned away, Sophia did not try to shut the container lid. With clinician guidance, she briefly tolerated touching the non-preferred foods with her fingertips, examining and cutting the non-preferred foods with her fingertip before placing them in the throwaway bowl. At higher levels of the eating progression hierarchy, Sophia refused to engage with any of the non-preferred items. SWALLOW/ORAL MOTOR EVALUATION: Sophia demonstrated decreased oral motor skills with the consistencies offered during the evaluation. Her chewing pattern was observed to be primarily vertical, utilizing a basic munching motion, particularly when her oral cavity became overstuffed. She continued to exhibit decreased and disorganized tongue lateralization during chewing. Slightly delayed anterior posterior transit of preferred foods was noted, which may be attributed to prolonged chewing due to overstuffing. No clinical signs or symptoms of aspiration or penetration were observed during the session. Although Sophia’s mother stated her concern that Sophia will choke due to her fast rate of intake and overstuffing habits, Sophia has never had a choking episode and also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Sophia’s oral motor skills continued to appear reduced and are continue to impact her feeding function. IMPORTANT NOTE ON PFD DIAGNOSIS: Although the diagnostic criteria for PFD are formally defined for individuals up to 17 years of age, Sophia continues to demonstrate feeding difficulties that began in early childhood and remain consistent with the clinical features of PFD. The longstanding nature of the disorder, its persistence across developmental stages, and its ongoing impact on nutrition, hydration, and functional participation support the continued use of PFD as a secondary diagnosis. Assigning PFD acknowledges the chronicity and developmental origin of the feeding difficulties while allowing the primary diagnosis (Oral Dysphagia) to reflect her current age and medical status. RECOMMENDATIONS: At this time, continued feeding therapy is recommended at a frequency of once per week for 30 minutes to address Sophia’s CHRONIC PFD and ORAL DYSPHAGIA. Sophia is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At her age, a child of Sophia’s age is typically expected to accept 30 or more foods across various food groups. Therapy will continue to focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. In addition, food chaining strategies should be implemented to expand Sophia’s food repertoire by building on existing preferred foods. Parent education on mealtime behaviors and safe swallow precautions (slow rate of intake, small bites, decreased distractions, etc.) will also be a key component of therapy. Without intervention, Sophia may be at increased risk for nutritional deficiencies and inadequate growth due to her restricted dietary variety. Sophia’s mother will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Progress to Date: 1. Sophia will add 1 to 2 food chained items to her food inventory in order to increase quantity and variety of her food inventory to support her nutritional needs. BASELINE: 0; CURRENTLY: 1. PROGRESS NOTED 2. Sophia will tolerate non preferred foods directly in front of her in 3 out of 10 opportunities. BASELINE: 3 OUT OF 10 OPPORTUNITIES; CURRENTLY: 3 OUT OF 10 OPPORTUNITIES WITH MAXIMUM CUES. PROGRESS NOTED 3. Sophia will interact with non preferred foods using utensils, napkins, etc. in 3 out of 10 opportunities. BASELINE: 1 OUT OF 10 OPPORTUNITIES; CURRENTLY: 1 OUT OF 10 OPPORTUNITIES WITH MAXIMUM CUES. PROGRESS NOTED 4. Sophia will interact with non preferred foods using her fingers OR hands in 3 out of 10 opportunities. BASELINE: 1 OUT OF 10 OPPORTUNITIES; CURRENTLY: 2 OUT OF 10 OPPORTUNITIES WITH MAXIMUM CUES. PROGRESS NOTED 5. Sophia will not overstuff her oral cavity during PO intake of preferred items in 3 out of 10 opportunities. BASELINE: 1 OUT OF 10 OPPORTUNITIES; CURRENTLY: 2 OUT OF 10 OPPORTUNITIES WITH MAXIMUM CUES. PROGRESS NOTED

Feeding Rehabilitation Potential: Good. With continued Speech Therapy. Prognosis is good with consistent feeding therapy and parental support. Sophia will be discharged when her feeding/swallowing skills and food inventory are deemed adequate to support her nutritional needs.

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, Sophia will improve her feeding/swallowing skills in 5 out of 10 trials in order to optimize safe and effective nutrition to meet her nutritional needs.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Sophia will add 2 to 3 food chained items to her food inventory in order to increase quantity and variety of her food inventory to support her nutritional needs.
Feeding/Swallowing	In 6 months, Sophia will tolerate non preferred foods directly in front of her in 5 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will interact with non preferred foods using utensils, napkins, etc. in 5 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will interact with non preferred foods using her fingers OR hands in 5 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Sophia will not overstuff her oral cavity during PO intake of preferred items in 5 out of 10 opportunities across 3 consecutive sessions in order to improve safe and efficient behaviors for adequate feeding/swallowing.

Feeding Therapy Soap Note/Visit:

Soap Note

489555

Note Date: 03-12-2026

Subjective: Patient needed frequent reminders to return to task,Patient was alert and oriented,Patient was distractible and inattentive,

Assessment of Goals/Response to Treatment: In 6 months, Sophia will add 1 to 2 food chained items to her food inventory in order to increase quantity and variety of her food inventory to support her nutritional needs. **Sophia did not add 1 to 2 food chained items to her food inventory in order to increase quantity and variety of her food inventory to support her nutritional needs. In 6 months, Sophia will tolerate non preferred foods directly in front of her in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment. **Sophia tolerated non preferred foods directly in front of her in 3 out of 10 opportunities when given maximum verbal and gestural cues. In 6 months, Sophia will interact with non preferred foods using utensils, napkins, etc. in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment. **Sophia interacted with non preferred foods using utensils, napkins, etc. in 3 out of 10 opportunities when given maximum verbal and visual cues, and redirection to complete the activity. In 6 months, Sophia will interact with non preferred foods using her fingers OR hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her tolerance and acceptance of non preferred foods in her immediate environment. **Sophia interacted with non preferred foods using her fingers OR hands in 2 out of 10 opportunities when given moderate to maximum verbal and visual cues. In 6 months, Sophia will not overstuff her oral cavity during PO intake of preferred items in 3 out of 10 opportunities across 3 consecutive sessions in order to improve safe and efficient behaviors for adequate feeding/swallowing. **Sophia did not overstuff her oral cavity during PO intake of preferred items in 1 out of 10 opportunities. She needed maximum verbal cues, repetitions and redirection to attend to the task. In 6 months, when counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity with 80% accuracy to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

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
775860	92610: Feeding Evaluation	08-12-2025 12:30 PM	08-12-2025 01:30 PM	Jordan Orozco	NB2 far east side	Completed
815244	92526: Feeding Visit	10-09-2025 01:00 PM	10-09-2025 01:30 PM	Jordan Orozco	NB2 far east side	Completed
815245	92526: Feeding Visit	10-16-2025 01:00 PM	10-16-2025 01:30 PM	Jordan Orozco	NB2 far east side	Completed
815246	92526: Feeding Visit	10-23-2025 01:00 PM	10-23-2025 01:30 PM	Jordan Orozco	NB2 far east side	Completed
815248	92526: Feeding Visit	11-06-2025 01:00 PM	11-06-2025 01:30 PM	Jordan Orozco	NB2 far east side	Completed
839963	92526: Feeding Visit	11-26-2025 01:00 PM	11-26-2025 01:30 PM	Annette Barron	NB2 far east side	Completed
839964	92526: Feeding Visit	12-03-2025 01:00 PM	12-03-2025 01:30 PM	Annette Barron	NB2 far east side	Completed
839965	92526: Feeding Visit	12-10-2025 01:00 PM	12-10-2025 01:30 PM	Annette Barron	NB2 far east side	Completed
839966	92526: Feeding Visit	12-17-2025 01:00 PM	12-17-2025 01:30 PM	Annette Barron	NB2 far east side	Completed
864178	92526: Feeding Visit	01-05-2026 01:00 PM	01-05-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852083	92526: Feeding Visit	01-14-2026 01:00 PM	01-14-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852084	92526: Feeding Visit	01-21-2026 01:00 PM	01-21-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852086	92526: Feeding Visit	02-04-2026 01:00 PM	02-04-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852087	92526: Feeding Visit	02-11-2026 01:00 PM	02-11-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852088	92526: Feeding Visit	02-18-2026 01:00 PM	02-18-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852089	S9152: Reevaluation	02-25-2026 01:00 PM	02-25-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852090	92526: Feeding Visit	03-04-2026 01:00 PM	03-04-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
852091	92526: Feeding Visit	03-11-2026 01:00 PM	03-11-2026 01:30 PM	Annette Barron	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
815247	92526: Feeding Visit	10-30-2025 01:00 PM	10-30-2025 01:30 PM	Jordan Orozco	NB2 far east side	Canceled
815249	92526: Feeding Visit	11-12-2025 12:00 PM	11-12-2025 12:30 PM	Jordan Orozco	NB2 far east side	Canceled
839962	92526: Feeding Visit	11-19-2025 01:00 PM	11-19-2025 01:30 PM	Annette Barron	NB2 far east side	Canceled
839967	92526: Feeding Visit	01-07-2026 01:00 PM	01-07-2026 01:30 PM	Annette Barron	NB2 far east side	Canceled
873517	92526: Feeding Visit	01-26-2026 10:00 AM	01-26-2026 10:30 AM	Annette Barron	NB2 far east side	Canceled
852085	92526: Feeding Visit	01-28-2026 01:00 PM	01-28-2026 01:30 PM	Annette Barron	NB2 far east side	Canceled
877770	92526: Feeding Visit	02-02-2026 10:00 AM	02-02-2026 10:30 AM	Annette Barron	NB2 far east side	Canceled
852092	92526: Feeding Visit	03-18-2026 01:00 PM	03-18-2026 01:30 PM	Annette Barron	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913750	92526: Feeding Visit	04-01-2026 01:00 PM	04-01-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913751	92526: Feeding Visit	04-08-2026 01:00 PM	04-08-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913752	92526: Feeding Visit	04-15-2026 01:00 PM	04-15-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913753	92526: Feeding Visit	04-22-2026 01:00 PM	04-22-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913754	92526: Feeding Visit	04-29-2026 01:00 PM	04-29-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913755	92526: Feeding Visit	05-06-2026 01:00 PM	05-06-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913756	92526: Feeding Visit	08-05-2026 01:00 PM	08-05-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913757	92526: Feeding Visit	08-12-2026 01:00 PM	08-12-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913758	92526: Feeding Visit	08-19-2026 01:00 PM	08-19-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913759	92526: Feeding Visit	08-26-2026 01:00 PM	08-26-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913760	92526: Feeding Visit	09-02-2026 01:00 PM	09-02-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913761	92526: Feeding Visit	09-09-2026 01:00 PM	09-09-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913762	92526: Feeding Visit	09-16-2026 01:00 PM	09-16-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
913763	92526: Feeding Visit	09-23-2026 01:00 PM	09-23-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
10-23-2025	Jordan Orozco	Patient is undergoing testing to determine the source of her high cortisol levels.
10-10-2025	Jordan Orozco	The patient was recently diagnosed with fatty liver. The parent plans to begin making dietary changes to support the patient’s health. The clinician recommended seeking additional guidance for nutritional management from Sun City Dietitians. This updated diagnosis should be reflected in the patient’s revised plan of care during the upcoming re evaluation.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-18-2026	92526	Barron, Annette	Parent requested to cancel due to patient not sleeping.
02-02-2026	92526	Barron, Annette	Patient did not sleep last night so parent requested to cancel.
01-28-2026	92526	Barron, Annette	Sophia has a previously scheduled doctor’s appointment.
01-26-2026	92526	Barron, Annette
01-07-2026	92526	Barron, Annette	Mother requested to cancel the reoccurring appointment and reschedule for another day.
11-19-2025	92526	Barron, Annette
11-12-2025	92526	Orozco, Jordan
10-30-2025	92526	Orozco, Jordan

Paient Messages Admin:

Date	Posted By	Message
07-30-2025 05:28 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2015
07-30-2025 07:01 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step3.aspx?sid=2015
08-01-2025 11:20 AM	Asbel Guajardo	Hello Mrs.Madrid thank you for filling out everything. The only thing that we missing is the referral from the PCP to complete her file and get her evaluated.
08-04-2025 09:14 AM	Sophia Madrid	Sorry forgot to answer back. Sophia's primary doctor staff told me that it will take like a week to send me her referral. So I think by the time we have the appointment with you I'll will have it. Also if you want to call her doctor maybe they will send the referral to you. Her doctor is Iris Tomas +1 (915) 790-5700
08-06-2025 04:30 PM	Asbel Guajardo	If you have a copy of the referral you could email me aguajardo@newbeginnings-elp.com
08-06-2025 04:40 PM	Sophia Madrid	Ok I'm getting it tomorrow
08-08-2025 11:11 AM	Asbel Guajardo	Hello this Asbel I am just reaching out to see if you there is an update on the referral.
08-08-2025 11:32 AM	Sophia Madrid	Yes I have it
08-08-2025 11:33 AM	Sophia Madrid
08-08-2025 11:33 AM	Sophia Madrid	I'll scan it and send it to you in a email
08-11-2025 10:34 AM	Asbel Guajardo	received
08-19-2025 12:46 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I just sent you the link to our app.
08-19-2025 12:46 PM	Asbel Guajardo	https://st-pros.com/newbeginnings/admin/Patients/patient_detail.aspx?id=9519
08-19-2025 12:48 PM	Sophia Madrid	Ok thanks
08-19-2025 12:49 PM	Sophia Madrid	Do I need to download the app? Or for what is it for ?
08-19-2025 12:53 PM	Asbel Guajardo	You can just use the link to create your log in and there you will be able to see all the evaluations and plan of care. Also any other information you may need.
08-19-2025 12:56 PM	Sophia Madrid	Oh that's cool thanks
08-19-2025 12:58 PM	Sophia Madrid	How do I create an new account? I don't see that option
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
09-12-2025 02:12 PM	Patsy Guajardo	Hello, this is Patsy from front office at new beginnings, we have send the report of the evaluation for feeding to the pediatrician, but after several attempts they have not send it back signed to us. Will you do me a favor and call the Dr.'s office and ask if they have signed and if they can fax back to us. Thank you so much!!
09-12-2025 02:22 PM	Sophia Madrid	Yes of course
09-12-2025 03:06 PM	Sophia Madrid	What's your fax number ?
09-12-2025 04:36 PM	Sophia Madrid	I talked to the doctor office and they said they don't have nothing from you guys. This is their fax number In case you you have a different one 9155217554
09-16-2025 09:22 AM	Sophia Madrid	My email Nancysmadrid1@aol.com
09-16-2025 04:54 PM	Patsy Guajardo	Hello, I have already spoken to a CNA at Dr. Tomas office and I email her the report, she is going to get the doctor to sign and send it back to us.
09-16-2025 05:51 PM	Sophia Madrid	Ok let me know if you don't get it by Friday. I'll be taking my doctor to see dr Tomas that day
09-23-2025 11:00 AM	Sophia Madrid	Hello. Got a call from Medicaid saying they are missing some info about Sofy. That they send you a fax Friday. They said they will give you a call
09-23-2025 11:05 AM	Patsy Guajardo	Hello, we have not received any fax requesting more information but I will give them a call right now. Thank you
09-23-2025 11:23 AM	Sophia Madrid	What's your fax number ?
09-23-2025 12:44 PM	Patsy Guajardo	I called them already and I faxed in the information requested. We will let you know as soon as we get authorization. Thank you!
09-23-2025 12:45 PM	Sophia Madrid	Thanks 😊
09-26-2025 09:34 AM	Patsy Guajardo	Madrid, Sophia has been assigned a therapist.
09-26-2025 09:35 AM	Sophia Madrid	Good morning thanks 😊 when she will start? Is it with Ms. Jordan?
09-26-2025 09:40 AM	Patsy Guajardo	Hello, the therapist will reach out and schedule you, Yes it will be Ms. Jordan
11-13-2025 11:34 AM	Patsy Guajardo	Hi, Sophia as been assigned a therapist for Feeding therapy. Here's a link to learn more about Annette https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9622&tid=46
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=9622
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/
03-05-2026 02:59 PM	Patsy Guajardo	Buenas Tardes Ms. Madrid, solo para avisarle que hoy mande la re evaluacion al pediatra de Sophia.
03-05-2026 03:00 PM	Sophia Madrid	Gracias
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=9622
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
07-31-2025 12:15 PM	Jordan Orozco	Hi, my name is Jordan, with New Beginnings, and I will be performing your child's Feeding 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=9622&tid=63
07-31-2025 12:15 PM	Sophia Madrid	Sophia SCHEDULED: 1:00PM-8/12/2025 92610: Feeding Evaluation
07-31-2025 01:57 PM	Jordan Orozco	Hello! I just received notification of Sophia’s feeding evaluation. I am so sorry but the system did not read my recurring appointment that I have scheduled on Tuesdays at 1:15PM so I will need to change Sophia’s feeding evaluation. Would Tuesday August 12th at 12:30PM or Monday August 11th at 2PM work instead? Again my apologies. Our automated scheduling system is a bit new so there have been issues with double booking.
07-31-2025 02:01 PM	Sophia Madrid	Sophia (Prim) Replied: Tuesday August 12th at 12:30 is good
07-31-2025 03:28 PM	Jordan Orozco	Great, Sophia is scheduled for Tuesday 8-12-25 at 12:30PM at our rich beem location (3551 Rich Beem Blvd Unit B)! Do you have access to a printer? There is feeding intake paperwork that will need to be completed prior to the evaluation.
07-31-2025 04:02 PM	Sophia Madrid	Sophia (Prim) Replied: Yes. You can send the paperwork to my email Nancysmadrid1@aol.com
08-01-2025 02:44 PM	Jordan Orozco	My apologies for my delayed response. I am not in the office on Fridays. Thank you for sending your email address - before I send the paperwork over. Can you describe to me your concerns with Sophia’s eating?
08-01-2025 02:50 PM	Sophia Madrid	Sophia (Prim) Replied: Sure no problem. She is a very picky eater. She only eats pancakes and hash browns from Mac Donald's for breakfast every other. The other lady's she eats French toast with bacon. For lunch she eats turkey hotdogs no bun and for dinner pizza. She does eat some fruit. She doesn't have a problem chewing or swallowing food. She only has sensory issues with textures and smells
08-01-2025 02:56 PM	Jordan Orozco	Thank you for that information! Just to confirm - does she have any other diagnoses from other specialists or professionals?
08-01-2025 02:56 PM	Sophia Madrid	Sophia (Prim) Replied: Autism and intellectual disability, OCD and ADHD
08-01-2025 02:59 PM	Sophia Madrid	Sophia (Prim) Replied: Also I have problems with her pulling her hair... I don't know if you can help me with that
08-04-2025 09:31 AM	Jordan Orozco	Good morning! I have sent you 3 feeding intake forms via email, be sure to check your junk mail - my email is Jallyssabeth23@gmail.com.Please print and bring those completed to the evaluation. Please also bring 3 preferred food items, 3 non preferred food items, and a drink for Sophia.
08-04-2025 09:31 AM	Jordan Orozco	As far as hair pulling, unfortunately I am unable to help with that. My apologies.
08-04-2025 10:02 AM	Sophia Madrid	Sophia (Prim) Replied: No problem thank you
08-04-2025 11:45 AM	Jordan Orozco	No problem, also please let me know if you did not receive the email I sent and I can resend that. :)
08-04-2025 12:29 PM	Sophia Madrid	Sophia (Prim) Replied: I did receive it thanks. Should I take the forma when I take Sophia to the evaluation or you want me to send them to you in the email?
08-04-2025 01:14 PM	Jordan Orozco	Please bring them with you to the evaluation. As well as the 3 preferred foods, 3 non preferred foods, and a drink. :)
08-04-2025 01:16 PM	Sophia Madrid	Sophia (Prim) Replied: Sounds good 👍🏻
08-11-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Evaluation appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
08-11-2025 06:31 PM	Sophia Madrid	Sophia (Prim) Replied: Hi. Can you send me address please?
08-11-2025 06:31 PM	Jordan Orozco	3551 Rich Beem Blvd Unit B
08-11-2025 06:32 PM	Sophia Madrid	Sophia (Prim) Replied: Thanks
08-12-2025 07:48 AM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Evaluation appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
08-12-2025 12:06 PM	Sophia Madrid	Sophia (Prim) Replied: I'm half way there but I forgot the forms at home. Can you please print them for me? I will fill them there
08-12-2025 12:15 PM	Jordan Orozco	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=775860
08-12-2025 07:23 PM	Jordan Orozco	Hello! I forgot to ask today but what other services is Sophia currently receiving? And she currently stays home, correct? No school or day time center?
08-12-2025 09:07 PM	Sophia Madrid	Sophia (Prim) Replied: Hi. Sorry I didn't see message. She has speech therapy Tuesday only and yes she stays at home. No day time center I'm her care provider
08-12-2025 09:07 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.
08-13-2025 07:49 AM	Jordan Orozco	Okay, thank you! Also it will be important that when we begin feeding therapy that it does not take place on the same day as speech therapy as insurance will not cover both feeding and speech services on the same day. Did she have speech therapy yesterday?
08-13-2025 08:00 AM	Sophia Madrid	Sophia (Prim) Replied: Good morning. No she didn't. I canceled the therapy to go with you yesterday
08-13-2025 08:51 AM	Jordan Orozco	Okay, that worked out perfect then. Thank you!
09-29-2025 11:50 AM	Jordan Orozco	Good morning! This is Jordan from New beginnings. I have been cleared to begin feeding therapy with Sophia. What days of the week work best for you and Sophia? :)
09-29-2025 01:49 PM	Sophia Madrid	Sophia (Prim) Replied: Hello. Thursdays or Friday's will be great
09-29-2025 05:46 PM	Jordan Orozco	My apologies for my delayed response - okay starting next week I can offer Thursdays at 1PM, would this work for you and Sophia? Would this be a good eating window for her as well?
09-29-2025 06:56 PM	Sophia Madrid	Sophia (Prim) Replied: Sure thanks
09-29-2025 07:02 PM	Sophia Madrid	Sophia (Prim) Replied: Can we start this Thursday?
09-30-2025 08:24 AM	Jordan Orozco	Good morning! Unfortunately I am booked up for this week so I will not be able to begin this Thursday, my apologies. Will next week be okay? Next week please bring with your 4 to 5 food items. 1 food chained item and 4 non preferred foods you would like to start working on. I always recommend selecting foods in their most original form - for example if we work on carrots bring fresh carrots not cooked or seasoned. Please let me know if you need ideas or help selecting items.
09-30-2025 09:17 AM	Sophia Madrid	Sophia (Prim) Replied: Good morning no problem thanks. See you next week
09-30-2025 10:16 AM	Jordan Orozco	See you next week! :)
09-30-2025 10:16 AM	Jordan Orozco	Thank you for understanding!
10-05-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 10-09-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 05:42 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
10-05-2025 05:42 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.
10-08-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-08-2025 08:04 PM	Sophia Madrid	Sophia (Prim) Replied: See you tomorrow 😃
10-08-2025 08:04 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.
10-09-2025 07:47 AM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-09-2025 09:52 AM	Sophia Madrid	Sophia (Prim) Replied: 👍🏻
10-09-2025 12:45 PM	Jordan Orozco	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=815244
10-10-2025 09:08 AM	Jordan Orozco	Good morning! I forgot to mention yesterday that after each session, you’ll receive a link to sign as confirmation that therapy took place. :)
10-10-2025 09:16 AM	Sophia Madrid	Sophia (Prim) Replied: Good morning:) ok sounds good have a good day
10-10-2025 09:16 AM	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.
10-10-2025 09:17 AM	Sophia Madrid	Sophia (Prim) Replied:
10-10-2025 09:17 AM	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.
10-10-2025 09:18 AM	Sophia Madrid	Sophia (Prim) Replied: Do I need to write something on the blank space? I pressed save but nothing happened
10-10-2025 09:18 AM	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.
10-10-2025 09:19 AM	Jordan Orozco	On the blank space you will write your signature and then press save :)
10-10-2025 09:25 AM	Sophia Madrid	Sophia (Prim) Replied: A ok listo ✅
10-10-2025 09:25 AM	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.
10-10-2025 09:37 AM	Jordan Orozco	Thank you!! :) Have a good rest of your day
10-12-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 10-16-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:25 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
10-12-2025 04:25 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.
10-15-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-15-2025 06:59 PM	Sophia Madrid	Sophia (Prim) Replied: Ok 👍🏻
10-16-2025 07:45 AM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-16-2025 12:45 PM	Jordan Orozco	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=815245
10-19-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 10-23-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:39 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
10-19-2025 04:39 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.
10-22-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-23-2025 07:46 AM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-23-2025 09:01 AM	Sophia Madrid	Sophia (Prim) Replied: Yes
10-23-2025 12:45 PM	Jordan Orozco	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=815246
10-23-2025 12:59 PM	Sophia Madrid	Sophia (Prim) Replied: I'm 2 min away
10-26-2025 03:41 PM	Jordan Orozco	Good afternoon Mrs Madrid. Unfortunately, I’ll need to cancel our session this week. I don’t like to cancel on my patients, but the appraisal for my home was scheduled for Thursday, and I had no control over the scheduled day/time. I’ll need to be out of the house with my dogs for several hours since they only provided a time window rather than an exact time. Thank you for understanding! We will resume therapy on Thursday November 6th, if that is okay? :)
10-26-2025 03:52 PM	Jordan Orozco	Jordan Orozco CANCELLED: 1:00PM-10/30/2025 92526: Feeding Visit
10-26-2025 06:15 PM	Sophia Madrid	Sophia (Prim) Replied: Sure no problem. Good luck 🍀
10-26-2025 06:15 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.
10-27-2025 10:58 AM	Jordan Orozco	Thank you so much! I appreciate you!
11-02-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 11-06-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 05:09 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
11-02-2025 05:09 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.
11-05-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-06-2025 07:42 AM	Jordan Orozco	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-06-2025 12:45 PM	Jordan Orozco	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=815248
11-06-2025 12:54 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-11/6/2025 92526: Feeding Visit
11-09-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 11-12-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 08:32 PM	Sophia Madrid	Sophia (Prim) Replied: No
11-09-2025 08:32 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.
11-10-2025 10:43 AM	Jordan Orozco	Hello, I can go ahead and cancel Sophia’s appointment. Since this week is my final week, her new therapist will be in contact with you for her scheduling next week. It was a pleasure working with you and Sophia. :)
11-10-2025 11:00 AM	Sophia Madrid	Sophia (Prim) Replied: Thank you so much. So I had to cancel. Sofy has a dentist appointment and I forgot about it. Likewise! Was nice to meet you. Good luck on everything you do 😃🍀
11-10-2025 08:39 PM	Jordan Orozco	No problem, thank you!!
11-10-2025 08:40 PM	Jordan Orozco	Jordan Orozco CANCELLED: 12:00PM-11/12/2025 92526: Feeding Visit
11-13-2025 12:32 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings, and beginning new week I will be taking over services from Ms. Jordan. Due to other preexisting patients on my caseload, I will need to move your appointment. I can offer you all Wednesdays at 1 PM. I hope this will work for your schedule.
11-13-2025 02:06 PM	Sophia Madrid	Sophia (Prim) Replied: Hi! Yes Ofcourse. Wednesday at 1 pm is good. Looking forward to meeting you :)
11-13-2025 02:14 PM	Annette Barron	Thank you for confirming. Ms. Jordan has briefed me as to Sophia's goals and the strategies that have been working, we will continue as is next Wednesday.
11-16-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 11-19-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:28 PM	Sophia Madrid	Sophia (Prim) Replied: Hi. Sophia has a cold. I need to cancel therapy sorry
11-16-2025 04:28 PM	Annette Barron	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 05:48 PM	Annette Barron	I am sorry to hear this. Yes, I will cancel the session. Hope she feels better soon.
11-16-2025 05:49 PM	Annette Barron	Annette Barron CANCELLED: 1:00PM-11/19/2025 92526: Feeding Visit
11-23-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 11-26-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:27 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
11-23-2025 04:27 PM	Annette Barron	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.
11-25-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-26-2025 07:42 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-26-2025 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839963
11-26-2025 12:51 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-11/26/2025 92526: Feeding Visit
11-26-2025 03:12 PM	Annette Barron	Hello. Please do not forget to sign for today's session. Here is the link: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9622&app=839963 Thank you
11-30-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 12-03-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:13 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
11-30-2025 04:13 PM	Annette Barron	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.
12-02-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-03-2025 07:51 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-03-2025 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839964
12-03-2025 12:50 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-12/3/2025 92526: Feeding Visit
12-07-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 12-10-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 05:28 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
12-07-2025 05:28 PM	Annette Barron	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.
12-09-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 07:50 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839965
12-12-2025 11:54 AM	Annette Barron	Good morning. As our Christmas break approaches, I wanted to send you a reminder about the office closure. Both offices will be closed from Wednesday, Dec. 24th through January 2nd. We will resume regular office hours and therapy schedules Monday, January 5th. I am more than happy to answer questions before and after Christmas break.
12-14-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 12-17-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:06 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
12-14-2025 04:06 PM	Annette Barron	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.
12-16-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 07:48 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839966
12-17-2025 12:52 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-12/17/2025 92526: Feeding Visit
01-04-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 01-07-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Sophia Madrid	Sophia (Prim) Replied: No
01-04-2026 04:01 PM	Annette Barron	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	Sophia Madrid	Sophia (Prim) Replied: Can we schedule for Monday, Thursday or Friday please
01-04-2026 04:02 PM	Annette Barron	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 04:26 PM	Annette Barron	Good afternoon. I will cancel the appointment for Wednesday this week. I do have two openings this week: Monday at 1 PM or Thursday at 2 PM. Please let me know which time works best for you. Thank you.
01-04-2026 04:28 PM	Annette Barron	Annette Barron CANCELLED: 1:00PM-1/7/2026 92526: Feeding Visit
01-04-2026 05:06 PM	Sophia Madrid	Sophia (Prim) Replied: Monday at 1 pm is good thanks
01-04-2026 05:06 PM	Annette Barron	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 05:30 PM	Annette Barron	Great. Sophia is scheduled for Monday at 1 PM.
01-04-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 07:57 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864178
01-05-2026 12:55 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-1/5/2026 92526: Feeding Visit
01-05-2026 12:55 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-1/5/2026 92526: Feeding Visit
01-11-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 01-14-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 07:21 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
01-11-2026 07:21 PM	Annette Barron	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.
01-13-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 07:49 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852083
01-14-2026 12:49 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-1/14/2026 92526: Feeding Visit
01-14-2026 05:22 PM	Annette Barron	Good afternoon. If you are available, I have an opening Monday morning at 10 AM. Please let me know as soon as possible. Thank you.
01-14-2026 05:31 PM	Sophia Madrid	Sophia (Prim) Replied: Yes thank you that is perfect
01-16-2026 01:58 PM	Annette Barron	Good afternoon. I need to apologize. I made a mistake and double booked myself Monday. Can we switch Sophia’s extra session to Tuesday at 9 AM? Please let me know as soon as you can. Thank you.
01-16-2026 02:29 PM	Sophia Madrid	Sophia (Prim) Replied: No problem. Do you have a Friday available? Just so she can rest a day between therapies ?
01-16-2026 03:27 PM	Annette Barron	No ma’am, not this week. If you’d like, we can hold off on the extra session until the following week. By then I will have a Monday session open again.
01-16-2026 03:30 PM	Sophia Madrid	Sophia (Prim) Replied: Sure no problem thanks
01-16-2026 03:49 PM	Annette Barron	Ok. I will see you all on Wednesday for our regular session. Again, I apologize for my scheduling error.
01-16-2026 03:51 PM	Sophia Madrid	Sophia (Prim) Replied: Thanks no worries have a rested weekend :)
01-18-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 01-21-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:01 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
01-18-2026 04:01 PM	Annette Barron	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.
01-20-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 07:46 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852084
01-21-2026 12:54 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-1/21/2026 92526: Feeding Visit
01-25-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 01-26-2026 at 10:00 AM, and on 01-28-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:03 PM	Sophia Madrid	Sophia (Prim) Replied: No
01-25-2026 04:03 PM	Annette Barron	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 04:09 PM	Annette Barron	Good afternoon. Are you wanting to cancel for tomorrow only or both appointments this week?
01-25-2026 04:32 PM	Sophia Madrid	Sophia (Prim) Replied: Both apppinments. Sofy has a little cold and Wednesday she has doctors appointments
01-25-2026 04:32 PM	Annette Barron	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 04:41 PM	Annette Barron	Ok. Thank you for letting me know. I hope she feels better soon. If you’re interested, I can offer you my opening next Monday at 10 AM.
01-25-2026 04:41 PM	Annette Barron	Annette Barron CANCELLED: 10:00AM-1/26/2026 92526: Feeding Visit
01-25-2026 04:42 PM	Annette Barron	Annette Barron CANCELLED: 1:00PM-1/28/2026 92526: Feeding Visit
01-25-2026 04:44 PM	Sophia Madrid	Sophia (Prim) Replied: Yes please. See you Monday February 2
01-25-2026 04:44 PM	Annette Barron	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 04:45 PM	Annette Barron	Yes ma’am.
02-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 02-02-2026 at 10:00 AM, and on 02-04-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 05:51 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
02-01-2026 05:52 PM	Annette Barron	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.
02-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:52 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 08:06 AM	Sophia Madrid	Sophia (Prim) Replied: I'm sorry I had to cancel. Sofy was awake all night she just felt asleep
02-02-2026 08:38 AM	Annette Barron	Good morning. Not a problem. I hope to see you all on Wednesday.
02-02-2026 08:40 AM	Annette Barron	Annette Barron CANCELLED: 10:00AM-2/2/2026 92526: Feeding Visit
02-03-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:44 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852086
02-04-2026 12:51 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-2/4/2026 92526: Feeding Visit
02-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 02-11-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:08 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
02-08-2026 04:08 PM	Annette Barron	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.
02-10-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 07:43 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852087
02-11-2026 12:47 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-2/11/2026 92526: Feeding Visit
02-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 02-18-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:53 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
02-15-2026 04:53 PM	Annette Barron	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.
02-17-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 07:41 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852088
02-18-2026 12:52 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-2/18/2026 92526: Feeding Visit
02-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Speech Therapy appointment on 02-25-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:02 PM	Sophia Madrid	Sophia (Prim) Replied: Yea
02-22-2026 04:02 PM	Annette Barron	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.
02-24-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:41 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Speech/Feeding Reevaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852089
02-25-2026 12:59 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-2/25/2026 S9152: Reevaluation
03-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 03-04-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 05:37 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
03-01-2026 05:37 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-03-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 07:39 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852090
03-04-2026 12:55 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-3/4/2026 92526: Feeding Visit
03-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 03-11-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
03-08-2026 04:01 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-10-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:41 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852091
03-11-2026 12:52 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-3/11/2026 92526: Feeding Visit
03-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 03-18-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 05:02 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
03-15-2026 05:02 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 05:04 PM	Sophia Madrid	Sophia (Prim) Replied: Is it a way you can get a taller table to eat? So she's closer to the table and the food doesn't fall on the floor. Or I can take one if you don't have one
03-15-2026 05:04 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-16-2026 11:43 AM	Annette Barron	Hello. Unfortunately we do not have a taller table. If you'd like to bring one into the session to try out, you are welcome to do that.
03-16-2026 12:26 PM	Sophia Madrid	Sophia (Prim) Replied: Ok thanks
03-17-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:39 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 08:35 AM	Sophia Madrid	Sophia (Prim) Replied: Hello. Sorry I had to cancel. Sofy has been awake since 3 am.
03-18-2026 08:55 AM	Annette Barron	Oh no. I’m sorry to hear this. I hope she gets some rest and I will see you all next week.
03-18-2026 08:56 AM	Annette Barron	Annette Barron CANCELLED: 1:00PM-3/18/2026 92526: Feeding Visit
03-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Madrid, Sophia has a Feeding Therapy appointment on 03-25-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:35 PM	Sophia Madrid	Sophia (Prim) Replied: Yes
03-22-2026 04:35 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-24-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:40 AM	Annette Barron	Hi, this is a just a reminder that Sophia has a Feeding Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 12:45 PM	Annette Barron	Sophia Madrid : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852093
03-25-2026 12:50 PM	Sophia Madrid	Sophia is CHECKED IN for: 1:00PM-3/25/2026 92526: Feeding Visit
03-25-2026 02:55 PM	Annette Barron	Annette Barron CANCELLED: 1:00PM-4/1/2026 92526: Feeding Visit
03-25-2026 02:56 PM	Annette Barron	I canceled the Wednesday session for next week. If you are available, I can see Sophia on Monday, March 30th, at 3 PM.
03-25-2026 03:02 PM	Sophia Madrid	Sophia (Prim) Replied: Ok thanks but April 8th is in 2 weeks
03-25-2026 03:03 PM	Sophia Madrid	Sophia (Prim) Replied: That's when she has her doctors appointment
03-25-2026 03:05 PM	Annette Barron	Oh I see. I am sorry, I was confused. Let me fix my error for next week.