New Beginnings | NB1-Office

Patient Name: Isaac

Patient Information:

Patient ID: 9629

Patient First Name: Isaac

Patient Date of Birth: 03-12-2020

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Jason, Wang

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Ortiz, Jessica

FD - Feeding Therapy: Rodriguez, Andrea

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
23222	Active	02-02-2026	07-27-2026	Tricare Select	26	0	0	0
23078	Active	02-16-2026	07-15-2026	Tricare Select	0	26	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25201	08-05-2025	Speech Initial Evaluation	F80.81, F80.0
Speech Background History: Isacc is a 5-year 4 -month-old male who was referred for a speech and language evaluation by his pediatrician due to concerns regarding a language delay. He was accompanied by his mother, Mrs. Carter, who served as the primary informant. Mrs. Carter indicated that she suspects Isaac might have autism; however, he has not undergone an official assessment. Furthermore, she mentioned that his pediatrician suspects ADHD but considers it likely to resolve independently. Mrs. Carter shared that Isacc has consistently experienced difficulty with pronunciation. She also noted that a few months after the family relocated from Georgia, Isacc began to stutter, and it has since become difficult to understand him at all times. During the evaluation, Isacc’s expressive language was primarily characterized by the use of 5- to 6-word utterances, with numerous speech sound errors and frequent stuttering episodes. According to developmental norms, a typically developing child of Isacc’s age is expected to have an expressive vocabulary of over 2,200 words, produce utterances of 5 to 6 words in length, and be approximately 100% intelligible. Isacc was evaluated using the Stuttering Severity Instrument–Fourth Edition (SSI-4) to assess his fluency, and the Clinical Assessment of Articulation and Phonology–Second Edition (CAAP-2) to assess his speech production skills. LANGUAGE BACKGROUND: LANGUAGE INPUT: Mrs. Carter reported that Isacc is only exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Isacc communicated ONLY in English. LANGUAGE OF INTERVENTION: The language of intervention should be English.
Speech Medical History: Per parent report, medical history is not remarkable. Isacc's mother reported that there were no concerns or complications during the pregnancy or delivery. Mother mentioned that Isacc was born with an irregular heartbeat beat but it's resolved now.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Makes requests, Responds to greetings,
Speech Communication Weaknesses: Difficult to understand, Unintelligible,
Speech Background Summary: Isacc demonstrated age-appropriate pragmatic language skills, including initiating interactions and maintaining topics; however, moderate redirection was required to sustain attention and remain engaged in structured conversational tasks.
Speech Diagnosis/Impressions: Isacc is a 5-year 4-month-old male who was referred for a speech and language evaluation by his pediatrician due to concerns regarding a language delay. He was accompanied by his mother, Mrs. Carter, who served as the primary informant. Mrs. Carter indicated that she suspects Isaac might have autism; however, he has not undergone an official assessment. Furthermore, she mentioned that his pediatrician suspects ADHD but considers it likely to resolve independently. Mrs. Carter shared that Isacc has consistently experienced difficulty with pronunciation. She also noted that a few months after the family relocated from Georgia, Isacc began to stutter, and it has since become difficult to understand him at all times. During the evaluation, Isacc’s expressive language was primarily characterized by the use of 5- to 6-word utterances, with numerous speech sound errors and frequent stuttering episodes. According to developmental norms, a typically developing child of Isacc’s age is expected to have an expressive vocabulary of over 2,200 words, produce utterances of 5 to 6 words in length, and be approximately 100% intelligible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Mrs. Carter reported that Isacc is only exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Isacc communicated ONLY in English. LANGUAGE OF INTERVENTION: The language of intervention should be English. During the evaluation, Isacc demonstrated age-appropriate pragmatic language skills, including initiating interactions and maintaining topics; however, moderate redirection was required to sustain focus and remain engaged in structured conversational tasks. Isacc was evaluated using the Stuttering Severity Instrument–Fourth Edition (SSI-4) to assess his fluency, and the Clinical Assessment of Articulation and Phonology–Second Edition (CAAP-2) to assess his speech production skills. Isacc received the following scores on the SSI-4: Frequency 27, Duration 12, Physical Concomitants 6, Standard Score 45 (percentile: 96-99, PROFOUND). According to the SSI-4, Isacc’s Standard Score of 45 indicates that Isacc presents with a PROFOUND FLUENCY DISORDER. Isacc's disfluencies make him difficult to understand. Part-word repetitions and one-syllable word repetitions primarily characterized his stuttering episodes. When experiencing speech disfluencies, he exhibited secondary behaviors characterized by frequent eyebrow elevation, noticeable facial muscle tension, and frequent shifting of his gaze around the environment. Isacc received the following Standard Scores on the CAAP-2: Standard Score: 55 (Consonant Inventory Score: 34 percentile rank 1, age equivalent <2:6). According to the Standard Scores obtained in the CAAP-2, Isacc presents with a PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER, for which therapy is WARRANTED. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Isacc's PROFOUND FLUENCY DISORDER and PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Isacc would greatly BENEFIT from speech therapy services that address the following: /s/, /r/, /l/, /th/ in isolation and at the initial syllable level and coordinating inhalation with phonation, demonstrate understanding of terms used in fluency therapy, use easy, relaxed, smooth speech at the word level, and demonstrate knowledge of bumpy speech vs smooth speech. Without speech therapy, Isacc's safety risk is high since he will likely not be understood if he needs to communicate pain or the need for assistance or understand safety personnel/directions. Isacc's mother will be responsible for his Home Management Intervention Program (HMIP).
Speech Diagnosis/Impressions: Isacc is a 5-year 4-month-old male who was referred for a speech and language evaluation by his pediatrician due to concerns regarding a language delay. He was accompanied by his mother, Mrs. Carter, who served as the primary informant. Mrs. Carter indicated that she suspects Isaac might have autism; however, he has not undergone an official assessment. Furthermore, she mentioned that his pediatrician suspects ADHD but considers it likely to resolve independently. Mrs. Carter shared that Isacc has consistently experienced difficulty with pronunciation. She also noted that a few months after the family relocated from Georgia, Isacc began to stutter, and it has since become difficult to understand him at all times. During the evaluation, Isacc’s expressive language was primarily characterized by the use of 5- to 6-word utterances, with numerous speech sound errors and frequent stuttering episodes. According to developmental norms, a typically developing child of Isacc’s age is expected to have an expressive vocabulary of over 2,200 words, produce utterances of 5 to 6 words in length, and be approximately 100% intelligible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Mrs. Carter reported that Isacc is only exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Isacc communicated ONLY in English. LANGUAGE OF INTERVENTION: The language of intervention should be English. During the evaluation, Isacc demonstrated age-appropriate pragmatic language skills, including initiating interactions and maintaining topics; however, moderate redirection was required to sustain focus and remain engaged in structured conversational tasks. Isacc was evaluated using the Stuttering Severity Instrument–Fourth Edition (SSI-4) to assess his fluency, and the Clinical Assessment of Articulation and Phonology–Second Edition (CAAP-2) to assess his speech production skills. Isacc received the following scores on the SSI-4: Frequency 27, Duration 12, Physical Concomitants 6, Standard Score 45 (percentile: 96-99, PROFOUND). According to the SSI-4, Isacc’s Standard Score of 45 indicates that Isacc presents with a PROFOUND FLUENCY DISORDER. Isacc's disfluencies make him difficult to understand. Part-word repetitions and one-syllable word repetitions primarily characterized his stuttering episodes. When experiencing speech disfluencies, he exhibited secondary behaviors characterized by frequent eyebrow elevation, noticeable facial muscle tension, and frequent shifting of his gaze around the environment. Isacc received the following Standard Scores on the CAAP-2: Standard Score: 55 (Consonant Inventory Score: 34 percentile rank 1, age equivalent <2:6). According to the Standard Scores obtained in the CAAP-2, Isacc presents with a PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER, for which therapy is WARRANTED. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Isacc's PROFOUND FLUENCY DISORDER and PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Isacc would greatly BENEFIT from speech therapy services that address the following: /s/, /r/, /l/, /th/ in isolation and at the initial syllable level and coordinating inhalation with phonation, demonstrate understanding of terms used in fluency therapy, use easy, relaxed, smooth speech at the word level, and demonstrate knowledge of bumpy speech vs smooth speech. Without speech therapy, Isacc's safety risk is high since he will likely not be understood if he needs to communicate pain or the need for assistance or understand safety personnel/directions. Isacc's mother will be responsible for his Home Management Intervention Program (HMIP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

55915

Plan Date: 08-05-2025

Speech Assessment Summary: Isacc is a 5-year 4-month-old male who was referred for a speech and language evaluation by his pediatrician due to concerns regarding a language delay. He was accompanied by his mother, Mrs. Carter, who served as the primary informant. Mrs. Carter indicated that she suspects Isaac might have autism; however, he has not undergone an official assessment. Furthermore, she mentioned that his pediatrician suspects ADHD but considers it likely to resolve independently. Mrs. Carter shared that Isacc has consistently experienced difficulty with pronunciation. She also noted that a few months after the family relocated from Georgia, Isacc began to stutter, and it has since become difficult to understand him at all times. During the evaluation, Isacc’s expressive language was primarily characterized by the use of 5- to 6-word utterances, with numerous speech sound errors and frequent stuttering episodes. According to developmental norms, a typically developing child of Isacc’s age is expected to have an expressive vocabulary of over 2,200 words, produce utterances of 5 to 6 words in length, and be approximately 100% intelligible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Mrs. Carter reported that Isacc is only exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Isacc communicated ONLY in English. LANGUAGE OF INTERVENTION: The language of intervention should be English. During the evaluation, Isacc demonstrated age-appropriate pragmatic language skills, including initiating interactions and maintaining topics; however, moderate redirection was required to sustain focus and remain engaged in structured conversational tasks. Isacc was evaluated using the Stuttering Severity Instrument–Fourth Edition (SSI-4) to assess his fluency, and the Clinical Assessment of Articulation and Phonology–Second Edition (CAAP-2) to assess his speech production skills. Isacc received the following scores on the SSI-4: Frequency 27, Duration 12, Physical Concomitants 6, Standard Score 45 (percentile: 96-99, PROFOUND). According to the SSI-4, Isacc’s Standard Score of 45 indicates that Isacc presents with a PROFOUND FLUENCY DISORDER. Isacc's disfluencies make him difficult to understand. Part-word repetitions and one-syllable word repetitions primarily characterized his stuttering episodes. When experiencing speech disfluencies, he exhibited secondary behaviors characterized by frequent eyebrow elevation, noticeable facial muscle tension, and frequent shifting of his gaze around the environment. Isacc received the following Standard Scores on the CAAP-2: Standard Score: 55 (Consonant Inventory Score: 34 percentile rank 1, age equivalent <2:6). According to the Standard Scores obtained in the CAAP-2, Isacc presents with a PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER, for which therapy is WARRANTED. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Isacc's PROFOUND FLUENCY DISORDER and PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Isacc would greatly BENEFIT from speech therapy services that address the following: /s/, /r/, /l/, /th/ in isolation and at the initial syllable level and coordinating inhalation with phonation, demonstrate understanding of terms used in fluency therapy, use easy, relaxed, smooth speech at the word level, and demonstrate knowledge of bumpy speech vs smooth speech. Without speech therapy, Isacc's safety risk is high since he will likely not be understood if he needs to communicate pain or the need for assistance or understand safety personnel/directions. Isacc's mother will be responsible for his Home Management Intervention Program (HMIP).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. The prognosis for improvement in the area of his impairments is good with continued, consistent speech therapy. Isaac 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.
Fluency	Within 12 months, Isacc will demonstrate the acquisition of developmentally appropriate fluency in spontaneous across all settings in 5 out of 10 trials with accuracy.
Oral Motor/Articulation	Within 12 months, given traditional articulation therapy, Isacc will improve speech intelligibility skills by accurately producing target phonemes with 50% accuracy in order to communicate effectively with family and peers.

Speech and Language Short Term Goals:

Category	Goal Description
Fluency	In 6 months, Isacc will coordinate exhalation with phonation in 3 out of 10 trials given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isacc will demonstrate understanding of terms used in fluency therapy with 30% accuracy given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isacc will use easy relaxed speech at the WORD LEVEL with 30% accuracy given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isacc will demonstrate knowledge of bumpy speech vs smooth speech with 30% accuracy across 3 consecutive sessions in order to improve fluency awareness for functional use.
Oral Motor/Articulation	In 6 months, Isacc will produce the following phonemes in initial syllable position: /s/, /r/, /l/, /th/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Alexander to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Isacc will produce the following phonemes in isolation: /s/, /r/, /l/, /th/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Alexander to be understood by unfamiliar listeners.

58068

Plan Date: 01-20-2026

Speech Assessment Summary: Isaac is a 5-year 10-month-old male who is due for a reevaluation of language development for the last 6 months of speech therapy services. Mrs. Carter reported concerns for possible autism, though Isaac has not received a formal evaluation, and stated that his pediatrician suspects ADHD. Isaac has a history of articulation difficulties and began stuttering after the family relocated from Georgia. Isaac’s expressive language was primarily characterized by 5- to 6-word utterances, with NUMOERUS speech-sound errors and frequent stuttering episodes. According to developmental norms, a typically developing child of Isaac’s age is expected to have an expressive vocabulary of over 2,200 words, produce utterances of 5 to 6 words, and be approximately 100% intelligible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Mrs. Carter reported that Isaac is only exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Isaac communicated ONLY in English. LANGUAGE OF INTERVENTION: The language of intervention should be English. During therapy sessions, Isaac demonstrated age-appropriate pragmatic language skills, including initiating interactions and maintaining topics; however, moderate redirection was required to sustain focus and engagement during structured conversational tasks. Isacc was re-evaluated using the Stuttering Severity Instrument–Fourth Edition (SSI-4) to assess his fluency, and the Clinical Assessment of Articulation and Phonology–Second Edition (CAAP-2) to assess his speech production skills. Isaac received the following scores on the SSI-4: Frequency 19, Duration 10, Physical Concomitants 4, Standard Score 32 (percentile: 89-95 SEVERE). According to the SSI-4, Isaac’s Standard Score of 32 indicates that Isaac presents with a SEVERE FLUENCY DISORDER. Isaac's disfluencies make him difficult to understand. Part-word repetitions and one-syllable word repetitions primarily characterized his stuttering episodes. When experiencing speech disfluencies, he exhibited secondary behaviors characterized by frequent eyebrow elevation, noticeable facial muscle tension, and frequent shifting of his gaze around the environment. Isacc received the following Standard Scores on the CAAP-2: Standard Score: 67 (Consonant Inventory Score: 25 percentile rank 3, age equivalent <2:6). According to the Standard Scores obtained in the CAAP-2, Isacc presents with a PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER, for which therapy is WARRANTED. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Isaac's SEVERE FLUENCY DISORDER and PROFOUND PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. Isacc would greatly BENEFIT from speech therapy services that address the following: /s/, /r/, /l/, /th/ in initial syllable and word level and coordinating inhalation with phonation, demonstrate understanding of terms used in fluency therapy, use easy, relaxed, smooth speech at the word level, and demonstrate knowledge of bumpy speech vs smooth speech. Without speech therapy, Isaac's safety risk is high since he will likely not be understood if he needs to communicate pain, the need for assistance, or understand safety personnel/directions. Isaac's mother will be responsible for his Home Management Intervention Program (HMIP).

Speech Progress to Date: The following are Isaac’s shortterm goals and progress for each: 1. In 6 months, Isaac will coordinate exhalation with phonation in 3 out of 10 trials given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech. BASELINE: 0/10 opp PROGRESS: 3/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 2. In 6 months, Isaac will demonstrate understanding of terms used in fluency therapy with 30% accuracy given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech. BASELINE: 0% acc PROGRESS: 40% acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 3. In 6 months, Isaac will use easy, relaxed speech at the WORD LEVEL with 30% accuracy, given fading cues across 3/5 consecutive sessions, in order to improve understanding of stuttering and how it impacts fluent speech. BASELINE: 0% acc PROGRESS: 30% acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 4. In 6 months, Isaac will demonstrate knowledge of bumpy speech vs smooth speech with 30% accuracy across 3 consecutive sessions in order to improve fluency awareness for functional use. BASELINE: 0% acc PROGRESS: 30% acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 5. In 6 months, Isaac will produce the following phonemes in initial syllable position: /s/, /r/, /l/, /th/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Isaac to be understood by unfamiliar listeners. BASELINE: /s/ with 0% acc, /r/ with 0% acc, /l/ with 0% acc, /th/ with 0% acc. PROGRESS: /s/ with 90% acc, /r/ with 10% acc, /l/ with 90% acc, /th/ with 30% acc -CONTINUE AND MODIFY GOAL In 6 months, Isaac will produce the following phonemes in isolation: /s/, /r/, /l/, /th/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Isaac to be understood by unfamiliar listeners. BASELINE: /s/ with 0% acc, /r/ with 0% acc, /l/ with 0% acc, /th/ with 0% acc. PROGRESS: /s/ with 90% acc, /r/ with 70% acc, /l/ with 90% acc, /th/ with 80% acc -GOAL MET-DISCONTINUE

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.
Fluency	Within 12 months, Isacc will demonstrate the acquisition of developmentally appropriate fluency in spontaneous across all settings in 5 out of 10 trials with accuracy.
Oral Motor/Articulation	Within 12 months, given traditional articulation therapy, Isacc will improve speech intelligibility skills by accurately producing target phonemes with 50% accuracy in order to communicate effectively with family and peers.

Speech and Language Short Term Goals:

Category	Goal Description
Fluency	In 6 months, Isaac will coordinate exhalation with phonation in 5 out of 10 trials given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isaac will demonstrate understanding of terms used in fluency therapy with 50% accuracy given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isaac will use easy relaxed speech at the WORD LEVEL with 50% accuracy given fading cues across 3/5 consecutive sessions in order to improve understanding of stuttering and how it impacts fluent speech.
Fluency	In 6 months, Isaac will demonstrate knowledge of bumpy speech vs smooth speech with 60% accuracy across 3 consecutive sessions in order to improve fluency awareness for functional use.
Oral Motor/Articulation	In 6 months, Isaac will produce the following phonemes in initial syllable position: /r/ and /th/ with decreasing multisensory cues with 50% accuracy across 3 consecutive sessions in order for Isaac to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Isaac will produce the following phonemes in initial word level: /s/, /th/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Iaac to be understood by unfamiliar listeners.

Speech and Language Soap Note/Visit:

Soap Note

491390

Note Date: 03-25-2026

Subjective: Patient needed frequent reminders to return to task,Patient was friendly and cooperative,

Plans: Continue with current Plan of Care,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25275	08-20-2025	Feeding Initial Evaluation	R13.11, R63.32
Feeding Background History: Isaac is a 5 year 5 month old male referred for a feeding evaluation by his pediatrician for concerns regarding feeding difficulties. Isaac's mother accompanied him to the evaluation and served as the informant. According to his mother, Isaac has been dropping food he previously ate since the age of two. Mrs. Carter reported that Isaac is inconsistent with his eating and the foods he eats. Mother stated she limits the amount of food placed on Isaac's plate to reduce stress during mealtimes. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Isaac’s feeding/swallowing skills. Language of intervention: English
Feeding Medical History: Per parent report, medical history is not remarkable. Born full-term. Pediatrician suspects ADHD and autism; however, a formal diagnosis has not been made at this time.
Feeding Medications: None at this time
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary:
Feeding Diagnosis/Impressions: Isaac is a 5 year 5 month old male referred for a feeding evaluation by his pediatrician for concerns regarding feeding difficulties. Isaac's mother accompanied him to the evaluation and served as the informant. According to his mother, Isaac has been dropping food he previously ate since the age of two. Mrs. Carter reported that Isaac is inconsistent with his eating and the foods he eats. Mother stated she limits the amount of food placed on Isaac's plate to reduce stress during mealtimes. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Isaac’s feeding/swallowing skills. Language of intervention: English. Born full-term. Pediatrician suspects ADHD and autism; however, a formal diagnosis has not been made at this time. Isaac’s oral cavity is currently assessed to be functional for feeding and swallowing. He underwent a frenectomy at 1 week of age, with no complications reported following the procedure. Upon observation during the evaluation, Isaac presented with a high, narrow palate and reduced tongue elevation/lateralization, leading to food residue in the oral cavity, which may contribute to his feeding challenges. A bedside swallow evaluation and skilled meal feeding observation revealed that Isaac presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Isaac’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., structural differences, prior frenectomy), nutritional deficits (limited food inventory), feeding skill impairments (decreased oral motor coordination), and psychosocial dysfunction (problematic mealtime behaviors). Isaac’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Isaac’s mother also completed a food inventory checklist in which she reported he currently accepts 25-30 solids and 3 liquids. The following are Isaac’s accepted food items: PROTEINS scrambled eggs, ham, pork, hot dog, lunch meat STARCHES crackers, chips, flour tortillas, bread, cookies, popcorn, french fries. FRUITS: apple, banana, grapes. VEGETABLES broccoli. LIQUIDS: Milk, chocolate milk, and water. It is important to note that the majority of Isaac’s accepted solids are starches and are limited in nutritional variety. Isaac’s mother expressed a desire for him to eat meat, vegetables, and more fruits. NORMREFERENCED ASSESSMENT: Isaac's mother completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children aged 6 months to 7 years. Isaac received an overall rating of “concern,” particularly in the domains of selective/restrictive eating. These caregiverreported concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Isaac was seated at the feeding table and observed to self-feed his preferred food items (grapes and sausage biscuits). During the feeding session, Isaac often required redirection to remain engaged with food items. When presented with non preferred foods (fig bar and cheese crackers), Isaac showed initial hesitancy but was able to interact with them at the level of his oral cavity. With clinician support, he tolerated a few bites. Mother stated this behavior does not occur at home. Isaac is often offered a "prize" to eat what is on his plate. He also demonstrated difficulty describing the sensory characteristics of the foods, which may indicate limited sensory awareness or underdeveloped foodrelated language. SWALLOW/ORAL MOTOR EVALUATION: Isaac demonstrated decreased oral motor skills with the consistencies offered during the evaluation. He exhibited decreased tongue lateralization during chewing, leading to food residue in his oral cavity. No clinical signs or symptoms of aspiration or penetration were observed during the session. Mrs. Carter has not observed any concerns related to Isaac’s swallowing at home, including no episodes of coughing, choking, or signs of distress during meals. Isaac also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Isaac’s oral motor skills appear to be reduced and are likely impacting both his feeding and swallowing function. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 to 45 minutes to address Isaac's CHRONIC PFD and ORAL DYSPHAGIA. Isaac 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 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 Isaac's food repertoire by building on existing preferred foods. Parent education will also be a key component of therapy. Without intervention, Isaac may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Carter 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

56095

Plan Date: 08-20-2025

Feeding Assessment Summary: PATIENT HX: Isaac is a 5 year 5 month old male referred for a feeding evaluation by his pediatrician for concerns regarding feeding difficulties. English. Born full-term. Pediatrician suspects ADHD and autism; however, a formal diagnosis has not been made at this time. Isaac's mother accompanied him to the evaluation and served as the informant. According to his mother, Isaac has been dropping food he previously ate since the age of two. Mrs. Carter reported that Isaac is inconsistent with his eating and the foods he eats. Mother stated she limits the amount of food placed on Isaac's plate to reduce stress during mealtimes. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Isaac’s feeding/swallowing skills. Language of intervention: English. ORAL MECH EXAM: Isaac’s oral cavity is currently assessed to be functional for feeding and swallowing. He underwent a frenectomy at 1 week of age, with no complications reported following the procedure. Upon observation during the evaluation, Isaac presented with a high, narrow palate and reduced tongue elevation/lateralization, leading to food residue in the oral cavity, which may contribute to his feeding challenges. FEEDINGSWALLOWING EVALUATION: A bedside swallow evaluation and skilled meal feeding observation revealed that Isaac presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Isaac’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., structural differences, prior frenectomy), nutritional deficits (limited food inventory), feeding skill impairments (decreased oral motor coordination), and psychosocial dysfunction (problematic mealtime behaviors). Isaac’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: Isaac’s mother also completed a food inventory checklist in which she reported he currently accepts 25-30 solids and 3 liquids. The following are Isaac’s accepted food items: PROTEINS scrambled eggs, ham, pork, hot dog, lunch meat STARCHES crackers, chips, flour tortillas, bread, cookies, popcorn, french fries. FRUITS: apple, banana, grapes. VEGETABLES broccoli. LIQUIDS: Milk, chocolate milk, and water. It is important to note that the majority of Isaac’s accepted solids are starches and are limited in nutritional variety. Isaac’s mother expressed a desire for him to eat meat, vegetables, and more fruits. NORMREFERENCED ASSESSMENT: Isaac's mother completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children aged 6 months to 7 years. Isaac received an overall rating of “concern,” particularly in the domains of selective/restrictive eating. These caregiverreported concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Isaac was seated at the feeding table and observed to self-feed his preferred food items (grapes and sausage biscuits). During the feeding session, Isaac often required redirection to remain engaged with food items. When presented with non preferred foods (fig bar and cheese crackers), Isaac showed initial hesitancy but was able to interact with them at the level of his oral cavity. With clinician support, he tolerated a few bites. Mother stated this behavior does not occur at home. Isaac is often offered a "prize" to eat what is on his plate. He also demonstrated difficulty describing the sensory characteristics of the foods, which may indicate limited sensory awareness or underdeveloped foodrelated language. SWALLOW/ORAL MOTOR EVALUATION: Isaac demonstrated decreased oral motor skills with the consistencies offered during the evaluation. He exhibited decreased tongue lateralization during chewing, leading to food residue in his oral cavity. No clinical signs or symptoms of aspiration or penetration were observed during the session. Mrs. Carter has not observed any concerns related to Isaac’s swallowing at home, including no episodes of coughing, choking, or signs of distress during meals. Isaac also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Isaac’s oral motor skills appear to be reduced and are likely impacting both his feeding and swallowing function. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 to 45 minutes to address Isaac's CHRONIC PFD and ORAL DYSPHAGIA. Isaac 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 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 Isaac's food repertoire by building on existing preferred foods. Parent education will also be a key component of therapy. Without intervention, Isaac may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Carter will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Isaac will be discharged when his feeding inventory is 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, Isaac 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, Isaac will complete facial AND intraoral stimulation exercises via z-vibe in 5 out of 10 opportunities across 3 consecutive sessions in order to reduce sensory sensitivities and build tolerance for feeding activities.
Feeding/Swallowing	In 6 months, Isaac will touch non preferred foods with his parts of his face in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment
Feeding/Swallowing	In 6 months, Isaac will touch non preferred foods with his parts of his oral cavity in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment
Feeding/Swallowing	In 6 months, Isaac will add 1 to 2 food chained items to his food inventory in order to increase quantity and variety of his food inventory to support his nutritional needs.
Feeding/Swallowing	In 6 months, Isaac will identify and describe sensory features (e.g., "soft", "crunchy", "sweet", "cold") of food in his hands or mouth with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote interactions with non?preferred foods to increase consumption of all food groups.

57933

Plan Date: 01-15-2026

Feeding Assessment Summary: PATIENT HX: Isaac is a 5 year 10 month old male referred for a feeding evaluation by his pediatrician for concerns regarding feeding difficulties. English. Born full-term. Pediatrician suspects ADHD and autism; however, a formal diagnosis has not been made at this time. Isaac's mother accompanied him to the evaluation and served as the informant. According to his mother, Isaac has been dropping food he previously ate since the age of two. Mrs. Carter reported that Isaac is inconsistent with his eating and the foods he eats. Mother stated she limits the amount of food placed on Isaac's plate to reduce stress during mealtimes. Isaac is due for a re evaluation to determine if continued feeding therapy is warranted. Isaac's feeding skills were reevaluated using a bedside feeding evaluation and skilled meal feeding observation.Language of intervention: English. ORAL MECH EXAM: Isaac’s oral cavity is currently assessed to be functional for feeding and swallowing. He underwent a frenectomy at 1 week of age, with no complications reported following the procedure. Upon observation during the evaluation, Isaac presented with a high, narrow palate and reduced tongue elevation/lateralization, leading to food residue in the oral cavity, which may contribute to his feeding challenges. FEEDINGSWALLOWING EVALUATION: A bedside swallow evaluation and skilled meal feeding observation revealed that Isaac continues to present with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. Isaac’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., structural differences, prior frenectomy), nutritional deficits (limited food inventory), feeding skill impairments (decreased oral motor coordination), and psychosocial dysfunction (problematic mealtime behaviors). Isaac’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. MEALTIME FEEDING OBSERVATION: Isaac was seated at the feeding table and observed to self-feed his preferred food items (spaghetti Alfredo). During the feeding session, Isaac often required redirection to remain engaged with food items. When presented with non preferred foods (breadstick, peanut butter bar, pretzels), Isaac showed initial hesitancy but was able to interact with them by licking and biting. SWALLOW/ORAL MOTOR EVALUATION: Isaac demonstrated decreased oral motor skills with the consistencies offered during the evaluation. He exhibited decreased tongue lateralization during chewing, leading to food residue in his oral cavity. No clinical signs or symptoms of aspiration or penetration were observed during the session. Mrs. Carter has not observed any concerns related to Isaac’s swallowing at home, including no episodes of coughing, choking, or signs of distress during meals. Isaac also does not have a history of aspiration pneumonia. Based on the foods trialed and the behaviors observed during the evaluation, Isaac’s oral motor skills appear to be reduced and are likely impacting both his feeding and swallowing function. PROGRESS TO DATE: During this authorization period, Isaac has added three food items to his inventory; bananas, apples, granola bar. With clinician support, Isaac is now interacting with non-preferred food by licking and biting. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 to 45 minutes to address Isaac's CHRONIC PFD and ORAL DYSPHAGIA. Isaac 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 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 Isaac's food repertoire by building on existing preferred foods. Parent education will also be a key component of therapy. Without intervention, Isaac may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Carter will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Progress to Date: The following are Isaac's goals and progress: 1. In 6 months, Isaac will complete facial AND intraoral stimulation exercises via z-vibe in 5 out of 10 opportunities across 3 consecutive sessions in order to reduce sensory sensitivities and build tolerance for feeding activities. BASELINE: 30% NOW: 80% --- GOAL MET 2. In 6 months, Isaac will touch non preferred foods with his parts of his face in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment BASELINE: 0% NOW: 40% --- GOAL MET 3. In 6 months, Isaac will touch non preferred foods with his parts of his oral cavity in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment BASELINE: 0% NOW: 40% --- GOAL MET 4. In 6 months, Isaac will add 1 to 2 food chained items to his food inventory in order to increase quantity and variety of his food inventory to support his nutritional needs. BASELINE: 0% NOW: 20% --- GOAL MET 5. In 6 months, Isaac will identify and describe sensory features (e.g., "soft", "crunchy", "sweet", "cold") of food in his hands or mouth with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote interactions with non?preferred foods to increase consumption of all food groups. BASELINE: 20% NOW: 30% --- GOAL MET

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, Isaac 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, Isaac will identify and describe sensory features (e.g., "soft", "crunchy", "sweet", "cold") of food in his hands or mouth with 40% accuracy given multisensory cues across 3 consecutive sessions in order to promote interactions with non?preferred foods to increase consumption of all food groups.
Feeding/Swallowing	In 6 months, Isaac will touch non preferred foods with his parts of his face in 4 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment
Feeding/Swallowing	In 6 months, Isaac will touch non preferred foods with his parts of his oral cavity in 4 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment
Feeding/Swallowing	In 6 months, Isaac will add 1 to 2 food chained items to his food inventory in order to increase quantity and variety of his food inventory to support his nutritional needs.
Feeding/Swallowing	In 6 months, Isaac will lick AND/OR bite nonpreferred/new foods presented with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote interactions with non?preferred foods to increase consumption of all food groups.

Feeding Therapy Soap Note/Visit:

Soap Note

491128

Note Date: 03-24-2026

Subjective: Patient was friendly and cooperative,

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. Isaac completed facial AND intraoral stimulation exercises via z-vibe in 4 out of 10 opportunities with MODERATE cues in order to reduce sensory sensitivities and build tolerance for feeding activities. Isaac touched non preferred foods with his parts of his face in 4 out of 10 opportunities with MODERATE cues in order to improve his tolerance and acceptance of non preferred foods in his immediate environment Isaac touched non preferred foods with his parts of his oral cavity in 4 out of 10 opportunities with MODERATE cues in order to improve his tolerance and acceptance of non preferred foods in his immediate environment Isaac will add 1 to 2 food chained items to his food inventory in order to increase quantity and variety of his food inventory with MODERATE cues to support his nutritional needs. Isaac identified and describe sensory features (e.g., "soft", "crunchy", "sweet", "cold") of food in his hands or mouth with 40% accuracy with MODERATE cues in order to promote interactions with non?preferred foods to increase consumption of all food groups.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
777698	92523: Artic & Language Eval	08-05-2025 11:00 AM	08-05-2025 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
785673	92507: Speech & Language Visit	08-14-2025 09:00 AM	08-14-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
790148	92610: Feeding Evaluation	08-20-2025 09:00 AM	08-20-2025 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
785674	92507: Speech & Language Visit	08-21-2025 09:00 AM	08-21-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793778	92526: Feeding Visit	09-02-2025 09:00 AM	09-02-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
785676	92507: Speech & Language Visit	09-05-2025 09:00 AM	09-05-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793779	92526: Feeding Visit	09-09-2025 09:00 AM	09-09-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
805619	92507: Speech & Language Visit	09-11-2025 09:00 AM	09-11-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793780	92526: Feeding Visit	09-16-2025 09:00 AM	09-16-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
805620	92507: Speech & Language Visit	09-18-2025 09:00 AM	09-18-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
805621	92507: Speech & Language Visit	09-25-2025 09:15 AM	09-25-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793782	92526: Feeding Visit	09-30-2025 09:00 AM	09-30-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
811732	92526: Feeding Visit	10-01-2025 03:30 PM	10-01-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
805622	92507: Speech & Language Visit	10-02-2025 09:00 AM	10-02-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793783	92526: Feeding Visit	10-07-2025 09:00 AM	10-07-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
805623	92507: Speech & Language Visit	10-09-2025 09:00 AM	10-09-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793784	92526: Feeding Visit	10-14-2025 09:00 AM	10-14-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
805624	92507: Speech & Language Visit	10-16-2025 09:00 AM	10-16-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
793785	92526: Feeding Visit	10-21-2025 09:00 AM	10-21-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
805625	92507: Speech & Language Visit	10-22-2025 09:00 AM	10-22-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
825005	92507: Speech & Language Visit	10-23-2025 03:15 PM	10-23-2025 04:00 PM	Jessica Ortiz	NB2 far east side	Completed
805626	92507: Speech & Language Visit	10-30-2025 09:15 AM	10-30-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
834523	92507: Speech & Language Visit	11-04-2025 04:15 PM	11-04-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
831854	92526: Feeding Visit	11-06-2025 03:30 PM	11-06-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834524	92507: Speech & Language Visit	11-11-2025 04:15 PM	11-11-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
831855	92526: Feeding Visit	11-13-2025 03:30 PM	11-13-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834525	92507: Speech & Language Visit	11-18-2025 04:15 PM	11-18-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
834527	92507: Speech & Language Visit	12-02-2025 04:15 PM	12-02-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840402	92526: Feeding Visit	12-04-2025 03:30 PM	12-04-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834528	92507: Speech & Language Visit	12-09-2025 04:15 PM	12-09-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840403	92526: Feeding Visit	12-11-2025 03:30 PM	12-11-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834529	92507: Speech & Language Visit	12-16-2025 04:15 PM	12-16-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840404	92526: Feeding Visit	12-18-2025 03:30 PM	12-18-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834532	92507: Speech & Language Visit	01-05-2026 04:15 PM	01-05-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840407	92526: Feeding Visit	01-08-2026 03:30 PM	01-08-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834533	92507: Speech & Language Visit	01-13-2026 04:15 PM	01-13-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840408	S9152: Reevaluation	01-15-2026 03:30 PM	01-15-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834534	S9152: Reevaluation	01-20-2026 04:15 PM	01-20-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840409	92526: Feeding Visit	01-22-2026 03:30 PM	01-22-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
834535	92507: Speech & Language Visit	01-27-2026 04:15 PM	01-27-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840410	92526: Feeding Visit	01-29-2026 03:30 PM	01-29-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
882921	92507: Speech & Language Visit	02-03-2026 04:15 PM	02-03-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
840411	92526: Feeding Visit	02-05-2026 03:30 PM	02-05-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
880793	92526: Feeding Visit	02-09-2026 03:30 PM	02-09-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
888651	92507: Speech & Language Visit	02-12-2026 05:00 PM	02-12-2026 06:00 PM	Jessica Ortiz	NB2 far east side	Completed
883969	92507: Speech & Language Visit	02-17-2026 04:15 PM	02-17-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
883760	92526: Feeding Visit	03-02-2026 03:30 PM	03-02-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
883971	92507: Speech & Language Visit	03-03-2026 04:15 PM	03-03-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
883761	92526: Feeding Visit	03-09-2026 04:00 PM	03-09-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Completed
883972	92507: Speech & Language Visit	03-10-2026 04:15 PM	03-10-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
883973	92507: Speech & Language Visit	03-17-2026 04:15 PM	03-17-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
909016	92526: Feeding Visit	03-18-2026 12:15 PM	03-18-2026 12:45 PM	Andrea Rodriguez	NB2 far east side	Completed
883763	92526: Feeding Visit	03-23-2026 03:30 PM	03-23-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Completed
883974	92507: Speech & Language Visit	03-24-2026 04:15 PM	03-24-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
793777	92526: Feeding Visit	08-26-2025 09:00 AM	08-26-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
785675	92507: Speech & Language Visit	08-28-2025 09:00 AM	08-28-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled
793781	92526: Feeding Visit	09-23-2025 09:00 AM	09-23-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
793786	92526: Feeding Visit	10-28-2025 09:00 AM	10-28-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
831856	92526: Feeding Visit	11-20-2025 03:30 PM	11-20-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
834526	92507: Speech & Language Visit	11-25-2025 04:15 PM	11-25-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Canceled
840401	92526: Feeding Visit	11-27-2025 03:30 PM	11-27-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
834530	92507: Speech & Language Visit	12-23-2025 04:15 PM	12-23-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Canceled
840405	92526: Feeding Visit	12-25-2025 03:30 PM	12-25-2025 04:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
834531	92507: Speech & Language Visit	12-30-2025 04:15 PM	12-30-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Canceled
840406	92526: Feeding Visit	01-01-2026 03:30 PM	01-01-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
883968	92507: Speech & Language Visit	02-10-2026 04:15 PM	02-10-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Canceled
883385	92526: Feeding Visit	02-16-2026 03:30 PM	02-16-2026 04:30 PM	Andrea Rodriguez	NB2 far east side	Canceled
883759	92526: Feeding Visit	02-23-2026 03:30 PM	02-23-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Canceled
883970	92507: Speech & Language Visit	02-24-2026 04:15 PM	02-24-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
883764	92526: Feeding Visit	03-30-2026 03:30 PM	03-30-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
883975	92507: Speech & Language Visit	03-31-2026 04:15 PM	03-31-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883765	92526: Feeding Visit	04-06-2026 03:30 PM	04-06-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
883976	92507: Speech & Language Visit	04-07-2026 04:15 PM	04-07-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883766	92526: Feeding Visit	04-13-2026 03:30 PM	04-13-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
883977	92507: Speech & Language Visit	04-14-2026 04:15 PM	04-14-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883767	92526: Feeding Visit	04-20-2026 03:30 PM	04-20-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
883978	92507: Speech & Language Visit	04-21-2026 04:15 PM	04-21-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883768	92526: Feeding Visit	04-27-2026 03:30 PM	04-27-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
883979	92507: Speech & Language Visit	04-28-2026 04:15 PM	04-28-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883769	92526: Feeding Visit	05-04-2026 03:30 PM	05-04-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
882922	92507: Speech & Language Visit	05-05-2026 04:15 PM	05-05-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882923	92507: Speech & Language Visit	05-12-2026 04:15 PM	05-12-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882924	92507: Speech & Language Visit	05-19-2026 04:15 PM	05-19-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882925	92507: Speech & Language Visit	05-26-2026 04:15 PM	05-26-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882926	92507: Speech & Language Visit	06-02-2026 04:15 PM	06-02-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882927	92507: Speech & Language Visit	06-09-2026 04:15 PM	06-09-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882928	S9152: Reevaluation	06-16-2026 04:15 PM	06-16-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882929	92507: Speech & Language Visit	06-23-2026 04:15 PM	06-23-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882930	92507: Speech & Language Visit	06-30-2026 04:15 PM	06-30-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883770	92526: Feeding Visit	07-06-2026 03:30 PM	07-06-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
882931	92507: Speech & Language Visit	07-07-2026 04:15 PM	07-07-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
883771	92526: Feeding Visit	07-13-2026 03:30 PM	07-13-2026 04:00 PM	Andrea Rodriguez	NB2 far east side	Scheduled
882932	92507: Speech & Language Visit	07-14-2026 04:15 PM	07-14-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
882933	92507: Speech & Language Visit	07-21-2026 04:15 PM	07-21-2026 05:00 PM	Jessica Ortiz	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
8/5/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	38.00	-38.00
8/5/25	Patient Payment Received (Stripe)	38.00	38.00	0.00
8/14/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	38.00	76.00	-38.00
8/14/25	Patient Payment Received (Stripe)	76.00	76.00	0.00
8/20/25	Patient visit charged - Feeding Evaluation: Feeding Evaluation	76.00	114.00	-38.00
8/20/25	Patient Payment Received (Stripe)	114.00	114.00	0.00
8/21/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	114.00	152.00	-38.00
8/21/25	Patient Payment Received (Stripe)	152.00	152.00	0.00
9/2/25	Patient visit charged - Feeding Visit: Feeding Visit	152.00	190.00	-38.00
9/3/25	Patient Payment Received (Stripe)	190.00	190.00	0.00
9/5/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	190.00	228.00	-38.00
9/5/25	Patient Payment Received (Stripe)	228.00	228.00	0.00
9/9/25	Patient visit charged - Feeding Visit: Feeding Visit	228.00	266.00	-38.00
9/10/25	Patient Payment Received (Stripe)	266.00	266.00	0.00
9/11/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	266.00	304.00	-38.00
9/16/25	Patient visit charged - Feeding Visit: Feeding Visit	266.00	342.00	-76.00
9/16/25	Patient Payment Received (Stripe)	304.00	342.00	-38.00
9/18/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	304.00	380.00	-76.00
9/18/25	Patient Payment Received (Stripe)	342.00	380.00	-38.00
9/25/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
9/30/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
10/1/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
10/2/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
10/7/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
10/9/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
10/14/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
10/16/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
10/21/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
10/22/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
10/23/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
10/30/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
11/4/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
11/6/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
11/11/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
11/13/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
11/18/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
12/2/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
12/4/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
12/9/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
12/11/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
12/16/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit (Loss limit)	342.00	380.00	-38.00
12/18/25	Patient visit charged - Feeding Visit: Feeding Visit (Loss limit)	342.00	380.00	-38.00
1/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	342.00	418.00	-76.00
1/8/26	Patient visit charged - Feeding Visit: Feeding Visit	342.00	456.00	-114.00
1/8/26	Deductible	342.00	498.63	-156.63
1/13/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	342.00	536.63	-194.63
1/14/26	Patient Payment Received (Stripe)	494.00	536.63	-42.63
1/15/26	Patient visit charged - Reevaluation: Reevaluation	494.00	575.63	-81.63
1/20/26	Patient visit charged - Reevaluation: Reevaluation	494.00	614.63	-120.63
1/20/26	Deductible	494.00	656.79	-162.79
1/22/26	Patient visit charged - Feeding Visit: Feeding Visit	494.00	695.79	-201.79
1/27/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	494.00	734.79	-240.79
1/29/26	Patient visit charged - Feeding Visit: Feeding Visit	494.00	773.79	-279.79
1/30/26	Patient Payment Received (Stripe)	533.00	773.79	-240.79
2/3/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	533.00	812.79	-279.79
2/3/26	Patient Payment Received (Stripe)	728.00	812.79	-84.79
2/5/26	Patient visit charged - Feeding Visit: Feeding Visit	728.00	851.79	-123.79
2/9/26	Patient visit charged - Feeding Visit: Feeding Visit	728.00	890.79	-162.79
2/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	728.00	929.79	-201.79
2/12/26	Patient Payment Received (Stripe)	767.00	929.79	-162.79
2/17/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	767.00	968.79	-201.79
2/18/26	Patient Payment Received (Stripe)	806.00	968.79	-162.79
3/2/26	Patient visit charged - Feeding Visit: Feeding Visit	806.00	1007.79	-201.79
3/3/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	806.00	1046.79	-240.79
3/3/26	Patient Payment Received (Stripe)	845.00	1046.79	-201.79
3/9/26	Patient visit charged - Feeding Visit: Feeding Visit	845.00	1085.79	-240.79
3/10/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	845.00	1124.79	-279.79
3/14/26	Patient Payment Received (Stripe)	1040.00	1124.79	-84.79
3/17/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1040.00	1163.79	-123.79
3/18/26	Patient visit charged - Feeding Visit: Feeding Visit	1040.00	1202.79	-162.79
3/23/26	Patient visit charged - Feeding Visit: Feeding Visit	1040.00	1241.79	-201.79
3/24/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1040.00	1280.79	-240.79

Billing History:

Date	Service Description	Units	$Amount	$Status
8/5/25	92523: Artic & Language Eval	1	345.00	Billed and Paid
8/14/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
8/20/25	92610: Feeding Evaluation	1	220.00	Billed and Paid
8/21/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/2/25	92526: Feeding Visit	1	140.00	Billed and Paid
9/5/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/9/25	92526: Feeding Visit	1	140.00	Billed and Paid
9/11/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/16/25	92526: Feeding Visit	1	140.00	Billed and Paid
9/18/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/25/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/30/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/1/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/2/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/7/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/9/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/14/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/16/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/21/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/22/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/23/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/30/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/4/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/6/25	92526: Feeding Visit	1	140.00	Billed and Paid
11/11/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/13/25	92526: Feeding Visit	1	140.00	Billed and Paid
11/18/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/2/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/4/25	92526: Feeding Visit	1	140.00	Billed and Paid
12/9/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/11/25	92526: Feeding Visit	1	140.00	Billed and Paid
12/16/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/18/25	92526: Feeding Visit	1	140.00	Billed and Paid
1/5/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/8/26	92526: Feeding Visit	1	140.00	Billed and Paid
1/13/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/15/26	S9152: Reevaluation	1	240.00	Billed and Paid
1/20/26	S9152: Reevaluation	1	240.00	Billed and Paid
1/22/26	92526: Feeding Visit	1	140.00	Billed and Paid
1/27/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/29/26	92526: Feeding Visit	1	140.00	Billed and Paid
2/3/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/5/26	92526: Feeding Visit	1	140.00	EDI Submited
2/9/26	92526: Feeding Visit	1	140.00	EDI Submited
2/12/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/17/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/2/26	92526: Feeding Visit	1	140.00	Unbilled
3/3/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/9/26	92526: Feeding Visit	1	140.00	Unbilled
3/10/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/17/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/18/26	92526: Feeding Visit	1	140.00	Unbilled
3/23/26	92526: Feeding Visit	1	140.00	Unbilled
3/24/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
03-13-2026	Monica Padilla	Added debit adjustment for DOS 01/08/26 and 01/20/26 per EOP dated 02/17/26. DOS 01/08/26 Tricare pd. 0.00 (applied 68.84 to pt. deductible) pt. pd. 38.00; adjustment 42.63. claim# M040X006L0000 DOS 01/20/26 Tricare pd. 0.00 (applied 81.16 to pt. deductible) pt. pd. 39.00; adjustment 42.16. claim# M040X007J0000
01-23-2026	Asbel Guajardo	Mom called about new charge of $117 and I explained to her that every year it renews and they start paying again until the catastrophic cap is met. Each service has a copay and needs to be paid. Mom said that they will pay on wednesday because that is when they get paid.
09-25-2025	Asbel Guajardo	Patient has met cap
08-15-2025	Asbel Guajardo	School note

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-24-2026	92507	Ortiz, Jessica
02-23-2026	92526	Rodriguez, Andrea
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! :)
02-10-2026	92507	Ortiz, Jessica
01-01-2026	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!
12-30-2025	92507	Ortiz, Jessica	Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-25-2025	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!
12-23-2025	92507	Ortiz, Jessica	Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
11-27-2025	92526	Rodriguez, Andrea
11-25-2025	92507	Ortiz, Jessica	Hola, este es un recordatorio de que no estaré en la oficina la semana del Día de Gracias, 24-28 de Noviembre, Gracias :) Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-20-2025	92526	Rodriguez, Andrea
10-28-2025	92526	Rodriguez, Andrea
09-23-2025	92526	Rodriguez, Andrea
08-28-2025	92507	Ortiz, Jessica	Hello, just a friendly reminder that we will not have speech therapy on Thursday. Thank you. :) Hola, esto es un recordatorio de que no tendremos terapia del habla el jueves. Gracias :)
08-26-2025	92526	Rodriguez, Andrea

Paient Messages Admin:

Date	Posted By	Message
07-22-2025 10:26 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=1954
07-28-2025 03:42 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/step1.aspx?sid=1954
07-30-2025 05:33 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=1954
08-05-2025 10:44 AM	Asbel Guajardo	Hi, it looks like we need to reschedule your Feeding Evaluation. We will get back to you soon with an update or to schedule a new appointment. If you have any questions, please let us know. Thanks! 😊
08-11-2025 09:31 AM	Patsy Guajardo	Carter, Isacc has been assigned a therapist.
08-13-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-14-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35557. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
08-14-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-15-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-16-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-17-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-18-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-19-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9629
08-20-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35698. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
08-20-2025 10:17 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=790148
08-21-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35732. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
08-21-2025 10:44 AM	Patsy Guajardo	Carter, Isaac has been assigned a therapist.
09-02-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35908. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-02-2025 09:21 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793778
09-03-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 09-02-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35908. Thank you for allowing us to serve your child! 🙂
09-05-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36011. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-08-2025 11:38 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 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36075. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-09-2025 09:20 AM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793779
09-10-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 09-09-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36075. Thank you for allowing us to serve your child! 🙂
09-16-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36218. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-16-2025 09:12 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793780
09-18-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36285. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-25-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36431. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-25-2025 10:10 AM	Patsy Guajardo	Good Morning Ms. Carter, please do not pay the copay anymore, it will renew in January again.
09-25-2025 12:02 PM	Isaac Carter	Thank you so much for checking on that for me 🙂 have a blessed day!!
09-30-2025 09:05 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793782
10-01-2025 03:30 PM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=811732
10-07-2025 09:04 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793783
10-14-2025 09:07 AM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793784
10-21-2025 09:41 AM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=793785
11-06-2025 03:48 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=831854
11-11-2025 10:40 AM	Stephen Tullius	Happy Veterans Day! Today we pause to honor and thank all those who have served our country with courage, dedication, and sacrifice. Your bravery and commitment protect the freedoms we cherish every day. From all of us at New Beginnings, we extend our deepest gratitude to veterans and their families for the strength, resilience, and love you have shown in service to our nation.
11-13-2025 12:45 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
11-13-2025 03:36 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=831855
11-25-2025 02:52 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.
12-04-2025 03:38 PM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840402
12-11-2025 03:34 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840403
12-18-2025 03:54 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840404
12-23-2025 02:04 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
01-08-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38249. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-08-2026 03:41 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840407
01-09-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-08-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38249. Thank you for allowing us to serve your child! 🙂
01-13-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38343. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-14-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-13-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38343. Thank you for allowing us to serve your child! 🙂
01-15-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38449. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-16-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-15-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38449. Thank you for allowing us to serve your child! 🙂
01-20-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38552. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-20-2026 12:09 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! 💙
01-21-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-20-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38552. Thank you for allowing us to serve your child! 🙂
01-22-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38635. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-22-2026 03:45 PM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840409
01-23-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-22-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38635. Thank you for allowing us to serve your child! 🙂
01-27-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38738. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-28-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-27-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38738. Thank you for allowing us to serve your child! 🙂
01-29-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38833. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-29-2026 09:49 AM	Patsy Guajardo	Hello, there is an outstanding balance of 156.00, we send you a link with today′s session co pay and the outstanding balance. Please pay as soon as possible to be seen today. Thank you!
01-29-2026 03:43 PM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840410
01-30-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 01-29-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38833. Thank you for allowing us to serve your child! 🙂
02-03-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38923. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:51 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! 💙
02-05-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39036. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-05-2026 03:41 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=840411
02-06-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 02-05-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39036. Thank you for allowing us to serve your child! 🙂
02-09-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39101. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-09-2026 03:37 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=880793
02-10-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 02-09-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39101. Thank you for allowing us to serve your child! 🙂
02-10-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39151. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-12-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39251. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9629
02-17-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39360. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-18-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 02-17-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39360. Thank you for allowing us to serve your child! 🙂
02-18-2026 04:15 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/
02-23-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39481. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-02-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39673. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-02-2026 03:37 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883760
03-03-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-02-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39673. Thank you for allowing us to serve your child! 🙂
03-03-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39698. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-04-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-03-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39698. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39975. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:23 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=9629
03-10-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-09-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39975. Thank you for allowing us to serve your child! 🙂
03-10-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40006. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-10-2026 08:41 AM	Patsy Guajardo	Good Morning, there is a balance owed for visits provided on 2/5, 2/9, 3/3 and 3/9. I have send you a link with the total of those sessions provided along with todays visit. Remember payments are done at the time of session, please pay total as soon as possible to avoid being place on hold. Thank you in advance!
03-11-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-10-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40006. Thank you for allowing us to serve your child! 🙂
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-13-2026 09:52 AM	Monica Padilla	Good morning Ms. Carter, This is New Beginnings reaching out to let you know that Tricare applied your deductible to visits on 01/08/26 and 01/20/26 leaving an outstanding balance of $84.79. Payment link has been sent. Please call the office if you have any questions. Thank you for allowing us to serve your child.
03-13-2026 02:47 PM	Patsy Guajardo	Good Afternoon, there is an outstanding balance of 156.00, we send you a link with the outstanding balance. Please pay as soon as possible to be able to continue with therapy. We will place patient on HOLD till balance is cleared. Thank you!
03-17-2026 09:11 AM	Isaac Carter	Hello, I paid almost $200 on Friday. Is some of that balance included in what I just paid? Is Isaac still ok to be seen today, or is his account still on hold?
03-17-2026 09:22 AM	Patsy Guajardo	Good morning! As of Friday, your balance was $279.79. After your payment of $195.00, the remaining balance was $84.79. This morning, I sent you a link that includes both that remaining balance and today’s session co-pay, bringing the total to $123.79.
03-17-2026 09:38 AM	Isaac Carter	Ok, thanks so much!!
03-18-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-17-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40244. Thank you for allowing us to serve your child! 🙂
03-18-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40259. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-18-2026 09:57 AM	Patsy Guajardo	Good Morning, there is an outstanding balance of 123.79, we send you a link with the outstanding balance plus todays visit 39.00. Please pay as soon as possible to be able to continue with therapy and not be placed on HOLD. Thank you!
03-18-2026 12:19 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=909016
03-23-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40489. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-23-2026 03:42 PM		This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883763
03-23-2026 05:44 PM	Patsy Guajardo	Good Afternoon, there is a balance owed now of 201.79, this needs to be paid in full in order to be seen Tomorrow, I will send you a link with the total. Thank you!
03-24-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Isaac Carter from therapy on 03-23-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40489. Thank you for allowing us to serve your child! 🙂
03-24-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Isaac Carter. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40523. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-24-2026 07:37 AM	Isaac Carter	Hello, thank you for sending me the link. I won't be able to pay the balance off until next Monday. I apologize, it's just that with the new baby we have extra expenses and I'm doing my best to balance everything. If my child can still be seen today with the commitment of paying the balance next week that would be great. If not, I understand. He can be placed on hold until Monday when I can make the payment and we'll continue his therapy next week. Please let me know what you decide. Thank you!
03-24-2026 10:02 AM	Patsy Guajardo	Good Morning! sounds good we can wait for the payment for Monday, I will send you the link with the total for the balance owed plus today's copay. that way you can just pay on monday tru that link. Thank you for responding!!

Paient Messages Therapist:

Date	Posted By	Message
08-01-2025 09:03 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=9629&tid=44
08-01-2025 09:03 PM	Isacc Carter	Isacc SCHEDULED: 11:00AM-8/5/2025 92523: Speech Evaluation
08-01-2025 09:03 PM	Andrea Rodriguez Stokes	Hi, my name is Andrea, 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=9629&tid=127
08-01-2025 09:03 PM	Isacc Carter	Isacc SCHEDULED: 9:00AM-8/14/2025 92610: Feeding Evaluation
08-04-2025 10:11 AM	Andrea Rodriguez Stokes	Good morning! Isacc is scheduled for 8/14/2025. I have three documents for you to fill out before the evaluation. Do you have access to a printer?
08-04-2025 11:08 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Isacc’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 tomorrow at 11 am. Our address is 3551 Rich Been, Suite B, 79938. Please complete this questionnaire before the evaluation; it will help me determine which assessment to use.
08-04-2025 11:09 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/08042025110945-NB-initial.pdf
08-04-2025 11:10 AM	Jessica Ortiz	Please fill out the questionnaire via text message. Thank you.
08-04-2025 08:58 PM	Isacc Carter	Isacc (Prim) Replied: Name/DOB: Isaac W. Carter 03/12/2020 No complications during pregnancy. He was born with an irregular heart beat but it's resolved now. He had Strep throat in June, just seasonal allergies, no food or medicine allergies, We suspect Autism but has not been officially diagnosed. Pediatrician suspects a touch of ADHD but said it should resolve on its own. Sitting up about 7 months, Crawling age 9 months, standing up 10 months, walking 12 months, feeding self 18 months, dressing self age 3 years, potty trained 3 years, 1st word age 7 months (Momma), word combinations 2-3 years. No known sleeping or breathing issues. Starting kindergarten on 08/11/25, no preschool or daycare before. Only speaks English. No known hearing or vision issues. He's always had trouble with pronunciation, but a few months after we moved here from Georgia he started stuttering. Now, it's hard to understand him at all sometimes. We've tried working with him on our own, but we need professional intervention because we aren't seeing any improvement with what we're doing.
08-04-2025 08:58 PM	Jessica Ortiz	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.
08-05-2025 09:05 AM	Andrea Rodriguez Stokes	Good morning! Isacc is scheduled on 8/14/2025 for his feeding evaluation. I have three documents for you to fill out before the evaluation. Do you have access to a printer?
08-05-2025 09:07 AM	Isacc Carter	Isacc (Prim) Replied: Good morning! No, I don't have a printer at home right now. Can they be filled out digitally? If not, I can ask if my husband can print the documents at work.
08-05-2025 09:12 AM	Andrea Rodriguez Stokes	No worries! Are you able to come in 15-20 minutes before the evaluation begins to fill out the documents in the lobby? :)
08-05-2025 09:13 AM	Isacc Carter	Isacc (Prim) Replied: Yes, that would be fine! Thank you!
08-05-2025 09:13 AM	Andrea Rodriguez Stokes	Or if you prefer, I can also send them to you for your husband to print them at work. Please let me know your preference. Thank you!
08-05-2025 09:13 AM	Andrea Rodriguez Stokes	Okay! Perfect
08-05-2025 09:14 AM	Isacc Carter	Isacc (Prim) Replied: See you then! :)
08-05-2025 09:14 AM	Andrea Rodriguez Stokes	For the day of the evaluation, if you could please bring 3 preferred food items Isacc is currently accepting, and 3 non-preferred food items. One more question, in a few words can you please describe what you are noticing at home regarding Isacc's feeding skills? Thank you!
08-05-2025 09:23 AM	Isacc Carter	Isacc (Prim) Replied: That's not a problem at all! He started his picky eating around 2 years old. We moved to a new house around that time and had some pretty big changes so maybe that's a part of it. Currently, I put much less on his plate at dinner so it's not as traumatic to get him to eat. He can have something afterwards if he wants anything else, or he's rewarded with a treat. It doesn't always work though. He's going to kindergarten on Monday 08/11 and I don't want this to be an issue if he has to have lunch at school.
08-05-2025 09:24 AM	Andrea Rodriguez Stokes	Thank you for your response. Have a great day!
08-05-2025 09:25 AM	Isacc Carter	Isacc (Prim) Replied: He and his brother visit their grandparents for a few weeks out of the summer and they said he eats fine for them. So it may be a manipulation of some sort.
08-05-2025 09:25 AM	Isacc Carter	Isacc (Prim) Replied: You too! 😊😊
08-05-2025 01:16 PM	Isacc Carter	Isacc (Prim) Replied: Hello, this is Jaclyn Carter, Isaac's mom. The Northeast Christian Academy school office said they have no objections to him attending speech therapy in person. They consider that a part of his education. We would just need virtual telehealth when the baby is born for a couple of weeks or so. Thank you so much for your time this morning, we are looking forward to working with you! It was very nice to meet you ☺️
08-05-2025 01:57 PM	Jessica Ortiz	Hi Mrs. Carter! That's great news! I will notify the front office. Also, I will let you know as soon as we get authorization; the process could take 1-2 weeks. I'll keep you posted. My pleasure as well. :)
08-05-2025 02:00 PM	Isacc Carter	Isacc (Prim) Replied: Sounds great! Also, I just got off the phone with the pediatrician and he's sending in the feeding referral today!
08-05-2025 04:14 PM	Jessica Ortiz	Hi, this is a just a reminder that Isacc has a Speech Evaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
08-06-2025 03:39 PM	Jessica Ortiz	Hi Mrs. Carter, Below is a summary of Isacc’s goals, based on his performance on both formal assessments, clinical observations, and the information you shared. Isaac presents with a profound articulation/phonological disorder. Therapy will target the following phonemes: /s/, /r/, /l/, and /th/. In addition, Isacc presents a profound fluency disorder. Treatment will focus on increasing his awareness of “bumpy” versus “smooth” speech, coordinating exhalation with phonation, understanding terminology used in fluency therapy, and using easy, relaxed speech at the word level. If you have questions, please let me know :)
08-06-2025 04:11 PM	Isacc Carter	Isacc (Prim) Replied: Thank you for the update, we are looking forward to working with you and getting him help! I guess the only question I have is when can I schedule his next appointment? Does the office call me, or should I call in the morning?
08-06-2025 05:43 PM	Jessica Ortiz	I'll contact you as soon as we get approval for therapy. The process may take 1 to 2 weeks. :)
08-06-2025 05:56 PM	Isacc Carter	Isacc (Prim) Replied: Awesome, thank you so much! Have a wonderful evening ☺️
08-06-2025 07:08 PM	Jessica Ortiz	Thank you Mrs. Carter :)
08-06-2025 07:48 PM	Isacc Carter	Isacc (Prim) Replied: Of course! Thank you as well ❤️
08-06-2025 07:48 PM	Jessica Ortiz	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.
08-11-2025 09:40 AM	Jessica Ortiz	Good morning, Mrs. Carter. This is Jessica. I just wanted to let you know that we can start therapy this week :) My current availability is Wednesday at 2:30 and Thursday at 9 am. Do either of these times work for you?
08-11-2025 09:41 AM	Isaac Carter	Isaac (Prim) Replied: Hey, Good morning! Thursday at 9:00 am is great!
08-11-2025 09:42 AM	Jessica Ortiz	Perfect! I’ll see you on Thursday at 9 am :)
08-11-2025 09:47 AM	Isaac Carter	Isaac (Prim) Replied: Sounds good! See you then! Really quick, are you also going to do his feeding therapy? I asked the doctor to send the referral last week and as far as I know he did.
08-11-2025 09:50 AM	Jessica Ortiz	I just checked on the system, and for this week, it only shows my appointment. A therapist will contact you as soon as they receive the referral :)
08-11-2025 09:53 AM	Isaac Carter	Isaac (Prim) Replied: Ok, thank you so much for checking! See you in a few days! 🥰
08-13-2025 03:01 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Can we do a virtual visit for Isaac tomorrow, or can we reschedule for another day? My daughter has been throwing up all afternoon and I don't want her getting anyone else at the office sick. And I don't know at this point if anyone else is sick. Just let me know what works best for you!
08-13-2025 03:19 PM	Jessica Ortiz	Absolutely! I will change the appointment to virtual :)
08-13-2025 04:32 PM	Isaac Carter	Isaac (Prim) Replied: Thank you so much! I'll be looking out for the link to login!
08-13-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. - New Beginnings 🙂
08-14-2025 07:51 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. Here is the link https://us06web.zoom.us/j/89166688846 - New Beginnings 🙂
08-14-2025 09:15 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! We are logged in and ready ☺️
08-14-2025 09:19 AM	Jessica Ortiz	Hello, Mrs. Carter. I hope everything is okay. I wanted to let you know that I won’t be able to see Isaac for today's appointment, as it's already 15 minutes past our scheduled time, and I have another session right after. Please let me know when you are available so we can add an extra visit for next week, and I'll do my best to fit into your schedule. Thank you :)
08-14-2025 09:20 AM	Isaac Carter	Isaac (Prim) Replied: We've been logged in for about 20 minutes. Did we do something wrong? I clicked the link you sent
08-14-2025 09:22 AM	Isaac Carter	Isaac (Prim) Replied: He's doesn't have a good temperament today so a shorter 30 minute session would be fine. He's upset that we changed to virtual.
08-14-2025 09:27 AM	Jessica Ortiz	let me call you:)
08-14-2025 11:56 AM	Isaac Carter	Isaac (Prim) Replied: Hey Jessica, the school said they need a note excusing Isaac for his absence this morning. I can come by tomorrow and pick it up if that's the easiest way 🙂
08-15-2025 08:01 AM	Jessica Ortiz	Hi Mrs. Carter, I apologize for the late response. I have notified the front desk manager, and she mentioned that you could come by the office after 9 AM to receive a letter.
08-15-2025 09:57 AM	Andrea Rodriguez Stokes	Hi, my name is Andrea, 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=9629&tid=127
08-15-2025 09:57 AM	Isaac Carter	Isaac SCHEDULED: 9:00AM-8/20/2025 92610: Feeding Evaluation
08-15-2025 10:02 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! Thank you for letting me know ☺️ if I can't get it today, I'll come by Monday.
08-15-2025 10:09 AM	Andrea Rodriguez Stokes	Good morning, Mrs. Carter! I will be doing Isaac's feeding therapy on 08/20/2025 at 9:00 am. As we previously discussed, for the day of the evaluation, if you could please bring 3 preferred food items Isacc is currently accepting, and 3 non-preferred food items, as well as the utensils he is utilizing at home. Are you able to come in 15-20 minutes before the evaluation begins to fill out the documents in the lobby, or do you prefer to print them and fill them out? :)
08-15-2025 03:05 PM	Isaac Carter	Isaac (Prim) Replied: Good afternoon Andrea, I apologize for the delayed response. I had to go to the ER with my daughter and now we're being admitted. I can come early to fill out the paperwork, thank you so much!
08-15-2025 03:34 PM	Andrea Rodriguez Stokes	I am so sorry to hear that! I hope everything is fine. I will see you on the 20th for Isaac’s feeding evaluation. Thank you!
08-15-2025 07:24 PM	Isaac Carter	Isaac (Prim) Replied: All is well so far, hopefully we get to go home tomorrow. See you on the 20th! Thank you so much!
08-15-2025 07:51 PM	Andrea Rodriguez Stokes	I am glad to hear that! I hope you and your family get tons of rest. Thank you!!
08-15-2025 08:02 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " I am glad to hear that! I hope you and your family get tons of rest. Thank you!! "
08-15-2025 08:02 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.
08-17-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 08-21-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-18-2025 10:12 AM	Isaac Carter	Isaac (Prim) Replied: Yes
08-20-2025 07:50 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
08-20-2025 08:05 AM	Isaac Carter	Isaac (Prim) Replied: Yes, I might be a little late but we'll be there!
08-20-2025 08:45 AM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=790148
08-20-2025 12:14 PM	Andrea Rodriguez Stokes	Good afternoon. This is Andrea from New Beginnings. Here is a summary from the evaluation. At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Isaac's chronic pediatric feeding disorder and oral dysphagia (difficulty with using the mouth, lips, and tongue to control food or liquid). 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 Isaac's food repertoire by building on existing preferred foods. Parent education will also be a key component of therapy. Once the office has processed the report, obtained the needed signatures, and insurance approves the report, I will reach out to you to schedule our first session. If you have any questions, please reach out. Thank you!
08-20-2025 02:19 PM	Isaac Carter	Isaac (Prim) Replied: Sounds great, thank you so much! It was nice to meet you today!
08-20-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
08-20-2025 06:33 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! See you tomorrow! 😁
08-21-2025 07:46 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
08-21-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=785674
08-21-2025 09:12 AM	Isaac Carter	Isaac is CHECKED IN for: 9:00AM-8/21/2025 92507: Speech & Language Visit
08-21-2025 10:02 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=785674
08-21-2025 11:29 AM	Andrea Rodriguez Stokes	Hi! This is Andrea from New Beginnings. I just received authorization for Isaac's feeding sessions. Starting next week, would Tuesdays at 9:00 am work for you? :)
08-21-2025 01:00 PM	Isaac Carter	Isaac (Prim) Replied: Hi! Yes, that will work! ☺️
08-21-2025 01:15 PM	Andrea Rodriguez Stokes	Perfect! If you could please pack 1 protein, 1 starch, 1 fruit and 1 vegetable that Isaac is not currently eating. Portions can be small. We will be targeting the same food for 1 month. Thank you!!
08-21-2025 01:26 PM	Isaac Carter	Isaac (Prim) Replied: Ok, sounds great! Thank you so much!
08-24-2025 08:38 AM	Jessica Ortiz	Ortiz, Jessica: Hello, just a friendly reminder that we will not have speech therapy on Thursday. Thank you. :) Hola, esto es un recordatorio de que no tendremos terapia del habla el jueves. Gracias :)
08-24-2025 09:05 AM	Isaac Carter	Isaac (Prim) Replied: Sounds great, thank you for the reminder! We'll work on the homework you gave until we see you next time 🙂
08-24-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Carter, Isaac has a Feeding Therapy appointment on 08-26-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-24-2025 04:04 PM	Isaac Carter	Isaac (Prim) Replied: Yes
08-25-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
08-25-2025 06:31 PM	Isaac Carter	Isaac (Prim) Replied: Yes
08-25-2025 07:50 PM	Isaac Carter	Isaac (Prim) Replied: Hey, I'm sorry to message you so late, but Isaac stayed home from school today with a fever. I thought he was good, but I just took his temperature and he still has a fever. If he's still sick in the morning I'll call to reschedule. Just wanted to give you a heads up 😕
08-25-2025 07:50 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.
08-25-2025 07:51 PM	Andrea Rodriguez Stokes	Hi! I am so sorry to hear that! Please do not worry, I can see him next week so he has time to rest. I can also offer you makeup sessions in the following weeks! There is no rush :)
08-25-2025 08:01 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! I'm already mentally preparing to keep him home from school tomorrow. So we'll just see you next week. I can call in the morning to see what makeup sessions are available. Thank you so much for your understanding ☺️
08-25-2025 08:01 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.
08-25-2025 08:03 PM	Andrea Rodriguez Stokes	I believe there is a virus going around, I hope Isaac gets tons of rest and feels better soon! I will go ahead and cancel tomorrow’s session. Regarding the makeup session, I can let you know when I have an early appointment to see if it works with your schedule, so no worries in calling the front office! See you next week! :)
08-25-2025 08:03 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:00AM-8/26/2025 92526: Feeding Visit
08-25-2025 08:04 PM	Isaac Carter	Isaac (Prim) Replied: That sounds great, thank you so much! Talk to you soon ☺️
08-25-2025 08:04 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.
08-31-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 09-04-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 09-02-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
08-31-2025 07:42 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Do you have any appointments for Friday? If not, I'll reschedule my other appointment and we'll keep Isaac for Thursday at 9:00 am 😊
08-31-2025 07:42 PM	Jessica Ortiz	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.
09-01-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-02-2025 07:51 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-02-2025 08:45 AM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=793778
09-02-2025 09:14 AM	Isaac Carter	Isaac is CHECKED IN for: 9:00AM-9/2/2025 92526: Feeding Visit
09-02-2025 09:52 AM	Jessica Ortiz	Good morning, Mrs. Carter! I apologize for the late response. Yes, I do have availability on Friday at 9 am. Does this work for you?
09-02-2025 03:06 PM	Isaac Carter	Isaac (Prim) Replied: No worries! It took me a while to respond too 🤦🏽‍♀️ Yes, Friday at 9 am is great!
09-02-2025 03:18 PM	Jessica Ortiz	Perfect! I will see you and Isaac on Friday at 9 am:)
09-02-2025 04:06 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Perfect! I will see you and Isaac on Friday at 9 am:) "
09-04-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-04-2025 08:03 PM	Isaac Carter	Isaac (Prim) Replied: Yes, see you tomorrow! 😊
09-04-2025 08:03 PM	Jessica Ortiz	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.
09-05-2025 07:34 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-05-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=785676
09-05-2025 11:00 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=785676
09-07-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Carter, Isaac has a Feeding Therapy appointment on 09-09-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-07-2025 04:20 PM	Isaac Carter	Isaac (Prim) Replied: Yes
09-07-2025 04:20 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 05:17 PM	Isaac Carter	Isaac (Prim) Replied: Hey Andrea, Isaac had a friend over Saturday and her mom just let me know today that she has a confirmed case of hand foot mouth. My kids are not displaying any symptoms, but I wanted to let you know and ask what you'd rather do about tomorrow 's appointment? If you're not comfortable with in person we can switch to virtual. We're fine with either option ☺️
09-08-2025 05:38 PM	Andrea Rodriguez Stokes	Hi! We can do a virtual session for tomorrow and it can help us generalize skills at home! Let me know how he feels tomorrow. You will be receiving the link tomorrow morning :)
09-08-2025 05:51 PM	Isaac Carter	Isaac (Prim) Replied: That sounds good! Thank you so much! He's been willing to try more things, but our problem now is he wants me to feed him instead of him feeding himself.
09-08-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. - New Beginnings 🙂
09-08-2025 06:30 PM	Andrea Rodriguez Stokes	Thank you for letting me know. We will be targeting his self-feeding skills in the following sessions. See you tomorrow! :)
09-08-2025 06:31 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! See you tomorrow ❤️
09-09-2025 07:22 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 09-09-2025 via telehealth at 09:00 AM. Here is the link https://us06web.zoom.us/j/82030000752 - New Beginnings 🙂
09-09-2025 07:50 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. Here is the link https://us06web.zoom.us/j/82529718043 - New Beginnings 🙂
09-09-2025 08:45 AM	Isaac Carter	Isaac (Prim) Replied: Thank you! I'll log on in a few minutes 🙂 Today I fixed him some orange and yellow carrots, strawberries, light and fit strawberry cheesecake yogurt, and some cereal he refuses to try.
09-09-2025 08:54 AM	Andrea Rodriguez Stokes	Perfect! Thank you!
09-09-2025 08:55 AM	Isaac Carter	Isaac (Prim) Replied: He saw the food and started melting down 😞
09-09-2025 08:58 AM	Andrea Rodriguez Stokes	Oh no! Are you still in the waiting area of zoom meeting?
09-09-2025 08:59 AM	Isaac Carter	Isaac (Prim) Replied: I got kicked out but I'm back
09-09-2025 08:59 AM	Isaac Carter	Isaac (Prim) Replied: It says waiting for host
09-11-2025 08:09 AM	Jessica Ortiz	Hi Mrs. Carter! I just wanted to confirm today’s appointment. For some reason the reminder wasn’t sent to you.
09-11-2025 09:07 AM	Isaac Carter	Isaac (Prim) Replied: Sorry, I'm here!
09-11-2025 09:28 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805619
09-11-2025 11:20 AM	Isaac Carter	Isaac (Prim) Replied: Hey there, the school said one excuse for all visits is sufficient. Thank you! Have a wonderful day ☺️
09-14-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 09-18-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 09-16-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-15-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-15-2025 06:39 PM	Isaac Carter	Isaac (Prim) Replied: Yes, see you soon! 😊
09-16-2025 07:44 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-16-2025 08:05 AM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂 "
09-16-2025 08:45 AM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=793780
09-16-2025 10:21 AM	Andrea Rodriguez Stokes	Hi! You can begin family meals with the following: 1. Try to have meals at a scheduled time, so that Isaac knows what to expect. Children typically learn best with structure. 2. Give a verbal warning prior to mealtimes (5 minutes) 3. Introduce transition activity (washing his hands) 4. Sit at the table - Start with empty plates to decrease frustration before meals. - Check his seat so he is positioned 90 at the hips, knees, and ankles - 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. 5. Serve up the family meal - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of his place mat, where Isaac can place the food items he does not want) - Make sure there is at least 1 preferred item so Isaac can have something to eat. 6. Eat - The focus of the meal should be the food; praise Isaac if good attempts are made. Try to stay away from giving him commands. 7. Clean up - Have everyone empty their plate into a bowl/trash can 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 his plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my teeth' or 'I do not want to eat the ham, but I can put it on my learning plate'. 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. We can continue targeting the same food items in therapy for next week. Thank you, and I will see you next week! :)
09-17-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-17-2025 06:32 PM	Isaac Carter	Isaac (Prim) Replied: See you tomorrow 😄
09-18-2025 07:48 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-18-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805620
09-18-2025 09:19 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805620
09-21-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 09-25-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 09-23-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-22-2025 04:28 PM	Isaac Carter	Isaac (Prim) Replied: Hey Andrea, we need to reschedule Isaac's appointment for tomorrow. His class is going on a field trip from 8:00 am-3:00 pm. Do you have an opening for Wednesday or Friday at 9:00?
09-22-2025 04:30 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:00AM-9/23/2025 92526: Feeding Visit
09-22-2025 04:34 PM	Andrea Rodriguez Stokes	Hi! I went ahead and canceled tomorrow's session. At the moment, I do not have another opening. Please let me know if he will be getting a 2-week break from school so we can take advantage of that time. For next week, I am not sure at what time Isaac gets out of school, but would Wednesday at 3:30 pm work for you for a makeup session? Thank you!!
09-22-2025 05:30 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am, that should be fine! I'll check the school calendar and let you know when the next break is. Thank you so much!
09-22-2025 06:15 PM	Andrea Rodriguez Stokes	Perfect! Thank you:)
09-22-2025 07:12 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Perfect! Thank you:) "
09-22-2025 07:14 PM	Isaac Carter	Isaac (Prim) Replied: Of course! Just to clarify, next Wednesday 10/01 at 3:30 pm for a make up session?
09-22-2025 07:41 PM	Andrea Rodriguez Stokes	Correct! Tuesday, the 30th, at 9:00 am and Wednesday, the 1st, at 3:30 pm :)
09-23-2025 09:40 AM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Correct! Tuesday, the 30th, at 9:00 am and Wednesday, the 1st, at 3:30 pm :) "
09-24-2025 03:35 PM	Andrea Rodriguez Stokes	Hi! You can begin family meals with the following: 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.
09-24-2025 03:35 PM	Andrea Rodriguez Stokes	3. Sit at the table - Start with an empty tray/plate to decrease frustration before meals. - Check Isaac's seat so she 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 - Place all food items in the center of the table. - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of his tray, where she can place the food items she does not want) - Make sure there are at least 2 preferred items so she can have something to eat.
09-24-2025 03:36 PM	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 his do what she can by herself. - We want to avoid giving his negative feedback during mealtimes. Praise if any good attempts are made. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Isaac engage with food.
09-24-2025 03:36 PM	Andrea Rodriguez Stokes	7. After 20 minutes, if he is still not eating, you can introduce his to a preferred item (iPad, preferred toy, TV) 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, you may need to do clean up earlier.
09-24-2025 03:38 PM	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 the 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'. The 'learning plate' should be an empty plate/bowl placed in front of the dinner plate or place mat. The purpose of this plate is that if Isaac expresses that he does not want a non-preferred item on his plate, you can tell him to put it on his 'learning plate'. By doing this, he will still be interacting with non-preferred items, as he will have them directly in front of him. Our goal is for him to start tolerating food around him without any pressure, eventually leading to his interacting with it at the level of the fingers and oral cavity. This will decrease any frustration during meal times and will prevent him from putting the food in the trash or away. 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 :)
09-24-2025 03:41 PM	Andrea Rodriguez Stokes	Let me know if you received the 8 steps of the family meal. Whenever you have a moment, can you please send me a list of Isaac's food inventory? Please only include food items he is consistently eating. Thank you!!
09-24-2025 05:24 PM	Isaac Carter	Isaac (Prim) Replied: Received, thank you! I will send the food inventory in a moment 🙂
09-24-2025 05:41 PM	Isaac Carter	Isaac (Prim) Replied: Isaac will consistently eat the following: Pizza, egg sandwiches (mayo, fried egg, and sourdough bread), ham and cheese sandwiches, cheese puffs, only one brand of chocolate cereal (Three Wishes), Ritz crackers only, bananas, green grapes, sometimes he'll eat an apple, only one brand of yogurt (Keto vanilla), chick fil a nuggets only, hamburgers from restaurants but not at home, power crunch bars, cliff kid cookies and cream bars, frozen croissant breakfast sandwich from Walmart (egg, cheese, sausage on a croissant) Tennessee Pride sausage biscuits, home made scrambled eggs with no cheese, and I think that's it. If I forgot anything I'll send it later.
09-24-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-25-2025 06:48 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! Sorry for the early text, but I was wondering if we could change Isaac's appointment to virtual today? My oldest son woke up with the croupe. He's too young to stay home by himself so he would have to come with us to the office. I don't want any other kids to get it so if virtual is possible that would be great!
09-25-2025 06:49 AM	Jessica Ortiz	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.
09-25-2025 07:22 AM	Jessica Ortiz	Good morning Mrs. Carter, Absolutely, I will send you the link as soon as I get to the clinic. Do you mind if we start our session at 9:15 instead of 9am?
09-25-2025 07:24 AM	Isaac Carter	Isaac (Prim) Replied: That's perfect, thank you! Also, if his temperament is not good doing virtual we can do 30 minutes instead of an hour, but we'll play it by ear 🙂
09-25-2025 07:25 AM	Jessica Ortiz	Perfect!! I’ll see you at 9:15 :)
09-25-2025 07:26 AM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 09-25-2025 via telehealth at 09:15 AM. Here is the link https://us06web.zoom.us/j/87277567557 - New Beginnings 🙂
09-25-2025 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:15 AM. Here is the link https://us06web.zoom.us/j/86979776894 - New Beginnings 🙂
09-25-2025 07:56 AM	Isaac Carter	Isaac (Prim) Replied: Thank you for sending me the link, we'll be logged on a few minutes before 🙂 Also, I received about 5 reimbursement checks from Tricare earlier this week because we overpaid at New Beginnings. Since we met our out of pocket for this year. Do I disregard the invoice for today?
09-25-2025 08:12 AM	Jessica Ortiz	Let me ask the front desk manager about that :)
09-25-2025 08:21 AM	Isaac Carter	Isaac (Prim) Replied: Thank you 😊
09-25-2025 09:53 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805621
09-28-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 10-02-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 09-30-2025 at 9:00 AM, and on 10-01-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-29-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-29-2025 07:36 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! See you soon! 😊
09-29-2025 07:36 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.
09-30-2025 07:42 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-30-2025 08:45 AM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=793782
09-30-2025 09:48 AM	Andrea Rodriguez Stokes	👉 If he refuses dinner/new foods and requests a treat: • Don’t use the treat as a reward or replacement for the meal. Giving the treat after refusal can reinforce avoidance of new foods. • Instead, structure the meal so the “treat” (or a preferred food) is already included on the plate alongside the challenge foods. “Family Meals” encourage to always have at least 1 “safe” or preferred food at meals, so he doesn’t feel trapped.
09-30-2025 09:48 AM	Andrea Rodriguez Stokes	• If the treat is a true dessert item (cookies, candy, etc.), it is recommended serving it with the meal, in a small portion, not contingent on trying new foods. This way, it isn’t used as leverage, and Isaac learns to regulate intake. 💡 Key points • Stay consistent: “We include something you like at every meal, and dessert is a part of the meal—not a reward for eating.”
09-30-2025 09:48 AM	Andrea Rodriguez Stokes	• If he skips the rest of dinner: That’s okay—don’t battle. The treat portion offered with dinner is what’s available, and if he doesn’t eat, he waits until the next scheduled snack/meal. • Key principle: Avoid short-order cooking or offering a separate treat in response to refusal, but always ensure there’s at least one accepted food so he feels safe.
09-30-2025 09:51 AM	Andrea Rodriguez Stokes	In the SOS Approach, eating is the very last step in a long process. First, kids need to tolerate food near them, then interact with it (like moving it with a fork), then touch it with their hands or body, then smell it, then taste it (lick or spit out), and finally eat it (bite, chew, swallow). Every step is progress — we celebrate each one, not just swallowing.
09-30-2025 09:52 AM	Andrea Rodriguez Stokes	Key points: • No pressure: Try not to ask, “Just take a bite.” Instead, you might say, “You can try touching it with your fork,” or simply model by eating it herself. • Celebrate small wins: If he tolerates the broccoli on his plate today, that’s progress. If tomorrow he taps it with his finger, that’s another step.
09-30-2025 09:52 AM	Andrea Rodriguez Stokes	• Use curiosity language: “This broccoli looks like a little tree!” or “I wonder what sound it makes if we tap it on the plate.” • Normalize spitting out: If he puts something in his mouth and spits it out, that’s still progress — it means he’s reaching the taste step.
09-30-2025 09:52 AM	Andrea Rodriguez Stokes	Thank you and see you tomorrow!!
09-30-2025 10:43 AM	Andrea Rodriguez Stokes	Thank you and see you tomorrow!!
09-30-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
10-01-2025 07:47 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
10-01-2025 03:15 PM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811732
10-01-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-01-2025 07:32 PM	Andrea Rodriguez Stokes	Hi! For next week could you please pack Isaac: ham and cheese sandwich (preferred), shredded chicken, ritz crackers, apple, and oven baked potato fries. Portions can be small. Thank you!
10-01-2025 07:34 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am! See you next week!
10-01-2025 07:34 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.
10-02-2025 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-02-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805622
10-02-2025 09:11 AM	Isaac Carter	Isaac is CHECKED IN for: 9:00AM-10/2/2025 92507: Speech & Language Visit
10-02-2025 09:30 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805622
10-02-2025 02:11 PM	Isaac Carter	Isaac (Prim) Replied: Hey! This is a quick update on Isaac 's school breaks. We will be in Alabama 11/19-12/3 🙂
10-02-2025 02:26 PM	Jessica Ortiz	Awesome! thank you for the update :)
10-02-2025 03:03 PM	Isaac Carter	Isaac (Prim) Replied: You're welcome! ☺️
10-02-2025 04:54 PM	Jessica Ortiz	Hi Mrs. Carter, could you please sign today's link:)
10-02-2025 06:17 PM	Isaac Carter	Isaac (Prim) Replied: Sorry I missed that! Just signed it! 🤦🏽‍♀️
10-02-2025 06:18 PM	Jessica Ortiz	Thank you ma’am , see you next week :)
10-05-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 10-09-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 10-07-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-06-2025 12:12 PM	Isaac Carter	Isaac (Prim) Replied: Hey Andrea, for the fries you want me to bring tomorrow, do you want me to pack him plain, seasoned, or a hint of salt?
10-06-2025 01:04 PM	Andrea Rodriguez Stokes	Hi! We can do plain :)
10-06-2025 01:07 PM	Isaac Carter	Isaac (Prim) Replied: Sounds good! Also, do you want the apple whole or cut into slices?
10-06-2025 01:10 PM	Andrea Rodriguez Stokes	We can do the whole apple, and we'll cut it during the session. Thank you!
10-06-2025 01:11 PM	Isaac Carter	Isaac (Prim) Replied: Great, thank you! 😊
10-06-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 07:43 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 08:02 AM	Isaac Carter	Isaac (Prim) Replied: Yes, see you soon! 😊
10-07-2025 08:45 AM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=793783
10-08-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-09-2025 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-09-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805623
10-09-2025 09:08 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805623
10-12-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 10-16-2025 at 9:00 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 Carter, Isaac has a Feeding Therapy appointment on 10-14-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-13-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. - New Beginnings 🙂
10-14-2025 07:43 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. Here is the link https://us06web.zoom.us/j/89353445812 - New Beginnings 🙂
10-14-2025 07:57 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much 😊
10-15-2025 02:19 PM	Andrea Rodriguez Stokes	Hello! I hope you are doing well! This is short notice but let me know if I can do an extra feeding session for Isaac on Friday at 4:30 pm via zoom. If it doesn’t work with your schedule, I can definitely offer more in the following weeks. Let me know :)
10-15-2025 03:10 PM	Isaac Carter	Isaac (Prim) Replied: Hey! I can let you know in a little bit if that works. Parent/teacher conferences are Friday afternoon and I should find out the time when I pick him up from school today ☺️
10-15-2025 03:14 PM	Andrea Rodriguez Stokes	Sounds good! Thank you!!
10-15-2025 06:18 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Friday isn't good. What other dates do you have?
10-15-2025 06:19 PM	Andrea Rodriguez Stokes	No worries! I can let you know if I have a cancellation on the following weeks to see if it works with your schedule! I will see Isaac again via zoom on Tuesday. Thank you and have a good day :)
10-15-2025 06:27 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " No worries! I can let you know if I have a cancellation on the following weeks to see if it works with your schedule! I will see Isaac again via zoom on Tuesday. Thank you and have a good day :) "
10-15-2025 06:27 PM	Isaac Carter	Isaac (Prim) Replied: Sounds great! Have a good day as well! 😊
10-15-2025 06:29 PM	Isaac Carter	Isaac (Prim) Replied: Good Evening! I just wanted to give you a heads up. I had a flat tire this afternoon so I may need to reschedule tomorrow's appointment. My husband should be home soon so if he can patch it for me I'll be able to come. If not, could we do virtual or reschedule?
10-15-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-16-2025 07:15 AM	Jessica Ortiz	Good morning, Mrs. Carter! I apologize for the late reply. If it works for you, I can see Isaac virtually, or I will be available today at 3 pm if you'd like to come in person or do a virtual meeting.
10-16-2025 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-16-2025 07:55 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! No worries! Virtual is fine this morning at 9:00 😊 As always, you can go as long as you can with him, but if you need to shorten the session that's fine. Hopefully he has a good temperament today!
10-16-2025 08:08 AM	Jessica Ortiz	Alright Mrs. Carter, I will send you the link shortly :)
10-16-2025 08:08 AM	Isaac Carter	Isaac (Prim) Replied: Thank you!! 😊
10-16-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805624
10-16-2025 08:55 AM	Isaac Carter	Isaac (Prim) Replied: We're ready for the link when you get a chance 🙂🙂
10-16-2025 09:01 AM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 10-16-2025 via telehealth at 09:00 AM. Here is the link https://us06web.zoom.us/j/83535714768 - New Beginnings 🙂
10-16-2025 09:01 AM	Jessica Ortiz	hi!! I just sent you the link :)
10-16-2025 09:02 AM	Isaac Carter	Isaac (Prim) Replied: Thank you! We're signed in 😊
10-16-2025 09:44 AM	Jessica Ortiz	sorry! It logged me out, I'm back :)
10-16-2025 09:58 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805624
10-19-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 10-22-2025 at 9:00 AM, and on 10-23-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Carter, Isaac has a Feeding Therapy appointment on 10-21-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-20-2025 04:56 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Yes we'll be virtual at 9:00 tomorrow morning 😊
10-20-2025 05:00 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Yes, we'll be there 😊 I do have a quick question though. Do you have any afternoon appointments (after 3pm) open at this time? If so, I was wondering if we could switch from morning to afternoon?
10-20-2025 05:42 PM	Jessica Ortiz	Hi Mrs. Carter, this is Jessica. I don't have any availability in the afternoon right now, but this Thursday works since my 3 pm patient will not be attending therapy.
10-20-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. - New Beginnings 🙂
10-21-2025 07:42 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 09:00 AM. Here is the link https://us06web.zoom.us/j/83969969020 - New Beginnings 🙂
10-21-2025 09:34 AM	Andrea Rodriguez Stokes	Hello! For next week, I can see Isaac on Tuesday at 9:00 am. Starting the week of the 3rd, I can start seeing him on Thursdays at 3:30 via Zoom. Let me know if that works for you! :) Ms. Jessica will be talking to you on Thursday to potentially move Isaac's speech appointments.
10-21-2025 10:41 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much, I'll ask the teacher and see what she says. I'll let you know, but it should be fine ☺️
10-21-2025 10:42 AM	Andrea Rodriguez Stokes	Thank you!
10-21-2025 12:27 PM	Isaac Carter	Isaac (Prim) Replied: Hey Jessica, sorry for the delayed response. The reason I'm asking about changing his appointments is because his teacher notified us that he is falling behind on his class work. So I'm trying to see what we can work out to get him the therapy he needs that doesn't take away from his school. If you aren't able to do afternoons, could we do every other week?
10-21-2025 01:55 PM	Isaac Carter	Isaac (Prim) Replied: You're welcome! The teacher said 3:30 is fine! Also, Isaac did eat all of the chips 😂🎉
10-21-2025 02:01 PM	Andrea Rodriguez Stokes	Yaaayyy awesome news! Perfect! His first afternoon appointment will be on the 6th. Let me know if I can see him next Tuesday at 9:30 am or if it interferes with his schedule. Thank you:)
10-21-2025 02:09 PM	Isaac Carter	Isaac (Prim) Replied: Sounds great! Thank you! 😊
10-21-2025 04:08 PM	Jessica Ortiz	Hi Mrs. Carter, I just wanted to let you know that I spoke with Mrs. Andrea, and we both agreed that I can see Isaac on Tuesday at 4:15 and Andrea on Thursday at 3:30. Please let me know if this time works for you. :)
10-21-2025 04:11 PM	Isaac Carter	Isaac (Prim) Replied: That's perfect, thank you both so much!
10-21-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-21-2025 06:32 PM	Isaac Carter	Isaac (Prim) Replied: Yes, see you tomorrow! 😁
10-22-2025 07:45 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-22-2025 08:45 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805625
10-22-2025 09:07 AM	Isaac Carter	Isaac is CHECKED IN for: 9:00AM-10/22/2025 92507: Speech & Language Visit
10-22-2025 09:08 AM	Isaac Carter	Isaac (Prim) Replied: Hi, so sorry we were running behind this morning. We're here 🤦🏽‍♀️
10-22-2025 09:12 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805625
10-22-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
10-23-2025 07:51 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
10-23-2025 03:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825005
10-23-2025 03:16 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 10-23-2025 via telehealth at 03:15 PM. Here is the link https://us06web.zoom.us/j/85748376744 - New Beginnings 🙂
10-23-2025 03:17 PM	Isaac Carter	Isaac (Prim) Replied: Yes, I'm about to get him!
10-23-2025 03:24 PM	Jessica Ortiz	thank you:)
10-23-2025 03:24 PM	Isaac Carter	Isaac (Prim) Replied: If you don't mind, we'll be in the car on the way home during the first part of the appointment. I apologize, today was a crazy day 😔
10-23-2025 03:25 PM	Jessica Ortiz	I can wait until you get home if you prefer:) that way he isn’t distracted.
10-23-2025 03:25 PM	Isaac Carter	Isaac (Prim) Replied: Ok, yes that works. We're heading to the car now. Thank you!
10-23-2025 03:26 PM	Jessica Ortiz	Thank you drive safely :)
10-23-2025 03:27 PM	Jessica Ortiz	I just realized it’s already 3;27 and I have a session right at 4, if you prefer we can reschedule. I’m sorry I didn’t look at the clock
10-23-2025 05:06 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=825005
10-26-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 10-30-2025 at 9:15 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 Carter, Isaac has a Feeding Therapy appointment on 10-28-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 05:17 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Can we reschedule? What do you have in the afternoon this week? 😊
10-26-2025 05:17 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.
10-27-2025 09:11 AM	Andrea Rodriguez Stokes	Good morning! At the moment I do not have any afternoon appointments but I can let you know if I get a cancellation. I will go ahead and cancel tomorrow’s session :)
10-27-2025 09:16 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:00AM-10/28/2025 92526: Feeding Visit
10-29-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
10-29-2025 07:39 PM	Isaac Carter	Isaac (Prim) Replied: Yes 🙂
10-29-2025 07:39 PM	Jessica Ortiz	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.
10-30-2025 07:45 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
10-30-2025 09:00 AM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805626
10-30-2025 09:27 AM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=805626
11-02-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 11-04-2025 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 11-06-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:29 PM	Isaac Carter	Isaac (Prim) Replied: Yes 😊
11-02-2025 04:29 PM	Jessica Ortiz	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 05:11 PM	Isaac Carter	Isaac (Prim) Replied: Yes 😊
11-02-2025 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.
11-03-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
11-04-2025 08:00 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
11-04-2025 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834523
11-04-2025 04:01 PM	Isaac Carter	Isaac is CHECKED IN for: 4:15PM-11/4/2025 92507: Speech & Language Visit
11-04-2025 04:10 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834523
11-05-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
11-06-2025 07:50 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/85396947554 - New Beginnings 🙂
11-06-2025 08:54 AM	Isaac Carter	Isaac (Prim) Replied: Thank you! We'll see you this afternoon! Is there anything in particular you want him to have, or do I choose?
11-06-2025 08:54 AM	Andrea Rodriguez Stokes	Hi! You can choose any 4 non preferred items and 1 preferred item :)
11-06-2025 08:55 AM	Isaac Carter	Isaac (Prim) Replied: Sounds good!! 😊
11-06-2025 03:17 PM	Isaac Carter	Isaac (Prim) Replied: Hey, we'll be a few minutes late. But I have his food ready so I'll log on as soon as we're home!
11-06-2025 03:20 PM	Andrea Rodriguez Stokes	No worries! Thank you for letting me know :)
11-09-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 11-11-2025 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 11-13-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-10-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
11-11-2025 07:53 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
11-11-2025 03:17 PM	Jessica Ortiz	Ortiz, Jessica: Hola, este es un recordatorio de que no estaré en la oficina la semana del Día de Gracias, 24-28 de Noviembre, Gracias :) Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-11-2025 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834524
11-11-2025 04:21 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834524
11-12-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
11-13-2025 07:49 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/84153752385 - New Beginnings 🙂
11-13-2025 09:39 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! Thank you for the link. Is there anything specific you need me to offer Isaac today? Or the typical preferred item and the 3 non preferred?
11-13-2025 10:04 AM	Andrea Rodriguez Stokes	We can do the same items as last time if you have them at home. If not, please have him ready with 4 non-preferred (1 protein, 1 fruit, 1 vegetable, and 1 starch) and 1 preferred item. Thank you!!
11-13-2025 11:17 AM	Isaac Carter	Isaac (Prim) Replied: Sounds good, thank you!!
11-13-2025 03:59 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 3:30PM-11/20/2025 92526: Feeding Visit
11-13-2025 03:59 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 3:30PM-11/27/2025 92526: Feeding Visit
11-13-2025 04:27 PM	Isaac Carter	Isaac (Prim) Replied: Hey, I think Isaac signed the appointment confirmation by accident. Can you resend it? Or is it ok?
11-13-2025 04:28 PM	Andrea Rodriguez Stokes	Hi! Oh. I submitted the appointment but no worries! That is completely fine. I will be sending you some tips and strategies you can try at home :)
11-13-2025 04:28 PM	Andrea Rodriguez Stokes	1. Reduce Learned Behaviors at Home • Keep mealtimes predictable with a clear start and end. • Avoid reacting to negative comments, refusals, or dramatics. Provide neutral responses and redirect calmly. • Give minimal attention to undesired behaviors and praise specific positive behaviors (e.g., “Great job touching the food!”). • Sit together and model calm eating behavior, children learn best through imitation, not correction.
11-13-2025 04:29 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Hi! Oh. I submitted the appointment but no worries! That is completely fine. I will be sending you some tips and strategies you can try at home :) "
11-13-2025 04:29 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " 1. Reduce Learned Behaviors at Home . Keep mealtimes predictable with a clear start and end. . Avoid reacting to negative comments, refusals, or dramatics. Provide neutral responses and redirect calmly. . Give minimal attention to undesired behaviors and praise specific positive behaviors (e.g., "Great job touching the food!"). . Sit together and model calm eating behavior, children learn best through imitation, not correction. "
11-13-2025 04:29 PM	Andrea Rodriguez Stokes	Encourage the Isaac to: • First look at and tolerate the food on the plate • Touch with one finger • Touch with whole hand • Touch to lips • Touch to teeth • Give a tiny lick • Take a very small bite if ready Reinforce any step forward, even if Isaac doesn’t actually eat the food.
11-13-2025 04:30 PM	Isaac Carter	Isaac (Prim) Replied: Thank you so much 😊
11-13-2025 04:30 PM	Andrea Rodriguez Stokes	Try changing the seating arrangement or where you and Isaac sit to break learned patterns from home.
11-13-2025 04:32 PM	Andrea Rodriguez Stokes	• Aim for structured meals and snacks every 2.5–3 hours (no grazing). If Isaac mentions he is hungry, remind him his feeding schedule and have him wait until his next snack or meal. This prevents grazing throughout the day. • Serve meals for 20–30 minutes max. End the meal neutrally if Isaac is done. • Do not negotiate or bargain for bites (prevents power struggles). • Offer water between meals; limit milk/juice if it reduces appetite.
11-13-2025 04:33 PM	Andrea Rodriguez Stokes	Progress may look different at home and in clinic, this is normal. • Consistency is key: same expectations, same routine, same language every meal. • Celebrate small wins. Even touching a nonpreferred food is progress. • If behaviors escalate, stay calm, reduce attention, and guide back to exploration.
11-13-2025 04:33 PM	Andrea Rodriguez Stokes	I will see you in two weeks. Thank you! :)
11-16-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 11-18-2025 at 4:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
11-17-2025 06:31 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am! See you tomorrow 😊
11-18-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
11-18-2025 08:30 AM	Isaac Carter	Isaac (Prim) Replied: Hi! Yes, we'd like to keep the appointment, but can we switch it to virtual? We're heading to Alabama tomorrow morning and have some loose ends to tie up this evening 😮‍💨
11-18-2025 09:01 AM	Jessica Ortiz	Hi Mrs. Carter, yes ma'am, we can switch to virtual :)
11-18-2025 09:12 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much 😊
11-18-2025 03:44 PM	Jessica Ortiz	Hi, Mrs. Carter! Do you mind if I start our session at 4:25?
11-18-2025 03:46 PM	Isaac Carter	Isaac (Prim) Replied: Not at all! That's fine by me ☺️
11-18-2025 04:21 PM	Isaac Carter	Isaac (Prim) Replied: Can you resend the link please? I can't find it.
11-18-2025 04:29 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 11-18-2025 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/89748846959 - New Beginnings 🙂
11-18-2025 04:29 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 11-18-2025 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/89748846959 - New Beginnings :)
11-18-2025 05:10 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834525
11-19-2025 03:18 PM	Jessica Ortiz	Hi Mrs. Carter, could you please sign the link? Thank you! :)
11-19-2025 04:36 PM	Isaac Carter	Isaac (Prim) Replied: Hey, I just signed it! I'm so sorry I forgot 🤦🏽‍♀️
11-30-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 12-02-2025 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 12-04-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-01-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
12-02-2025 07:50 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
12-02-2025 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834527
12-02-2025 04:09 PM	Isaac Carter	Isaac (Prim) Replied: Hey Jessica, my husband is on his way with Isaac for the appointment, but he ran into traffic. He'll be a few minutes late, so sorry! His truck was dead and I was at the dentist.
12-02-2025 04:21 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834527
12-02-2025 04:23 PM	Jessica Ortiz	No worries! He's already here :)
12-02-2025 04:28 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " No worries! He's already here :) "
12-02-2025 04:29 PM	Isaac Carter	Isaac (Prim) Replied: Great! I just signed the appointment confirmation! ☺️
12-02-2025 05:28 PM	Jessica Ortiz	Hi Mrs. Carter, just wanted to share with you what we worked on today. We talked about the differences between the production of /s/ and /th/. We learned that when we make the /th/ sound, our tongue is placed between our teeth or "outside of the cage," and for /s/ our tongue stays inside the cage. This is the visual we used :D
12-02-2025 05:32 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/12022025173215-Captura-de-pantalla-2025-12-02-a-la(s)-5.31.08 p.m..png
12-03-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
12-03-2025 06:40 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am! Is it in the clinic or virtual?
12-03-2025 07:31 PM	Andrea Rodriguez Stokes	Tomorrow I can see him in the clinic. Please pack him 4 non-preferred items and one preferred. Portions can be small. If you can please include a protein, a fruit and a vegetable. Thank you!!
12-04-2025 07:52 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
12-04-2025 08:16 AM	Isaac Carter	Isaac (Prim) Replied: Yes, see you soon! ☺️
12-04-2025 03:15 PM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840402
12-04-2025 05:34 PM	Isaac Carter	Isaac (Prim) Replied: I had to scroll back to September, but here's the food inventory ☺️ Isaac will consistently eat the following: Pizza, egg sandwiches (mayo, fried egg, and sourdough bread), ham and cheese sandwiches, cheese puffs, only one brand of chocolate cereal (Three Wishes), Ritz crackers only, bananas, green grapes, sometimes he'll eat an apple, only one brand of yogurt (Keto vanilla), chick fil a nuggets only, hamburgers from restaurants but not at home, power crunch bars, cliff kid cookies and cream bars, frozen croissant breakfast sandwich from Walmart (egg, cheese, sausage on a croissant) Tennessee Pride sausage biscuits, home made scrambled eggs with no cheese, and I think that's it. If I forgot anything I'll send it later.
12-07-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 12-09-2025 at 4:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Carter, Isaac has a Feeding Therapy appointment on 12-11-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-08-2025 10:09 AM	Andrea Rodriguez Stokes	Thank you for sending me his food inventory! 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 introducing him to the same items but different brands. Try a different cheese that is similar in color in his sandwich. 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.
12-08-2025 10:09 AM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12082025100954--A-Parent’s-Guide-to-Expanding-Your-Child’s-Diet.pdf
12-08-2025 10:11 AM	Andrea Rodriguez Stokes	For this week, you can have him ready with: chicken, apples, plain spaghetti (no sauce, no seasoning), baby carrots, or plain corn. The following weeks will be virtual visits. Thank you!!
12-08-2025 11:19 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much! Do the plain carrots need to be raw or cooked?
12-08-2025 11:19 AM	Isaac Carter	Isaac (Prim) Replied: Grilled or fried chicken?
12-08-2025 11:48 AM	Andrea Rodriguez Stokes	Raw carrots and grilled plain chicken. Thank you!!
12-08-2025 01:01 PM	Isaac Carter	Isaac (Prim) Replied: Sounds good!! 😊
12-08-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
12-09-2025 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
12-09-2025 09:09 AM	Isaac Carter	Isaac (Prim) Replied: Good morning, yes we'll see you this afternoon 😊
12-09-2025 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834528
12-09-2025 04:05 PM	Isaac Carter	Isaac is CHECKED IN for: 4:15PM-12/9/2025 92507: Speech & Language Visit
12-09-2025 04:31 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834528
12-10-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
12-11-2025 07:49 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/84283903649 - New Beginnings 🙂
12-11-2025 07:55 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much, we'll see you later today 😊
12-11-2025 01:47 PM	Isaac Carter	Isaac (Prim) Replied: Hey, for the apple, do you want me to give it whole or slice it up?
12-11-2025 01:48 PM	Andrea Rodriguez Stokes	You can slice it, thank you! :)
12-11-2025 03:15 PM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=840403
12-11-2025 03:28 PM	Isaac Carter	Isaac is CHECKED IN for: 3:30PM-12/11/2025 92526: Feeding Visit
12-11-2025 03:58 PM	Andrea Rodriguez Stokes	Next week: ground beef, tortilla, corn, banana, pear. Thank you!!
12-11-2025 04:44 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Next week: ground beef, tortilla, corn, banana, pear. Thank you!! "
12-14-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 12-16-2025 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 12-18-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
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	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
12-15-2025 07:04 PM	Isaac Carter	Isaac (Prim) Replied: Yes, see you tomorrow! 😊
12-16-2025 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
12-16-2025 01:53 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Is there any chance we could do virtual this afternoon? I'm not feeling the greatest the last few days.
12-16-2025 02:10 PM	Jessica Ortiz	Hi, Mrs. Carter! I'm really sorry to hear that. Not a problem at all, we can absolutely switch to Zoom for today.
12-16-2025 02:12 PM	Isaac Carter	Isaac (Prim) Replied: Thank you so much! I have two weeks left and I feel every bit of it in my joints! 😔 I'm scheduled to have her on December 30th so relief is right around the corner!
12-16-2025 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=834529
12-16-2025 04:01 PM	Isaac Carter	Isaac is CHECKED IN for: 4:15PM-12/16/2025 92507: Speech & Language Visit
12-16-2025 04:11 PM	Isaac Carter	Isaac (Prim) Replied: Isaac is ready! Can you send the link? Thank you!
12-16-2025 04:16 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 12-16-2025 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/88683971230 - New Beginnings 🙂
12-16-2025 04:16 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 12-16-2025 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/88683971230 - New Beginnings :)
12-16-2025 04:57 PM	Jessica Ortiz	I'm back
12-16-2025 05:22 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834529
12-17-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
12-17-2025 06:32 PM	Isaac Carter	Isaac (Prim) Replied: Yes, thank you! We will need telehealth please! ☺️
12-17-2025 07:04 PM	Andrea Rodriguez Stokes	Of course! See you tomorrow via zoom :)
12-18-2025 07:48 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/89001682507 - New Beginnings 🙂
12-18-2025 09:51 AM	Andrea Rodriguez Stokes	Hi! For today, we can work with the food items we did last week or any 4 non-preferred, and 1 preferred, that you have at home. See you soon. Thank you!
12-18-2025 10:21 AM	Isaac Carter	Isaac (Prim) Replied: Hey! I'm sorry I don't remember what we had last week 🤦🏽‍♀️ I'll have something put together though. Thank you!
12-18-2025 02:45 PM	Isaac Carter	Isaac (Prim) Replied: Hey, just a heads up, we'll be a few minutes late!
12-18-2025 02:45 PM	Andrea Rodriguez Stokes	Hi! No worries, thank you for letting me know:)
12-18-2025 03:15 PM	Andrea Rodriguez Stokes	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=840404
12-21-2025 02:29 PM	Jessica Ortiz	Ortiz, Jessica: Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-21-2025 02:29 PM	Jessica Ortiz	Ortiz, Jessica: Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
01-04-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 01-06-2026 at 4:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Carter, Isaac has a Feeding Therapy appointment on 01-08-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-05-2026 08:27 AM	Jessica Ortiz	Good morning Mrs. Carter! This is Jessica. I was wondering if we could switch Isaac’s appointment to today at 11 am or 4:15 via Zoom.
01-05-2026 08:59 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! 4:15 today via zoom is better. Baby Scarlette has her newborn checkup at 11:00 this morning 🤗
01-05-2026 09:24 AM	Jessica Ortiz	Thank you so much for your flexibility.See you at 4:15 today :)
01-05-2026 09:34 AM	Isaac Carter	Isaac (Prim) Replied: You're welcome! See you soon 🤗
01-05-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=834532
01-05-2026 04:01 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 01-05-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/86917441407 - New Beginnings 🙂
01-05-2026 04:18 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834532
01-07-2026 03:51 PM	Andrea Rodriguez	Hi! For tomorrow, you can just have him ready with 4 non-preferred and 1 preferred food item. Please do not worry, as I know you're still recovering. Also, congratulations!! I look forward to meeting the baby. See you tomorrow via Zoom :)
01-07-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
01-07-2026 06:33 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Hi! For tomorrow, you can just have him ready with 4 non-preferred and 1 preferred food item. Please do not worry, as I know you're still recovering. Also, congratulations!! I look forward to meeting the baby. See you tomorrow via Zoom :) "
01-07-2026 06:34 PM	Isaac Carter	Isaac (Prim) Replied: Thank you for the reminder 🙂 see you via zoom tomorrow with Isaac and baby Scarlette ❤️
01-08-2026 07:46 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/84384210148 - New Beginnings 🙂
01-08-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=840407
01-08-2026 03:17 PM	Isaac Carter	Isaac is CHECKED IN for: 3:30PM-1/8/2026 92526: Feeding Visit
01-11-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 01-13-2026 at 4:15 PM. 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 Carter, Isaac has a Speech Therapy appointment on 01-15-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 05:25 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Is it speech or feeding therapy? Speech is usually at 4:15 PM, that's why I'm asking ☺️
01-11-2026 05:25 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 06:01 PM	Andrea Rodriguez	Hi! The reminder says speech therapy but it is for feeding! I will see you Thursday at 3:30 pm :)
01-11-2026 06:19 PM	Isaac Carter	Isaac (Prim) Replied: 👍 to " Hi! The reminder says speech therapy but it is for feeding! I will see you Thursday at 3:30 pm :) "
01-11-2026 06:19 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.
01-12-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
01-12-2026 06:32 PM	Isaac Carter	Isaac (Prim) Replied: Hey! I just got a notification that Isaac had feeding therapy tomorrow at 3:30 pm. Is it speech or feeding tomorrow?
01-12-2026 07:30 PM	Jessica Ortiz	Hi Mrs. Carter,the appointment is for speech. I got a little mixed up with my schedule. I planned to re-evaluate Isaac next week, but if tomorrow works for you, please let me know :)
01-12-2026 07:36 PM	Isaac Carter	Isaac (Prim) Replied: Ok, thank you for clarifying! Tomorrow virtual will be good because my husband has an appointment as well tomorrow at the same time. So next week in person will work better ☺️
01-12-2026 07:36 PM	Jessica Ortiz	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.
01-12-2026 07:45 PM	Jessica Ortiz	Perfect! I will switch it to virtuaL. Thank you :)
01-12-2026 07:52 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Perfect! I will switch it to virtuaL. Thank you :) "
01-12-2026 07:52 PM	Jessica Ortiz	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 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. Here is the link https://us06web.zoom.us/j/89009168981 - New Beginnings 🙂
01-13-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=834533
01-13-2026 04:05 PM	Isaac Carter	Isaac is CHECKED IN for: 4:15PM-1/13/2026 92507: Speech & Language Visit
01-13-2026 05:01 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834533
01-14-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
01-14-2026 07:57 PM	Isaac Carter	Isaac (Prim) Replied: Thank you for the reminder! Is it virtual or in person tomorrow?
01-14-2026 07:57 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.
01-14-2026 08:00 PM	Andrea Rodriguez	It will be virtual :)
01-14-2026 08:05 PM	Isaac Carter	Isaac (Prim) Replied: Sounds good 😊
01-14-2026 08:05 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.
01-15-2026 07:44 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Speech/Feeding Reevaluation appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/84117501869 - New Beginnings 🙂
01-15-2026 12:50 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! 🙂🙂
01-15-2026 03:28 PM	Isaac Carter	Isaac (Prim) Replied: Hey, we'll be a little late. Ryan is on his way with Isaac now, he'll be here in about 5 minutes.
01-15-2026 03:29 PM	Andrea Rodriguez	Thank you!
01-18-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 01-20-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 01-22-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-19-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
01-20-2026 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech/Feeding Reevaluation appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
01-20-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834534
01-21-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
01-22-2026 07:43 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-22-2026 02:12 PM	Isaac Carter	Isaac (Prim) Replied: Thank you for the reminder! Today, the preferred item is a banana. Everything else is non preferred. The chicken cordon blue is the one he really doesn't like!
01-22-2026 02:54 PM	Isaac Carter	Isaac (Prim) Replied: Hey, just a heads up, Ryan will likely be a little late with Isaac because he forgot the food on the counter 🤦🏽‍♀️ so he's going to stop back by the house to get it.
01-22-2026 03:11 PM	Andrea Rodriguez	Hi! Thank you for letting me know, and no worries, I will see you here :)
01-22-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840409
01-22-2026 03:15 PM	Isaac Carter	Isaac is RUNNING LATE for: 3:30PM-1/22/2026 92526: Feeding Visit
01-25-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 01-27-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 01-29-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-26-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
01-27-2026 07:42 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
01-27-2026 12:15 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Yes, see you this afternoon! Also, can we switch it to virtual?
01-27-2026 12:16 PM	Isaac Carter	Isaac (Prim) Replied: Also, did you talk to your supervisor about where to take Isaac to be tested for autism?
01-27-2026 01:30 PM	Andrea Rodriguez	Hello! I wanted to ask if I could start seeing Isaac on Mondays at 3:30 pm, starting the week of the 9th. Let me know if this works with your schedule:)
01-27-2026 01:56 PM	Isaac Carter	Isaac (Prim) Replied: Hey there! You wouldn't happen to have anything later in the afternoon, would you?
01-27-2026 02:09 PM	Andrea Rodriguez	No, I apologize! If you are not able to make the switch, we can keep Thursday. I just wanted to ask :)
01-27-2026 02:11 PM	Isaac Carter	Isaac (Prim) Replied: No worries! I'll ask his teacher if that's ok to switch and let you know what she says ☺️ if she's ok with it then I'm ok with it! I'll let you know! If anything later comes up, please let me know ❤️
01-27-2026 02:11 PM	Andrea Rodriguez	Perfect! I will! Thank you so much :)
01-27-2026 02:12 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Perfect! I will! Thank you so much :) "
01-27-2026 03:47 PM	Jessica Ortiz	Hi Mrs. Carter, we can switch to virtual :)
01-27-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=834535
01-27-2026 04:05 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 01-27-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/85438291203 - New Beginnings 🙂
01-27-2026 04:57 PM	Jessica Ortiz	Dr. Monica Suchoff, Dr. Anacani Fonsceca at Texas Tech, Dr. Abraham Lopaz, or Dr. Carla Alvarado.
01-27-2026 05:01 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=834535
01-27-2026 08:03 PM	Isaac Carter	Isaac (Prim) Replied: She said Mondays are fine! 😊😊
01-27-2026 08:03 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.
01-28-2026 07:42 AM	Andrea Rodriguez	Thank you so much! This week and next week I will see him on Thursdays and starting the 9th, I can see him on Mondays! :)
01-28-2026 11:42 AM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Thank you so much! This week and next week I will see him on Thursdays and starting the 9th, I can see him on Mondays! :) "
01-28-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
01-28-2026 06:32 PM	Isaac Carter	Isaac (Prim) Replied: Thank you for the reminder! Do you need him in the office or will it be virtual? ☺️
01-28-2026 06:35 PM	Andrea Rodriguez	Would it be possible to see him at the office tomorrow? Next month we will be doing virtual only :)
01-28-2026 06:44 PM	Isaac Carter	Isaac (Prim) Replied: Ok, yes ma'am we'll see you at the office tomorrow 😊
01-29-2026 07:40 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
01-29-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840410
02-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 02-03-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 02-05-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
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 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:06 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
02-03-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=882921
02-03-2026 04:15 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=882921
02-04-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
02-05-2026 07:41 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/81221834619?pwd=yhkg22vkIPZ0cVbr1qWJaO1AY3tLSw.1 - New Beginnings 🙂
02-05-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=840411
02-05-2026 03:22 PM	Isaac Carter	Isaac is CHECKED IN for: 3:30PM-2/5/2026 92526: Feeding Visit
02-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 02-10-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 02-09-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
02-09-2026 07:54 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/84007141481?pwd=3i5R7RQ9SDH8diKsP7r7ODn7GavQ7U.1 - New Beginnings 🙂
02-09-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=880793
02-09-2026 03:15 PM	Isaac Carter	Isaac (Prim) Replied: Hey 😊 we'll be a little late today, so sorry!
02-09-2026 03:15 PM	Andrea Rodriguez	Hi! No worries! Thank you for letting me know :)
02-09-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
02-10-2026 07:47 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! Can we reschedule Isaac 's appointment for this afternoon? He has a field trip today and I'm unable to pick him up early. If you don't have anything else available this week, we can just see you next Tuesday 😊
02-10-2026 08:04 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
02-10-2026 08:59 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! Can we reschedule Isaac 's appointment for this afternoon? He has a field trip today and I'm unable to pick him up early. If you don't have anything else available this week, we can just see you next Tuesday 😊
02-10-2026 09:29 AM	Jessica Ortiz	Hi Mrs. Carter, thank you for letting me know. Does Thursday at 5 pm work for you?
02-10-2026 09:30 AM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am, that's perfect!!
02-10-2026 09:34 AM	Jessica Ortiz	awesome! Thank you:)
02-10-2026 09:35 AM	Jessica Ortiz	Jessica Ortiz CANCELLED: 4:15PM-2/10/2026 92507: Speech & Language Visit
02-11-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 08:02 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 04:45 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888651
02-12-2026 04:55 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Something came up, Can we switch to virtual? I'm sorry I forgot to ask earlier 😞
02-12-2026 04:58 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 02-12-2026 via telehealth at 05:00 PM. Here is the link https://us06web.zoom.us/j/89052096894?pwd=5db8d5upXEHTR3EhD4XMEc2w9lk3Bo.1 - New Beginnings 🙂
02-12-2026 04:59 PM	Jessica Ortiz	Hi Mrs. Carter, yes, I just sent you the link. :)
02-12-2026 05:04 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=888651
02-12-2026 05:40 PM	Jessica Ortiz	Hello! Could you please log in again?
02-12-2026 05:51 PM	Jessica Ortiz	https://boom.cards/fastplay/pwhrk
02-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 02-17-2026 at 4:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 03:32 PM	Isaac Carter	Isaac (Prim) Replied: Hey, can you send me the link? Thank you!
02-16-2026 03:39 PM	Jessica Ortiz	Hi Mrs. Carter, I’ll send it in a minute:)
02-16-2026 03:40 PM	Isaac Carter	Isaac (Prim) Replied: Thank you 😊
02-16-2026 03:51 PM	Isaac Carter	Isaac (Prim) Replied: If the appointment is inconvenient today, we can reschedule. I know you are not in the office this week, so let me know what you want to do ☺️
02-16-2026 04:45 PM	Jessica Ortiz	Hi Mrs. Carter, I’ll send it in a minute:)
02-16-2026 04:46 PM	Isaac Carter	Isaac (Prim) Replied: Hey, he actually left to go somewhere with his dad. Can we reschedule or just see you next week?
02-16-2026 04:50 PM	Jessica Ortiz	Hi, Mrs. Carter. I'm sorry, this is Jessica. Were you trying to text Mrs. Andrea? She is currently out of town.
02-16-2026 04:52 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am, there is some miscommunication I guess. We were supposed to have a virtual feeding therapy appointment today and I never got the link. I called the office and they said she was supposed to let me know that it was cancelled 🤷🏽‍♀️
02-16-2026 05:09 PM	Jessica Ortiz	Oh no! I'm sorry about that.
02-16-2026 05:09 PM	Jessica Ortiz	I will see you tomorrow :)
02-16-2026 05:21 PM	Isaac Carter	Isaac (Prim) Replied: No worries! See you tomorrow ❤️
02-16-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
02-17-2026 07:57 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
02-17-2026 12:28 PM	Isaac Carter	Isaac (Prim) Replied: Hey! Can we do virtual today? My husband can't watch the kids and I don't want to get them out in the dusty weather, especially Scarlette and Inara.
02-17-2026 12:29 PM	Jessica Ortiz	Yes absolutely! I’ll send you the link shortly :)
02-17-2026 01:11 PM	Isaac Carter	Isaac (Prim) Replied: Thank you ☺️
02-17-2026 01:11 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 02-17-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/87278369124 - New Beginnings 🙂
02-17-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883969
02-17-2026 04:53 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883969
02-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 02-24-2026 at 4:15 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 Carter, Isaac has a Feeding Therapy appointment on 02-23-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
02-23-2026 12:03 PM	Isaac Carter	Isaac (Prim) Replied: Hey! I'm so sorry, but can we reschedule? My oldest son has a basketball game this afternoon and my husband can't take him. What other afternoon appointments do you have available this week?
02-23-2026 12:04 PM	Isaac Carter	Isaac (Prim) Replied: I didn't know about the game until the last minute. They usually play on the weekends, but this is a tournament or something 🤦🏽‍♀️
02-23-2026 12:48 PM	Andrea Rodriguez	Of course! No worries! I can let you know if I get any afternoon cancellations. If not, I can see Isaac next Monday at the clinic for his feeding appointment. Thank you! :)
02-23-2026 12:50 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 3:30PM-2/23/2026 92526: Feeding Visit
02-23-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
02-23-2026 08:23 PM	Isaac Carter	Isaac (Prim) Replied: Hey Jessica, I will need to cancel/reschedule Isaac's speech therapy for tomorrow. My oldest son has a basketball tournament all week and he plays around 5:00 tomorrow. Sorry for the late text. I just found out he plays tomorrow because he won the game this evening.
02-23-2026 08:23 PM	Jessica Ortiz	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 07:14 AM	Jessica Ortiz	Hi Mrs. Carter! No worries, thank you for letting me know :)
02-24-2026 07:15 AM	Jessica Ortiz	Jessica Ortiz CANCELLED: 4:15PM-2/24/2026 92507: Speech & Language Visit
03-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 03-03-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 03-02-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:47 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. See you soon! - New Beginnings 🙂
03-02-2026 02:15 PM	Isaac Carter	Isaac (Prim) Replied: Hey there! Can we do virtual today? Two of my other kids had an appointment this morning that ran long and they are tired of being strapped in ☹️
03-02-2026 02:16 PM	Andrea Rodriguez	Of course! See you soon :)
03-02-2026 02:16 PM	Isaac Carter	Isaac (Prim) Replied: Thank you 😊
03-02-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883760
03-02-2026 03:32 PM	Isaac Carter	Isaac (Prim) Replied: Running behind
03-02-2026 03:36 PM	Isaac Carter	Isaac (Prim) Replied: Can I have the link?..
03-02-2026 03:37 PM	Andrea Rodriguez	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 03-02-2026 via telehealth at 03:30 PM. Here is the link https://us06web.zoom.us/j/85158890088 - New Beginnings 🙂
03-02-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
03-03-2026 07:54 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
03-03-2026 10:35 AM	Isaac Carter	Isaac (Prim) Replied: Hey! I plan on being there in person today, but I'll let you know if anything changes! 🙂
03-03-2026 02:16 PM	Jessica Ortiz	Perfect!! Thank you for letting me know :)
03-03-2026 02:36 PM	Isaac Carter	Isaac (Prim) Replied: You're welcome! 🤗
03-03-2026 03:54 PM	Jessica Ortiz	Hi Mrs. Carter! would it be possible to see Isaac at 4:25?
03-03-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883971
03-03-2026 04:25 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883971
03-05-2026 11:29 AM	Andrea Rodriguez	Good morning! I wanted to ask if Isaac will be on spring break next week? If that is the case, may I see him on Monday at 2:30 pm instead of 3:30 pm? Thank you!
03-05-2026 11:39 AM	Isaac Carter	Isaac (Prim) Replied: Hi! I will check when I get home and let you know! 😊
03-05-2026 07:32 PM	Isaac Carter	Isaac (Prim) Replied: Hey, Isaac is on spring break the following week. We'll have to keep him at 3:30 Monday.
03-05-2026 07:32 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.
03-05-2026 07:35 PM	Andrea Rodriguez	No worries! See you next week :)
03-05-2026 07:35 PM	Isaac Carter	Isaac (Prim) Replied: Yes ma'am! Have a good evening!
03-05-2026 07:35 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.
03-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 03-10-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 03-09-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
03-09-2026 07:44 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/82532264883 - New Beginnings 🙂
03-09-2026 10:05 AM	Andrea Rodriguez	Good morning! Let me know if you're able to bring Isaac to the clinic for his feeding appointment. If not, we can do telehealth. Thank you and see you soon! :)
03-09-2026 10:07 AM	Isaac Carter	Isaac (Prim) Replied: Good morning! We'll do telehealth today. We're all dealing with sickness 🤧
03-09-2026 10:08 AM	Isaac Carter	Isaac (Prim) Replied: Is there anything specific you want me to prepare for him today, or can I pick?
03-09-2026 10:13 AM	Andrea Rodriguez	I am so sorry to hear that! I hope you all feel better soon. You can pick any 4 non-preferred and 1 preferred item. Thank you!
03-09-2026 10:39 AM	Isaac Carter	Isaac (Prim) Replied: Thank you so much, sounds good! See you soon 🙂
03-09-2026 01:49 PM	Andrea Rodriguez	Hi! May I move Isaac's appointment to 4:00 pm? I am having an issue with my camera, but they informed me it should be fixed no later than 4 pm. If it doesn't work with your schedule, we can keep the 3:30 pm. No worries!!
03-09-2026 01:52 PM	Isaac Carter	Isaac (Prim) Replied: If you need to move it to 4:00 that is fine, but I'll have him ready at 3:30. So we'll keep 3:30 if your camera is fixed by then 😊
03-09-2026 01:56 PM	Isaac Carter	Isaac (Prim) Replied: Also, I'm losing my voice due to the congestion/sickness I have. I apologize in advance for how I sound. If you need to just text me afterwards that's fine!
03-09-2026 02:00 PM	Isaac Carter	Isaac (Prim) Replied: Today's food choices are: Preferred - Grapes Non preferred - one piece of popcorn chicken, broccoli with cheese, a white chocolate raspberry cookie, and a leftover ham and cheese he refuses to eat because he said he doesn't like the bread. But he ate it just fine before so I'm not sure what's up with that.
03-09-2026 02:11 PM	Andrea Rodriguez	Perfect! I will keep you updated on the camera situation. No worries, when we're done with the session, I can tell Isaac to end the meeting, and I can text you on how he did. Thank you so much!
03-09-2026 02:13 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Perfect! I will keep you updated on the camera situation. No worries, when we're done with the session, I can tell Isaac to end the meeting, and I can text you on how he did. Thank you so much! "
03-09-2026 03:23 PM	Andrea Rodriguez	Hi! I should be starting the session around 3:40 pm :)
03-09-2026 03:29 PM	Isaac Carter	Isaac (Prim) Replied: ❤️ to " Hi! I should be starting the session around 3:40 pm :) "
03-09-2026 03:37 PM	Andrea Rodriguez	I am connected:)
03-09-2026 03:39 PM	Isaac Carter	Isaac (Prim) Replied: Ok logging on now 🙂
03-09-2026 03:45 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883761
03-09-2026 03:58 PM	Andrea Rodriguez	Hi! He tried the chicken, sandwich, grapes, and the cookie. He did at least 3 bites of each. He did very well today! He was receptive to trying everything without a lot of redirection. I will see you again next week. Thank you :)
03-09-2026 03:59 PM	Andrea Rodriguez	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883761
03-09-2026 04:27 PM	Isaac Carter	Isaac (Prim) Replied: I'm so happy to hear that! See you next week!
03-09-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
03-10-2026 07:50 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
03-10-2026 01:32 PM	Isaac Carter	Isaac (Prim) Replied: Hey there, can we do telehealth today? My oldest son and I are sick 🤧
03-10-2026 01:52 PM	Jessica Ortiz	Hi, Mrs. Carter! Yes, absolutely :) I'll send you the link shortly.
03-10-2026 02:37 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! Isaac will be riding the bus home and he usually gets here around 4:00/4:15 😊
03-10-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883972
03-10-2026 04:17 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 03-10-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/83960354880 - New Beginnings 🙂
03-10-2026 04:17 PM	Isaac Carter	Isaac (Prim) Replied: Hi, can I have the Link? 😊
03-10-2026 04:57 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883972
03-17-2026 10:40 AM	Isaac Carter	Isaac (Prim) Replied: Good morning ☺️ is there any way we can do telehealth today? We're still struggling with sickness and have some other things going on.
03-17-2026 10:43 AM	Isaac Carter	Isaac (Prim) Replied: Hey Andrea, I apologize I totally forgot about therapy yesterday. I didn't remember until almost 6:00 last night 🤦🏽‍♀️The kids are on spring break this week and I guess since we were out of our normal routine I just forgot. Let me know if you have an opening for a makeup appointment this week, or if we can just see you next week. Thank you and I apologize again!
03-17-2026 10:47 AM	Andrea Rodriguez	No worries at all! I do have an opening tomorrow at 12:15 pm in case it works with your schedule. Let me know! If not, no worries. I can see him next week :)
03-17-2026 12:41 PM	Isaac Carter	Isaac (Prim) Replied: I can do virtual tomorrow! If that's not possible then I'll see you in person on Monday ☺️
03-17-2026 01:08 PM	Andrea Rodriguez	Yes, we can do virtual tomorrow :)
03-17-2026 01:12 PM	Jessica Ortiz	Hi Mrs. Carter, yes, we can do virtual today. I'll send you the link shortly:))
03-17-2026 01:15 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 03-17-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/83317830585 - New Beginnings 🙂
03-17-2026 01:19 PM	Isaac Carter	Isaac (Prim) Replied: Thank you! ❤️
03-17-2026 01:20 PM	Isaac Carter	Isaac (Prim) Replied: Great, thank you! Anything specific you want me to prepare for him, or do I choose?
03-17-2026 01:22 PM	Andrea Rodriguez	You can choose 4 non-preferred items and 1 preferred. Thank you!
03-17-2026 01:29 PM	Isaac Carter	Isaac (Prim) Replied: 👍 to " You can choose 4 non-preferred items and 1 preferred. Thank you! "
03-17-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883973
03-17-2026 05:19 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883973
03-17-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 12:15 PM. - New Beginnings 🙂
03-17-2026 06:46 PM	Isaac Carter	Isaac (Prim) Replied: 👍 to " Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 12:15 PM. - New Beginnings 🙂 "
03-18-2026 08:03 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 12:15 PM. Here is the link https://us06web.zoom.us/j/88603290423 - New Beginnings 🙂
03-18-2026 12:00 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=909016
03-18-2026 12:15 PM	Isaac Carter	Isaac (Prim) Replied: Preferred is an egg sandwich Non preferred is town house cracker, cereal, ginger snap, and 1/2 cliff kid bar
03-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has a Speech Therapy appointment on 03-24-2026 at 4:15 PM. 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 Carter, Isaac has a Feeding Therapy appointment on 03-23-2026 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
03-23-2026 07:45 AM	Andrea Rodriguez	Hi, this is a just a reminder that Isaac has a Feeding Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/81418154673 - New Beginnings 🙂
03-23-2026 03:15 PM	Andrea Rodriguez	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883763
03-23-2026 03:17 PM	Isaac Carter	Isaac (Prim) Replied: Hey, we'll be a little late 😜
03-23-2026 03:23 PM	Andrea Rodriguez	No worries :)
03-23-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled tomorrow at 04:15 PM. See you soon! - New Beginnings 🙂
03-24-2026 07:50 AM	Jessica Ortiz	Hi, this is a just a reminder that Isaac has a Speech Therapy appointment scheduled today at 04:15 PM. See you soon! - New Beginnings 🙂
03-24-2026 02:16 PM	Isaac Carter	Isaac (Prim) Replied: Hey there, can we do virtual today?
03-24-2026 02:18 PM	Jessica Ortiz	Hi Mrs. Carter, yes ma'am. I'll send you the link shortly:)
03-24-2026 02:19 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 03-24-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/82275720400 - New Beginnings 🙂
03-24-2026 02:19 PM	Jessica Ortiz	Hi, this is a just a reminder that Carter, Isaac has an appointment scheduled on 03-24-2026 via telehealth at 04:15 PM. Here is the link https://us06web.zoom.us/j/82275720400 - New Beginnings :)
03-24-2026 02:21 PM	Isaac Carter	Isaac (Prim) Replied: Thank you 😊
03-24-2026 04:00 PM	Jessica Ortiz	Isaac Carter : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=883974
03-24-2026 04:21 PM	Jessica Ortiz	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9629&Appt=883974