New Beginnings | NB1-Office

Patient Name: Lucah

Patient Information:

Patient ID: 9637

Patient First Name: Lucah

Patient Date of Birth: 03-29-2021

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Jose Manuel, Renteria-Alvarez

Patient Status: On Hold (courtesy hold per parent)

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Holguin, Valeria

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

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25269	08-14-2025	Feeding Initial Evaluation	R63.32, R13.11, R63.39
Feeding Background History: Lucah is a 4-year, 4-month-old male referred for a feeding evaluation by his pediatrician due to concerns regarding food aversions. The pediatrician reported no concerns regarding Lucah’s overall growth or nutritional status at this time. His mother, Mrs. Martinez, served as the primary informant for this evaluation and provided a detailed developmental and medical history. Early feeding development was unremarkable, with no reported difficulties during bottle feeding; however, challenges emerged around 6 months of age when purées were introduced. Mrs. Martinez described Lucah as a “very picky eater” and expressed increasing concern regarding his limited nutritional intake, reporting that he may not be receiving adequate nutrients for his age and that mealtimes are often stressful, with episodes of crying and screaming. She also noted sensory-related concerns, including Lucah’s tendency to smell her hands and his aversion to loud music. Lucah continues to demonstrate significant food selectivity, particularly related to textures, and relies on a small repertoire of preferred foods. He consumes fluids appropriately via both a straw and an open cup. At present, he has no known food allergies and no history of respiratory complications. Based on caregiver report and direct clinical observation, Spanish was identified as the appropriate language for intervention. Lucah’s feeding and swallowing skills were assessed through a bedside swallow evaluation and structured mealtime observation.
Feeding Medical History: According to caregiver report, Lucah’s prenatal history and labor were unremarkable, and he was born full term. He has no history of major illnesses, hospitalizations, or significant medical conditions, and has not experienced any major accidents to date.
Feeding Medications: None
Feeding Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics was not formally assessed as this was not the purpose of today's evaluation.
Feeding Diagnosis/Impressions: Lucah is a 4-year, 4-month-old male referred for a feeding evaluation by his pediatrician due to concerns regarding food aversions. The pediatrician reported no concerns regarding Lucah’s overall growth or nutritional status at this time. His mother, Mrs. Martinez, served as the primary informant for this evaluation and provided a detailed developmental and medical history. Early feeding development was unremarkable, with no reported difficulties during bottle feeding; however, challenges emerged around 6 months of age when purées were introduced. Mrs. Martinez described Lucah as a “very picky eater” and expressed increasing concern regarding his limited nutritional intake, reporting that he may not be receiving adequate nutrients for his age and that mealtimes are often stressful, with episodes of crying and screaming. She also noted sensory-related concerns, including Lucah’s tendency to smell her hands and his aversion to loud music. Lucah continues to demonstrate significant food selectivity, particularly related to textures, and relies on a small repertoire of preferred foods. He consumes fluids appropriately via both a straw and an open cup. At present, he has no known food allergies and no history of respiratory complications. An oral mechanism and cranial nerve examination were conducted to evaluate the structural and functional integrity of Lucah’s orofacial mechanism. Overall, assessment findings indicate that Lucah’s oral anatomy and physiology appear functional and adequate to support feeding and swallowing at this time. Based on the bedside swallow evaluation and skilled mealtime observation, Lucah presents with a CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA, characterized by impaired oral intake that is not developmentally appropriate for his age. His feeding challenges appear to be multifactorial, influenced by nutritional factors (limited food repertoire and food jags), sensory-based feeding skill deficits (e.g., sensitivities to textures), and psychosocial components (e.g., learned mealtime behaviors and feeding-related avoidance). Overt clinical signs of pharyngeal compromise (i.e., coughing, increased respiratory effort) were observed during the evaluation, most likely related to overstuffing behaviors rather than a primary medical condition. According to the caregiver report, Lucah has no history of aspiration pneumonia or unexplained fevers. To supplement clinical findings, Mrs. Martinez completed the Pediatric Eating Assessment Tool (PediEAT), a subjective measure of feeding behaviors. Her responses indicated ratings approaching the “No Concern” range across domains of oral processing skills and physiological symptoms. However, Lucah received ratings in the “High Concern” range for problematic mealtime behaviors and selective/restrictive eating. These findings are consistent with his current clinical presentation and observed feeding difficulties, and suggest possible underreporting or reduced caregiver awareness regarding the extent of his feeding challenges. CURRENT FEEDING: Lucah currently eats under adult supervision and typically shares meals with his family. He is offered food three times per day with two snacks and drinks water throughout the day. Meals generally last approximately 15–30 minutes. His mother expressed concern regarding his limited food intake and overall picky eating behaviors. She reported that Lucah primarily prefers foods that are crunchy, smooth, hard, or chewy, and typically prefers them served warm or cool. His appetite is described as fair. When presented with non-preferred foods, Lucah may attempt a small taste and spit it out or respond with screaming and crying. ACCEPTED FOODS: Lucah’s accepted food inventory includes approximately 25 solid foods and 6 liquids. Accepted liquids include juice (e.g., orange, grape, fruit punch), chocolate milk, milkshakes, drinkable yogurt, and water. His preferred foods consist of carbohydrates (chips, rice, pastries, popcorn, potato, pancakes, dry cereal, waffles), proteins (chicken, pepperoni, lunch meat, ground beef, peanut butter, yogurt, breakfast bars), and fruits (blueberries, raspberries, strawberries, peaches, bananas, grapes, oranges, tangerines/cuties). At present, Lucah does not consume any vegetables. According to the USDA Dietary Guidelines and the American Academy of Pediatrics (AAP), children around 4 years of age typically require 1,200–1,400 calories per day from a varied, nutrient-dense diet across all food groups. Preschool-aged children are expected to consume three balanced meals per day with two healthy snacks to support adequate growth and development. Lucah’s exact daily caloric intake is unknown; however, based on caregiver report, his limited food acceptance, restricted variety, and frequent refusal of non-preferred foods suggest his intake may not be meeting age-appropriate dietary expectations. FEEDING OBSERVATIONS: During the feeding observation, Lucah was seated in a stable 90-90-90 position (hips, knees, ankles) at the table for the duration of the assessment. A variety of foods were presented, including non-preferred items (cheddar cheese) and preferred items (mac and cheese, Nutri-Grain bar). With moderate verbal prompting, Lucah accepted bites of his preferred foods and consumed approximately 90% of the items offered. When presented with non-preferred foods, his responses were variable. He initially stood up from the table and moved closer to his mother, actively avoiding the foods, indicating clear avoidance behavior. With verbal and visual models, he eventually touched the non-preferred foods with his finger pads and palm. Based on his responses, Lucah’s interaction with non-preferred foods fell within early sensory exploration levels of the Steps to Eating hierarchy. Per caregiver report, Lucah demonstrates heightened sensory aversions to non-preferred foods during mealtimes at home, and his behaviors during the session were consistent with these reported patterns. These difficulties appear to be influenced by sensory dysregulation and underlying sensory processing differences that impact his ability to tolerate a wider range of textures and expand his diet. An occupational therapy referral is recommended to further evaluate and address sensory integration needs in collaboration with ongoing feeding therapy. Overall, these observations suggest a persistent sensory-based feeding difficulty that significantly impacts Lucah’s willingness to explore and expand his food repertoire. ORAL MOTOR SKILLS: During the observation of oral intake, Lucah demonstrated an emerging diagonal chew pattern with active lip movement and anterior protrusion/retraction of the tongue, suggesting limited dissociation of oral structures. He presented with several oral motor deficits, including reduced tongue lateralization, limited rotary movement, shortened mastication time, and frequent overstuffing behaviors. Poor bolus formation was observed, and he did not consistently pull or bite from larger pieces of food, further contributing to inefficient mastication. Overt signs of pharyngeal dysphagia—such as increased respiratory effort and coughing—were observed during consumption of mac and cheese and a Nutri-Grain bar, which may be attributed to poor coordination of oral and swallow function. Lucah also verbalized that “hard foods” tend to “hurt” when swallowing, which may further impact his food choices. By approximately 4 years of age, children are typically expected to demonstrate emerging rotary chewing skills, improved tongue lateralization, and adequate bolus formation across a variety of textures. Ongoing monitoring is recommended as Lucah is introduced to increasingly complex textures during intervention. Overall, he presents with decreased oropharyngeal motor coordination and efficiency, which may be contributing to concerns regarding the safety and effectiveness of his oral intake. RECOMMENDATIONS: Feeding therapy is strongly recommended to address Lucah’s current feeding challenges. His existing feeding deficits, including oral motor inefficiencies, overstuffing behaviors, sensory-based aversions, and limited food repertoire, place him at risk for nutritional compromise if not addressed. Intervention should focus on increasing tolerance for non-preferred foods using a structured approach that incorporates the Steps to Eating Hierarchy, desensitization techniques, sensory-based feeding activities, and food chaining strategies. Therapy will also target improved oral motor coordination (chewing, bolus formation, tongue lateralization) and pacing to promote safe and efficient intake. Parent education and implementation of structured mealtime strategies will be integral to reduce stress, increase consistency, and support Lucah’s feeding progress across environments. A Home Management Intervention Program (HMIP) will be provided to reinforce therapy strategies at home and promote generalization into daily routines. Given Lucah’s noted sensory sensitivities and regulation challenges, an occupational therapy referral is warranted to address underlying sensory processing needs in collaboration with feeding therapy. Without appropriate intervention, Lucah remains at risk for inadequate nutrition secondary to food selectivity and food jags. Based on caregiver preference and language exposure, therapy sessions will be conducted in Spanish as appropriate.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

56085

Plan Date: 08-14-2025

Feeding Assessment Summary: PATIENT HX: Lucah is a 4-year, 4-month-old male referred for a feeding evaluation by his pediatrician due to concerns regarding food aversions. The pediatrician reported no concerns regarding Lucah’s overall growth or nutritional status at this time. His mother, Mrs. Martinez, served as the primary informant for this evaluation and provided a detailed developmental and medical history. Early feeding development was unremarkable, with no reported difficulties during bottle feeding; however, challenges emerged around 6 months of age when purées were introduced. Mrs. Martinez described Lucah as a “very picky eater” and expressed increasing concern regarding his limited nutritional intake, reporting that he may not be receiving adequate nutrients for his age and that mealtimes are often stressful, with episodes of crying and screaming. She also noted sensory-related concerns, including Lucah’s tendency to smell her hands and his aversion to loud music. Lucah continues to demonstrate significant food selectivity, particularly related to textures, and relies on a small repertoire of preferred foods. He consumes fluids appropriately via both a straw and an open cup. At present, he has no known food allergies and no history of respiratory complications. ORAL MECHANISM/CRANIAL NERVE EXAMINATION: An oral mechanism and cranial nerve examination were conducted to evaluate the structural and functional integrity of Lucah’s orofacial mechanism. Overall, assessment findings indicate that Lucah’s oral anatomy and physiology appear functional and adequate to support feeding and swallowing at this time. FEEDING EVALUATION: Based on the bedside swallow evaluation and skilled mealtime observation, Lucah presents with a CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA, characterized by impaired oral intake that is not developmentally appropriate for his age. His feeding challenges appear to be multifactorial, influenced by nutritional factors (limited food repertoire and food jags), sensory-based feeding skill deficits (e.g., sensitivities to textures), and psychosocial components (e.g., learned mealtime behaviors and feeding-related avoidance). Overt clinical signs of pharyngeal compromise (i.e., coughing, increased respiratory effort) were observed during the evaluation, most likely related to overstuffing behaviors rather than a primary medical condition. According to the caregiver report, Lucah has no history of aspiration pneumonia or unexplained fevers. To supplement clinical findings, Mrs. Martinez completed the Pediatric Eating Assessment Tool (PediEAT), a subjective measure of feeding behaviors. Her responses indicated ratings approaching the “No Concern” range across domains of oral processing skills and physiological symptoms. However, Lucah received ratings in the “High Concern” range for problematic mealtime behaviors and selective/restrictive eating. These findings are consistent with his current clinical presentation and observed feeding difficulties, and suggest possible underreporting or reduced caregiver awareness regarding the extent of his feeding challenges. CURRENT FEEDING: Lucah currently eats under adult supervision and typically shares meals with his family. He is offered food three times per day with two snacks and drinks water throughout the day. Meals generally last approximately 15–30 minutes. His mother expressed concern regarding his limited food intake and overall picky eating behaviors. She reported that Lucah primarily prefers foods that are crunchy, smooth, hard, or chewy, and typically prefers them served warm or cool. His appetite is described as fair. When presented with non-preferred foods, Lucah may attempt a small taste and spit it out or respond with screaming and crying. ACCEPTED FOODS: Lucah’s accepted food inventory includes approximately 25 solid foods and 6 liquids. Accepted liquids include juice (e.g., orange, grape, fruit punch), chocolate milk, milkshakes, drinkable yogurt, and water. His preferred foods consist of carbohydrates (chips, rice, pastries, popcorn, potato, pancakes, dry cereal, waffles), proteins (chicken, pepperoni, lunch meat, ground beef, peanut butter, yogurt, breakfast bars), and fruits (blueberries, raspberries, strawberries, peaches, bananas, grapes, oranges, tangerines/cuties). At present, Lucah does not consume any vegetables. According to the USDA Dietary Guidelines and the American Academy of Pediatrics (AAP), children around 4 years of age typically require 1,200–1,400 calories per day from a varied, nutrient-dense diet across all food groups. Preschool-aged children are expected to consume three balanced meals per day with two healthy snacks to support adequate growth and development. Lucah’s exact daily caloric intake is unknown; however, based on caregiver report, his limited food acceptance, restricted variety, and frequent refusal of non-preferred foods suggest his intake may not be meeting age-appropriate dietary expectations. FEEDING OBSERVATIONS: During the feeding observation, Lucah was seated in a stable 90-90-90 position (hips, knees, ankles) at the table for the duration of the assessment. A variety of foods were presented, including non-preferred items (cheddar cheese) and preferred items (mac and cheese, Nutri-Grain bar). With moderate verbal prompting, Lucah accepted bites of his preferred foods and consumed approximately 90% of the items offered. When presented with non-preferred foods, his responses were variable. He initially stood up from the table and moved closer to his mother, actively avoiding the foods, indicating clear avoidance behavior. With verbal and visual models, he eventually touched the non-preferred foods with his finger pads and palm. Based on his responses, Lucah’s interaction with non-preferred foods fell within early sensory exploration levels of the Steps to Eating hierarchy. Per caregiver report, Lucah demonstrates heightened sensory aversions to non-preferred foods during mealtimes at home, and his behaviors during the session were consistent with these reported patterns. These difficulties appear to be influenced by sensory dysregulation and underlying sensory processing differences that impact his ability to tolerate a wider range of textures and expand his diet. An occupational therapy referral is recommended to further evaluate and address sensory integration needs in collaboration with ongoing feeding therapy. Overall, these observations suggest a persistent sensory-based feeding difficulty that significantly impacts Lucah’s willingness to explore and expand his food repertoire. ORAL MOTOR SKILLS: During the observation of oral intake, Lucah demonstrated an emerging diagonal chew pattern with active lip movement and anterior protrusion/retraction of the tongue, suggesting limited dissociation of oral structures. He presented with several oral motor deficits, including reduced tongue lateralization, limited rotary movement, shortened mastication time, and frequent overstuffing behaviors. Poor bolus formation was observed, and he did not consistently pull or bite from larger pieces of food, further contributing to inefficient mastication. Overt signs of pharyngeal dysphagia—such as increased respiratory effort and coughing—were observed during consumption of mac and cheese and a Nutri-Grain bar, which may be attributed to poor coordination of oral and swallow function. Lucah also verbalized that “hard foods” tend to “hurt” when swallowing, which may further impact his food choices. By approximately 4 years of age, children are typically expected to demonstrate emerging rotary chewing skills, improved tongue lateralization, and adequate bolus formation across a variety of textures. Ongoing monitoring is recommended as Lucah is introduced to increasingly complex textures during intervention. Overall, he presents with decreased oropharyngeal motor coordination and efficiency, which may be contributing to concerns regarding the safety and effectiveness of his oral intake. RECOMMENDATIONS: Feeding therapy is strongly recommended to address Lucah’s current feeding challenges. His existing feeding deficits, including oral motor inefficiencies, overstuffing behaviors, sensory-based aversions, and limited food repertoire, place him at risk for nutritional compromise if not addressed. Intervention should focus on increasing tolerance for non-preferred foods using a structured approach that incorporates the Steps to Eating Hierarchy, desensitization techniques, sensory-based feeding activities, and food chaining strategies. Therapy will also target improved oral motor coordination (chewing, bolus formation, tongue lateralization) and pacing to promote safe and efficient intake. Parent education and implementation of structured mealtime strategies will be integral to reduce stress, increase consistency, and support Lucah’s feeding progress across environments. A Home Management Intervention Program (HMIP) will be provided to reinforce therapy strategies at home and promote generalization into daily routines. Given Lucah’s noted sensory sensitivities and regulation challenges, an occupational therapy referral is warranted to address underlying sensory processing needs in collaboration with feeding therapy. Without appropriate intervention, Lucah remains at risk for inadequate nutrition secondary to food selectivity and food jags. Based on caregiver preference and language exposure, therapy sessions will be conducted in Spanish as appropriate.

Feeding Rehabilitation Potential: Lucah demonstrates good rehabilitation potential given his participation during the evaluation, caregiver involvement, and responsiveness to structured supports. Discharge will be considered once he is consistently meeting therapy goals and demonstrating safe, efficient, and age-appropriate feeding across settings. Caregivers will play a key role in carryover through the Home Management Intervention Program (HMIP) to reduce mealtime stress, support sensory regulation, and promote long-term feeding success.

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Lucah will improve his feeding and swallowing skills to support safe, efficient, and age-appropriate nutrition, as demonstrated by achieving 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Lucah will consume solids and liquids using pacing strategies (e.g., smaller bites/sips, pausing between swallows) in 3 out of 10 opportunities across 3 consecutive sessions without overt signs of aspiration (e.g., coughing, increased respiratory effort), in order to support safe and efficient intake.
Feeding/Swallowing	In 6 months, Lucah will demonstrate an emerging rotary chewing pattern with age-appropriate textured solids in 3 out of 10 opportunities across 3 consecutive sessions, in order to promote safe and efficient bolus breakdown.
Feeding/Swallowing	In 6 months, Lucah will demonstrate tongue lateralization with preferred solids in 3 out of 5 opportunities across 3 consecutive sessions, in order to improve bolus manipulation and support safe swallowing.
Feeding/Swallowing	In 6 months, Lucah will use or respond to positive/neutral language around non-preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to decrease avoidance behaviors and support increased willingness to interact with new foods.
Feeding/Swallowing	In 6 months, Lucah will tolerate interaction with various food consistencies at an appropriate level of the Steps to Eating Hierarchy without heightened emotional distress (e.g., crying, screaming, avoidance) in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase acceptance and exploration of non-preferred foods and improve mealtime behaviors for functional participation.
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.

57956

Plan Date: 01-14-2026

Feeding Assessment Summary: Lucah is a 4-year, 9-month-old male referred for a feeding evaluation by his pediatrician due to concerns regarding food aversions. The pediatrician reported no concerns regarding Lucah’s overall growth or nutritional status at this time. His mother, Mrs. Martinez, served as the primary informant for this evaluation and provided a detailed developmental and medical history. Early feeding development was unremarkable, with no reported difficulties during bottle feeding; however, challenges emerged around 6 months of age when purées were introduced. Mrs. Martinez described Lucah as a “very picky eater” and expressed increasing concern regarding his limited nutritional intake, reporting that he may not be receiving adequate nutrients for his age and that mealtimes are often stressful, with episodes of crying and screaming. She also noted sensory-related concerns, including Lucah’s tendency to smell her hands and his aversion to loud music. Lucah continues to demonstrate significant food selectivity, particularly related to textures, and relies on a small repertoire of preferred foods. He consumes fluids appropriately via both a straw and an open cup. At present, he has no known food allergies and no history of respiratory complications. An oral mechanism and cranial nerve examination were conducted to evaluate the structural and functional integrity of Lucah’s orofacial mechanism. Overall, assessment findings indicate that Lucah’s oral anatomy and physiology appear functional and adequate to support feeding and swallowing at this time. Based on the bedside swallow evaluation and skilled mealtime observation, Lucah presents with a CHRONIC PEDIATRIC FEEDING DISORDER and OROPHARYNGEAL DYSPHAGIA, characterized by impaired oral intake that is not developmentally appropriate for his age. His feeding challenges appear to be multifactorial, influenced by nutritional factors (limited food repertoire and food jags), sensory-based feeding skill deficits (e.g., sensitivities to textures), and psychosocial components (e.g., learned mealtime behaviors and feeding-related avoidance). Overt clinical signs of pharyngeal compromise (i.e., coughing, increased respiratory effort) were observed during the evaluation, most likely related to overstuffing behaviors rather than a primary medical condition. According to the caregiver report, Lucah has no history of aspiration pneumonia or unexplained fevers. To supplement clinical findings, Mrs. Martinez completed the Pediatric Eating Assessment Tool (PediEAT), a subjective measure of feeding behaviors. Her responses indicated ratings approaching the “No Concern” range across domains of oral processing skills and physiological symptoms. However, Lucah received ratings in the “High Concern” range for problematic mealtime behaviors and selective/restrictive eating. These findings are consistent with his current clinical presentation and observed feeding difficulties, and suggest possible underreporting or reduced caregiver awareness regarding the extent of his feeding challenges. CURRENT FEEDING: Lucah currently eats under adult supervision and typically shares meals with his family. He is offered food three times per day with two snacks and drinks water throughout the day. Meals generally last approximately 15–30 minutes. His mother expressed concern regarding his limited food intake and overall picky eating behaviors. She reported that Lucah primarily prefers foods that are crunchy, smooth, hard, or chewy, and typically prefers them served warm or cool. His appetite is described as fair. When presented with non-preferred foods, Lucah may attempt a small taste and spit it out or respond with screaming and crying. ACCEPTED FOODS: Lucah’s accepted food inventory includes approximately 25 solid foods and 6 liquids. Accepted liquids include juice (e.g., orange, grape, fruit punch), chocolate milk, milkshakes, drinkable yogurt, and water. His preferred foods consist of carbohydrates (chips, rice, pastries, popcorn, potato, pancakes, dry cereal, waffles), proteins (chicken, pepperoni, lunch meat, ground beef, peanut butter, yogurt, breakfast bars, chicken nuggets ( Alberstons, dino nuggets (whole grainsONLY), and fruits (blueberries, raspberries, strawberries, peaches, bananas, grapes, oranges, tangerines/cutie)RECENT: Cherry, kiwi. At present, Lucah does not consume any vegetables. According to the USDA Dietary Guidelines and the American Academy of Pediatrics (AAP), children around 4 years of age typically require 1,200–1,400 calories per day from a varied, nutrient-dense diet across all food groups. Preschool-aged children are expected to consume three balanced meals per day with two healthy snacks to support adequate growth and development. Lucah’s exact daily caloric intake is unknown; however, based on caregiver report, his limited food acceptance, restricted variety, and frequent refusal of non-preferred foods suggest his intake may not be meeting age-appropriate dietary expectations. FEEDING OBSERVATIONS: During the feeding observation, Lucah was seated in a stable 90-90-90 position (hips, knees, ankles) at the table for the duration of the assessment. A variety of foods were presented, including non-preferred items (cheddar cheese) and preferred items (mac and cheese, Nutri-Grain bar). With moderate verbal prompting, Lucah accepted bites of his preferred foods and consumed approximately 90% of the items offered. When presented with non-preferred foods, his responses were variable. He initially stood up from the table and moved closer to his mother, actively avoiding the foods, indicating clear avoidance behavior. With verbal and visual models, he eventually touched the non-preferred foods with his finger pads and palm. Based on his responses, Lucah’s interaction with non-preferred foods fell within early sensory exploration levels of the Steps to Eating hierarchy. Per caregiver report, Lucah demonstrates heightened sensory aversions to non-preferred foods during mealtimes at home, and his behaviors during the session were consistent with these reported patterns. These difficulties appear to be influenced by sensory dysregulation and underlying sensory processing differences that impact his ability to tolerate a wider range of textures and expand his diet. An occupational therapy referral is recommended to further evaluate and address sensory integration needs in collaboration with ongoing feeding therapy. Overall, these observations suggest a persistent sensory-based feeding difficulty that significantly impacts Lucah’s willingness to explore and expand his food repertoire. ORAL MOTOR SKILLS: During the observation of oral intake, Lucah demonstrated an emerging diagonal chew pattern with active lip movement and anterior protrusion/retraction of the tongue, suggesting limited dissociation of oral structures. He presented with several oral motor deficits, including reduced tongue lateralization, limited rotary movement, shortened mastication time, and frequent overstuffing behaviors. Poor bolus formation was observed, and he did not consistently pull or bite from larger pieces of food, further contributing to inefficient mastication. Overt signs of pharyngeal dysphagia—such as increased respiratory effort and coughing—were observed during consumption of mac and cheese and a Nutri-Grain bar, which may be attributed to poor coordination of oral and swallow function. Lucah also verbalized that “hard foods” tend to “hurt” when swallowing, which may further impact his food choices. By approximately 4 years of age, children are typically expected to demonstrate emerging rotary chewing skills, improved tongue lateralization, and adequate bolus formation across a variety of textures. Ongoing monitoring is recommended as Lucah is introduced to increasingly complex textures during intervention. Overall, he presents with decreased oropharyngeal motor coordination and efficiency, which may be contributing to concerns regarding the safety and effectiveness of his oral intake. RECOMMENDATIONS: Feeding therapy is strongly recommended to address Lucah’s current feeding challenges. His existing feeding deficits, including oral motor inefficiencies, overstuffing behaviors, sensory-based aversions, and limited food repertoire, place him at risk for nutritional compromise if not addressed. Intervention should focus on increasing tolerance for non-preferred foods using a structured approach that incorporates the Steps to Eating Hierarchy, desensitization techniques, sensory-based feeding activities, and food chaining strategies. Therapy will also target improved oral motor coordination (chewing, bolus formation, tongue lateralization) and pacing to promote safe and efficient intake. Parent education and implementation of structured mealtime strategies will be integral to reduce stress, increase consistency, and support Lucah’s feeding progress across environments. A Home Management Intervention Program (HMIP) will be provided to reinforce therapy strategies at home and promote generalization into daily routines. Given Lucah’s noted sensory sensitivities and regulation challenges, an occupational therapy referral is warranted to address underlying sensory processing needs in collaboration with feeding therapy. Without appropriate intervention, Lucah remains at risk for inadequate nutrition secondary to food selectivity and food jags. Based on caregiver preference and language exposure, therapy sessions will be conducted in Spanish as appropriate.

Feeding Progress to Date: In 12 months, Lucah will improve his feeding and swallowing skills to support safe, efficient, and ageappropriate nutrition, as demonstrated by achieving 50% accuracy across 5 consecutive sessions. In 6 months, Lucah will consume solids and liquids using pacing strategies (e.g., smaller bites/sips, pausing between swallows) in 3 out of 10 opportunities across 3 consecutive sessions without overt signs of aspiration (e.g., coughing, increased respiratory effort), in order to support safe and efficient intake. CONTINUE GOAL In 6 months, Lucah will demonstrate an emerging rotary chewing pattern with ageappropriate textured solids in 3 out of 10 opportunities across 3 consecutive sessions, in order to promote safe and efficient bolus breakdown. CONTINUE GOAL In 6 months, Lucah will demonstrate tongue lateralization with preferred solids in 3 out of 5 opportunities across 3 consecutive sessions, in order to improve bolus manipulation and support safe swallowing. CONTINUE GOAL In 6 months, Lucah will use or respond to positive/neutral language around non preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to decrease avoidance behaviors and support increased willingness to interact with new foods. CONTINUE GOAL In 6 months, Lucah will tolerate interaction with various food consistencies at an appropriate level of the Steps to Eating Hierarchy without heightened emotional distress (e.g., crying, screaming, avoidance) in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase acceptance and exploration of non preferred foods and improve mealtime behaviors for functional participation. CONTINUE GOAL 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. CONTINUE GOAL ** IMPORTANT NOTE** Dee to change in therapist and holiday break. Pt will continue with POC to target goals and consistently utilize SOS approach and feeding therapy hierarchy.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support

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, Lucah will improve his feeding and swallowing skills to support safe, efficient, and ageappropriate nutrition, as demonstrated by achieving 50% accuracy across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Lucah will consume solids and liquids using pacing strategies (e.g., smaller bites/sips, pausing between swallows) in 3 out of 10 opportunities across 3 consecutive sessions without overt signs of aspiration (e.g., coughing, increased respiratory effort), in order to support safe and efficient intake.
Feeding/Swallowing	In 6 months, Lucah will demonstrate an emerging rotary chewing pattern with ageappropriate textured solids in 3 out of 10 opportunities across 3 consecutive sessions, in order to promote safe and efficient bolus breakdown.
Feeding/Swallowing	In 6 months, Lucah will demonstrate tongue lateralization with preferred solids in 3 out of 5 opportunities across 3 consecutive sessions, in order to improve bolus manipulation and support safe swallowing.
Feeding/Swallowing	In 6 months, Lucah will use or respond to positive/neutral language around non preferred foods in 3 out of 10 opportunities across 3 consecutive sessions, in order to decrease avoidance behaviors and support increased willingness to interact with new foods.
Feeding/Swallowing	In 6 months, Lucah will tolerate interaction with various food consistencies at an appropriate level of the Steps to Eating Hierarchy without heightened emotional distress (e.g., crying, screaming, avoidance) in 3 out of 10 opportunities across 3 consecutive sessions, in order to increase acceptance and exploration of non preferred foods and improve mealtime behaviors for functional participation.

Feeding Therapy Soap Note/Visit:

Soap Note

484602

Note Date: 02-08-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: The patient presented to the session alert, oriented, and cooperative with therapeutic activities. Continued progress was noted across feeding and swallowing objectives. Regarding safe intake, the patient utilized pacing strategies, such as taking smaller bites and pausing between swallows, in approximately 1-2 out of 10 opportunities with moderate verbal and physical cues to support safe and efficient consumption. No overt signs of aspiration, including coughing or increased respiratory effort, were observed during these trials. Progress was also noted in oral motor development, as the patient demonstrated an emerging rotary chewing pattern with age-appropriate textured solids in approximately 2 out of 10 opportunities, facilitating more effective bolus breakdown. Furthermore, the patient showed significant progress in tolerating interaction with various food consistencies, achieving this in approximately 2 out of 10 opportunities without heightened emotional distress, which serves to increase acceptance of non-preferred foods and improve functional participation in mealtimes. Caregivers were counseled on the home management intervention program and reported consistent follow-through with strategies to transfer skills learned in therapy into the home environment. Food targeted for the 4th time: Nonpreferred: cheddar cheese, bread, ( bread with peanut butter) Preferred: Veggie straws. Pt was observed to touch, lick and bite bread in 3/5 trials presented and cheddar cheese touched, smelled and held between teeth.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
784522	92610: Feeding Evaluation	08-14-2025 02:00 PM	08-14-2025 03:00 PM	Teresa Serna	NB1 east side	Completed
794526	92526: Feeding Visit	08-27-2025 05:00 PM	08-27-2025 05:30 PM	Teresa Serna	NB1 east side	Completed
856363	92526: Feeding Visit	12-17-2025 05:15 PM	12-17-2025 05:45 PM	Valeria Holguin	NB2 far east side	Completed
856367	S9152: Reevaluation	01-14-2026 03:30 PM	01-14-2026 04:00 PM	Valeria Holguin	NB2 far east side	Completed
880913	92526: Feeding Visit	01-30-2026 03:30 PM	01-30-2026 04:00 PM	Valeria Holguin	NB2 far east side	Completed
876479	92526: Feeding Visit	02-02-2026 03:15 PM	02-02-2026 03:45 PM	Valeria Holguin	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
794527	92526: Feeding Visit	09-03-2025 05:00 PM	09-03-2025 05:30 PM	Teresa Serna	NB1 east side	Canceled
856364	92526: Feeding Visit	12-24-2025 05:15 PM	12-24-2025 05:45 PM	Valeria Holguin	NB2 far east side	Canceled
856365	92526: Feeding Visit	12-31-2025 05:15 PM	12-31-2025 05:45 PM	Valeria Holguin	NB2 far east side	Canceled
856366	92526: Feeding Visit	01-07-2026 05:15 PM	01-07-2026 05:45 PM	Valeria Holguin	NB2 far east side	Canceled
856368	92526: Feeding Visit	01-21-2026 03:15 PM	01-21-2026 03:45 PM	Valeria Holguin	NB2 far east side	Canceled
876478	92526: Feeding Visit	01-26-2026 03:15 PM	01-26-2026 03:45 PM	Valeria Holguin	NB2 far east side	Canceled
876480	92526: Feeding Visit	02-09-2026 03:15 PM	02-09-2026 03:45 PM	Valeria Holguin	NB2 far east side	Canceled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
8/14/25	Patient visit charged - Feeding Evaluation: Feeding Evaluation	0.00	38.00	-38.00
8/27/25	Patient visit charged - Feeding Visit: Feeding Visit	0.00	76.00	-76.00
8/27/25	Patient Payment Received (Stripe)	38.00	76.00	-38.00
9/3/25	Patient Payment Received (Stripe)	76.00	76.00	0.00
12/17/25	Patient visit charged - Feeding Visit: Feeding Visit	76.00	114.00	-38.00
1/14/26	Patient visit charged - Reevaluation: Reevaluation	76.00	153.00	-77.00
1/14/26	Deductible	76.00	195.16	-119.16
1/14/26	Patient Payment Received (Stripe)	115.00	195.16	-80.16
1/30/26	Deductible	115.00	236.79	-121.79
1/30/26	Patient visit charged - Feeding Visit: Feeding Visit	115.00	275.79	-160.79
1/30/26	Patient Payment Received (Stripe)	154.00	275.79	-121.79
2/2/26	Patient visit charged - Feeding Visit: Feeding Visit	154.00	314.79	-160.79
2/2/26	Patient Payment Received (Stripe)	193.00	314.79	-121.79
2/5/26	Patient Payment Received (Stripe)	231.00	314.79	-83.79
2/9/26	Patient Payment Received (Stripe)	270.00	314.79	-44.79

Billing History:

Date	Service Description	Units	$Amount	$Status
8/14/25	92610: Feeding Evaluation	1	220.00	Billed and Paid
8/27/25	92526: Feeding Visit	1	140.00	Billed and Paid
12/17/25	92526: Feeding Visit	1	140.00	Billed and Paid
1/14/26	S9152: Reevaluation	1	240.00	Billed and Paid
1/30/26	92526: Feeding Visit	1	140.00	Billed and Paid
2/2/26	92526: Feeding Visit	1	140.00	EDI Submited

Paient Notes:

Date	Posted By	Description
03-12-2026	Monica Padilla	Added a debit for visit on 01/30/26 per EOP dated 02/17/26 claim# M040X006N0000. Tricare pd. 0.00 (applied 68.84 to pt. deductible); pt. pd. 39.00; adjustment 41.63. Added a debit for visit on 01/14/26 per EOP dated 02/17/26 claim# M040X007M0000. Tricare pd. 0.00 (applied 81.16 to pt. deductible); pt. pd. 39.00; adjustment 42.16
02-16-2026	Valeria Holguin	Parent requested discharge due to pt moving away.
02-16-2026	Patsy Guajardo	30 day HOLD Courtesy (1st) request
02-16-2026	Valeria Holguin	Per parent, is requesting to be on hold due to payments. Clinician asked if they would like to be put on a 30 day hold or DC. Parent has not responded.
08-21-2025	Shekinah Velasquez	FD auth approved starting 08/25/2025 - 02/20/2026 1x/week = 26 visits. Therapist notified
08-11-2025	Julie Mora	Patient has a deductible of $300, remaining deductible balance is $150. Patient will be charged co-payment of $ 38.00. Parent was informed they might have a balance pending insurance claim.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-09-2026	92526	Holguin, Valeria
01-26-2026	92526	Holguin, Valeria
01-21-2026	92526	Holguin, Valeria
01-07-2026	92526	Holguin, Valeria
12-31-2025	92526	Holguin, Valeria
12-24-2025	92526	Holguin, Valeria
09-03-2025	92526	Serna, Teresa

Paient Messages Admin:

Date	Posted By	Message
08-04-2025 11:38 AM	Aurora AlajarinMartinez	ChatBot: Aurora AlajarinMartinez asked - Do you accept tricare ?, +117203436732
08-04-2025 11:40 AM		Thank you! I have a son who is 4 years old and he is extremely challenging at meal times. He only likes to eat 4 different things but not actually a "real meal" he has been like this since he was born to the point that it worries me. He is big and "healthy" but he refuses to eat most things. I wanted to know if there is some sort of evaluation that could be done for him? And also if you accept tricare as insurance. Thank you.
08-04-2025 05:21 PM	Stephen Tullius	Hello, thank you for contacting New Beginnings! YES, we do accept Tricare. We work with a lot of picky eaters and yes, your child should eat quite a lot more than 4 items by 4yrs old. In order to get started, you would need to get a referral from your child's pediatrician. We are tight on availability after school. Does it matter which of our two clinics your child would be seen at?
08-04-2025 06:25 PM		Thank you, I'll call his doctor tomorrow. And no, we don't mind which location.
08-05-2025 01:48 PM	Stephen Tullius	Sounds great! Let me know when you get the feeding referral. Have a great day!
08-05-2025 02:40 PM		The doctor just gave me the referral. Let me know when is a good day to go. He usually has school from 7:30-2:45. I don't mind not taking him one day for evaluation in the morning if that's the only time available. Let me know if we need to bring something. Thank you.
08-06-2025 02:58 PM	Stephen Tullius	Ok great! I am going to send you a link so you can register your son. Once you complete the registration and filling out of our intake forms you should be able to directly schedule your evaluation using the same link. Please let me know if you have any issues during the process. Thanks!
08-06-2025 03:00 PM	Stephen Tullius	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2027
08-06-2025 04:31 PM	Lucah Alajarin Calhoun	I did everything, but when it says to book a slot, it's telling me there's nothing available.
08-06-2025 05:47 PM	Stephen Tullius	Hi, ok let me check into that and find you the appointment directly. I will contact you once I get with the therapists on availability. It will probably be tomorrow morning before I have an answer.
08-06-2025 06:07 PM	Lucah Alajarin Calhoun	Ok no problem. Thanks
08-07-2025 04:01 PM	Stephen Tullius	Hi, sorry for the delay in getting back to you. Julie from the front office is going to reach out to you to schedule the initial evaluation.
08-08-2025 09:27 AM	Stephen Tullius	Hi, sorry for the delay in getting back to you. Julie from the front office is going to reach out to you to schedule the initial evaluation.
08-08-2025 09:37 AM	Lucah Alajarin Calhoun	No worries! They called me yesterday. Told me to send a referral to this email: jnorma@newbegginins/elp
08-08-2025 09:37 AM	Lucah Alajarin Calhoun	Is that the correct email?
08-08-2025 09:42 AM	Stephen Tullius	Good morning, no, let me give it to you: jmora@newbeginnings-elp.com and you can copy me at stullius@newbeginnings-elp.com and I will make sure our front office gets it. Have a great day!
08-08-2025 10:05 AM	Lucah Alajarin Calhoun	Ok great, thank you. I'll send it around 1pm!
08-08-2025 12:57 PM	Shekinah Velasquez	Alajarin Calhoun , Lucah has been assigned a therapist.
08-08-2025 12:57 PM	Julie Mora	Hello, Thank you for sending over the referral. Our therapist will be reaching out to you to schedule an appointment. If you have any questions or need further assistance, please don't hesitate to give us a call at 915-855-0601.
08-08-2025 12:57 PM	Lucah Alajarin Calhoun	Great, thanks
08-22-2025 08:46 AM	Lucah Alajarin Calhoun	Good morning Asbel. Sorry for the late reply. My husband and I were debating the telehealth sessions. But Lucah doesn't stay still in front of a computer for long and we rather wait until something is available in the afternoon. This makes it even more complicated, but we can only do Mondays and Wednesdays any time in the afternoon. Are there any other centers with availability? Or would you guys be able to recommend another place where he could go? Thank you.
08-27-2025 07:31 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35839. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
09-02-2025 08:57 AM	Monica Padilla	Buenos días, Sra. Alajarin, soy New Beginnings y le envío un recordatorio amable: hay un saldo pendiente de copago de $38.00 para la visita del 08/14/25. Se ha enviado el enlace de pago. Gracias por permitirnos atender a su hijo.
09-02-2025 09:01 AM	Lucah Alajarin Calhoun	Buenos días! Ya pague el del día 14. Hay otro pago pendiente? Gracias :)
09-02-2025 09:50 AM	Monica Padilla	Nuestros sistemas no muestran ningún pago recibido por esa visita. Lo consultaré con nuestro equipo de TI y le informaré.
09-02-2025 10:07 AM	Monica Padilla	Hola Sra. Alajarin, Nuestro técnico de TI revisó los sistemas y no se recibió ningún pago el 08/14/25. Si tiene algún registro que demuestre que se realizó el pago, por favor, envíeme una copia a mpadilla@newbeginnings-elp.com Garcias.
09-03-2025 07:31 AM	Shekinah Velasquez	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35943. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
09-03-2025 08:04 AM	Lucah Alajarin Calhoun	Hola, si mire y ya pagamos dos veces. El dia 27 de Agosto y hoy 3 de Septiembre.
09-03-2025 08:05 AM	Lucah Alajarin Calhoun	Mando los recibos a ese email? Ya nose si es que tenía que pagar dos veces o solo una?
09-03-2025 08:37 AM	Monica Padilla	Buenos dias Sra. Alajarin, Sí, los comprobantes de pago se pueden enviar al correo electrónico que le mande. El saldo pendiente corresponde a la evaluación de alimentación del 14/08/2025. El enlace de pago enviado ayer corresponde a esa fecha de servicio. Si tiene alguna pregunta, puede comunicarse conmigo al 915-759-4186. Gracias.
09-08-2025 11:47 AM	Celeste Collette	Estimado padre, Esta es una transmisión general para todos los padres, no envíe mensajes de texto a este número para responder. Como siempre, en New Beginnings nos esforzamos por mantener a nuestros pacientes, padres, terapeutas y personal seguros y saludables. Tenemos termómetros en nuestras salas de espera y revisaremos las altas temperaturas a medida que comenzamos la época tradicional del año en la que aumentan los casos de gripa, resfriados, y COVID. A cualquier niño(a) o padre con una temperatura de 100 grados o más se le pedirá que reprograme para otro día y hora. Si usted, su hijo(a) o alguien en su hogar tiene COVID, le seguimos pidiendo que se quede en casa y se ponga en cuarentena para detener la propagación. El CDC instan a las personas enfermas con síntomas de virus respiratorios a quedarse en casa hasta que la fiebre haya desaparecido durante al menos 24 horas sin depender de medicamentos para bajar la calentura. Por favor no asista a terapia si usted o su hijo(a) tengan los siguientes síntomas: calentura, dolores corporales, escalofríos, vómitos, diarrea, dolor de cabeza. Su terapeuta estará encantado(a) de reprogramar su visita por usted. No dude en llamar a nuestras oficinas si tiene alguna pregunta. Rich Beem (915) 303-5177 O Zaragoza (915) 855-0601 ¡Gracias de antemano por su ayuda para mantener a otros seguros y saludables! New Beginnings
10-30-2025 01:13 PM	Shekinah Velasquez	Alajarin Calhoun , Lucah has been assigned a therapist.
11-11-2025 10:37 AM	Stephen Tullius	¡Feliz Día de los Veteranos! Hoy hacemos una pausa para honrar y agradecer a todas las personas que han servido a nuestro país con valentía, dedicación y sacrificio. Su valor y compromiso protegen las libertades que apreciamos cada día. De parte de todos nosotros en New Beginnings, expresamos nuestra más profunda gratitud a los veteranos y a sus familias por la fortaleza, la resiliencia y el amor que han mostrado al servir a nuestra nación. Gracias por su servicio
11-12-2025 01:12 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am reaching out to you to see what times best work for you?
11-12-2025 01:36 PM	Lucah Alajarin Calhoun	Hello Asbel. We can do Mondays or Wednesdays anytime between 4-6pm 4:30pm would be the best.
11-13-2025 12:55 PM	Monica Tullius	¡Regalo de Pavos para las Fiestas! Nos alegra compartir que Hope Across the Border estará regalando pavos gratis para esta temporada navideña. Si usted o alguien que conoce necesita un poco de apoyo este año, están cordialmente invitados a recoger uno: Domingo, 16 de noviembre 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 Si tiene alguna pregunta, puede comunicarse al hopeacrossstheborder@gmail.com. ¡Les deseamos una temporada festiva cálida y llena de bendiciones! Equipo New Beginnings :)
11-13-2025 02:27 PM	Lucah Alajarin Calhoun	Hello Asbel. Are there any updates?
11-25-2025 03:07 PM	Celeste Collette	Estimados padres: Estamos profundamente agradecidos por el amor, la confianza y la colaboración de nuestras maravillosas familias. ¡Gracias por permitirnos ser parte del camino de su hijo! De parte de todo el equipo de New Beginnings, les deseamos un muy Feliz Día de Acción de Gracias lleno de consuelo, alegría y momentos significativos con sus seres queridos.
12-04-2025 02:31 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I wanted know what days and time you are available?
12-04-2025 02:34 PM	Lucah Alajarin Calhoun	Hello Asbel. Mondays, Tuesdays and Wednesdays anytime starting at 3:30pm until 6pm. Are there any updates? Thanks
12-04-2025 03:16 PM	Asbel Guajardo	I do have a 5:15 on wednesdays
12-04-2025 03:42 PM	Lucah Alajarin Calhoun	Ok great let's do it
12-04-2025 04:08 PM	Patsy Guajardo	Hi, Lucah as been assigned a therapist for Feeding therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9637&tid=138
12-04-2025 05:20 PM	Lucah Alajarin Calhoun	So is it set up for next Wednesday? Or will the therapist contact me ?
12-05-2025 10:39 AM	Asbel Guajardo	The therapist will be contacting you
12-23-2025 02:12 PM	Stephen Tullius	Estimadas familias: Al acercarse la temporada de fiestas, queremos tomar un momento para expresarles nuestro más sincero agradecimiento a ustedes. Ha sido un verdadero privilegio acompañar a su familia y ser parte del camino de desarrollo de su hijo/a durante este año. Cada logro, cada esfuerzo y cada sonrisa compartida nos recuerdan la importancia de nuestro trabajo. Deseamos que esta temporada les brinde momentos de alegría, descanso y unión familiar. Que el próximo año esté lleno de progreso continuo y muchas razones para celebrar. Les recordamos que nuestras oficinas permanecerán cerradas desde el 24 de diciembre hasta el 4 de enero. Reanudaremos nuestras actividades el lunes 5 de enero de 2026. De parte de todo nuestro equipo, les deseamos unas felices fiestas y un Año Nuevo lleno de salud y esperanza. Con afecto, Stephen Tullius New Beginnings Pediatric Therapy Services
01-14-2026 07:32 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38384. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
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 07:31 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38593. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
01-26-2026 07:30 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38702. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
01-30-2026 07:31 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38870. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
02-02-2026 07:30 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38888. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
02-03-2026 03:50 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 11:09 AM	Monica Padilla	Good morning Ms. Alajarin, This is New Beginnings sending a friendly reminder that there is an outstanding copay balance for visit on 12/17/25. Payment link has been resent. Thank you for allowing us to serve your child.
02-09-2026 07:30 AM	Patsy Guajardo	New Beginnings acaba de enviarle una factura de cobro por Lucah Alajarin Calhoun . Haga clic en este enlace seguro para realizar su pago en linea https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39093. El pago es debido al momento de servicio. Gracias por permitirnos servir a su hijo(a)! 🙂
03-12-2026 04:07 PM	Monica Padilla	Good afternoon Ms. Alajarin, This is New Beginnings reaching out to let you know that Tricare applied your deductible to visits on 01/14/26 and 01/30/26 leaving an outstanding balance of $44.79. Payment link has been sent. Please call the office if you have any questions. Thank you for allowing us to serve your child.

Paient Messages Therapist:

Date	Posted By	Message
08-08-2025 03:14 PM	Teresa Serna	My name is Teresa Serna, and I will be the Speech-Language Pathologist conducting Lucah’s feeding evaluation. I’d like to move forward with scheduling his appointment. The evaluation typically lasts about an hour. I recommend arriving 15 minutes early to allow time for paperwork. Alternatively, I can email you the documents in advance so you can complete them ahead of time and bring them with you on the day of the evaluation. For this upcoming week, I currently have an opening on Thursday at 2:00 PM. Please let me know if this time works for you. If not, I’ll be happy to offer additional availability for the following week. Thank you, and I look forward to meeting both of you!
08-08-2025 05:04 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hello Teresa, Thursday at 2pm works for us. If you don't mind, yes, send the paper work so we have it ready. My email is: aurora.alajarin@gmail.com What location do we have to go to?
08-08-2025 05:11 PM	Teresa Serna	I will go ahead and schedule him for Thursday and send you the forms. Here is the address for the appointment: 1512 N Zaragoza Rd, Ste C-1, El Paso, TX 79936 When you have a chance, please answer the following questions so I can prepare for the evaluation: (1.) Name and Date of Birth (2.)Any complications during pregnancy or birth? (3.)Any major illnesses or accidents since the last check-up? Any medical diagnoses (e.g., Down syndrome, etc.)? (4.)Any hospitalizations or surgeries? (5.)Were developmental milestones met within normal limits or delayed? (6.)Known allergies? (7.)Any sleeping or breathing issues? (Does your child get 8–10 hours of sleep? Wake up several times at night? Snore? Sleep with mouth open or closed? Enlarged tonsils?) (8.)Current medications? (9.)Has the pediatrician expressed concerns about nutritional growth? (10.)Any gastrointestinal issues? (11.)In a few words, please describe your concerns regarding your child’s feeding.
08-11-2025 01:29 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: 1. Lucah Alajarin Calhoun. March 29 2021. 2. No complications. 3.No 4.No 5. Everything normal. 6.No. 7. No issues. He gets 10 hours of sleep and sleeps with mouth closed or opened depending on the day. 8. No medication. 9. No. 10.No 11. Lucah has been a very picky eater since he was born. He eats 4 different normal meals, and he refuses to try anything else. Every night he ends up crying/screaming and complaining about what is in front of him. If he does try something, he spits it out. He is a big boy, he does eat a lot of cereal bars, chocolate milk and yogurt. I think that is what keeps him going. I am concerned that at 4 years and a half, he still has so many complications with food.
08-11-2025 06:30 PM	Teresa Serna	Thank you for sharing all of this information about Lucah, it’s very helpful. I completely understand your concerns, especially since picky eating has been present since he was a baby and is now impacting mealtimes. Based on what you’ve described, it sounds like this is more than typical “picky eating” and may be related to sensory preferences, oral motor patterns, or feeding anxiety. During the evaluation, I’ll be looking at how Lucah responds to different foods, textures, and feeding routines so we can get a better picture of what’s making eating so challenging for him. I look forward to working with you both. If you have any questions before the evalaution please feel free to send me a message (:
08-13-2025 09:41 AM	Teresa Serna	Hello(: I wanted to see if there is any way we can move the evaluation to this Friday at 2:30 instead.
08-13-2025 09:46 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hello! It depends if I can bring my older son along also. He is 6. On Thursday, my husband was going to be able to pick him up from school while I brought Lucah to therapy. But, he can't pick up my oldest on Friday. So let me know what is best for you :)
08-13-2025 10:05 AM	Teresa Serna	No worries we can keep the Thursday slot (:
08-13-2025 10:19 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Ok, see you tomorrow then :)
08-13-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Lucah tiene una cita programada para una evaluación de terapia de alimentación manana a las 02:00 PM. Nos vemos pronto! - New Beginnings 🙂
08-14-2025 08:38 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola! Quería preguntar si para hoy las comidas tienen que ser de cuchara o tenedor. O si pueden ser Barritas de cereales o "pouches".
08-14-2025 10:20 AM	Teresa Serna	Hola! una comida de cuchara o tenedor que le guste y llego puede ser otra de cereales o pouches
08-14-2025 10:42 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Ok perfecto. Gracias:)
08-14-2025 02:07 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola, estamos esperando en la sala de espera.
08-24-2025 03:33 PM	Teresa Serna	Hola, ya los aprobaron para terapia de comida. Lo puedo ver el miércoles a las 5 pm es el unico tiempo que hay disponible despues de escuela pro el momento
08-24-2025 03:40 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola, ok me parece bien. Pero entonces, lo de la terapia ocupacional, me dijeron que no tenían hueco. Iba a estar haciendo las dos a la vez? Pensaba que solo tenía que hacer la ocupacional.
08-24-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 08-27-2025 a las 5:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
08-24-2025 04:23 PM	Teresa Serna	Perdón por la confusión si no lo especifiqué claramente antes. Sí, él estará recibiendo tanto terapia ocupacional como terapia de alimentación para trabajar en la expansión de alimentos y en su sistema sensorial, una vez que haya un espacio disponible en terapia ocupacional
08-24-2025 04:27 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Vale perfecto. Y Si, alli la vemos el miércoles
08-24-2025 04:27 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Gracias
08-26-2025 11:54 AM	Teresa Serna	Hola (: Me gusta empezar con cinco alimentos no preferidos (2 proteínas, 1 almidón, 1 fruta y 1 verdura) junto con su bebida preferida y un alimento preferido para trabajar en sus habilidades orales motoras. Estos alimentos serán los mismos durante un período de un mes. Para ayudar al sistema sensorial de Lucah, seguiremos un esquema de color (cualquier alimento que sea claro, como blanco o amarillo). Aquí tienes algunas ideas: Proteínas: yogur, jamón, nuggets de pollo, jamón de pavo, palitos de queso, queso, huevo. Almidones: galletas de arroz, tortas de arroz, tiras de vegetales, pasta, fideos, pan, panecillo inglés. Verduras: calabacín amarillo, maíz, pepino. Frutas: manzanas amarillas, peras, piña, mango deshidratado/manzana/pera. Avísame si tienes alguna pregunta (: Sin embargo, he notado que durante las primeras sesiones los niños suelen tardar un poco en adaptarse y tienden a no comer durante la terapia. Así que, si piensas que ese será el caso con Lucah, siéntete libre de escoger 2 alimentos no preferidos y 2 preferidos (:.
08-26-2025 01:11 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Vale perfecto! Mañana la vemos. El otro dia vi que los niños pasaban solos a las consultas. Eso es asi, o siempre voy a pasar con el?
08-26-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 05:00 PM. Nos vemos pronto! - New Beginnings 🙂
08-27-2025 07:52 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 05:00 PM. Nos vemos pronto! - New Beginnings 🙂
08-27-2025 11:18 AM	Teresa Serna	Como usted gusta puede esperar afuera o entrar al cuarto
08-28-2025 11:39 AM	Teresa Serna	Por favor firma: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9637&app=794526
08-31-2025 04:01 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 09-03-2025 a las 5:00 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
09-02-2025 06:30 PM	Teresa Serna	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 05:00 PM. Nos vemos pronto! - New Beginnings 🙂
09-03-2025 07:51 AM	Teresa Serna	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 05:00 PM. Nos vemos pronto! - New Beginnings 🙂
09-03-2025 08:06 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola! Hoy para la cita de Lucah, cuantas comidas que si le gustan y que no le gustan tenemos que llevar? Tienen que ser algunas de la última cita? Gracias
09-03-2025 09:45 AM	Teresa Serna	Hola! 2 que le gustan y 3 que no le gustan. Preferiblemente queremos mantener los mismos alimentos durante un mes y después cambiaremos a nuevos alimentos. Como hoy es la primera sesión de tratamiento, podemos elegir alimentos nuevos y mantenerlos durante un mes. 1 proteína, 1 verdura y 1 fruta.
09-03-2025 02:45 PM	Teresa Serna	Hola me enfermo la oficina que no van a poder venir a la cita hoy. Ojala se sienta mejor!
09-03-2025 02:47 PM	Teresa Serna	Teresa Serna CANCELLED: 5:00PM-9/3/2025 92526: Feeding Visit
09-04-2025 11:12 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola! Si lo sentimos, ayer cuando lo recogí del colegio, tenía fiebre. Te iba a decir ayer, que a partir de ahora solo vamos a ir a terapia una vez tengan un espacio en el local del Rich Been. También se lo dije a la chica con la que hable por teléfono. Muchas gracias por todo!!!
09-04-2025 12:01 PM	Teresa Serna	Hola, El gusto fue mío poder conocerlos. Muchas gracias por permitirme ser parte de su proceso y acompañar a Lucah en su camino de alimentación. Les deseo lo mejor!!
12-05-2025 02:45 PM	Valeria Holguin	Buenas tardes! mi nombre es Valeria, sere la terapeuta de su niño en New beginnings! Queria ofrecerle el espacio de los miercoles a las 5:15 empezando la siguiente semana por este mes. Empezando Enero se abriran mas espacios asi que podia moverlo a otro horario/dia! Cualquier duda no dude en contactarme, muchas gracias!!
12-09-2025 03:58 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola valeria! Lo siento que haya tardado en contestar. Pero si nos gustaría ir los miércoles a las 5:15. Empezariamos mañana? Y hay algo que tengamos que llevar? Gracias
12-10-2025 09:43 AM	Valeria Holguin	buenos dias! gracias! podriamos empezar la siguiente semana, esta bien? porfavor si puede traer una comida que sea su preferida y una que no sea preferida con la que podamos trabajar!
12-10-2025 09:49 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si esta bien nos vemos entonces el dia 17 😁
12-10-2025 09:50 AM	Valeria Holguin	muchas gracias! nos vemos pronto!
12-10-2025 12:12 PM	Valeria Holguin	Valeria Holguin CANCELLED: 5:15PM-12/24/2025 92526: Feeding Visit
12-10-2025 12:12 PM	Valeria Holguin	Buenos dias! se le envio unas notificaciones de cancelacion ya que estaremos cerrados la semana de navidad y año nuevo, pero igual nos vemos la siguiente semana!:)
12-10-2025 12:13 PM	Valeria Holguin	Valeria Holguin CANCELLED: 5:15PM-12/31/2025 92526: Feeding Visit
12-10-2025 12:47 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Ok :)
12-14-2025 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 12-17-2025 a las 5:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
12-14-2025 05:44 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si
12-14-2025 05:44 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-16-2025 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 05:15 PM. Nos vemos pronto! - New Beginnings 🙂
12-17-2025 07:59 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 05:15 PM. Nos vemos pronto! - New Beginnings 🙂
12-17-2025 05:00 PM	Valeria Holguin	Lucah Alajarin Calhoun : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=856363
12-17-2025 05:04 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Estamos aqui fuera esperando
12-17-2025 05:07 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 5:15PM-12/17/2025 92526: Feeding Visit
12-17-2025 05:08 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 5:15PM-12/17/2025 92526: Feeding Visit
01-04-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 01-07-2026 a las 5:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-04-2026 06:21 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: NO
01-04-2026 06:21 PM	Valeria Holguin	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.
01-05-2026 10:39 AM	Valeria Holguin	Hi! would you like to reschedule for another day/time?
01-05-2026 12:35 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: We can go starting next Wednesday the 14th :)
01-05-2026 01:06 PM	Valeria Holguin	Valeria Holguin CANCELLED: 5:15PM-1/7/2026 92526: Feeding Visit
01-11-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 01-14-2026 a las 5:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-12-2026 10:55 AM	Valeria Holguin	Hi! I wanted to offer you an earlier appointment for Lucah's feeding session. I have 3:30 for this Wednesday in case you are interested:)
01-12-2026 10:56 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hello! Yes that would be perfect, thank you
01-12-2026 10:58 AM	Valeria Holguin	awesome thank you!
01-13-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:30 PM. Nos vemos pronto! - New Beginnings 🙂
01-14-2026 07:51 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:30 PM. Nos vemos pronto! - New Beginnings 🙂
01-14-2026 03:15 PM	Valeria Holguin	Lucah Alajarin Calhoun : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=856367
01-14-2026 03:23 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 3:30PM-1/14/2026 92526: Feeding Visit
01-18-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 01-21-2026 a las 5:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-18-2026 05:32 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si
01-18-2026 05:32 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-20-2026 12:20 PM	Valeria Holguin	buenas tardes! se me abrio un espacio a las 3:15 para mañana por si estan interesados!:)
01-20-2026 12:26 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola, si perfecto, gracias! Mañana nos vemos
01-20-2026 12:42 PM	Valeria Holguin	de hecho se me abrio un espacio para los lunes a las 3:15, gustaria que los cambie a ese dia y hora empezando la siguiente semana?
01-20-2026 12:54 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Vale, si. Pero esta semana vamos igual el Miércoles?
01-20-2026 01:45 PM	Valeria Holguin	si!:)
01-20-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
01-21-2026 07:48 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
01-21-2026 12:39 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola Valeria, he tenido una emergencia medica esta mañana y no vamos a poder asistir esta tarde. Ya vamos al siguiente Lunes. Siento la cancelación!!!
01-21-2026 01:02 PM	Valeria Holguin	muchas gracias por avisarme!nos vemos la siguiente semana, espero y todo este bien!
01-21-2026 01:03 PM	Valeria Holguin	Valeria Holguin CANCELLED: 3:15PM-1/21/2026 92526: Feeding Visit
01-25-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 01-26-2026 a las 3:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
01-25-2026 05:14 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si
01-25-2026 05:14 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
01-26-2026 07:54 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
01-26-2026 08:31 AM	Valeria Holguin	Hola, quería avisarles que hoy me siento un poco enferma. ¿Sería posible reprogramar la sesión para este viernes? Muchas gracias por su comprensión!
01-26-2026 08:36 AM	Valeria Holguin	Valeria Holguin CANCELLED: 3:15PM-1/26/2026 92526: Feeding Visit
01-26-2026 08:51 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola!! Si claro no te preocupes. Que te mejores!
01-27-2026 10:18 AM	Valeria Holguin	muchisimas gracias! ya estoy mucho mejor! esta bien si los agendo para el viernes a las 3:15?:)
01-28-2026 08:26 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Sii eso esta bien :)
01-28-2026 10:11 AM	Valeria Holguin	ay perdon me equivoque seria 3:30, esta bien??
01-28-2026 12:36 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si perfecto
01-29-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:30 PM. Nos vemos pronto! - New Beginnings 🙂
01-30-2026 07:37 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:30 PM. Nos vemos pronto! - New Beginnings 🙂
01-30-2026 03:15 PM	Valeria Holguin	Lucah Alajarin Calhoun : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880913
01-30-2026 03:19 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 3:30PM-1/30/2026 92526: Feeding Visit
02-01-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 02-02-2026 a las 3:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-01-2026 04:14 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Si
02-01-2026 04:14 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
02-02-2026 07:51 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
02-02-2026 09:52 AM	Valeria Holguin	buenos dias! me falta firma de la semana pasada porfavor! :) muchas gracias!
02-02-2026 10:00 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola!! Ok, ya lo acabo de hacer 😊
02-02-2026 03:00 PM	Valeria Holguin	Lucah Alajarin Calhoun : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876479
02-02-2026 03:14 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 3:15PM-2/2/2026 92526: Feeding Visit
02-02-2026 03:19 PM	Lucah Alajarin Calhoun	Lucah is CHECKED IN for: 3:15PM-2/2/2026 92526: Feeding Visit
02-08-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 02-09-2026 a las 3:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-08-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
02-09-2026 07:52 AM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada hoy a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
02-09-2026 02:37 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola Valeria, acabo de recoger a mis hijos del colegio y mi hijo mayor tiene fiebre y no vamos a poder ir. Lo siento por ser a último momento!!!
02-09-2026 02:39 PM	Valeria Holguin	buenas tardes! oh no ok muchas gracias por avisarme, les gustaria re agendar para otro dia mas adelate en la semana?
02-09-2026 02:39 PM	Valeria Holguin	Valeria Holguin CANCELLED: 3:15PM-2/9/2026 92526: Feeding Visit
02-11-2026 01:23 PM	Valeria Holguin	buenas tardes! le queria preguntar si podriamos reponer la visita para este viernes a las 4:30?:) espero y este todo mejor!
02-11-2026 03:37 PM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Hola, vamos a tener que dejar de ir por un tiempo debido a los pagos. Gracias por todo la ayuda que le has dado a Lucah
02-11-2026 04:04 PM	Valeria Holguin	Buenas tardes! No se preocupe, gracias por avisarme! Podemos poner los servicios en pausa pero el sistema solo nos deja por 30 días. Si es más que eso, tendría que ser dado de alta pero igual podríamos después empezar el proceso. Ustedes me avisan la decisión que tomen para así avisarles a los de administración!:) muchas gracias
02-15-2026 04:02 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Alajarin Calhoun , Lucah tiene una cita de terapia de alimentación programada el 02-16-2026 a las 3:15 PM. Responda SÍ para confirmar o NO para reprogramar - New Beginnings 🙂
02-15-2026 06:30 PM	Valeria Holguin	Hola, esto es solo un recordatorio de que Lucah tiene una cita de terapia de alimentación programada manana a las 03:15 PM. Nos vemos pronto! - New Beginnings 🙂
02-16-2026 09:10 AM	Valeria Holguin	buenos dias! solamente para confirmar si gustaria que demos a Lucah de alta?
02-16-2026 09:19 AM	Lucah Alajarin Calhoun	Lucah (Prim) Replied: Buenos dias!!! Si porque ya nos mudamos dentro de poco. Pero muchas gracias por todo!!