New Beginnings | NB1-Office

Patient Name: Brayden

Patient Information:

Patient ID: 9654

Patient First Name: Brayden

Patient Date of Birth: 07-04-2020

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Hector, Ocaranza

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Gallegos, Gabriela

FD - Feeding Therapy:

OT - Occupational Therapy: Bedenbaugh, Jack

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23339	Active	03-23-2026	09-20-2026	Blue Cross Blue Shield	0	0	105	0
23515	Active	03-09-2026	09-08-2026	Blue Cross Blue Shield	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25319	08-27-2025	Speech Initial Evaluation	F80.2, F84.0
Speech Background History: Brayden is a 5-year-old and 1-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bivens accompanied him and served as the primary informant. Mrs. Bivens expressed concerns regarding Brayden’s ability to communicate his wants and needs effectively. She reported that Brayden primarily utilizes scripted phrases from familiar movies and television shows to communicate, rather than generating novel, spontaneous language. During the evaluation, Brayden’s expressive language was characterized primarily by the use of scripted phrases from familiar movies/cartoons, as well as immediate echolalia. According to developmental norms, a typically developing child of Brayden’s age should have an expressive vocabulary of over 2000-2500 words and produce utterances of 5-7 words in length. Brayden was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: According to the parent report, Brayden is predominantly exposed to English within the home environment, with minimal exposure to Spanish.LANGUAGE OUTPUT: During the evaluation, Brayden was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English with Spanish support as needed.
Speech Medical History: Mrs. Bivens reported that Brayden experienced intrauterine growth restriction (IUGR), which may be relevant to his current development and communication.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Interactive,
Speech Communication Weaknesses: Immediate echolalia, Poor use of eye contact, Repetitiveness, Self stimulation behaviors, Unable to answer questions,
Speech Background Summary: Brayden's mother accompanied him to the evaluation, which took place in the clinic room. Throughout the evaluation, Brayden displayed signs of distractibility, as evidenced by his difficulty in remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. He presented signs of distress when denied access to a preferred item; however, he was easily redirected.
Speech Diagnosis/Impressions: Brayden is a 5-year-old and 1-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bivens accompanied him and served as the primary informant. Mrs. Bivens expressed concerns regarding Brayden’s ability to communicate his wants and needs effectively. She reported that Brayden primarily utilizes scripted phrases from familiar movies and television shows to communicate, rather than generating novel, spontaneous language. During the evaluation, Brayden’s expressive language was characterized primarily by the use of scripted phrases from familiar movies/cartoons, as well as immediate echolalia. According to developmental norms, a typically developing child of Brayden’s age should have an expressive vocabulary of over 2000-2500 words and produce utterances of 5-7 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: According to the parent report, Brayden is predominantly exposed to English within the home environment, with minimal exposure to Spanish.LANGUAGE OUTPUT: During the evaluation, Brayden was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English with Spanish support as needed. During the evaluation, Brayden displayed signs of distractibility, as evidenced by his difficulty in remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. He presented signs of distress when denied access to a preferred item; however, he was easily redirected. Brayden was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 23, percentile: 1, age equivalent:1 year 7 months), Expressive Communication 59 (raw score: 59, percentile: 1, age equivalent: 2 year 6 months, and Total Language Score 51 (percentile: 1, age equivalent: 1 year 11 months). According to the Standard Scores that Brayden received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Brayden's PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Brayden would greatly benefit from speech therapy that targets the following ageappropriate concepts: : joint attention/sustaining attention to tasks, demonstrating functional and/or pretend play, following step instructions containing common objects, imitating 3-4 word phrases modeled by the clinician, using 3-4 word phrases to comment, label, request assistance, etc, and using present progressive verbs in senteces. Speech therapy is highly recommended at this time, as Brayden’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Brayden’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Brayden's mother will be responsible for his Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Brayden is a 5-year-old and 1-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bivens accompanied him and served as the primary informant. Mrs. Bivens expressed concerns regarding Brayden’s ability to communicate his wants and needs effectively. She reported that Brayden primarily utilizes scripted phrases from familiar movies and television shows to communicate, rather than generating novel, spontaneous language. During the evaluation, Brayden’s expressive language was characterized primarily by the use of scripted phrases from familiar movies/cartoons, as well as immediate echolalia. According to developmental norms, a typically developing child of Brayden’s age should have an expressive vocabulary of over 2000-2500 words and produce utterances of 5-7 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: According to the parent report, Brayden is predominantly exposed to English within the home environment, with minimal exposure to Spanish.LANGUAGE OUTPUT: During the evaluation, Brayden was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English with Spanish support as needed. During the evaluation, Brayden displayed signs of distractibility, as evidenced by his difficulty in remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. He presented signs of distress when denied access to a preferred item; however, he was easily redirected. Brayden was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 23, percentile: 1, age equivalent:1 year 7 months), Expressive Communication 59 (raw score: 59, percentile: 1, age equivalent: 2 year 6 months, and Total Language Score 51 (percentile: 1, age equivalent: 1 year 11 months). According to the Standard Scores that Brayden received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Brayden's PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Brayden would greatly benefit from speech therapy that targets the following ageappropriate concepts: : joint attention/sustaining attention to tasks, demonstrating functional and/or pretend play, following step instructions containing common objects, imitating 3-4 word phrases modeled by the clinician, using 3-4 word phrases to comment, label, request assistance, etc, and using present progressive verbs in senteces. Speech therapy is highly recommended at this time, as Brayden’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Brayden’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Brayden's mother will be responsible for his Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56234

Plan Date: 08-27-2025

Speech Assessment Summary: Brayden is a 5-year-old and 1 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Bivens accompanied him and served as the primary informant. Mrs. Bivens expressed concerns regarding Brayden’s ability to communicate his wants and needs effectively. She reported that Brayden primarily utilizes scripted phrases from familiar movies and television shows to communicate, rather than generating novel, spontaneous language. During the evaluation, Brayden’s expressive language was characterized primarily by the use of scripted phrases from familiar movies/cartoons, as well as immediate echolalia. According to developmental norms, a typically developing child of Brayden’s age should have an expressive vocabulary of over 2000-2500 words and produce utterances of 5-7 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: According to the parent report, Brayden is predominantly exposed to English within the home environment, with minimal exposure to Spanish.LANGUAGE OUTPUT: During the evaluation, Brayden was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English with Spanish support as needed. During the evaluation, Brayden displayed signs of distractibility, as evidenced by his difficulty in remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. He presented signs of distress when denied access to a preferred item; however, he was easily redirected. Brayden was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 23, percentile: 1, age equivalent:1 year 7 months), Expressive Communication 59 (raw score: 59, percentile: 1, age equivalent: 2 year 6 months, and Total Language Score 51 (percentile: 1, age equivalent: 1 year 11 months). According to the Standard Scores that Brayden received, he presents with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Brayden's PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Brayden would greatly benefit from speech therapy that targets the following ageappropriate concepts: : joint attention/sustaining attention to tasks, demonstrating functional and/or pretend play, following step instructions containing common objects, imitating 3-4 word phrases modeled by the clinician, using 3-4 word phrases to comment, label, request assistance, etc, and using present progressive verbs in senteces. Speech therapy is highly recommended at this time, as Brayden’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Brayden’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Brayden's mother will be responsible for his Home Exercise Program (HEP).

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	Within 1 year, Brayden will utilize ageappropriate expressive language skills in order to effectively communicate pain (i.e. tell his caregiver if his stomach hurts), wants (i.e. ask his caregiver for milk), and safety issues (i.e. express when someone hits or bites him at home) with familiar listeners in familiar settings with 50% accuracy of opportunities in 4/5 consecutive sessions.
Receptive Language	Within 1 year, Brayden will utilize ageappropriate receptive language skills in order to comprehend when familiar speakers in familiar settings are trying to convey safety concerns (i.e. do not run into street) and comprehend commands (i.e. hold my hand and look both ways before crossing the street) with 50% accuracy of opportunities in 4/5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	Within 6 months, Braydren will imitate 3-4 word utterances modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	Within 6 months, Braydren will use 3-4 word utterances to comment/request/provide information during structured activities or play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Play/Socialization	Within 6 months, Brayden will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.
Receptive Language	In 6 months, Brayden will follow directions containing common objects (e.i.bring the cup, throw the ball) tasks in 3 out of 10 opportunities across 3 consecutive session in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).
Expressive Language	Within 6 months, Brayden will use present progressive verbs (eating, drinking, sleeping) when presented visual stimuli or during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of his functional communication.
Play/Socialization	In 6 months, Brayden will sustain attention to therapy tasks with the clinician for at least 30 to 45 seconds per task in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.

58692

Plan Date: 02-04-2026

Speech Assessment Summary: Brayden is a 5-year-old and 7 month-old male who has been receiving speech and language therapy services at New Beginnings Pediatric Therapy Services. LANGUAGE BACKGROUND: LANGUAGE INPUT: According to the parent report, Brayden is predominantly exposed to English within the home environment, with minimal exposure to Spanish. LANGUAGE OUTPUT: During the evaluation, Brayden was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English with Spanish support as needed. During the evaluation, Brayden displayed signs of distractibility, as evidenced by his difficulty in remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. Brayden was re-evaluated using the Preschool Language Scales Fifth Edition (PLS-5). He received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 25, percentile: 1, age equivalent:1 year 10 months), Expressive Communication 52 (raw score: 30, percentile: 1, age equivalent: 2 year 3 months, and Total Language Score 50 (percentile: 1, age equivalent: 1 year 11 months). According to the Standard Scores that Brayden received, he continues to present with a PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Brayden's PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Brayden would greatly benefit from speech therapy that targets the following age-appropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional and/or pretend play, following step instructions containing common objects, imitating 3-4 word phrases modeled by the clinician, using 3-4 word phrases to comment, label, request assistance, etc, and using present progressive verbs in sentences. Speech therapy is highly recommended at this time, as Brayden’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Brayden’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Brayden's mother will be responsible for his Home Exercise Program (HEP).

Speech Progress to Date: The following are Brayden's goals and progress for each: 1. Within 6 months, Braydren will imitate 3-4 word utterances modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick). BEGAN @ 0 out of 10 opportunities NOW @ 5 out of 10 opportunities --- GOAL MET 2. Within 6 months, Braydren will use 3-4 word utterances to comment/request/provide information during structured activities or play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick). BEGAN @ 2 out of 10 opportunities NOW @ 2 out of 10 opportunities 3. Within 6 months, Brayden will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development. BEGAN @ 2 out of 10 opportunities NOW @ 8 out of 10 opportunities --- GOAL MET 4. In 6 months, Brayden will follow directions containing common objects (e.i.bring the cup, throw the ball) tasks in 3 out of 10 opportunities across 3 consecutive session in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street). BEGAN @ 2 out of 10 opportunities NOW @ 8 out of 10 opportunities --- GOAL MET 5. Within 6 months, Brayden will use present progressive verbs (eating, drinking, sleeping) when presented visual stimuli or during play-based activities in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of his functional communication. BEGAN @ 3 out of 10 opportunities NOW @ 5 out of 10 opportunities --- GOAL MET 6. In 6 months, Brayden will sustain attention to therapy tasks with the clinician for at least 30 to 45 seconds per task in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development. BEGAN @ 3 out of 10 opportunities NOW @ 10 out of 10 opportunities --- GOAL MET

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	Within 1 year, Brayden will utilize ageappropriate expressive language skills in order to effectively communicate pain (i.e. tell his caregiver if his stomach hurts), wants (i.e. ask his caregiver for milk), and safety issues (i.e. express when someone hits or bites him at home) with familiar listeners in familiar settings with 50% accuracy of opportunities in 4/5 consecutive sessions.
Receptive Language	Within 1 year, Brayden will utilize ageappropriate receptive language skills in order to comprehend when familiar speakers in familiar settings are trying to convey safety concerns (i.e. do not run into street) and comprehend commands (i.e. hold my hand and look both ways before crossing the street) with 50% accuracy of opportunities in 4/5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	Within 6 months, Braydren will imitate 3-4 word utterances modeled by clinician during play-based tasks with 80% accuracy across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	Within 6 months, Braydren will use 3-4 word utterances to comment/request/provide information during structured activities or play-based tasks with 40% accuracy across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Receptive Language	Within 6 months, Brayden will follow commands that include verbs with 20% accuracy across 3 consecutive sessions in order to promote language learning opportunities for language development.
Receptive Language	In 6 months, Brayden will demonstrate understanding of me, my, your with 20% accuracy across 3 consecutive session in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).
Expressive Language	Within 6 months, Brayden will use present progressive verbs (eating, drinking, sleeping) when presented visual stimuli or during play-based activities with 80% accuracy across 3 consecutive sessions in order to improve adequate sentence structure of his functional communication.
Receptive Language	In 6 months, Brayden will demonstrate understanding of the function of objects with 20% accuracy across 3 consecutive sessions in order to promote language learning opportunities for language development.

Speech and Language Soap Note/Visit:

Soap Note

490505

Note Date: 03-19-2026

Subjective: Patient was eager to participate,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. Brayden demonstrated understanding of me, my, your with 0% accuracy. No cuing provided by clinician. Brayden used present progressive verbs (eating, drinking, sleeping) when presented visual stimuli or during playbasedactivities with 30% accuracy. No cuing provided by clinician. Brayden demonstrated understanding of the function of objects with 50% accuracy. No cuing provided by clinician.

Plans: Continue with current Plan of Care,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25353	09-02-2025	Feeding Initial Evaluation	R63.32, F84.0
Feeding Background History: Brayden is a 5-year, 1-month-old male referred by his pediatrician for a feeding evaluation due to concerns related to picky eating and nutrition. Brayden’s pediatrician has recommended pediasure due to concerns with his weight. He has a diagnosis of Autism Spectrum Disorder. According to his mother, Mrs. Bivens, Brayden began exhibiting picky eating behaviors around 12 months of age. He frequently smells foods before eating to determine if they are acceptable and will refuse preferred items if they are modified in any way. His acceptance of even familiar foods is inconsistent, with reports that he may eat a food one day and reject it the next. Additionally, Brayden exhibits grazing behaviors and may take between 60 to 120 minutes to complete a single meal, often due to frequent getting up from the table. Brayden has no prior history of feeding therapy. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills.
Feeding Medical History: Brayden was born at 37 weeks via vaginal delivery. Brayden’s mother was induced due to intrauterine growth restriction.
Feeding Medications: None at this time
Feeding Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Brayden’s pragmatic skills were not evaluated as this was not the purpose of the evaluation or referral.
Feeding Diagnosis/Impressions: PATIENT HX: Brayden is a 5-year, 1-month-old male referred by his pediatrician for a feeding evaluation due to concerns related to picky eating and nutrition. Brayden’s pediatrician has recommended pediasure due to concerns with his weight. He has a diagnosis of Autism Spectrum Disorder. According to his mother, Mrs. Bivens, Brayden began exhibiting picky eating behaviors around 12 months of age. He frequently smells foods before eating to determine if they are acceptable and will refuse preferred items if they are modified in any way. His acceptance of even familiar foods is inconsistent, with reports that he may eat a food one day and reject it the next. Additionally, Brayden exhibits grazing behaviors and may take between 60 to 120 minutes to complete a single meal, often due to frequent getting up from the table. Brayden has no prior history of feeding therapy. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Brayden’s distractibility and difficulty following certain instructions. However, observable findings suggest that Brayden presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were noted or reported by his mother. Although Brayden continues to sleep with a pacifier in his mouth, he reportedly does not suck on it. Visualization of the palate was not possible at this time. Brayden is not a mouth breather while awake or asleep, and does not appear to have an open bite from pacifier use. It is recommended that Brayden’s oral cavity be monitored throughout the course of treatment, and that intervention targeting oral motor function be initiated as clinically appropriate. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Brayden presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Brayden’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (Autism, IUGR during pregnancy), nutritional deficits (limited food inventory, low weight/pediasure), feeding skill impairments (sensory sensitivities to foods), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). FOOD REPERTOIRE: Brayden is reported to prefer foods with crunchy, crisp, and chewy textures. He shows a strong taste preference for sweet, flavored, and bland flavors and favors warm/cool foods. His appetite is reported to be poor. Currently, Brayden’s food inventory includes over 40 foods and 6 liquids. However, his acceptance of these items is inconsistent and highly dependent on specific preparation methods and presentation. Foods must be prepared in a particular way and served in designated dishes; any deviation from these routines typically results in refusal. For proteins, he accepts baked chicken, hamburger, ham, sausage, hot dogs, bologna, lunch meat, ground beef, eggs, mozzarella, Parmesan, and Muenster cheese. His fruit intake includes apple, pear, watermelon, honey dew, banana, cantaloupe, and tangerine. Brayden only eats 1 vegetable which is corn. For starches, Brayden eats pop tarts, waffles/pancakes, dry cereal, spaghetti, Alfredo, pizza, Mac n Cheese, ramen noodles, various soups, crackers, chips, flour tortillas, rice, cake/cookies/donuts, and popcorn. In terms of liquids, he drinks apple juice, lemonade, and water. Brayden’s mother expressed a desire for him to eat proteins and vegetables. NORM REFERENCED ASSESSMENT: Mrs. Bivens completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Brayden received an overall rating of “high concern,” with “high concern” noted in the areas of selective/restrictive eating and problematic mealtime behaviors. These caregiver ?reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Brayden was seated at the feeding table and observed to self ?feed his preferred food items using his hands and utensils. During the feeding session, Brayden frequently got out of his chair and walked around the room. Brayden would return to the table to take a bite of food and then would get back up and walk around. He demonstrated a adequate rate of intake and no overstuffing of food in his mouth. Per Mrs Bivens, Brayden can take 1 to 2 hours to finish a meal and will often walk around during his meal. Mrs Bivens reported that Brayden overstuffs his oral cavity at times, however this was not observed in the evaluation. Brayden’s mother was educated on techniques to decrease overstuffing. When presented with non? preferred foods, Brayden showed immediate rejection of the foods by getting up from the table and walking away. Brayden also screamed and said no, when presented with the non preferred foods. With clinician support, he tolerated some brief contact with the foods on his finger tips but this was done in an attempt to move the foods away. Brayden refused to interact with the foods past his finger tips and could not tolerate the foods directly in front of him for longer than 30 seconds. SWALLOW/ORAL MOTOR EVALUATION: Brayden demonstrated a rotary chewing pattern when consuming his preferred food items. He exhibited timely anterior posterior transit of these foods, along with an appropriate rate of intake. No clinical signs or symptoms of aspiration or penetration were observed during the session. According to Mrs. Bivens, there have been no concerns related to Brayden’s swallowing at home, including no episodes of coughing, choking, or signs of distress during meals. Additionally, Brayden does not have a history of aspiration pneumonia. However, it was reported that Brayden occasionally overstuffs his oral cavity, which was addressed. Based on the foods trialed and the behaviors observed during the evaluation, Brayden’s oral motor skills appear functional at this time. Nevertheless, ongoing monitoring is recommended throughout the course of care to ensure safe feeding and swallowing. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Brayden’s CHRONIC PFD. Brayden 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 Brayden’s food repertoire by building on existing preferred foods. Without intervention, Brayden may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Bivens 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

56322

Plan Date: 09-02-2025

Feeding Assessment Summary: PATIENT HX: Brayden is a 5-year, 1-month-old male referred by his pediatrician for a feeding evaluation due to concerns related to picky eating and nutrition. Brayden’s pediatrician has recommended pediasure due to concerns with his weight. He has a diagnosis of Autism Spectrum Disorder. According to his mother, Mrs. Bivens, Brayden began exhibiting picky eating behaviors around 12 months of age. He frequently smells foods before eating to determine if they are acceptable and will refuse preferred items if they are modified in any way. His acceptance of even familiar foods is inconsistent, with reports that he may eat a food one day and reject it the next. Additionally, Brayden exhibits grazing behaviors and may take between 60 to 120 minutes to complete a single meal, often due to frequent getting up from the table. Brayden has no prior history of feeding therapy. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Brayden’s distractibility and difficulty following certain instructions. However, observable findings suggest that Brayden presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were noted or reported by his mother. Although Brayden continues to sleep with a pacifier in his mouth, he reportedly does not suck on it. Visualization of the palate was not possible at this time. Brayden is not a mouth breather while awake or asleep, and does not appear to have an open bite from pacifier use. It is recommended that Brayden’s oral cavity be monitored throughout the course of treatment, and that intervention targeting oral motor function be initiated as clinically appropriate. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Brayden presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Brayden’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (Autism, IUGR during pregnancy), nutritional deficits (limited food inventory, low weight/pediasure), feeding skill impairments (sensory sensitivities to foods), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). FOOD REPERTOIRE: Brayden is reported to prefer foods with crunchy, crisp, and chewy textures. He shows a strong taste preference for sweet, flavored, and bland flavors and favors warm/cool foods. His appetite is reported to be poor. Currently, Brayden’s food inventory includes over 40 foods and 6 liquids. However, his acceptance of these items is inconsistent and highly dependent on specific preparation methods and presentation. Foods must be prepared in a particular way and served in designated dishes; any deviation from these routines typically results in refusal. For proteins, he accepts baked chicken, hamburger, ham, sausage, hot dogs, bologna, lunch meat, ground beef, eggs, mozzarella, Parmesan, and Muenster cheese. His fruit intake includes apple, pear, watermelon, honey dew, banana, cantaloupe, and tangerine. Brayden only eats 1 vegetable which is corn. For starches, Brayden eats pop tarts, waffles/pancakes, dry cereal, spaghetti, Alfredo, pizza, Mac n Cheese, ramen noodles, various soups, crackers, chips, flour tortillas, rice, cake/cookies/donuts, and popcorn. In terms of liquids, he drinks apple juice, lemonade, and water. Brayden’s mother expressed a desire for him to eat proteins and vegetables. NORM REFERENCED ASSESSMENT: Mrs. Bivens completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Brayden received an overall rating of “high concern,” with “high concern” noted in the areas of selective/restrictive eating and problematic mealtime behaviors. These caregiver ?reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Brayden was seated at the feeding table and observed to self ?feed his preferred food items using his hands and utensils. During the feeding session, Brayden frequently got out of his chair and walked around the room. Brayden would return to the table to take a bite of food and then would get back up and walk around. He demonstrated a adequate rate of intake and no overstuffing of food in his mouth. Per Mrs Bivens, Brayden can take 1 to 2 hours to finish a meal and will often walk around during his meal. Mrs Bivens reported that Brayden overstuffs his oral cavity at times, however this was not observed in the evaluation. Brayden’s mother was educated on techniques to decrease overstuffing. When presented with non? preferred foods, Brayden showed immediate rejection of the foods by getting up from the table and walking away. Brayden also screamed and said no, when presented with the non preferred foods. With clinician support, he tolerated some brief contact with the foods on his finger tips but this was done in an attempt to move the foods away. Brayden refused to interact with the foods past his finger tips and could not tolerate the foods directly in front of him for longer than 30 seconds. SWALLOW/ORAL MOTOR EVALUATION: Brayden demonstrated a rotary chewing pattern when consuming his preferred food items. He exhibited timely anterior posterior transit of these foods, along with an appropriate rate of intake. No clinical signs or symptoms of aspiration or penetration were observed during the session. According to Mrs. Bivens, there have been no concerns related to Brayden’s swallowing at home, including no episodes of coughing, choking, or signs of distress during meals. Additionally, Brayden does not have a history of aspiration pneumonia. However, it was reported that Brayden occasionally overstuffs his oral cavity, which was addressed. Based on the foods trialed and the behaviors observed during the evaluation, Brayden’s oral motor skills appear functional at this time. Nevertheless, ongoing monitoring is recommended throughout the course of care to ensure safe feeding and swallowing. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Brayden’s CHRONIC PFD. Brayden 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 Brayden’s food repertoire by building on existing preferred foods. Without intervention, Brayden may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Bivens will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

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

Feeding Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Feeding/Swallowing	In 12 months, Brayden will improve his feeding skills in 5 out of 10 trials in order to optimize safe and effective nutrition to meet his nutritional needs.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Brayden 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, Brayden will tolerate non preferred foods directly in front of him in at least 45 to 60 second intervals 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, Brayden will touch non preferred foods with his upper extremities (fingers, hands, arms) 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 environmen
Feeding/Swallowing	In 6 months, Brayden will touch non preferred foods with his head OR 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 environmen
Feeding/Swallowing	In 6 months, Brayden will remain at or near the feeding table for at least 25% of the session across 3 consecutive sessions in order to improve his tolerance of remaining near the feeding table during nutritional intake of foods.

Feeding Therapy Soap Note/Visit:

Soap Note

472231

Note Date: 10-28-2025

Subjective: Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Brayden has not added 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. Brayden tolerated non preferred foods directly in front of him in at least 45 to 60 second intervals in 8 out of 10 opportunities given max verbal/visual/tactile cues by clinician. Brayden touched non preferred foods with his upper extremities (fingers, hands, arms) in 7 out of 10 opportunities given max verbal/visual/tactile cues by clinician. Brayden touched non preferred foods with his head OR face in 7 out of 10 opportunities given max verbal/visual/tactile cues by clinician. Brayden remained at or near the feeding table for at least 70% of the session given mod to max verbal/visual/tactile cues by clinician. New target food items have been assigned: carrots, celery, food chained chicken, food chained lunch meat, bread Mother reported Brayden ate pizza last week; mother was reminded to take note of the environment and set up when Brayden is successful with his eating so that these opportunities can be recreated for future successful mealtimes

Plans: Continue with current Plan of Care,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3644	08-26-2025	Occupational Initial Evaluation	F84.0
Occupational Background History: Brayden is a 5.1 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Parents, was present in order to serve as the primary informant throughout the evaluation. Per parent's report child was born at 37 weeks gestation via natural birth. Child did experience complications at birth, decreased developing in vitro ~30 weeks, does not have any visual or hearing deficits. Child does not have history of aggression and seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Present, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Cooperative, Endurance,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Eye-Hand Coordination, Manual Dexterity, Problem Solving, Self-Control, Sensory Process/Mod, UE Strength, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Brayden demos difficulty with in-hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as writing, grasping small objects, and fastening clothing. Weaknesses in fine motor skills can affect a child's ability to eat, write legibly, use a computer, turn pages in a book, and perform personal care tasks such as dressing and grooming.
Occupational Diagnosis/Impressions: Brayden was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Brayden falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 14 months to 32 months compared to his chronological age of 61 months, placing him atleast (-3 to -2) standard deviations behind his peers. Brayden demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 1-2 minutes. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection. Per parent report, child is a picky eater, has decreased auditory processing, seeks spinning and crashing activities and demos decreased emotional regulation; pt demos difficulty with tolerance of functional activity demands which decrease his participation in activities and decreases his safety and body awareness. Brayden demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to Brayden, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Brayden verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

4725

Plan Date: 08-26-2025

Occupational Assessment Summary: Brayden was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Brayden falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 14 months to 32 months compared to his chronological age of 61 months, placing him atleast (-3 to -2) standard deviations behind his peers. Brayden demonstrates significant difficulty with self regulation skills highly likely due to sensory processing difficulties. Child currently demonstrates attention span approximately 1-2 minutes. Child struggled to initiate and/or complete simple one step directions with max assistance via visual demonstrations, and verbal prompting for motivation, task initiation and redirection to task. Child exhibits limited attention evident by fleeing/escaping non-preferred activities, and need for constant redirection. Per parent report, child is a picky eater, has decreased auditory processing, seeks spinning and crashing activities and demos decreased emotional regulation; pt demos difficulty with tolerance of functional activity demands which decrease his participation in activities and decreases his safety and body awareness. Brayden demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to Brayden, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Brayden verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Transition	In 6 months, Brayden will increase body awareness and safety during functional mobility as evidenced by transferring between 4 functional tasks with MIN assist, 4/5 trials and per parental report. Baseline- MOD assist to transition between tasks
Bilateral Coordination	In 6 months, Brayden will complete a grooming task with MOD compensatory movements to demonstrate ability to simultaneously use both hands/sides of the body to perform symmetrical/asymmetrical movements and increase functional independence, 4/5 trials. Baseline- MAX A for compensatory movements to perform asymmetrical/symmetrical movements
Fine Motor	In 6 months, Brayden will complete 10 minute fine motor BUE strengthening activities to increase ADL participation that require increased fine motor strength, with MIN assistance/compensations, 4/5 trials. Baseline- MOD compensations with UB activities

Occupational Short Term Goals:

Category	Goal Description
Transition	In 3 months, Brayden will increase body awareness and safety during functional mobility as evidenced by transferring between 3-4 functional tasks with MIN assist, 3/4 trials and per parental report. Baseline- MOD assist to transition between tasks
Bilateral Coordination	In 3 months, Brayden will complete a grooming task with MOD compensatory movements to demonstrate ability to simultaneously use both hands/sides of the body to perform symmetrical/asymmetrical movements and increase functional independence, 3/4 trials. Baseline- MAX A for compensatory movements to perform asymmetrical/symmetrical movements
Fine Motor	In 3 months, Brayden will complete 8-10 minute fine motor BUE strengthening activities to increase ADL participation that require increased fine motor strength, with MIN assistance/compensations, 3/4 trials. Baseline- MOD compensations with UB activities

5246

Plan Date: 02-05-2026

Occupational Progress to Date: Brayden demonstrates fair and consistent progress with participation in skilled occupational therapy services evident by meeting all previous goals with at least 70% accuracy, per improved standardized assessment scores, and per clinical observations and per parental report. In 3 months, Brayden will increase body awareness and safety during functional mobility as evidenced by transferring between 3-4 functional tasks with MIN assist, 3/4 trials and per parental report. GOAL MET- 4/4 trials In 3 months, Brayden will complete a grooming task with MOD compensatory movements to demonstrate ability to simultaneously use both hands/sides of the body to perform symmetrical/asymmetrical movements and increase functional independence, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Brayden will complete 8-10 minute fine motor BUE strengthening activities to increase ADL participation that require increased fine motor strength, with MIN assistance/compensations, 3/4 trials. GOAL MET- 4/4 trials

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
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.
Self Care	In 6 months, Brayden will manipulate 3 basic fasteners (buttons, snaps) with MOD assistance to increase hand dexterity in self-care tasks, 4/5 trials. Baseline- requires MAX assist to manipulate fasteners
Self Care	In 6 months, Brayden will tie shoes (complete steps) using the bunny ears method, to increase independence with dressing and fine motor coordination with MOD assist, 4/5 trials. Baseline- MAX assist
Self Care	In 6 months, Brayden will complete a 5 minute toothbrushing task with MOD assist to brush 3/4 quadrants of mouth to increase execution of body movements to complete multistep tasks, 4/5 trials. Baseline- MOD aversion
Fine Motor	In 6 months, Brayden will be able to produce a Tripod grasp with MOD assist during an 8 minute coloring task in order to improve fine motor precision with coloring strokes, 4/5 consecutive trials. Baseline- MAX assist and displays, pronated grasp

Occupational Short Term Goals:

Category	Goal Description
Self Care	In 3 months, Brayden will manipulate 2-3 basic fasteners (buttons, snaps) with MOD assistance to increase hand dexterity in self-care tasks, 3/4 trials. Baseline- requires MAX assist to manipulate fasteners
Self Care	In 3 months, Brayden will tie shoes (complete steps) using the bunny ears method, to increase independence with dressing and fine motor coordination with MOD assist, 3/4 trials. Baseline- MAX assist
Self Care	In 3 months, Brayden will complete a 3-5 minute toothbrushing task with MOD assist to brush 3/4 quadrants of mouth to increase execution of body movements to complete multistep tasks, 3/4 trials. Baseline- MOD aversion
Fine Motor	In 3 months, Brayden will be able to produce a Tripod grasp with MOD assist during an 5-8 minute coloring task in order to improve fine motor precision with coloring strokes, 3/4 consecutive trials. Baseline- MAX assist and displays, pronated grasp

Occupational Therapy Soap Note/Visit:

Soap Note

148160

Note Date: 03-26-2026

Subjective: Patient was alert and cooperative,

Assessment of Goals/Response to Treatment: Patient was alert and cooperative, actively participating in the skilled occupational therapy session. He engaged in a structured color, cut, and paste activity designed to address multiple goal areas. Significant progress was demonstrated toward the fine motor goal, which has now been met. Patient was able to sustain a functional tripod grasp for an 8-minute coloring activity with moderate verbal cues to maintain distal control, demonstrating a notable improvement from the baseline of requiring maximum assistance with a pronated grasp. This activity was also utilized to facilitate visual motor integration, sequencing, attention to task, bilateral coordination, and the ability to cross midline when reaching for materials. Progress continues toward the self-care goal of fastener manipulation. Patient now initiates the first two steps of managing buttons with moderate assistance, a clear advancement from his baseline of requiring maximum assistance for the entire task. He continues to require maximum assistance to complete the subsequent steps, indicating a need for ongoing intervention to improve in-hand manipulation, motor planning, and hand dexterity for full independence in this self-care task.

Plans:

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
791526	97167: OT Evaluation	08-26-2025 02:00 PM	08-26-2025 03:00 PM	Bertha Solis	NB2 far east side	Completed
791525	92523: Artic & Language Eval	08-27-2025 01:00 PM	08-27-2025 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
791527	92610: Feeding Evaluation	09-02-2025 01:00 PM	09-02-2025 02:00 PM	Jordan Orozco	NB2 far east side	Completed
801607	92507: Speech & Language Visit	09-10-2025 01:00 PM	09-10-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
804621	OT-VIS: OT Visit	09-12-2025 03:00 PM	09-12-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
804554	92526: Feeding Visit	09-15-2025 02:45 PM	09-15-2025 03:15 PM	Jordan Orozco	NB2 far east side	Completed
806700	NB001: Supervision	09-17-2025 01:00 PM	09-17-2025 01:45 PM	Christine Adame	NB2 far east side	Completed
803014	92507: Speech & Language Visit	09-17-2025 01:00 PM	09-17-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
812984	92507: Speech & Language Visit	09-24-2025 01:00 PM	09-24-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811198	OT-VIS: OT Visit	09-26-2025 03:00 PM	09-26-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
811790	92526: Feeding Visit	09-29-2025 02:45 PM	09-29-2025 03:15 PM	Jordan Orozco	NB2 far east side	Completed
812981	92507: Speech & Language Visit	10-01-2025 01:00 PM	10-01-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811199	OT-VIS: OT Visit	10-03-2025 03:00 PM	10-03-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
812386	92507: Speech & Language Visit	10-08-2025 01:00 PM	10-08-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
819788	NB001: Supervision	10-08-2025 01:00 PM	10-08-2025 01:45 PM	Christine Adame	NB2 far east side	Completed
814686	92507: Speech & Language Visit	10-15-2025 01:00 PM	10-15-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
815373	92526: Feeding Visit	10-16-2025 02:45 PM	10-16-2025 03:15 PM	Jordan Orozco	NB2 far east side	Completed
811201	OT-VIS: OT Visit	10-17-2025 03:00 PM	10-17-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
814687	92507: Speech & Language Visit	10-22-2025 01:00 PM	10-22-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
828389	NB001: Supervision	10-22-2025 01:00 PM	10-22-2025 01:45 PM	Christine Adame	NB2 far east side	Completed
811202	OT-VIS: OT Visit	10-24-2025 03:00 PM	10-24-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
824888	92526: Feeding Visit	10-27-2025 02:45 PM	10-27-2025 03:15 PM	Jordan Orozco	NB2 far east side	Completed
814688	92507: Speech & Language Visit	10-29-2025 01:00 PM	10-29-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811203	OT-VIS: OT Visit	10-31-2025 03:00 PM	10-31-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
814689	92507: Speech & Language Visit	11-05-2025 01:00 PM	11-05-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811204	OT-VIS: OT Visit	11-07-2025 03:00 PM	11-07-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
814690	92507: Speech & Language Visit	11-12-2025 01:45 PM	11-12-2025 02:30 PM	Gabriela Gallegos	NB2 far east side	Completed
811205	OT-VIS: OT Visit	11-14-2025 03:00 PM	11-14-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
811206	OT-VIS: OT Visit	11-18-2025 03:00 PM	11-18-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
814691	92507: Speech & Language Visit	11-19-2025 01:00 PM	11-19-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
814693	92507: Speech & Language Visit	12-03-2025 01:00 PM	12-03-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811208	OT-VIS: OT Visit	12-05-2025 03:00 PM	12-05-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
814694	92507: Speech & Language Visit	12-10-2025 01:00 PM	12-10-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
803015	92507: Speech & Language Visit	12-17-2025 01:00 PM	12-17-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811210	OT-VIS: OT Visit	12-19-2025 03:00 PM	12-19-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
811213	OT-VIS: OT Visit	01-09-2026 03:00 PM	01-09-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
803019	92507: Speech & Language Visit	01-21-2026 01:00 PM	01-21-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811215	OT-VIS: OT Visit	01-23-2026 03:00 PM	01-23-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
803020	92507: Speech & Language Visit	01-28-2026 01:15 PM	01-28-2026 02:00 PM	Gabriela Gallegos	NB2 far east side	Completed
811216	OT-VIS: OT Visit	01-30-2026 03:00 PM	01-30-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
882555	OT-SUP: OT Supervision	01-30-2026 03:00 PM	01-30-2026 04:00 PM	Bertha Solis	NB2 far east side	Completed
888597	S9152: Reevaluation	02-04-2026 02:30 PM	02-04-2026 03:15 PM	Christine Adame	NB2 far east side	Completed
883985	97168: OT Re-Evaluation	02-05-2026 08:00 AM	02-05-2026 09:00 AM	Bertha Solis	NB2 far east side	Completed
803022	92507: Speech & Language Visit	02-11-2026 01:00 PM	02-11-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811218	OT-VIS: OT Visit	02-13-2026 03:00 PM	02-13-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
803023	92507: Speech & Language Visit	02-18-2026 01:00 PM	02-18-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811219	OT-VIS: OT Visit	02-20-2026 03:00 PM	02-20-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
895477	OT-SUP: OT Supervision	02-20-2026 03:00 PM	02-20-2026 04:00 PM	Bertha Solis	NB2 far east side	Completed
803024	92507: Speech & Language Visit	02-25-2026 01:00 PM	02-25-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811221	OT-VIS: OT Visit	03-06-2026 03:00 PM	03-06-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
904012	92507: Speech & Language Visit	03-11-2026 01:00 PM	03-11-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
811222	OT-VIS: OT Visit	03-13-2026 03:00 PM	03-13-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed
904013	92507: Speech & Language Visit	03-18-2026 01:00 PM	03-18-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Completed
912182	OT-VIS: OT Visit	03-26-2026 03:00 PM	03-26-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
811200	OT-VIS: OT Visit	10-10-2025 03:00 PM	10-10-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Canceled
835143	92526: Feeding Visit	11-10-2025 02:45 PM	11-10-2025 03:15 PM	Jordan Orozco	NB2 far east side	Canceled
814692	92507: Speech & Language Visit	11-26-2025 01:00 PM	11-26-2025 01:45 PM	Gabriela Gallegos	NB2 far east side	Canceled
811209	OT-VIS: OT Visit	12-12-2025 03:00 PM	12-12-2025 04:00 PM	Jack Bedenbaugh	NB2 far east side	Canceled
803017	92507: Speech & Language Visit	01-07-2026 01:00 PM	01-07-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Canceled
803018	92507: Speech & Language Visit	01-14-2026 01:00 PM	01-14-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Canceled
811214	OT-VIS: OT Visit	01-16-2026 03:00 PM	01-16-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Canceled
803021	92507: Speech & Language Visit	02-04-2026 01:00 PM	02-04-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Canceled
811217	OT-VIS: OT Visit	02-06-2026 03:00 PM	02-06-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Canceled
811220	OT-VIS: OT Visit	02-27-2026 03:00 PM	02-27-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Canceled
904014	92507: Speech & Language Visit	03-25-2026 12:45 PM	03-25-2026 01:30 PM	Gabriela Gallegos	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
916433	NB001: Supervision	03-30-2026 02:15 PM	03-30-2026 03:00 PM	Christine Adame	NB2 far east side	Scheduled
917498	OT-SUP: OT Supervision	04-03-2026 03:00 PM	04-03-2026 04:00 PM	Bertha Solis	NB2 far east side	Scheduled
912380	OT-VIS: OT Visit	04-03-2026 03:00 PM	04-03-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904016	92507: Speech & Language Visit	04-08-2026 01:00 PM	04-08-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912381	OT-VIS: OT Visit	04-10-2026 03:00 PM	04-10-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904017	92507: Speech & Language Visit	04-15-2026 01:00 PM	04-15-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912382	OT-VIS: OT Visit	04-17-2026 03:00 PM	04-17-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904018	92507: Speech & Language Visit	04-22-2026 01:00 PM	04-22-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912383	OT-VIS: OT Visit	04-24-2026 03:00 PM	04-24-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904019	92507: Speech & Language Visit	04-29-2026 01:00 PM	04-29-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912384	OT-VIS: OT Visit	05-01-2026 03:00 PM	05-01-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904020	92507: Speech & Language Visit	05-06-2026 01:00 PM	05-06-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912385	OT-VIS: OT Visit	05-08-2026 03:00 PM	05-08-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904021	92507: Speech & Language Visit	05-13-2026 01:00 PM	05-13-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912386	OT-VIS: OT Visit	05-15-2026 03:00 PM	05-15-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904022	92507: Speech & Language Visit	05-20-2026 01:00 PM	05-20-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912387	OT-VIS: OT Visit	05-22-2026 03:00 PM	05-22-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904023	92507: Speech & Language Visit	05-27-2026 01:00 PM	05-27-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912388	OT-VIS: OT Visit	05-29-2026 03:00 PM	05-29-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904024	92507: Speech & Language Visit	06-03-2026 01:00 PM	06-03-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912389	OT-VIS: OT Visit	06-05-2026 03:00 PM	06-05-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904025	92507: Speech & Language Visit	06-10-2026 01:00 PM	06-10-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912390	OT-VIS: OT Visit	06-12-2026 03:00 PM	06-12-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904026	92507: Speech & Language Visit	06-17-2026 01:00 PM	06-17-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912391	OT-VIS: OT Visit	06-19-2026 03:00 PM	06-19-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904027	92507: Speech & Language Visit	06-24-2026 01:00 PM	06-24-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912392	OT-VIS: OT Visit	06-26-2026 03:00 PM	06-26-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904028	92507: Speech & Language Visit	07-01-2026 01:00 PM	07-01-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912393	OT-VIS: OT Visit	07-03-2026 03:00 PM	07-03-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904029	92507: Speech & Language Visit	07-08-2026 01:00 PM	07-08-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912394	OT-VIS: OT Visit	07-10-2026 03:00 PM	07-10-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904030	92507: Speech & Language Visit	07-15-2026 01:00 PM	07-15-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912395	OT-VIS: OT Visit	07-17-2026 03:00 PM	07-17-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904031	92507: Speech & Language Visit	07-22-2026 01:00 PM	07-22-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912396	OT-VIS: OT Visit	07-24-2026 03:00 PM	07-24-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904032	92507: Speech & Language Visit	07-29-2026 01:00 PM	07-29-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912397	OT-VIS: OT Visit	07-31-2026 03:00 PM	07-31-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904033	92507: Speech & Language Visit	08-05-2026 01:00 PM	08-05-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912398	OT-VIS: OT Visit	08-07-2026 03:00 PM	08-07-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904034	92507: Speech & Language Visit	08-12-2026 01:00 PM	08-12-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912399	OT-VIS: OT Visit	08-14-2026 03:00 PM	08-14-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904035	92507: Speech & Language Visit	08-19-2026 01:00 PM	08-19-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912400	OT-VIS: OT Visit	08-21-2026 03:00 PM	08-21-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904036	92507: Speech & Language Visit	08-26-2026 01:00 PM	08-26-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912401	OT-VIS: OT Visit	08-28-2026 03:00 PM	08-28-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
904037	92507: Speech & Language Visit	09-02-2026 01:00 PM	09-02-2026 01:45 PM	Gabriela Gallegos	NB2 far east side	Scheduled
912402	OT-VIS: OT Visit	09-04-2026 03:00 PM	09-04-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
912403	OT-VIS: OT Visit	09-11-2026 03:00 PM	09-11-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled
912404	OT-VIS: OT Visit	09-18-2026 03:00 PM	09-18-2026 04:00 PM	Jack Bedenbaugh	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
8/26/25	Patient visit charged - OT Evaluation: OT Evaluation	0.00	80.31	-80.31
8/26/25	Patient Payment Received (Stripe)	80.31	80.31	0.00
8/27/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	80.31	262.08	-181.77
8/27/25	Patient Payment Received (Stripe)	262.08	262.08	0.00
9/2/25	Patient visit charged - Feeding Evaluation: Feeding Evaluation	262.08	329.81	-67.73
9/2/25	Patient Payment Received (Stripe)	329.81	329.81	0.00
9/10/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	329.81	398.05	-68.24
9/10/25	Patient Payment Received (Stripe)	398.05	398.05	0.00
9/12/25	Patient visit charged - OT Visit: OT Visit	398.05	516.89	-118.84
9/12/25	Patient Payment Received (Stripe)	516.89	516.89	0.00
9/15/25	Patient visit charged - Feeding Visit: Feeding Visit	516.89	584.62	-67.73
9/17/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	516.89	652.86	-135.97
9/17/25	Patient Payment Received (Stripe)	585.13	652.86	-67.73
9/24/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	585.13	721.10	-135.97
9/25/25	Patient Payment Received (Stripe)	653.37	721.10	-67.73
9/26/25	Patient visit charged - OT Visit: OT Visit	653.37	839.94	-186.57
9/26/25	Patient Payment Received (Stripe)	772.21	839.94	-67.73
9/29/25	Patient visit charged - Feeding Visit: Feeding Visit	772.21	907.67	-135.46
10/1/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	772.21	975.91	-203.70
10/1/25	Patient Payment Received (Stripe)	840.45	975.91	-135.46
10/3/25	Patient visit charged - OT Visit: OT Visit	840.45	1094.75	-254.30
10/3/25	Patient Payment Received (Stripe)	959.29	1094.75	-135.46
10/8/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	959.29	1162.99	-203.70
10/8/25	Patient Payment Received (Stripe)	1027.53	1162.99	-135.46
10/8/25	Patient Payment Received (Stripe)	1162.99	1162.99	0.00
10/15/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1162.99	1231.23	-68.24
10/15/25	Patient Payment Received (Stripe)	1231.23	1231.23	0.00
10/16/25	Patient visit charged - Feeding Visit: Feeding Visit	1231.23	1298.96	-67.73
10/16/25	Patient Payment Received (Stripe)	1298.96	1298.96	0.00
10/17/25	Patient visit charged - OT Visit: OT Visit	1298.96	1417.80	-118.84
10/17/25	Patient Payment Received (Stripe)	1417.80	1417.80	0.00
10/22/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1417.80	1486.04	-68.24
10/22/25	Patient Payment Received (Stripe)	1486.04	1486.04	0.00
10/24/25	Patient visit charged - OT Visit: OT Visit	1486.04	1604.88	-118.84
10/24/25	Patient Payment Received (Stripe)	1604.88	1604.88	0.00
10/27/25	Patient visit charged - Feeding Visit: Feeding Visit	1604.88	1672.61	-67.73
10/29/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1604.88	1740.85	-135.97
10/29/25	Patient Payment Received (Stripe)	1673.12	1740.85	-67.73
10/31/25	Patient visit charged - OT Visit: OT Visit	1673.12	1859.69	-186.57
10/31/25	Patient Payment Received (Stripe)	1791.96	1859.69	-67.73
11/5/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1791.96	1927.93	-135.97
11/5/25	Patient Payment Received (Stripe)	1860.20	1927.93	-67.73
11/7/25	Patient visit charged - OT Visit: OT Visit	1860.20	2046.77	-186.57
11/7/25	Patient Payment Received (Stripe)	1979.04	2046.77	-67.73
11/12/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1979.04	2115.01	-135.97
11/12/25	Patient Payment Received (Stripe)	2047.28	2115.01	-67.73
11/14/25	Patient visit charged - OT Visit: OT Visit	2047.28	2233.85	-186.57
11/14/25	Patient Payment Received (Stripe)	2166.12	2233.85	-67.73
11/18/25	Patient visit charged - OT Visit: OT Visit	2166.12	2352.69	-186.57
11/18/25	Patient Payment Received (Stripe)	2352.69	2352.69	0.00
11/19/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	2352.69	2420.93	-68.24
12/3/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	2352.69	2489.17	-136.48
12/3/25	Coinsurance amount for ST visit.	2395.53	2489.17	-93.64
12/3/25	Patient Payment Received (Stripe)	2463.77	2489.17	-25.40
12/5/25	Patient visit charged - OT Visit: OT Visit	2463.77	2608.01	-144.24
12/5/25	Coinsurance amount for OT visit	2558.84	2608.01	-49.17
12/5/25	Patient Payment Received (Stripe)	2677.68	2608.01	69.67
12/10/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	2677.68	2676.25	1.43
12/10/25	Coinsurance amount for ST visit	2732.27	2676.25	56.02
12/10/25	Patient Payment Received (Stripe)	2800.51	2676.25	124.26
12/17/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	2800.51	2744.49	56.02
12/17/25	Coinsurance amount for ST visit	2855.10	2744.49	110.61
12/17/25	Patient Payment Received (Stripe)	2923.34	2744.49	178.85
12/19/25	Patient visit charged - OT Visit: OT Visit	2923.34	2863.33	60.01
12/19/25	Coinsurance amount for OT visit	3018.41	2863.33	155.08
12/19/25	Patient Payment Received (Stripe)	3137.25	2863.33	273.92
1/9/26	Patient visit charged - OT Visit: OT Visit	3137.25	2931.57	205.68
1/9/26	Deductible amount	3137.25	2982.19	155.06
1/9/26	Patient Payment Received (Stripe)	3273.73	2982.19	291.54
1/21/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3273.73	3050.43	223.30
1/23/26	Patient visit charged - OT Visit: OT Visit	3273.73	3118.67	155.06
1/23/26	Deductible amount	3273.73	3169.29	104.44
1/23/26	Patient Payment Received (Stripe)	3341.97	3169.29	172.68
1/23/26	Patient Payment Received (Stripe)	3410.21	3169.29	240.92
1/28/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3410.21	3237.53	172.68
1/28/26	Patient Payment Received (Stripe)	3478.45	3237.53	240.92
1/30/26	Patient visit charged - OT Visit: OT Visit	3478.45	3305.77	172.68
1/30/26	Deductible amount	3478.45	3356.39	122.06
2/4/26	Patient visit charged - Reevaluation: Reevaluation	3478.45	3424.63	53.82
2/4/26	Patient Payment Received (Stripe)	3614.93	3424.63	190.30
2/5/26	Patient visit charged - OT Re-Evaluation: OT Re-Evaluation	3614.93	3492.87	122.06
2/11/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3614.93	3561.11	53.82
2/13/26	Patient visit charged - OT Visit: OT Visit	3614.93	3629.35	-14.42
2/18/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3614.93	3697.59	-82.66
2/20/26	Patient visit charged - OT Visit: OT Visit	3614.93	3765.83	-150.90
2/25/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3614.93	3834.07	-219.14
2/25/26	Patient Payment Received (Stripe)	3683.17	3834.07	-150.90
3/6/26	Patient visit charged - OT Visit: OT Visit	3683.17	3902.31	-219.14
3/6/26	Patient Payment Received (Stripe)	3751.41	3902.31	-150.90
3/11/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3751.41	3970.55	-219.14
3/11/26	Patient Payment Received (Stripe)	3819.65	3970.55	-150.90
3/13/26	Patient visit charged - OT Visit: OT Visit	3819.65	4038.79	-219.14
3/13/26	Patient Payment Received (Stripe)	3887.89	4038.79	-150.90
3/18/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	3887.89	4107.03	-219.14
3/18/26	Patient Payment Received (Stripe)	3956.13	4107.03	-150.90
3/26/26	Patient visit charged - OT Visit: OT Visit	3956.13	4175.27	-219.14
3/27/26	Patient Payment Received (Stripe)	4024.37	4175.27	-150.90
3/30/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	4024.37	4243.51	-219.14
3/30/26	Patient Payment Received (Stripe)	4243.51	4243.51	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
8/26/25	97167: OT Evaluation	1	220.00	Billed and Paid
8/26/25		1	0.00	Unbilled
8/27/25	92523: Artic & Language Eval	1	345.00	Billed and Paid
9/2/25	92610: Feeding Evaluation	1	220.00	Billed and Paid
9/10/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/12/25	97530: Therapy Activity	4	220.00	Denied
9/15/25	92526: Feeding Visit	1	140.00	Billed and Paid
9/17/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/24/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
9/26/25	97530: Therapy Activity	4	220.00	Billed and Paid
9/29/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/1/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/3/25	97530: Therapy Activity	4	220.00	Billed and Paid
10/8/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/15/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/16/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/17/25	97530: Therapy Activity	4	220.00	Billed and Paid
10/22/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/24/25	97530: Therapy Activity	4	220.00	Billed and Paid
10/27/25	92526: Feeding Visit	1	140.00	Billed and Paid
10/29/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
10/31/25	97530: Therapy Activity	4	220.00	Billed and Paid
11/5/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/7/25	97530: Therapy Activity	4	220.00	Billed and Paid
11/12/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/14/25	97530: Therapy Activity	4	220.00	Billed and Paid
11/18/25	97530: Therapy Activity	4	220.00	Billed and Paid
11/19/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/3/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/5/25	97530: Therapy Activity	4	220.00	Billed and Paid
12/10/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/17/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/19/25	97530: Therapy Activity	4	220.00	Billed and Paid
1/9/26	97530: Therapy Activity	4	220.00	Billed and Paid
1/21/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/23/26	97530: Therapy Activity	4	220.00	Billed and Paid
1/28/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/30/26	97530: Therapy Activity	4	220.00	Billed and Paid
2/4/26	S9152: Reevaluation	1	240.00	EDI Submited
2/5/26	97168: OT Re-Evaluation	1	220.00	EDI Submited
2/11/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/13/26	97530: Therapy Activity	4	220.00	EDI Submited
2/18/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/20/26	97530: Therapy Activity	4	220.00	EDI Submited
2/25/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/6/26	97530: Therapy Activity	4	220.00	Unbilled
3/11/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/13/26	97530: Therapy Activity	4	220.00	Unbilled
3/18/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/26/26	97530: Therapy Activity	4	220.00	Unbilled

Paient Notes:

Date	Posted By	Description
03-19-2026	Monica Padilla	Added debit adjustment for DOS 01/09/26, 01/23/26, and 01/30/26 per EOP dated 02/13/26 claim# 02026040505E9K00X00. OT allowed amount is 118.86; pt. was billed 68.24 and paid 68.24; adjustment 50.62 per DOS.
02-06-2026	Monica Padilla	Added credit adjustment for OT DOS 12/05/25 and 12/19/25 per EOP dated 01/14/26 claim# 0202600750C03E20X00. BCBS pd. 95.09; pt. pd. 118.84 should have pd. 23.77; adjustment 95.07 per DOS.
02-06-2026	Monica Padilla	Added credit adjustment for DOS 12/03/25, 12/10/25, and 12/17/25 per EOP dated 01/13/26 claim# 0202600750NP8920X00. DOS 12/03/25 BCBS pd. 42.84; pt. pd. 68.24 should have pd. 25.40; adjustment 42.84 DOS 12/10/25 and 12/17/25 BCBS pd. 54.59; pt. pd. 68.24 should have pd. 13.65; adjustment 54.59 per DOS
11-17-2025	Valeria Holguin	Pt's parent requested to Dc via text.
09-09-2025	Jordan Orozco	Parent requested biweekly feeding therapy due to drive and copay. Biweekly was discussed with front office and approved.
08-26-2025	Asbel Guajardo	BCBS unlimited due to diagnosis deductible does apply and they are individual due to therapy

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-25-2026	92507	Gallegos, Gabriela
02-27-2026	OT-VIS	Bedenbaugh, Jack
02-06-2026	OT-VIS	Bedenbaugh, Jack
02-04-2026	92507	Gallegos, Gabriela	Therapy canceled for re-evaluation session with Christine.
01-16-2026	OT-VIS	Bedenbaugh, Jack
01-14-2026	92507	Gallegos, Gabriela	Parent canceled session, conversation as follows, “ Brayden Bivens 1/14/2026 8:06 AM Brayden (Prim) Replied: Hi gabby I'm not sure if they let you know but Brayden won't be attending therapy today he has the flu”
01-07-2026	92507	Gallegos, Gabriela	Parent called front office and canceled session for 1/7/25. Asbel stated parent gave no reason for cancelation .
12-12-2025	OT-VIS	Bedenbaugh, Jack
12-12-2025	OT-VIS	Bedenbaugh, Jack
11-26-2025	92507	Gallegos, Gabriela
11-10-2025	92526	Orozco, Jordan	N/A
10-10-2025	OT-VIS	Bedenbaugh, Jack

Paient Messages Admin:

Date	Posted By	Message
08-06-2025 05:11 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I have verified all benefits and there is a limit on visits of 30 and unlimited if there is a diagnosis of Autism there is no limit. The initial evaluation $181.77 and each visit after that would be $68.24 and the re-eval which done every 6 months $234.19 if the deductible has not been met.
08-06-2025 06:17 PM	Brayden Bivens	Hello Asbel for what kind of therapy is this for?
08-08-2025 08:24 AM	Asbel Guajardo	Hello this is for speech therapy
08-08-2025 08:26 AM	Brayden Bivens	Oh awesome my son does have autism what time and day do you have available to make an appointment?
08-08-2025 10:13 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2036
08-15-2025 01:48 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/step2.aspx?sid=2036
08-16-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2036
08-17-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2036
08-18-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2036
08-19-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
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=9654
08-19-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-19-2025 02:36 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings the copays will be as fallows: for Speech is visit-$68.24 eval-$181.77 feeding visit $67.73 and eval. OT visit $80.31 eval:$118.84. If you have any questions please let me know Thank you
08-19-2025 03:00 PM	Brayden Bivens	Ok can I pay for that the day of the evaluations?
08-20-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-20-2025 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=9654
08-20-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-20-2025 11:07 AM	Asbel Guajardo	Yes
08-21-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-21-2025 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=9654
08-21-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-22-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-22-2025 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=9654
08-22-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-23-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-23-2025 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=9654
08-23-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-24-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-24-2025 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=9654
08-24-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-25-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-25-2025 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=9654
08-25-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Occupational Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9654
08-27-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35840. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-02-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=35907. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-02-2025 02:45 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=9654&Appt=791527
09-04-2025 03:36 PM	Patsy Guajardo	Bivens, Brayden has been assigned a therapist.
09-04-2025 03:48 PM	Patsy Guajardo	Bivens, Brayden has been assigned a therapist.
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
09-08-2025 03:24 PM	Patsy Guajardo	Bivens, Brayden has been assigned a therapist.
09-10-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36108. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-10-2025 01:37 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=9654&Appt=801607
09-12-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36156. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-17-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36249. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-17-2025 12:51 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=9654&Appt=803014
09-26-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36451. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-01-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36518. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-01-2025 01:46 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=9654&Appt=812981
10-03-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36570. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-08-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36660. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-10-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36716. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-15-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36795. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-15-2025 01:23 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=9654&Appt=814686
10-16-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36823. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-16-2025 02:47 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=9654&Appt=815373
10-17-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36851. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-22-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36942. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-22-2025 01:46 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=9654&Appt=814687
10-24-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37005. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-27-2025 02:50 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=9654&Appt=824888
10-29-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37089. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-29-2025 01:18 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=9654&Appt=814688
10-31-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37149. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-05-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37224. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-07-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37282. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-12-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37349. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-12-2025 02:29 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=9654&Appt=814690
11-13-2025 10:45 AM	Patsy Guajardo	Hi, Brayden 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=9654&tid=138
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
11-14-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37423. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-18-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37481. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-18-2025 03:04 PM	Patsy Guajardo	Hello, the payment was made for today's session, Thank you!
11-18-2025 03:05 PM	Brayden Bivens	Thank you!
11-19-2025 01:43 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=9654&Appt=814691
11-25-2025 02:51 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.
12-03-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37721. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-05-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37803. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-10-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37898. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-12-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37960. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-17-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38025. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-19-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38087. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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
01-07-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38193. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-09-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38288. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-09-2026 03:35 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=9654&Appt=811213
01-10-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Brayden Bivens from therapy on 01-09-2026. 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=38288. Thank you for allowing us to serve your child! 🙂
01-14-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38385. 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 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38594. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-22-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Brayden Bivens from therapy on 01-21-2026. 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=38594. Thank you for allowing us to serve your child! 🙂
01-23-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38677. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-28-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38793. 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! 💙
02-04-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38984. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-06-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39079. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-13-2026 02:53 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=9654&Appt=811218
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=9654
02-18-2026 01:40 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=9654&Appt=803023
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/
02-20-2026 02:03 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=9654&Appt=811219
02-25-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39568. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-06-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39821. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-06-2026 02:57 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=9654&Appt=811221
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=9654
03-11-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40066. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-11-2026 01:27 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=9654&Appt=904012
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 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40146. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-13-2026 02:57 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=9654&Appt=811222
03-18-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40257. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-25-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40575. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-26-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40614. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-26-2026 03:37 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=9654&Appt=912182
03-27-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Brayden Bivens from therapy on 03-26-2026. 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=40614. Thank you for allowing us to serve your child! 🙂
03-30-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Brayden Bivens. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40662. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-30-2026 02:45 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=9654&Appt=904015

Paient Messages Therapist:

Date	Posted By	Message
08-18-2025 07:59 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=9654&tid=44
08-18-2025 07:59 PM	Brayden Bivens	Brayden SCHEDULED: 3:00PM-8/25/2025 92523: Speech Evaluation
08-18-2025 07:59 PM	Bertha Solis	Hi, my name is Bertha, with New Beginnings, and I will be performing your child's Occupational Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9654&tid=119
08-18-2025 07:59 PM	Brayden Bivens	Brayden SCHEDULED: 2:00PM-8/26/2025 97167: Occupational Evaluation
08-18-2025 07:59 PM	Jordan Orozco	Hi, my name is Jordan, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9654&tid=63
08-18-2025 07:59 PM	Brayden Bivens	Brayden SCHEDULED: 1:00PM-9/2/2025 92610: Feeding Evaluation
08-19-2025 08:20 AM	Jordan Orozco	Good morning! This is Jordan from New Beginnings. I will be completing Brayden’s evaluation for feeding. I do have intake paperwork that will need to be printed and brought completed to the evaluation. Do you have access to a printer? :)
08-19-2025 08:35 AM	Brayden Bivens	Brayden (Prim) Replied: Hello good morning Jordan and yes I do :)
08-19-2025 10:21 AM	Jordan Orozco	Great, what is your email address? And can you briefly describe your concerns with Brayden’s feeding/swallowing so that I can send the correct paperwork, please.
08-19-2025 11:45 AM	Brayden Bivens	Brayden (Prim) Replied: destinyvelazquez24@gmail.com I've never had Brayden do feeding therapy I'm not too sure if his problem is something that you would be able to help us with he's is Autistic I've always struggled with him to get him to eat he eats very little he's always been underweight as well I guess I'm looking for advice on maybe approaching or maybe making eating more appealing for him
08-19-2025 12:40 PM	Jordan Orozco	It sounds like his difficulties could qualify him for therapy, but we will know more once the evaluation is completed. I sent you 3 PDFs - be sure to check your junk mail. My email is jallyssabeth23@gmail.com. Did you receive it?
08-19-2025 01:36 PM	Brayden Bivens	Brayden (Prim) Replied: Yes I received it :)
08-19-2025 04:04 PM	Jordan Orozco	Great! On the day of the evaluation, please bring that paperwork completed as well as 3 preferred foods, 2 to 3 non preferred foods, and a drink for Brayden. If you have any questions in the meantime, do not hesitate to send me a message. I will see you and Brayden on Tuesday September 2nd at 1PM at 3551 Rich Beem Blvd Unit B. :)
08-19-2025 04:09 PM	Brayden Bivens	Brayden (Prim) Replied: Ok will do thank you so much see you then!
08-20-2025 10:27 AM	Jordan Orozco	No problem, see you then! :)
08-22-2025 12:10 PM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Brayden’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 August 25th, 2025, at 3:00 PM. Our address is 3551 Rich Been, Suite B, 79938. Please complete this short questionnaire; it will help me determine which assessment to use. I’ll be sending it as an attachment, you can reply to the questions via text message. Thank you!
08-22-2025 12:11 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/08222025121118-NB-initial.pdf
08-22-2025 12:13 PM	Jessica Ortiz	Hi Mrs. Bivens, when you get a chance, please let me know if you received the attachment. Thank you.
08-22-2025 12:15 PM	Brayden Bivens	Brayden (Prim) Replied: Hello yes I received the attachment
08-22-2025 12:16 PM	Jessica Ortiz	Perfect! Thank you for your quick response.
08-22-2025 12:30 PM	Brayden Bivens	Brayden (Prim) Replied: 1.Brayden Bivens 07/04/2020 2.IUGR 3.Autism Disorder no allergies no medications 4.Crawling-6months, Sitting Up-4 months, Standing-11months,Walking-15 months,Feeding self-3ish years, Dressing self-currently have been working on that as well as potty training only goes #2 on toilet , First Word- I think around 18ish months recently around 4 1/2 he started speaking a little more but still has trouble making word combinations 5. Brayden has always been a great sleeper and he does get his 8-10 hours of sleep we make sure to get him to bed early 6.Brayden attendes school currently in Kinder 7.Speaks some Spanish 8.No issues 9.Brayden has always struggled with being able to communicate his needs he does like to sing a lot sometimes I can understand what he's saying and other times not I just want to work with him and get advice for him to be able to speak with confidence
08-22-2025 12:34 PM	Jessica Ortiz	Thank you Mrs. Bivens. I’ll see you on Monday.
08-22-2025 12:34 PM	Brayden Bivens	Brayden (Prim) Replied: Yes see you Monday!
08-24-2025 09:20 AM	Jessica Ortiz	Good morning, Mrs. Bivens! I wanted to ask if it's possible to move Brayden's initial evaluation to an earlier time. Would 11 am work instead of 3 pm? If not, maybe 2 pm on Tuesday could be an option. I apologize for any inconvenience this may cause and truly appreciate your understanding. Please let me know if either of these times suits your schedule. Thank you so much!
08-24-2025 09:36 AM	Brayden Bivens	Brayden (Prim) Replied: Do you have anything on Wednesday after 12 by any chance?
08-24-2025 09:37 AM	Jessica Ortiz	Yes, I have 1 pm available.
08-24-2025 09:38 AM	Brayden Bivens	Brayden (Prim) Replied: We can do that time!
08-24-2025 09:46 AM	Jessica Ortiz	Thank you so much, I truly I appreciate your flexibility. I will see you on Wednesday at 1 pm.
08-24-2025 10:31 AM	Brayden Bivens	Brayden (Prim) Replied: See you on Wednesday!
08-26-2025 11:52 AM	Bertha Solis	Hi, this is a just a reminder that Brayden has an Occupational Therapy Evaluation appointment scheduled today at 2:00 PM. See you soon! - New Beginnings
08-26-2025 11:53 AM	Brayden Bivens	Brayden (Prim) Replied: See you soon!
08-26-2025 01:45 PM	Bertha Solis	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791526
08-26-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Brayden has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
08-26-2025 06:41 PM	Brayden Bivens	Brayden (Prim) Replied: Loved “Hi, this is a just a reminder that Brayden has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂”
08-27-2025 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Brayden has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
08-27-2025 12:45 PM	Jessica Ortiz	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791525
08-27-2025 01:02 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-8/27/2025 92523: Artic & Language Eval
09-01-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
09-02-2025 07:50 AM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
09-02-2025 12:45 PM	Jordan Orozco	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=791527
09-02-2025 12:54 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-9/2/2025 92610: Feeding Evaluation
09-05-2025 10:18 AM	Gabriela Gallegos	Good morning! This is Ms. Gabby from New Beginnings Far East location - I am texting you from our patient portal which is a secure texting only system. I have been assigned as Brayden’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet him and the family! We may begin our speech services! I have an opening next week on Wednesday at 1:00 PM. Would this work for his 1st initial session with me?
09-05-2025 01:38 PM	Brayden Bivens	Brayden (Prim) Replied: Yes that should work!
09-05-2025 01:38 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-05-2025 03:00 PM	Gabriela Gallegos	Awesome! He has been scheduled, see you next week! =)
09-05-2025 04:08 PM	Brayden Bivens	Brayden (Prim) Replied: Thank you!
09-05-2025 04:08 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-07-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 09-10-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-07-2025 04:00 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
09-07-2025 04:00 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-07-2025 04:05 PM	Jordan Orozco	Hello! This is Jordan from New Beginnings. I received clearance to begin feeding therapy with Brayden. This upcoming week I will be out of town, however we can begin his feeding sessions the week of the 15th. I can offer a permanent slot on Tuesdays at 12:30PM, will this work for you? :)
09-07-2025 04:13 PM	Brayden Bivens	Brayden (Prim) Replied: Hi Jordan let me talk to his school to see if it will be ok to take him out I was hoping you had Wednesdays available, he gets out early on those days at noon but I was also going to mention that hes going to receive speech on Wednesday but I'm not sure if it's going to be permanent
09-07-2025 04:13 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-08-2025 07:53 AM	Jordan Orozco	Okay, sounds good. Let me know what they say. And okay keep me posted on if his speech is permanent on Wednesdays. The latest time I might be able to offer is Mondays at 2:45PM.
09-08-2025 01:39 PM	Brayden Bivens	Brayden (Prim) Replied: That time on mondays is actually good Brayden gets out of school at 2pm
09-09-2025 11:46 AM	Jordan Orozco	Okay great! I will see Brayden for his first feeding therapy session next week on Monday at 2:45PM and that will be his permanent day and time for therapy. As for foods to bring, I like to stick with the same 5 to 6 foods for at least 1 month sometimes more. I recommend 2 food chained items and the other 3 can be foods from different food groups that you would like to work towards. I also recommend that the non preferred foods are as plain and simple as possible to start. If you need ideas or help I can definitely offer that. Let me know. :)
09-09-2025 11:50 AM	Brayden Bivens	Brayden (Prim) Replied: Ok is it possible to do every other week? Do you think the yogurt and broccoli are an ok option for him? I don't mind recommendations as well
09-09-2025 12:58 PM	Jack Bedenbaugh	Good afternoon! My name is Jack from New Beginnings Pediatrics and I'm going to be working with Brayden for OT! I know its a bit last minute but I saw you had a speech therapy appointment tomorrow at 1pm I wanted to ask if we could maybe do 12pm tomorrow for our first OT appointment? That way we could save you a trip doing them back to back. Just let me know if that works for you whenever you get a chance!
09-09-2025 01:10 PM	Brayden Bivens	Brayden (Prim) Replied: Hello Jack so my son does attend school but on Wednesdays he does get out at noon I'm going to talk to the school today about his therapy and about me pulling him a little bit early out of school some days because I do understand that you are guys are booked for the afternoons is Wednesdays at noon a permanent date you're looking at?
09-09-2025 01:18 PM	Jordan Orozco	Yes ma’am we can do every other week for feeding. I understand you all have a far drive and other therapies. Would you like to begin next week on the 15th?
09-09-2025 01:18 PM	Jack Bedenbaugh	Ohhh ok, i see, apologies. I was mostly looking at that date/time to try to make things easier to be back-to-back with ST.But i did have some patients graduate recently so I also have Mondays at 3pm and Fridays at 3pm both available.
09-09-2025 01:19 PM	Brayden Bivens	Brayden (Prim) Replied: Yes that works!
09-09-2025 01:20 PM	Brayden Bivens	Brayden (Prim) Replied: We can do friday at 3 pm that works perfectly I won't need to pull him out from school he gets out at 2pm
09-09-2025 01:22 PM	Jordan Orozco	Great we can begin biweekly feeding therapy starting next week on Monday. I do think yogurt and broccoli is a good start. I think the broccoli should be fresh rather than cooked just for the sensory experience. I also think we should work on 2 foods chained items - so basically taking any of the foods he likes and finding a very similar alternative to it. Which preferred items would you like to food chain on so I can offer ideas?
09-09-2025 01:28 PM	Brayden Bivens	Brayden (Prim) Replied: He loves pasta usually just with sauce and granola bars ,crackers a lot of crunchy stuff he likes apples and bananas as well I wonder if we should try celery since it's crunchy but I know he would not like the taste
09-09-2025 01:28 PM	Jack Bedenbaugh	Ok perfect, I'll plan on seeing you guys this Friday at 3pm! Looking forward to working together.
09-09-2025 01:29 PM	Brayden Bivens	Brayden (Prim) Replied: Likewise!
09-09-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
09-09-2025 06:30 PM	Brayden Bivens	Brayden (Prim) Replied: Thank you
09-10-2025 07:52 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
09-10-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=801607
09-10-2025 12:51 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-9/10/2025 92507: Speech & Language Visit
09-10-2025 07:21 PM	Jordan Orozco	Sorry for the delay, I’m heading out of town and have been a bit behind on responses. I think we should try yogurt again, ideally with packaging that's different from the one he’s rejected in the past and maybe he can even pick one out with a character on it. We can also work on fresh broccoli and start food chaining by introducing different shapes of pasta, trying new brands of sauce, and offering a granola bar that’s similar to the ones he already eats but not exactly the same. If you’re open to it, we can also give celery a try. :)
09-10-2025 07:27 PM	Brayden Bivens	Brayden (Prim) Replied: Ok yes no problem and I like your ideas!
09-11-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
09-11-2025 06:33 PM	Brayden Bivens	Brayden (Prim) Replied: Liked “Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂”
09-12-2025 07:34 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
09-12-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804621
09-12-2025 02:49 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-9/12/2025 OT-VIS: OT Visit
09-12-2025 04:13 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=804621
09-14-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 09-17-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-14-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Bivens, Brayden has a Feeding Therapy appointment on 09-15-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-14-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
09-15-2025 07:46 AM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
09-15-2025 02:30 PM	Jordan Orozco	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=804554
09-15-2025 02:35 PM	Brayden Bivens	Brayden is CHECKED IN for: 2:45PM-9/15/2025 92526: Feeding Visit
09-15-2025 03:17 PM	Jordan Orozco	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=804554
09-16-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
09-17-2025 07:51 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
09-17-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803014
09-17-2025 12:49 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-9/17/2025 92507: Speech & Language Visit
09-18-2025 01:11 PM	Brayden Bivens	Brayden (Prim) Replied: Hello Jack this is Brayden Bivens mom I wanted to cancel tomorrow's appointment I need to pick my husband up at the airport tomorrow at 3 and I know that's Brayden's appointment time
09-18-2025 01:50 PM	Jack Bedenbaugh	Hello! Ok no worries! I will plan on seeing you guys next week!
09-18-2025 01:51 PM	Brayden Bivens	Brayden (Prim) Replied: Yes see you next week!
09-24-2025 01:40 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=812984
09-25-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
09-25-2025 06:31 PM	Brayden Bivens	Brayden (Prim) Replied: Liked “Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂”
09-26-2025 07:35 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
09-26-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811198
09-26-2025 02:57 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-9/26/2025 OT-VIS: OT Visit
09-26-2025 04:25 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811198
09-27-2025 02:42 PM	Gabriela Gallegos	Hello, apologies for the Saturday message. I am working my schedule for next week and realized the kids might be on intercession break. Is Brayden on fall intercession for the next two weeks?
09-27-2025 02:44 PM	Brayden Bivens	Brayden (Prim) Replied: Hello Gabby he is on fall break October 6-10 he goes to Gadsden independent school district
09-27-2025 02:44 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-27-2025 02:50 PM	Gabriela Gallegos	thank you for letting me know! I will keep his schedule the same =)
09-27-2025 03:29 PM	Brayden Bivens	Brayden (Prim) Replied: Loved “thank you for letting me know! I will keep his schedule the same =)”
09-27-2025 03:29 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-28-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 10-01-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:00 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
09-28-2025 04:00 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-28-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Bivens, Brayden has a Feeding Therapy appointment on 09-29-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:01 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
09-28-2025 04:01 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-28-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 10-03-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:01 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
09-28-2025 04:01 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-28-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
09-29-2025 07:49 AM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
09-29-2025 02:30 PM	Jordan Orozco	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811790
09-29-2025 02:46 PM	Brayden Bivens	Brayden is CHECKED IN for: 2:45PM-9/29/2025 92526: Feeding Visit
09-29-2025 03:19 PM	Jordan Orozco	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811790
09-30-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-01-2025 07:48 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-01-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=812981
10-01-2025 01:03 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-10/1/2025 92507: Speech & Language Visit
10-02-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-03-2025 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-03-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811199
10-03-2025 02:51 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-10/3/2025 OT-VIS: OT Visit
10-03-2025 03:41 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811199
10-05-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 10-08-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 10-10-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-07-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-08-2025 07:48 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-08-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=812386
10-08-2025 12:58 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-10/8/2025 92507: Speech & Language Visit
10-08-2025 01:42 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=812386
10-09-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-09-2025 06:30 PM	Brayden Bivens	Brayden (Prim) Replied: Hi jack im having my baby shower tomorrow so we will have to cancel tomorrow's session
10-10-2025 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-10-2025 07:34 AM	Brayden Bivens	Brayden (Prim) Replied: Hi jack im having my baby shower today so we will have to cancel todays session
10-10-2025 11:25 AM	Jack Bedenbaugh	No worries! The front desk also let me know. Enjoy!
10-10-2025 11:27 AM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-10/10/2025 OT-VIS: OT Visit
10-10-2025 11:28 AM	Brayden Bivens	Brayden (Prim) Replied: Thank you!
10-12-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 10-15-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Bivens, Brayden has a Feeding Therapy appointment on 10-16-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 10-17-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-14-2025 01:50 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
10-14-2025 01:50 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
10-14-2025 01:51 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
10-14-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-15-2025 07:51 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-15-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814686
10-15-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
10-16-2025 07:45 AM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
10-16-2025 02:30 PM	Jordan Orozco	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=815373
10-16-2025 02:45 PM	Brayden Bivens	Brayden is CHECKED IN for: 2:45PM-10/16/2025 92526: Feeding Visit
10-16-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-17-2025 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-17-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811201
10-17-2025 03:46 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811201
10-19-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 10-22-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 10-24-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-21-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-22-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-22-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814687
10-22-2025 12:58 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-10/22/2025 92507: Speech & Language Visit
10-23-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-24-2025 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-24-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811202
10-24-2025 02:58 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-10/24/2025 OT-VIS: OT Visit
10-24-2025 04:48 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811202
10-26-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 10-29-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Bivens, Brayden has a Feeding Therapy appointment on 10-27-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 10-31-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
10-26-2025 11:51 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
10-26-2025 11:51 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 11:51 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
10-26-2025 11:51 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-27-2025 07:52 AM	Jordan Orozco	Hi, this is a just a reminder that Brayden has a Feeding Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
10-27-2025 02:30 PM	Jordan Orozco	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=824888
10-27-2025 02:46 PM	Brayden Bivens	Brayden is CHECKED IN for: 2:45PM-10/27/2025 92526: Feeding Visit
10-28-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-29-2025 07:48 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-29-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814688
10-29-2025 01:35 PM	Gabriela Gallegos	Hi, are we potty training Brayden, he keeps trying to pull his pants down,let me know if you want to tae him to the RR
10-29-2025 01:35 PM	Brayden Bivens	Brayden (Prim) Replied: Yes I can take him
10-30-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-31-2025 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-31-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811203
10-31-2025 03:35 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811203
11-02-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 11-05-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 11-07-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:15 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-02-2025 04:15 PM	Jack Bedenbaugh	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 04:15 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-02-2025 04:15 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-04-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-05-2025 07:44 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-05-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814689
11-05-2025 01:00 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-11/5/2025 92507: Speech & Language Visit
11-05-2025 01:44 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=814689
11-06-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
11-07-2025 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
11-07-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811204
11-07-2025 04:47 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811204
11-09-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 11-12-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Bivens, Brayden has a Feeding Therapy appointment on 11-10-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 11-14-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:02 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-09-2025 04:02 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 04:03 PM	Brayden Bivens	Brayden (Prim) Replied: NO
11-09-2025 04:03 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 05:35 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-09-2025 05:35 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 05:38 PM	Brayden Bivens	Brayden CANCELLED: 2:45PM-11/10/2025 92526: Feeding Visit
11-09-2025 05:43 PM	Brayden Bivens	Hi Jordan can we reschedule for next Monday we are out of town and won’t be returning until Tuesday
11-09-2025 05:43 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-10-2025 10:45 AM	Jordan Orozco	Hi Mrs Bivens, thank you for letting me know. This week is my final week at New Beginnings as I am moving out of town. My home finally sold and things moved rather quickly. However, Brayden will be in great hands with his new feeding therapist who will reach out to you for scheduling. Thank you, it was a pleasure working with you and Brayden. :)
11-10-2025 11:15 AM	Brayden Bivens	Brayden (Prim) Replied: Congratulations! Thank you so much for everything I did want to let you know Brayden took a bite of a carrot last night and ate it we were very excited I wish you well on your new journey!
11-10-2025 07:50 PM	Jordan Orozco	Omg this is such exciting news - go Brayden! I am so happy to hear this! Thank you for the well wishes! :)
11-10-2025 07:50 PM	Brayden Bivens	Brayden (Prim) Replied: Loved “Omg this is such exciting news - go Brayden! I am so happy to hear this! Thank you for the well wishes! :)”
11-10-2025 07:50 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-11-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-12-2025 07:44 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-12-2025 10:52 AM	Gabriela Gallegos	Hello good morning, would it be possible to see Brayden a little it later? May we start our session at 145pm? this change is just for this week
11-12-2025 10:53 AM	Brayden Bivens	Brayden (Prim) Replied: Yes that's actually perfect
11-12-2025 10:57 AM	Gabriela Gallegos	awesome, TY!
11-12-2025 11:05 AM	Brayden Bivens	Brayden (Prim) Replied: Liked “awesome, TY!”
11-12-2025 12:50 PM	Brayden Bivens	Brayden (Prim) Replied: Hi Gabby how late is too late to arrive to an appointment I had to take my mom to a Dr appointment and I'm running a little late
11-12-2025 01:30 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814690
11-12-2025 01:43 PM	Gabriela Gallegos	you have a 15 minute grace period starting at 145pm. I can wait for him until 2pm. I would still finish at 230pm because I have another appt after him
11-12-2025 01:43 PM	Gabriela Gallegos	apologies on the delayed message I was out lunch =/
11-12-2025 01:43 PM	Brayden Bivens	Brayden (Prim) Replied: It's ok we were able to make it we're in the bathroom
11-12-2025 01:46 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:45PM-11/12/2025 92507: Speech & Language Visit
11-12-2025 03:09 PM	Valeria Holguin	Hi! My name is Valeria, I'll be your child's new Feeding therapist. I wanted to introduce myself as well as to offer Thursdays at 9:45am for your child's sessions which we could start next week. I will be out the week of thanksgiving November 24th-28th, however session will be retuning to normal the week after. Please let me know if that's ok. Thank you!
11-12-2025 05:01 PM	Brayden Bivens	Brayden (Prim) Replied: Hello Valeria I actually wanted to remove feeding therapy for the moment if possible?
11-13-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
11-14-2025 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
11-14-2025 11:18 AM	Valeria Holguin	Hi! We could pause services for up to 30 days for feeding therapy, however if you’d like to discharge that’s also an option but you’d have to start the process from referral if you would want to receive services again. Let me know what you decide or any other question you may have!
11-14-2025 11:21 AM	Brayden Bivens	Brayden (Prim) Replied: Hi yes we can discharge Jordan was able to give us a lot of tips on his eating and he's doing a lot much better
11-14-2025 11:21 AM	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.
11-14-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811205
11-14-2025 03:50 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811205
11-16-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 11-19-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 11-18-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 05:40 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-16-2025 05:40 PM	Jack Bedenbaugh	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.
11-17-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
11-18-2025 07:42 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
11-18-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811206
11-18-2025 04:46 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811206
11-18-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-19-2025 07:43 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-19-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814691
11-19-2025 12:59 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-11/19/2025 92507: Speech & Language Visit
11-23-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 11-26-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:00 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-23-2025 04:00 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-25-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
11-25-2025 08:43 PM	Gabriela Gallegos	Good evening, no session for speech tomorrow. My family and I have decided to leave a day early for thanksgiving festivities. I apologize for any inconvenience. Thank you for your patience and understanding. We will resume our speech session next week. Happy Thanksgiving! Hope you have a wonderful holiday with loved ones!
11-25-2025 08:49 PM	Brayden Bivens	Brayden (Prim) Replied: No worries! Have a Happy Thanksgiving 🦃
11-25-2025 08:49 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-25-2025 08:49 PM	Brayden Bivens	Brayden (Prim) Replied: Loved “Good evening, no session for speech tomorrow. My family and I have decided to leave a day early for thanksgiving festivities. I apologize for any inconvenience. Thank you for your patience and understanding. We will resume our speech session next week. Happy Thanksgiving! Hope you have a wonderful holiday with loved ones!”
11-25-2025 08:49 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-26-2025 06:51 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 1:00PM-11/26/2025 92507: Speech & Language Visit
11-30-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 12-03-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 12-05-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 05:29 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-30-2025 05:29 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 05:29 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
11-30-2025 05:29 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-02-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-03-2025 07:41 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-03-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814693
12-03-2025 01:42 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=814693
12-04-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-05-2025 07:34 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-05-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811208
12-05-2025 03:47 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811208
12-07-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 12-10-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 12-12-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 06:43 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
12-07-2025 06:43 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:43 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
12-07-2025 06:43 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-09-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 07:39 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=814694
12-10-2025 01:08 PM	Gabriela Gallegos	Hi, I forgot to ask. Does Brayden have a food allergy? We are doing a snowman activity with marshmallows, white icing, chocolate chips and pretzel sticks. Let me know if we are okay to do our activity today, TY!
12-10-2025 01:08 PM	Brayden Bivens	Brayden (Prim) Replied: No food allergies:)
12-10-2025 01:09 PM	Gabriela Gallegos	thank you =)
12-10-2025 01:40 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=814694
12-11-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-12-2025 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-12-2025 10:37 AM	Brayden Bivens	Hello Jack I’m going to have to cancel today’s session I am currently in hospital due to low amniotic fluid
12-12-2025 10:52 AM	Jack Bedenbaugh	Oh no! I’m sorry to hear I hope you feel better soon. Thank you for letting me know
12-12-2025 10:52 AM	Brayden Bivens	Brayden (Prim) Replied: Thank you!
12-12-2025 10:53 AM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-12/12/2025 OT-VIS: OT Visit
12-12-2025 10:53 AM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-12/12/2025 OT-VIS: OT Visit
12-14-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 12-17-2025 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 12-19-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 08:45 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
12-14-2025 08:45 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-14-2025 08:45 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
12-14-2025 08:45 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-16-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-16-2025 06:30 PM	Brayden Bivens	Brayden (Prim) Replied: Thank you!
12-17-2025 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803015
12-17-2025 01:42 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=803015
12-18-2025 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
12-19-2025 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
12-19-2025 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811210
12-19-2025 02:52 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-12/19/2025 OT-VIS: OT Visit
12-19-2025 03:46 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811210
01-04-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 01-07-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 01-09-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-05-2026 09:55 AM	Brayden Bivens	Brayden (Prim) Replied: Hi Gabby can we cancel this weeks appointment
01-05-2026 09:55 AM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-06-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-07-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-07-2026 10:01 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 1:00PM-1/7/2026 92507: Speech & Language Visit
01-08-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-09-2026 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-09-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811213
01-11-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 01-14-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 01-16-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:15 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-11-2026 04:15 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 04:15 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-11-2026 04:15 PM	Jack Bedenbaugh	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 03:04 PM	Christine Adame	Good afternoon! My name is Christine, I'm Ms. Gabby's supervisor. I will be conducting the re-evaluation for Brayden. Would he be able to come in on Wednesday (02/04/2026) at 2:30 pm?
01-13-2026 03:43 PM	Brayden Bivens	Brayden (Prim) Replied: Hello yes that is fine
01-13-2026 03:58 PM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 1:00PM-2/4/2026 92507: Speech & Language Visit
01-13-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 08:06 AM	Brayden Bivens	Brayden (Prim) Replied: Hi gabby I'm not sure if they let you know but Brayden won't be attending therapy today he has the flu
01-14-2026 08:08 AM	Gabriela Gallegos	Good morning, they did not 😔. No worries, thank you for following up with me, I appreciate it. poor Brayden, it’s been going around. Praying for a Speedy recovery. See you soon
01-14-2026 08:09 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 1:00PM-1/14/2026 92507: Speech & Language Visit
01-14-2026 08:12 AM	Brayden Bivens	Brayden (Prim) Replied: Thank you so much
01-15-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-15-2026 07:42 PM	Brayden Bivens	Brayden (Prim) Replied: Hi Jack, Brayden has the flu I'm going to have to cancel tomorrow's session
01-15-2026 07:42 PM	Jack Bedenbaugh	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 08:36 PM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-1/16/2026 OT-VIS: OT Visit
01-15-2026 08:37 PM	Jack Bedenbaugh	Oh no! No worries at all I hope he feels better soon!
01-15-2026 08:39 PM	Brayden Bivens	Brayden (Prim) Replied: Thank you!
01-15-2026 08:39 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 01-21-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 01-23-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-18-2026 04:02 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 04:02 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-18-2026 04:02 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-20-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803019
01-21-2026 01:42 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=803019
01-22-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-23-2026 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-23-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811215
01-23-2026 03:05 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811215
01-25-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 01-28-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 01-30-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 06:40 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-25-2026 06:40 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:40 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
01-25-2026 06:40 PM	Jack Bedenbaugh	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.
01-27-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803020
01-28-2026 05:24 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=803020
01-29-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-30-2026 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-30-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811216
01-30-2026 03:45 PM	Jack Bedenbaugh	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=811216
02-01-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 02-04-2026 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 02-06-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 05:22 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-01-2026 05:22 PM	Christine Adame	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 05:22 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-01-2026 05:22 PM	Jack Bedenbaugh	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.
02-02-2026 02:55 PM	Bertha Solis	Hello, this is Bertha Solis the OT; Brayden is due for OT re-eval and I was wondering if this week, Wednesday Feb 4th at 12pm works for you all?
02-02-2026 03:29 PM	Brayden Bivens	Brayden (Prim) Replied: Hello Bertha he is actually having his speech eval that day at 2:30 I'm not sure if he can do both on the same day?
02-02-2026 03:58 PM	Bertha Solis	Oh I see; no worries, I wouldn't want you all to have to come back twice to the clinic; what about 8 am on thursday?
02-02-2026 04:15 PM	Brayden Bivens	Brayden (Prim) Replied: We can do that time
02-03-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Brayden has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:53 AM	Christine Adame	Hi, this is a just a reminder that Brayden has a Speech/Feeding Reevaluation appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
02-04-2026 02:15 PM	Christine Adame	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=872618
02-04-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Brayden has a Occupational Reevaluation appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 07:45 AM	Bertha Solis	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883985
02-05-2026 08:00 AM	Bertha Solis	Hi, this is a just a reminder that Brayden has a Occupational Reevaluation appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-06-2026 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-06-2026 11:01 AM	Jack Bedenbaugh	Good morning! Unfortunately I woke up feeling quite ill this morning and will not be making it to the clinic today and will have to cancel our appointment. I will get back to you soon with options for a make-up session. I do apologize for the inconvenience
02-06-2026 11:02 AM	Brayden Bivens	Brayden (Prim) Replied: Oh no, no worries I hope you get better soon!
02-06-2026 11:11 AM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-2/6/2026 OT-VIS: OT Visit
02-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 02-11-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 02-13-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-08-2026 04:02 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 08:06 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-08-2026 08:06 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-10-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803022
02-11-2026 01:44 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=803022
02-12-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-13-2026 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-13-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811218
02-13-2026 02:48 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-2/13/2026 OT-VIS: OT Visit
02-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 02-18-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 02-20-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 05:06 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-15-2026 05:06 PM	Jack Bedenbaugh	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.
02-15-2026 05:07 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-15-2026 05:07 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 07:34 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803023
02-19-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-20-2026 07:31 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 02-25-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 02-27-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 08:18 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-22-2026 08:18 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 08:18 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
02-22-2026 08:18 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-24-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:35 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 10:57 AM	Gabriela Gallegos	Hi, would it be possible to see Brayden earlier? May o see him at 1215pm?
02-25-2026 11:02 AM	Brayden Bivens	Brayden (Prim) Replied: Hi Ms.Gabby I won't make it in time do you want to reschedule?
02-25-2026 11:03 AM	Gabriela Gallegos	No its okay, Ill still see him, I had a cancel at that time. No worries, see you at our original time =)
02-25-2026 11:04 AM	Brayden Bivens	Brayden (Prim) Replied: Ok thank you!
02-25-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=803024
02-25-2026 12:47 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-2/25/2026 92507: Speech & Language Visit
02-25-2026 01:34 PM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=803024
02-26-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-27-2026 07:33 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-27-2026 07:45 AM	Brayden Bivens	Brayden (Prim) Replied: Hi good morning I'm going to have to cancel today's session Brayden woke up with a runny nose he's not feeling too well
02-27-2026 10:52 AM	Jack Bedenbaugh	Jack Bedenbaugh CANCELLED: 3:00PM-2/27/2026 OT-VIS: OT Visit
03-01-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 03-06-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 07:28 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-01-2026 07:28 PM	Jack Bedenbaugh	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 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-06-2026 07:32 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-06-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811221
03-06-2026 02:49 PM	Brayden Bivens	Brayden is CHECKED IN for: 3:00PM-3/6/2026 OT-VIS: OT Visit
03-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 03-11-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 03-13-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:39 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-08-2026 06:39 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 06:39 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-08-2026 06:39 PM	Jack Bedenbaugh	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-10-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:58 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904012
03-11-2026 12:54 PM	Brayden Bivens	Brayden is CHECKED IN for: 1:00PM-3/11/2026 92507: Speech & Language Visit
03-12-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-13-2026 07:31 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-13-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=811222
03-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 03-18-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:19 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-15-2026 04:19 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-17-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:54 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 12:45 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904013
03-19-2026 10:16 AM	Gabriela Gallegos	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9654&Appt=904013
03-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 03-25-2026 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 01:19 PM	Jack Bedenbaugh	Good afternoon! So good news, we got authorization for Brayden for OT! However, I am unfortunately going to be out of town this Friday, is there any way you could bring him in this Thursday at the same time, 3pm??
03-23-2026 01:20 PM	Brayden Bivens	Brayden (Prim) Replied: Oh awesome!! And yes I definitely can!!
03-23-2026 01:30 PM	Jack Bedenbaugh	Ok great! See you guys this Thursday then :)
03-23-2026 01:37 PM	Brayden Bivens	Brayden (Prim) Replied: Liked “Ok great! See you guys this Thursday then :)”
03-24-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
03-25-2026 07:52 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
03-25-2026 09:31 AM	Gabriela Gallegos	Hello good morning Ms. Bivens, I will need to cancel todays session for Brayden. I have an awards ceremony to attend for my daughter and I wont be available from 1-230pm . I apologize for any inconvenience
03-25-2026 09:41 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 12:45PM-3/25/2026 92507: Speech & Language Visit
03-25-2026 09:42 AM	Brayden Bivens	Brayden (Prim) Replied: No worries Ms.Gabby! See you next week!
03-25-2026 06:30 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-26-2026 07:59 AM	Jack Bedenbaugh	Hi, this is a just a reminder that Brayden has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-26-2026 02:45 PM	Jack Bedenbaugh	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=912182
03-26-2026 05:36 PM	Gabriela Gallegos	Hello, Next week I will be on vacation starting Wednesday, this affects our regular scheduled appointment for the week of 3/30. May I move Brayden's appointment to Monday at 2:15pm?
03-26-2026 06:53 PM	Brayden Bivens	Brayden (Prim) Replied: Hi yes that works :)
03-29-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Bivens, Brayden has a Speech Therapy appointment on 03-30-2026 at 2:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:02 PM	Jack Bedenbaugh	Hi, this is a just a reminder that Bivens, Brayden has a Occupational Therapy appointment on 04-03-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 05:21 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-29-2026 05:21 PM	Jack Bedenbaugh	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.
03-29-2026 05:21 PM	Brayden Bivens	Brayden (Prim) Replied: Yes
03-29-2026 05:21 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-29-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled tomorrow at 02:15 PM. See you soon! - New Beginnings 🙂
03-30-2026 07:53 AM	Gabriela Gallegos	Hi, this is a just a reminder that Brayden has a Speech Therapy appointment scheduled today at 02:15 PM. See you soon! - New Beginnings 🙂
03-30-2026 02:00 PM	Gabriela Gallegos	Brayden Bivens : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904015