Patient Name: Gavi

Patient Information:

Patient ID: 9664
Patient First Name: Gavi
Patient Date of Birth: 08-05-2023
Gender: male
Assigned Office: NB2 far east side
Primary Care Physician: Carlos, Gutierrez
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Holguin, Valeria
FD - Feeding Therapy:
OT - Occupational Therapy:
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
22252Active10-06-202504-02-2026Superior Health Plan26000

Speech and Language Evaluation:

IDDateTypeEvaluation Diagnosis
2532408-27-2025Speech Initial EvaluationF80.1
Speech Background History: Gavi is a 2 year 0 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Gavi was accompanied by both his parents, and both parents served as the informants. According to mother, Gavi was born at full-term with no complications. Mother stated that at 6 months of age, Gavi had a frenectomy, but did not have any complications before or after the frenectomy. Parents stated they are concerned due to the limited number of words Gavi utilizes as compared to his older siblings when they were Gavi’s age. According to mother, Gavi will use 5-10 words to label and/or request, and will lead his communication partner to the item(s) he desires. Father stated that Gavi will sign “more, thank you, please” and “eat” when he needs items at home. Based on clinical observations, Gavi’s communication was characterized as open and closed mouth vocalizations, bilabial babbling when playing, and he pointed/reached/grabbed desired object(s) to communicate wants/needs. Gavi was not observed to use any intelligible words or word approximations to label and/or request, but visibly signed “more” and “eat” with his parents when he needed an item from his bag. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Gavi’s receptive and expressive language skills. Based on Gavi’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Appropriate use of eye contact, Follows verbal command with cues, Responds to greetings,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor vocabulary, Unable to answer questions, Unintelligible, Use of jargon,
Speech Background Summary: The evaluation took place at the therapy room table and floor where Gavi required numerous redirections from his mother and father to participate. Gavi demonstrated decreased social communication skills, which may be attributed to his decreased vocabulary and verbal output.
Speech Diagnosis/Impressions: Gavi is a 2 year 0 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Gavi was accompanied by both his parents, and both parents served as the informants. According to mother, Gavi was born at full-term with no complications. Mother stated that at 6 months of age, Gavi had a frenectomy, but did not have any complications before or after the frenectomy. Parents stated they are concerned due to the limited number of words Gavi utilizes as compared to his older siblings when they were Gavi’s age. According to mother, Gavi will use 5-10 words to label and/or request, and will lead his communication partner to the item(s) he desires. Father stated that Gavi will sign “more, thank you, please” and “eat” when he needs items at home. Based on clinical observations, Gavi’s communication was characterized as open and closed mouth vocalizations, bilabial babbling when playing, and he pointed/reached/grabbed desired object(s) to communicate wants/needs. Gavi was not observed to use any intelligible words or word approximations to label and/or request, but visibly signed “more” and “eat” with his parents when he needed an item from his bag. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, FRIENDLY social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to redirect to tasks. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Gavi’s receptive and expressive language skills. Gavi required several redirections from his mother to participate with the assessment. Gavi received the following standard scores on the PLS-5: Auditory Comprehension 89 (percentile: 23, age-equivalent: 1 year 11 months), Expressive Communication 69 (percentile: 2, age-equivalent: 1 year 2 months), and Total Language Score 78 (percentile: 7, age-equivalent: 1 year 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Gavi presented with a MODERATE TO SEVERE EXPRESSIVE LANGUAGE DISORDER, where his total language score (MODERATE) is not as severe as his expressive language (SEVERE) score. Gavi would greatly benefit from speech therapy targeting the following: imitation of gestures/actions, imitation of speech sounds, imitate monosyllabic words, naming/labeling via word approximations, and use of total communication for a variety of pragmatic functions. Speech therapy is highly recommended at this time as Gavi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Gavi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gavi’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Gavi’s reported language background and language input/output, the language of intervention will be English.
Speech Diagnosis/Impressions: Gavi is a 2 year 0 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Gavi was accompanied by both his parents, and both parents served as the informants. According to mother, Gavi was born at full-term with no complications. Mother stated that at 6 months of age, Gavi had a frenectomy, but did not have any complications before or after the frenectomy. Parents stated they are concerned due to the limited number of words Gavi utilizes as compared to his older siblings when they were Gavi’s age. According to mother, Gavi will use 5-10 words to label and/or request, and will lead his communication partner to the item(s) he desires. Father stated that Gavi will sign “more, thank you, please” and “eat” when he needs items at home. Based on clinical observations, Gavi’s communication was characterized as open and closed mouth vocalizations, bilabial babbling when playing, and he pointed/reached/grabbed desired object(s) to communicate wants/needs. Gavi was not observed to use any intelligible words or word approximations to label and/or request, but visibly signed “more” and “eat” with his parents when he needed an item from his bag. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, FRIENDLY social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to redirect to tasks. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Gavi’s receptive and expressive language skills. Gavi required several redirections from his mother to participate with the assessment. Gavi received the following standard scores on the PLS-5: Auditory Comprehension 89 (percentile: 23, age-equivalent: 1 year 11 months), Expressive Communication 69 (percentile: 2, age-equivalent: 1 year 2 months), and Total Language Score 78 (percentile: 7, age-equivalent: 1 year 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Gavi presented with a MODERATE TO SEVERE EXPRESSIVE LANGUAGE DISORDER, where his total language score (MODERATE) is not as severe as his expressive language (SEVERE) score. Gavi would greatly benefit from speech therapy targeting the following: imitation of gestures/actions, imitation of speech sounds, imitate monosyllabic words, naming/labeling via word approximations, and use of total communication for a variety of pragmatic functions. Speech therapy is highly recommended at this time as Gavi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Gavi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gavi’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Gavi’s reported language background and language input/output, the language of intervention will be English.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

IDPlan of Care
56248
Plan Date: 08-27-2025
Speech Assessment Summary: Gavi is a 2 year 0 month old male who was referred for a speech and language evaluation by his pediatrician and parents’ concerns regarding speech delay. Gavi was accompanied by both his parents, and both parents served as the informants. According to mother, Gavi was born at full-term with no complications. Mother stated that at 6 months of age, Gavi had a frenectomy, but did not have any complications before or after the frenectomy. Parents stated they are concerned due to the limited number of words Gavi utilizes as compared to his older siblings when they were Gavi’s age. According to mother, Gavi will use 5-10 words to label and/or request, and will lead his communication partner to the item(s) he desires. Father stated that Gavi will sign “more, thank you, please” and “eat” when he needs items at home. Based on clinical observations, Gavi’s communication was characterized as open and closed mouth vocalizations, bilabial babbling when playing, and he pointed/reached/grabbed desired object(s) to communicate wants/needs. Gavi was not observed to use any intelligible words or word approximations to label and/or request, but visibly signed “more” and “eat” with his parents when he needed an item from his bag. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, FRIENDLY social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to redirect to tasks. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Gavi’s receptive and expressive language skills. Gavi required several redirections from his mother to participate with the assessment. Gavi received the following standard scores on the PLS-5: Auditory Comprehension 89 (percentile: 23, age-equivalent: 1 year 11 months), Expressive Communication 69 (percentile: 2, age-equivalent: 1 year 2 months), and Total Language Score 78 (percentile: 7, age-equivalent: 1 year 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Gavi presented with a MODERATE TO SEVERE EXPRESSIVE LANGUAGE DISORDER, where his total language score (MODERATE) is not as severe as his expressive language (SEVERE) score. Gavi would greatly benefit from speech therapy targeting the following: imitation of gestures/actions, imitation of speech sounds, imitate monosyllabic words, naming/labeling via word approximations, and use of total communication for a variety of pragmatic functions. Speech therapy is highly recommended at this time as Gavi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Gavi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gavi’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Gavi’s reported language background and language input/output, the language of intervention will be English.
Speech Rehabilitation Potential: Good. Prognosis for improvement in the area of Gavi’s impairments is good with consistent speech therapy. Gavi 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:
CategoryGoal Description
Home Management Intervention ProgramWhen 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 LanguageIn 12 months, Gavi will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate use of functional language for daily use.
Speech and Language Short Term Goals:
CategoryGoal Description
Expressive LanguageIn 6 months, Gavi will imitate functional gestures (i.e., open, all done, more, etc.) AND/OR functional actions (i.e., clapping hands, knocking on door, etc.) modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive LanguageIn 6 months, Gavi will imitate environmental sounds AND/OR speech sounds modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive LanguageIn 6 months, Gavi will imitate monosyllabic words 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 LanguageIn 6 months, Gavi will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, and/or functional words) to communicate wants/needs without adverse behavior (i.e., crying, whining, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional words to communicate wants/needs with caregivers.
Expressive LanguageIn 6 months, Gavi will name common objects via word approximations AND/OR gestures 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/SocializationIn 6 months, Gavi will demonstrate turn-taking skills (i.e., waiting his turn while clinician has a turn) with clinician for at least 3 turns in 3 out of 10 opportunities across 3 consecutive sessions in order to promote turn-taking skills and reduce impulsivity for social reciprocity.
58730
Plan Date: 03-04-2026
Speech Assessment Summary: Gavi is a 2 year 7 month old male who was referred for a speech and language reevaluation by his pediatrician and parents’ concerns regarding speech delay. Gavi was accompanied by both his parents, and both parents served as the informants. According to mother, Gavi was born at full-term with no complications. Mother stated that at 6 months of age, Gavi had a frenectomy, but did not have any complications before or after the frenectomy. Parents stated they are concerned due to the limited number of words Gavi utilizes as compared to his older siblings when they were Gavi’s age. According to mother, Gavi will use 10-15 words to label and/or request, and will lead his communication partner to the item(s) he desires. Father stated that Gavi will sign “more, thank you, please” and “eat” when he needs items at home. Based on clinical observations, Gavi’s communication was characterized as open and closed mouth vocalizations, bilabial babbling when playing, and he pointed/reached/grabbed desired object(s) to communicate wants/needs. Gavi was observed to use any intelligible words or word approximations to label and/or request, but visibly signed “more” and “eat” with his parents when he needed an item from his bag. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, FRIENDLY social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and need for SOME prompts to redirect to tasks. Patient continues to require help with speech sound produciton and modeling due to pt continuing to mumble or not fully use articulators appropriately for his age. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Gavi’s receptive and expressive language skills. Gavi required several redirections from his mother to participate with the assessment. Gavi received the following standard scores on the PLS-5: Auditory Comprehension 98 (percentile: 45, age-equivalent: 2 year 8 months), Expressive Communication 85 (percentile: 16, age-equivalent: 2 year 0 months), and Total Language Score 92 (percentile: 27, age-equivalent: 2 year 4 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Gavi presented with a MILD EXPRESSIVE LANGUAGE DISORDER. Gavi would greatly benefit from speech therapy to continue targeting the following: imitation of gestures/actions, imitation of speech sounds, imitate monosyllabic words, naming/labeling via word approximations, and use of total communication for a variety of pragmatic functions. Speech therapy is highly recommended at this time as Gavi’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Gavi’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gavi’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Gavi’s reported language background and language input/output, the language of intervention will be English.
Speech Progress to Date: In 6 months, Gavi will imitate functional gestures (i.e., open, all done, more, etc.) AND/OR functional actions (i.e., clapping hands, knocking on door, etc.) modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers. MET In 6 months, Gavi will imitate environmental sounds AND/OR speech sounds modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers. MET In 6 months, Gavi will imitate monosyllabic words 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). MET In 6 months, Gavi will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, and/or functional words) to communicate wants/needs without adverse behavior (i.e., crying, whining, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional words to communicate wants/needs with caregivers. MET In 6 months, Gavi will name common objects via word approximations AND/OR gestures 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). GOAL MET In 6 months, Gavi will demonstrate turn-taking skills (i.e., waiting his turn while clinician has a turn) with clinician for at least 3 turns in 3 out of 10 opportunities across 3 consecutive sessions in order to promote turn-taking skills and reduce impulsivity for social reciprocity. Currently @30, GOAL MET continue goal with higher %.
Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support
Speech and Language Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen 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 LanguageIn 12 months, Gavi will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate use of functional language for daily use.
Speech and Language Short Term Goals:
CategoryGoal Description
Receptive LanguageIn 6 months, Gavi will demonstrate turn-taking skills (i.e., waiting his turn while clinician has a turn) with clinician for at least 3 turns in 6 out of 10 opportunities across 3 consecutive sessions in order to promote turn-taking skills and reduce impulsivity for social reciprocity.
Expressive LanguageIn 6 months, Gavi will produce 2–3 word utterances (e.g., “more juice,” “want car,” “mommy help”) during structured play or daily routines in 3 out of 10 opportunities across 3 consecutive sessions in order to increase expressive language skills and expand phrase length for functional communication.
Expressive LanguageIn 6 months, Gavi will produce CVC and CVCV word combinations (e.g., “cat,” “dog,” “baby,” “mama”) with developmentally appropriate speech sound production during structured speech tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve speech intelligibility and reduce mumbling during verbal communication.
Play/SocializationIn 6 months, Gavi will remain seated and engaged in a non-preferred activity for 4–5 minutes with clinician support in 3 out of 10 opportunities across 3 consecutive sessions in order to increase attention to task and participation in structured therapeutic activities.
Play/SocializationIn 6 months, Gavi will decrease adverse behaviors (e.g., crying, yelling, dropping to the floor) during structured therapy tasks by using appropriate regulation strategies (e.g., requesting a break, using words/gestures to communicate needs) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve participation and engagement in therapeutic activities.

Speech and Language Soap Note/Visit:

IDSoap Note
490947
Note Date: 03-23-2026
Subjective: Patient was alert and cooperative,Patient was alert and oriented,
Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative for the duration of the session, engaging well in structured activities. Caregivers continue to report successful implementation of the home management program, effectively transferring therapeutic strategies to the home environment to optimize functional communication. During play-based tasks, the patient demonstrated significant progress toward expressive language objectives. He successfully imitated functional gestures (e.g., 'more', 'all done') and actions (e.g., clapping) modeled by the clinician with 90% accuracy (9/10 opportunities) to communicate wants and needs. Similar progress was noted with vocalizations, as he imitated environmental and speech sounds with 90% accuracy (9/10 opportunities). The patient also improved his ability to name common objects, utilizing word approximations and gestures in 9 out of 10 opportunities presented, enhancing meaningful communication during daily activities. Furthermore, notable gains were observed in social reciprocity; the patient demonstrated turn-taking skills for at least three consecutive turns in approximately 7-8 out of 10 opportunities, indicating improved impulse control and foundational skills for social interaction.
Plans: Continue with Speech Therapy,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
79402092523: Artic & Language Eval08-27-2025 09:30 AM08-27-2025 10:30 AMAnnette BarronNB2 far east sideCompleted
81826592507: Speech & Language Visit10-13-2025 12:15 PM10-13-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81826692507: Speech & Language Visit10-20-2025 12:15 PM10-20-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81826792507: Speech & Language Visit10-27-2025 12:15 PM10-27-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81826892507: Speech & Language Visit11-03-2025 12:15 PM11-03-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81826992507: Speech & Language Visit11-10-2025 12:15 PM11-10-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81827092507: Speech & Language Visit11-19-2025 10:45 AM11-19-2025 11:30 AMValeria HolguinNB2 far east sideCompleted
81827292507: Speech & Language Visit12-01-2025 12:15 PM12-01-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
85006392507: Speech & Language Visit12-05-2025 10:45 AM12-05-2025 11:30 AMValeria HolguinNB2 far east sideCompleted
81827392507: Speech & Language Visit12-08-2025 12:15 PM12-08-2025 01:00 PMValeria HolguinNB2 far east sideCompleted
81827792507: Speech & Language Visit01-05-2026 12:15 PM01-05-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
81827892507: Speech & Language Visit01-12-2026 12:15 PM01-12-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
81827992507: Speech & Language Visit01-19-2026 12:15 PM01-19-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
88093292507: Speech & Language Visit01-30-2026 02:00 PM01-30-2026 02:45 PMValeria HolguinNB2 far east sideCompleted
81828192507: Speech & Language Visit02-02-2026 12:15 PM02-02-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
81828492507: Speech & Language Visit02-23-2026 12:15 PM02-23-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
89696592507: Speech & Language Visit02-25-2026 01:45 PM02-25-2026 02:30 PMValeria HolguinNB2 far east sideCompleted
81828592507: Speech & Language Visit03-02-2026 12:15 PM03-02-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
901465S9152: Reevaluation03-05-2026 12:45 PM03-05-2026 01:30 PMValeria HolguinNB2 far east sideCompleted
81828692507: Speech & Language Visit03-09-2026 12:15 PM03-09-2026 01:00 PMValeria HolguinNB2 far east sideCompleted
90873992507: Speech & Language Visit03-18-2026 01:00 PM03-18-2026 01:45 PMValeria HolguinNB2 far east sideCompleted
81828892507: Speech & Language Visit03-23-2026 12:15 PM03-23-2026 01:00 PMValeria HolguinNB2 far east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
81827192507: Speech & Language Visit11-24-2025 12:15 PM11-24-2025 01:00 PMValeria HolguinNB2 far east sideCanceled
81827492507: Speech & Language Visit12-15-2025 12:15 PM12-15-2025 01:00 PMValeria HolguinNB2 far east sideCanceled
81827592507: Speech & Language Visit12-22-2025 12:15 PM12-22-2025 01:00 PMValeria HolguinNB2 far east sideCanceled
81827692507: Speech & Language Visit12-29-2025 12:15 PM12-29-2025 01:00 PMValeria HolguinNB2 far east sideCanceled
81828092507: Speech & Language Visit01-26-2026 12:15 PM01-26-2026 01:00 PMValeria HolguinNB2 far east sideCanceled
81828292507: Speech & Language Visit02-09-2026 12:15 PM02-09-2026 01:00 PMValeria HolguinNB2 far east sideCanceled
81828392507: Speech & Language Visit02-16-2026 12:15 PM02-16-2026 01:00 PMValeria HolguinNB2 far east sideCanceled
81828792507: Speech & Language Visit03-16-2026 12:15 PM03-16-2026 01:00 PMValeria HolguinNB2 far east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
81828992507: Speech & Language Visit03-30-2026 12:15 PM03-30-2026 01:00 PMValeria HolguinNB2 far east sideScheduled

Paient Missed Visit Notes:

DateServiceTherapistDescription
03-16-202692507Holguin, Valeria
02-16-202692507Holguin, Valeria
02-09-202692507Holguin, Valeria
01-26-202692507Holguin, Valeria
12-29-202592507Holguin, Valeria
12-22-202592507Holguin, Valeria
12-15-202592507Holguin, Valeria
11-24-202592507Holguin, Valeria
11-24-202592507Holguin, Valeria

Paient Messages Admin:

DatePosted ByMessage
08-22-2025 08:45 AMAsbel GuajardoPlease fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2086
08-23-2025 08:36 AMPatsy GuajardoSchedule 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=9664
08-24-2025 08:36 AMPatsy GuajardoSchedule 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=9664
08-25-2025 08:36 AMPatsy GuajardoSchedule 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=9664
08-26-2025 08:36 AMPatsy GuajardoSchedule 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=9664
09-08-2025 11:40 AMCeleste ColletteDear 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
09-29-2025 03:38 PMPatsy GuajardoHello Ms. Shadrick, this is Patsy from Front office, I was notified by Ms. Annette that you were inquiring about the evaluation report, We have not received it and we have faxed it 2 times, just know that the pediatricians office does not get the faxed directly to their office, they have to download them and get the dr to sign. I have call as well and they tell me they will look for it. If you would like I can have a copy if you would like to take it to the Dr. and hopefully they can sign it. Please let me know and Thank you!
09-29-2025 04:38 PMGavi SolisYes please if I can get a copy and I can take it to the Dr
09-29-2025 05:03 PMPatsy GuajardoYes, i have it ready for you!
09-29-2025 05:04 PMGavi SolisIs it ok if I go pick it up now?
09-29-2025 05:05 PMPatsy GuajardoYes, just remember we close at 6
09-29-2025 05:06 PMGavi SolisI live about 5 minutes away so I will be there shortly, thank you so much!
10-02-2025 12:39 PMGavi SolisGood afternoon Patsy. I dropped off the forms to Dr. Gutierrez tuesday morning. Would you be able to let me know if they send them back to you? That way if they don't, I can reach out to them
10-02-2025 01:52 PMPatsy GuajardoHello, yes i did and Thank you so much! i just got Auth and a therapist will reach out and schedule therapy.
10-02-2025 01:54 PMGavi SolisThank you so much Patsy!
10-02-2025 02:00 PMPatsy GuajardoSolis, Gavi has been assigned a therapist.
11-13-2025 12:47 PMMonica TulliusHello, this is a general broadcast message. Please do not respond to this message.

Holiday Turkey Giveaway!

We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season.
If you or someone you know could use a little extra support this year, you’re invited to pick one up:

Sunday, November 16th
8:00 a.m.
5411 N. Mesa St, Suite 27, El Paso, TX 79912

If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com.

Wishing you and your family a warm and joyful holiday season!

Team New Beginnings
11-25-2025 02:54 PMCeleste ColletteDear Parents,

We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:06 PMStephen TulliusDear Families,

As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do.

We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours.

From all of us, we wish you a joyful holiday season and a bright, healthy New Year!

With warmest regards,

Stephen Tullius
New Beginnings Pediatric Therapy Services
01-20-2026 12:11 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids!

📅 Feb 2nd, 2026
⏰ 10:00 AM
📍 Esperanza Acosta Moreno Public Library

We’d love to see you there! 💙

_________________________________

🌟 ¡Están invitados! 🌟
Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento.

📅 2 de febrero de 2026
⏰ 10:00 a.m.
📍 Biblioteca Pública Esperanza Acosta Moreno

¡Esperamos verlos! 💙
02-03-2026 03:53 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us.
📅 February 7th, 2026
⏰ 4:30 PM
📍 Esperanza Acosta Moreno Public Library
We’d love to see you there! 💙


🌟 ¡Están invitados! 🌟
Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros.
📅 7 de febrero de 2026
⏰ 4:30 p.m.
📍 Biblioteca Pública Esperanza Acosta Moreno
¡Esperamos verlos! 💙
02-16-2026 05:28 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:49 PMStephen TulliusPlease 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=9664
02-18-2026 04:16 PMStephen TulliusFor those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :)

Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PMStephen TulliusPlease 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=9664
03-11-2026 05:40 PMStephen TulliusHello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

DatePosted ByMessage
08-22-2025 09:13 AMAnnette BarronHi, my name is Annette, 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=9664&tid=46
08-22-2025 09:13 AMGavi SolisGavi SCHEDULED:
9:30AM-8/27/2025
92523: Speech Evaluation
08-22-2025 09:37 AMAnnette BarronGood morning. My name is Annette from New Beginnings, and I will be completing Gavi's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. What are your concerns? Is Gavi not using enough words, and/or difficult to understand?
08-22-2025 09:42 AMGavi SolisGavi (Prim) Replied: Good morning. He does not put two words together yet and I feel he is having difficulty trying to speak. He understands what I tell him and when I aak for him to do things and uses sign language but for example when I ask him to say words like "yes" or "please" he only says "th". The only words he mostly says are up, milk, mama, dad, agua, snack
08-22-2025 09:53 AMAnnette BarronOK, thank you for the information. I am going to send you a medical history questionnaire. The questions will help me better understand Gavi's needs and to select the best assessment for Gavi.
08-22-2025 09:54 AMAnnette BarronPlease complete when you have a moment. Thank you.

Speech History Questionnaire for Gavi:
1.) Name and DOB
2.) Any complications with pregnancy or birth?
3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)?
4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word?
5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils?
6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history?
7.) Which language(s) is the child exposed to regularly?
8.) Vision or hearing issues?
9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
08-22-2025 10:18 AMGavi SolisGavi (Prim) Replied: 1.) Gavi Solis 08/05/2023
2.) No complications during pregnancy or birth
3.) No illnesses or medical diagnoses. Only had a milk allergy when he was baby but he outgrew it and had a frenectomy at 6 months
4.) When were these developmental milestones met: Crawled at 8 months, sat-up at 5 months, stood up holding on to stuff at 8 months, walked at 11 months, fed self around 8 months, doesn’t know how to dress himself yet but assists with putting his arms and legs in clothing. He is not potty trained. Said his first words around a year old and does not combine words yet.
5.) No sleeping or breathing issues. Sleeps 8-9 hours with mouth closed and does not wake up throughout the night.
6.) Does not attend daycare and has not been to any therapy, stays at home with me
7.) I was speaking to him in both English and Spanish but now it is only English and occasionally Spanish since his grandparents speak Spanish
8.) no vision or hearing issues
9.) feel he should be putting words together and seems to struggle or feel intimidated when I ask him to say certain things. Would like him to communicate more with words instead of just sign language. He sounds out certain words instead of trying to say them
08-22-2025 10:31 AMAnnette BarronThank you so much for your quick response. I look forward to meeting you all on Wednesday morning.
08-26-2025 06:30 PMAnnette BarronHi, this is a just a reminder that Gavi has a Speech Evaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
08-26-2025 06:30 PMGavi SolisGavi (Prim) Replied: Thank you, see you tomorrow :)
08-27-2025 07:51 AMAnnette BarronHi, this is a just a reminder that Gavi has a Speech Evaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
08-27-2025 09:15 AMAnnette BarronGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=794020
08-27-2025 09:16 AMGavi SolisGavi is RUNNING LATE for:
9:30AM-8/27/2025
92523: Artic & Language Eval
08-27-2025 09:21 AMGavi SolisGavi is CHECKED IN for:
9:30AM-8/27/2025
92523: Artic & Language Eval
08-28-2025 05:28 PMAnnette BarronGood afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Gavi is diagnosed with a moderate to severe expressive language disorder, where his total language score (moderate) is not as severe as his expressive language (severe) score. He would benefit from speech therapy targeting the following: imitation of gestures/actions, imitation of speech sounds, imitate monosyllabic words, naming/labeling via word approximations, and use of total communication for a variety of pragmatic functions. Once the office has processed the report, they obtain the needed signatures, and insurance approves the report, the treating therapist will reach out to you. If you have any questions, please let me know. Thank you.
09-29-2025 10:44 AMGavi SolisGavi (Prim) Replied: Good morning, i was wondering if there's any update regarding the insurance approving the report for Gavi's therapy
09-29-2025 11:16 AMAnnette BarronGood morning. Let me speak with the front office to see what the hold up might be right now.
09-29-2025 11:16 AMGavi SolisGavi (Prim) Replied: Thank you!
09-29-2025 02:23 PMAnnette BarronGood afternoon. The front office has clarified that all paperwork was submitted some time ago and it has been with the doctor. The front office has tried calling to get a status update and they have not been successful. I would advise that you call Gavi's doctor's office to check on the status of the speech assessment.
09-29-2025 02:25 PMGavi SolisGavi (Prim) Replied: I'm sorry I'm confused, I thought after the paperwork was approved by insurance that the therapist would be reaching out to me? Where has the front office tried calling?
09-29-2025 02:59 PMGavi SolisGavi (Prim) Replied: I just spoke to the doctor's office and they let me know they do not have anything. Is it something that I'm able to pick up and take to them or it needs to be sent directly to the doctors office?
09-29-2025 04:05 PMAnnette BarronThe front office should have reached out to you regarding the evaluation report. If you have any question, please reach out to the office by responding to their message or calling our office at: 915-303-5177. Thank you.
10-06-2025 02:04 PMValeria HolguinHi! my name is Valeria, im the speech therapist form New beginnings. I wanted to introduce myself as well as to offer Mondays at 12:15 for your child's appointments. We could start next week. Please let me know if this schedule works for you. Thank you!
10-06-2025 02:14 PMGavi SolisGavi (Prim) Replied: Hi! Is there any other day during the week that we can do?
10-06-2025 02:20 PMGavi SolisGavi (Prim) Replied: Actually nevermind, Mondays at that time will work
10-06-2025 07:17 PMValeria Holguinsounds good, thank you!
10-06-2025 07:17 PMGavi SolisGavi (Prim) Replied: So it will be starting next week then correct?
10-07-2025 10:01 AMValeria Holguinyes! :)
10-07-2025 10:03 AMGavi SolisGavi (Prim) Replied: Thank you so much!
10-12-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 10-13-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:15 PMGavi SolisGavi (Prim) Replied: YES
10-12-2025 04:15 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-12-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
10-13-2025 07:51 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
10-13-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818265
10-13-2025 12:03 PMGavi SolisGavi is CHECKED IN for:
12:15PM-10/13/2025
92507: Speech & Language Visit
10-19-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 10-20-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:07 PMGavi SolisGavi (Prim) Replied: YES
10-19-2025 04:07 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-19-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
10-20-2025 07:52 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
10-20-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818266
10-20-2025 12:01 PMGavi SolisGavi is CHECKED IN for:
12:15PM-10/20/2025
92507: Speech & Language Visit
10-26-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 10-27-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
10-26-2025 06:36 PMGavi SolisGavi (Prim) Replied: YES
10-26-2025 06:36 PMValeria HolguinHi, 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 07:49 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
10-27-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818267
10-27-2025 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-10/27/2025
92507: Speech & Language Visit
11-02-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 11-03-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:09 PMGavi SolisGavi (Prim) Replied: YES
11-02-2025 04:09 PMValeria HolguinHi, 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 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
11-03-2025 07:47 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
11-03-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818268
11-03-2025 12:01 PMGavi SolisGavi is CHECKED IN for:
12:15PM-11/3/2025
92507: Speech & Language Visit
11-09-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 11-10-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:02 PMGavi SolisGavi (Prim) Replied: YES
11-09-2025 04:02 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
11-10-2025 07:47 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
11-10-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818269
11-10-2025 12:04 PMGavi SolisGavi is CHECKED IN for:
12:15PM-11/10/2025
92507: Speech & Language Visit
11-16-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 11-19-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:04 PMGavi SolisGavi (Prim) Replied: YES
11-16-2025 04:04 PMValeria HolguinHi, 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.
11-18-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-19-2025 07:44 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-19-2025 10:30 AMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818270
11-19-2025 10:32 AMGavi SolisGavi is CHECKED IN for:
10:45AM-11/19/2025
92507: Speech & Language Visit
11-19-2025 01:19 PMValeria HolguinValeria Holguin CANCELLED:
12:15PM-11/24/2025
92507: Speech & Language Visit
11-19-2025 01:19 PMValeria HolguinValeria Holguin CANCELLED:
12:15PM-11/24/2025
92507: Speech & Language Visit
11-30-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 12-01-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:03 PMGavi SolisGavi (Prim) Replied: YES
11-30-2025 04:03 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
12-01-2025 07:43 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
12-01-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818272
12-01-2025 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-12/1/2025
92507: Speech & Language Visit
12-01-2025 01:06 PMValeria HolguinValeria Holguin CANCELLED:
12:15PM-12/15/2025
92507: Speech & Language Visit
12-04-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
12-05-2025 07:38 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
12-05-2025 10:30 AMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=850063
12-05-2025 10:36 AMGavi SolisGavi is CHECKED IN for:
10:45AM-12/5/2025
92507: Speech & Language Visit
12-05-2025 10:36 AMGavi SolisGavi is CHECKED IN for:
10:45AM-12/5/2025
92507: Speech & Language Visit
12-07-2025 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 12-08-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:37 PMGavi SolisGavi (Prim) Replied: YES
12-07-2025 04:37 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
12-08-2025 07:40 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
12-08-2025 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818273
12-08-2025 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-12/8/2025
92507: Speech & Language Visit
12-10-2025 09:58 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-12/22/2025
92507: Speech & Language Visit
12-10-2025 11:13 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-12/29/2025
92507: Speech & Language Visit
01-04-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 01-05-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 05:07 PMGavi SolisGavi (Prim) Replied: YES
01-04-2026 05:07 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
01-05-2026 07:37 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
01-05-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818277
01-05-2026 12:02 PMGavi SolisGavi is CHECKED IN for:
12:15PM-1/5/2026
92507: Speech & Language Visit
01-11-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 01-12-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 05:25 PMGavi SolisGavi (Prim) Replied: YES
01-11-2026 05:25 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
01-12-2026 07:37 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
01-12-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818278
01-12-2026 12:03 PMGavi SolisGavi is CHECKED IN for:
12:15PM-1/12/2026
92507: Speech & Language Visit
01-18-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 01-19-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:11 PMGavi SolisGavi (Prim) Replied: YES
01-18-2026 04:11 PMValeria HolguinHi, 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 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
01-19-2026 07:37 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
01-19-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818279
01-19-2026 12:03 PMGavi SolisGavi is CHECKED IN for:
12:15PM-1/19/2026
92507: Speech & Language Visit
01-25-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 01-26-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 05:43 PMGavi SolisGavi (Prim) Replied: YES
01-25-2026 05:43 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
01-26-2026 07:36 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
01-26-2026 08:30 AMValeria HolguinHi! I wanted to let you know that I’m feeling unwell today. Would it be possible to reschedule our session to this Friday instead? Thank you so much for your understanding.
01-26-2026 08:31 AMGavi SolisGavi (Prim) Replied: Hi! Yes that sounds good, Friday at the same time?
01-26-2026 08:35 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-1/26/2026
92507: Speech & Language Visit
01-28-2026 10:23 AMValeria Holguinhi! im so sorry to reach out later, I was trying set up my schedule. I have 2:00pm on friday available would this be ok??
01-28-2026 10:24 AMGavi SolisGavi (Prim) Replied: Hi! No worries, that works!
01-29-2026 12:18 PMValeria Holguinhi! I wanted to check in to see if it was ok to move the appointment at 2:45 tomorrow, if you cant, no worries! thank you!!
01-29-2026 06:13 PMGavi SolisGavi (Prim) Replied: Hi! Would we be able to leave it for 2 by any chance?
01-29-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
01-30-2026 07:37 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
01-30-2026 10:11 AMValeria HolguinHi! Yes no worries:)
01-30-2026 10:13 AMGavi SolisGavi (Prim) Replied: thank you :)
01-30-2026 10:13 AMValeria HolguinHi, 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.
01-30-2026 01:45 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880932
01-30-2026 01:51 PMGavi SolisGavi is CHECKED IN for:
2:00PM-1/30/2026
92507: Speech & Language Visit
02-01-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 02-02-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:03 PMGavi SolisGavi (Prim) Replied: YES
02-01-2026 04:03 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
02-02-2026 07:36 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
02-02-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818281
02-02-2026 12:04 PMGavi SolisGavi is CHECKED IN for:
12:15PM-2/2/2026
92507: Speech & Language Visit
02-08-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 02-09-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 05:38 PMGavi SolisGavi (Prim) Replied: YES
02-08-2026 05:38 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
02-09-2026 07:19 AMGavi SolisGavi (Prim) Replied: Good morning. Is it possible to reschedule today? Gavi isn't feeling well
02-09-2026 07:37 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
02-09-2026 09:40 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-2/9/2026
92507: Speech & Language Visit
02-09-2026 09:40 AMValeria HolguinHi!! Oh no I hope he feels better soon!
02-10-2026 01:41 PMValeria Holguinhi! how is Gavi feeling?
02-10-2026 01:44 PMGavi SolisGavi (Prim) Replied: Hi! I think he has like a stomach bug but he's doing a bit better today
02-11-2026 03:55 PMValeria Holguinim so sorry for the late response! Im glad hes feeling better now:)
02-11-2026 03:56 PMValeria HolguinI wanted to ask in case you were interested for tomorrow at 12:45 for a makeup, but no worries if youd rather reschedule for next week!:)
02-11-2026 03:58 PMGavi SolisGavi (Prim) Replied: We took him to urgent care yesterday because he ended up getting worse and they said he has norovirus so he is contagious :/
02-11-2026 04:34 PMValeria Holguinoh no im so sorry! i hope he feels better soon!
02-11-2026 04:48 PMGavi SolisGavi (Prim) Replied: Thank you!
02-15-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 02-16-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
02-16-2026 07:34 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
02-16-2026 09:16 AMGavi SolisGavi (Prim) Replied: Hi! sorry for the late notice but Gavi is still sick
02-16-2026 09:24 AMValeria Holguinoh no! im so sorry to hear that, ill cancel his appointment for today!
02-16-2026 09:24 AMGavi SolisGavi (Prim) Replied: Thank you!
02-16-2026 09:27 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-2/16/2026
92507: Speech & Language Visit
02-22-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 02-23-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:34 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
02-23-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818284
02-23-2026 12:02 PMGavi SolisGavi is CHECKED IN for:
12:15PM-2/23/2026
92507: Speech & Language Visit
02-24-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 01:45 PM. See you soon! - New Beginnings 🙂
02-25-2026 08:02 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 01:45 PM. See you soon! - New Beginnings 🙂
02-25-2026 01:30 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=896965
02-25-2026 01:31 PMGavi SolisGavi is CHECKED IN for:
1:45PM-2/25/2026
92507: Speech & Language Visit
03-01-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 03-02-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:34 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
03-02-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818285
03-02-2026 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-3/2/2026
92507: Speech & Language Visit
03-04-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
03-05-2026 08:01 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech/Feeding Reevaluation appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
03-05-2026 12:30 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901465
03-05-2026 12:33 PMGavi SolisGavi is CHECKED IN for:
12:45PM-3/5/2026
S9152: Reevaluation
03-08-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 03-09-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:34 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
03-09-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818286
03-09-2026 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-3/9/2026
92507: Speech & Language Visit
03-15-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 03-16-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:04 PMGavi SolisGavi (Prim) Replied: YES
03-15-2026 04:04 PMValeria HolguinHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:33 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:51 AMValeria HolguinHi! I just wanted to let you know that I’m not feeling well today and unfortunately will need to cancel our session. I apologize for the short notice and appreciate your understanding. I’ll reach out soon to reschedule. Thank you!
03-16-2026 07:55 AMValeria HolguinValeria Holguin CANCELLED:
12:15PM-3/16/2026
92507: Speech & Language Visit
03-16-2026 08:03 AMGavi SolisGavi (Prim) Replied: Hi! No worries, hope you feel better!
03-17-2026 10:14 AMValeria HolguinGood morning! thank you so much I feel so much better now!:) I wanted to offer you friday at 12:15 to make up the appointment, would that be ok?:)
03-17-2026 10:17 AMGavi SolisGavi (Prim) Replied: Good morning! Yes that's perfect :)
03-17-2026 01:19 PMValeria Holguinthank you! I also just had a cancelation for tomorrow at 12:45 in case you are interested instead:)
03-17-2026 01:20 PMGavi SolisGavi (Prim) Replied: Oh yeah tomorrow works let's do that instead :)
03-17-2026 01:25 PMValeria Holguinsorry it would be 1:00pm:) so just 15 minutes later, thank you!!
03-17-2026 01:25 PMGavi SolisGavi (Prim) Replied: Sounds good, thank you! :)
03-17-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 08:02 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 12:45 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=908739
03-18-2026 12:52 PMGavi SolisGavi is CHECKED IN for:
1:00PM-3/18/2026
92507: Speech & Language Visit
03-22-2026 04:02 PMValeria HolguinHi, this is a just a reminder that Solis, Gavi has a Speech Therapy appointment on 03-23-2026 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:21 PMGavi SolisGavi (Prim) Replied: Yes
03-22-2026 04:21 PMValeria HolguinHi, 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.
03-22-2026 06:30 PMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:34 AMValeria HolguinHi, this is a just a reminder that Gavi has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
03-23-2026 12:00 PMValeria HolguinGavi Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=818288
03-23-2026 12:00 PMGavi SolisGavi is CHECKED IN for:
12:15PM-3/23/2026
92507: Speech & Language Visit