New Beginnings | NB1-Office

Patient Name: Kaizen

Patient Information:

Patient ID: 9673

Patient First Name: Kaizen

Patient Date of Birth: 08-01-2024

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Jose, Prieto

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Rodriguez, Andrea

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23553	Active	04-06-2026	10-02-2026	El Paso First Health Plans	0	26	0	0
23664	Active	03-26-2026	04-24-2026	El Paso First Health Plans	0	0	0	1
23594	Active	03-18-2026	04-18-2026	El Paso First Health Plans	1	0	4	0
22280	Active	10-06-2025	04-02-2026	El Paso First Health Plans	0	26	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26461	03-26-2026	Speech Initial Evaluation	F80.2, R62.50
Speech Background History:
Speech Medical History:
Speech Medications: Over-the-counter medication
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Auditory and visually alert and attentive,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor use of eye contact, Poor vocabulary, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns, Unintelligible,
Speech Background Summary:
Speech Diagnosis/Impressions:
Speech Diagnosis/Impressions:

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25433	09-17-2025	Feeding Initial Evaluation	R13.12, R63.32
Feeding Background History: Kaizen is a 1 year 1 month old male who was referred by his pediatrician due to concerns regarding food aversion. His mother and father served as the primary informants for this evaluation. Ms. Rosas expressed concern that a possible tongue tie may be impacting his ability to chew and manage solid foods. She further reported that Kaizen demonstrates texture aversion, as he previously required force feeding of purées and subsequently began rejecting solid foods. At present, Kaizen will consume some solids but tends to swallow them whole, which frequently results in coughing or choking episodes. He primarily receives nutrition via bottle feedings every four hours, taking 6–8 oz of Lactaid milk per feeding. His feeding history is notable for a milk sensitivity that required changes in formula and milk, with rashes and stomach problems occurring in response to prior exposures. A bedside feeding evaluation and skilled meal observation were conducted to assess his feeding and swallowing skills.
Feeding Medical History: Kaizen was born at 37 weeks via c section. There were no reported complications with the pregnancy or birth.
Feeding Medications: None
Feeding Behavioral Observations: Attending Skills: Alert, Response Rate: Mild delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: Resists, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Shy,
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Pragmatics were not formally assessed as this was not the purpose of the evaluation or referral.
Feeding Diagnosis/Impressions: PATIENT HX: Kaizen is a 1 year 1 month old male who was referred by his pediatrician due to concerns regarding food aversion. His mother and father served as the primary informants for this evaluation. Ms. Rosas expressed concern that a possible tongue tie may be impacting his ability to chew and manage solid foods. She further reported that Kaizen demonstrates texture aversion, as he previously required force feeding of purées and subsequently began rejecting solid foods. At present, Kaizen will consume some solids but tends to swallow them whole, which frequently results in coughing or choking episodes. He primarily receives nutrition via bottle feedings every four hours, taking 6–8 oz of Lactaid milk per feeding. His feeding history is notable for a milk sensitivity that required changes in formula and milk, with rashes and stomach problems occurring in response to prior exposures. A bedside feeding evaluation and skilled meal observation were conducted to assess his feeding and swallowing skills. ORAL MECH: An informal oral mechanism assessment was attempted however, Kaizen was resistive to direct examination and unable to follow structured instructions, resulting in a brief assessment. Despite these limitations, all oral structures were visually observed. Notable findings included the presence of both a tongue tie and a lip tie, as well as a high narrow palate consistent with a history of pacifier use (continued pacifier use is noted). Kaizen also demonstrated low facial muscle tone, observable drooling, and the presence of a phasic bite reflex. Oral motor function appeared reduced during the consumption of solids, impacting efficiency and safety of intake. Kaizen is not a mouth breather and does not present with snoring as reported by caregivers. It is recommended Kaizen receive formal evaluation of his tethered oral tissues by a pediatric dentist to determine the next course of action as they may be hindering his oral feeding skills and safety. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Kaizen presents with OROPHARYNGEAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Kaizen’s oropharyngeal dysphagia is characterized by poor bolus formation with decreased chewing skills, difficulty managing solids, and a tendency to overstuff the mouth, which frequently resulted in coughing, choking, and watery eyes during swallowing attempts. Kaizen’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (milk sensitivity), nutritional deficits (limited food inventory, main source of nutrition being bottle feedings), feeding skill impairments (sensory sensitivities to foods, decreased oral motor skills for chewing/swallowing), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). FOOD REPERTOIRE: Kaizen is reported to prefer foods with crunchy and crisp textures. He shows a strong taste preference for sweet and salty flavors and favors warm foods. His appetite is reported to be fair. Currently, Kaizen’s food inventory includes 8 foods and 5 liquids. However, his oral consumption of these foods is very low. He will often try to swallow pieces whole or will just mouth the foods. For proteins, he accepts scrambled eggs. He does not consume fruits or vegetables. For starches, Kaizen eats crackers, pizza, cake/cookies, French fries, mashed potatoes, spaghetti, and pizza. In terms of liquids, he drinks lactaid milk, water, Gatorade, and juice. Kaizen’s mother and father expressed a desire for him to eat proteins (meats), pastas, grains, breakfast, and vegetables. NORM REFERENCED ASSESSMENT: Ms. Rosas completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Kaizen received an overall rating of “high concern,” with “ concern to high concern” noted in the areas of physiological symptoms, selective/restrictive eating, oral processing, and problematic mealtime behaviors. These caregiver reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Kaizen was observed seated in a high chair with full 90 90 90 postural support. It is important to note that this seating arrangement is used consistently at his father’s home, but not at his mother’s home. Kaizen typically only has opportunities with solids two times per day but does not always consume solids during those times. During observation with preferred foods, Kaizen demonstrated overstuffing behaviors, placing entire pieces into his mouth rather than biting off smaller portions. He exhibited difficulty with biting skills, showed only minimal vertical munching patterns, and demonstrated emerging but limited tongue lateralization. He primarily swallowed food pieces whole, which frequently resulted in coughing episodes and watery eyes. When presented with non preferred foods, Kaizen became distressed, crying and refusing to interact with the items. He required the support of an iPhone displaying Ms. Rachel to remain engaged in the meal. Parents reported that these behaviors are consistent with feeding at home, noting that while he may show interest in exploring new foods with his hands and mouth, he often does not know how to consume them and typically limits himself to a single bite. SWALLOW/ORAL MOTOR EVALUATION: Notable findings included drooling and bolus holding, indicating reduced oral motor control. Kaizen demonstrated minimal vertical munching, emerging lateral tongue movements, and difficulty biting solids (meltables and soft mechanicals). During feeding with solids (meltables and soft mechanical), he primarily swallowed pieces whole, resulting in coughing and watery eyes. Overstuffing behaviors were observed. In contrast, during bottle feeding, the patient demonstrated an adequate rate of intake and safe swallowing without loss of fluids or other difficulties. Overall, oral motor function appeared reduced during solid food consumption, impacting his ability to efficiently and safely manage solids. Kaizen’s pharyngeal swallow function is also at risk and a modified barium swallow study may be warranted over the course of care. Kaizen has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Kaizen’s OROPHARYNGEAL DYSPHAGIA and CHRONIC PFD. Kaizen is at risk for compromised health and development due to a significantly limited food inventory, persistent picky eating behaviors, and decreased oral motor skills for safe chewing/swallowing. At his age, a child is typically expected to accept 8 or more foods across various food groups as well as consume 2 to 3 meals a day. Moreover, a child this age should be able to safely chew and swallow soft table foods and demonstrate emerging rotary chewing and full tongue lateralization. Therapy will target oropharyngeal development, oral awareness, pacing, and caregiver-guided safe feeding practices. Intervention will also focus on increasing food acceptance using systematic desensitization and the Steps to Eating hierarchy, along with oral motor exercises to support safe chewing and swallowing. Without therapy, Kaizen is at risk for nutritional deficiencies, restricted growth, and aspiration. Caregivers will implement the Home Management Program to reinforce strategies 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

56487

Plan Date: 09-17-2025

Feeding Assessment Summary: PATIENT HX: Kaizen is a 1 year 1 month old male who was referred by his pediatrician due to concerns regarding food aversion. His mother and father served as the primary informants for this evaluation. Ms. Rosas expressed concern that a possible tongue tie may be impacting his ability to chew and manage solid foods. She further reported that Kaizen demonstrates texture aversion, as he previously required force feeding of purées and subsequently began rejecting solid foods. At present, Kaizen will consume some solids but tends to swallow them whole, which frequently results in coughing or choking episodes. He primarily receives nutrition via bottle feedings every four hours, taking 6–8 oz of Lactaid milk per feeding. His feeding history is notable for a milk sensitivity that required changes in formula and milk, with rashes and stomach problems occurring in response to prior exposures. A bedside feeding evaluation and skilled meal observation were conducted to assess his feeding and swallowing skills. ORAL MECH: An informal oral mechanism assessment was attempted however, Kaizen was resistive to direct examination and unable to follow structured instructions, resulting in a brief assessment. Despite these limitations, all oral structures were visually observed. Notable findings included the presence of both a tongue tie and a lip tie, as well as a high narrow palate consistent with a history of pacifier use (continued pacifier use is noted). Kaizen also demonstrated low facial muscle tone, observable drooling, and the presence of a phasic bite reflex. Oral motor function appeared reduced during the consumption of solids, impacting efficiency and safety of intake. Kaizen is not a mouth breather and does not present with snoring as reported by caregivers. It is recommended Kaizen receive formal evaluation of his tethered oral tissues by a pediatric dentist to determine the next course of action as they may be hindering his oral feeding skills and safety. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Kaizen presents with OROPHARYNGEAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Kaizen’s oropharyngeal dysphagia is characterized by poor bolus formation with decreased chewing skills, difficulty managing solids, and a tendency to overstuff the mouth, which frequently resulted in coughing, choking, and watery eyes during swallowing attempts. Kaizen’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (milk sensitivity), nutritional deficits (limited food inventory, main source of nutrition being bottle feedings), feeding skill impairments (sensory sensitivities to foods, decreased oral motor skills for chewing/swallowing), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). FOOD REPERTOIRE: Kaizen is reported to prefer foods with crunchy and crisp textures. He shows a strong taste preference for sweet and salty flavors and favors warm foods. His appetite is reported to be fair. Currently, Kaizen’s food inventory includes 8 foods and 5 liquids. However, his oral consumption of these foods is very low. He will often try to swallow pieces whole or will just mouth the foods. For proteins, he accepts scrambled eggs. He does not consume fruits or vegetables. For starches, Kaizen eats crackers, pizza, cake/cookies, French fries, mashed potatoes, spaghetti, and pizza. In terms of liquids, he drinks lactaid milk, water, Gatorade, and juice. Kaizen’s mother and father expressed a desire for him to eat proteins (meats), pastas, grains, breakfast, and vegetables. NORM REFERENCED ASSESSMENT: Ms. Rosas completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Kaizen received an overall rating of “high concern,” with “ concern to high concern” noted in the areas of physiological symptoms, selective/restrictive eating, oral processing, and problematic mealtime behaviors. These caregiver reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Kaizen was observed seated in a high chair with full 90 90 90 postural support. It is important to note that this seating arrangement is used consistently at his father’s home, but not at his mother’s home. Kaizen typically only has opportunities with solids two times per day but does not always consume solids during those times. During observation with preferred foods, Kaizen demonstrated overstuffing behaviors, placing entire pieces into his mouth rather than biting off smaller portions. He exhibited difficulty with biting skills, showed only minimal vertical munching patterns, and demonstrated emerging but limited tongue lateralization. He primarily swallowed food pieces whole, which frequently resulted in coughing episodes and watery eyes. When presented with non preferred foods, Kaizen became distressed, crying and refusing to interact with the items. He required the support of an iPhone displaying Ms. Rachel to remain engaged in the meal. Parents reported that these behaviors are consistent with feeding at home, noting that while he may show interest in exploring new foods with his hands and mouth, he often does not know how to consume them and typically limits himself to a single bite. SWALLOW/ORAL MOTOR EVALUATION: Notable findings included drooling and bolus holding, indicating reduced oral motor control. Kaizen demonstrated minimal vertical munching, emerging lateral tongue movements, and difficulty biting solids (meltables and soft mechanicals). During feeding with solids (meltables and soft mechanical), he primarily swallowed pieces whole, resulting in coughing and watery eyes. Overstuffing behaviors were observed. In contrast, during bottle feeding, the patient demonstrated an adequate rate of intake and safe swallowing without loss of fluids or other difficulties. Overall, oral motor function appeared reduced during solid food consumption, impacting his ability to efficiently and safely manage solids. Kaizen’s pharyngeal swallow function is also at risk and a modified barium swallow study may be warranted over the course of care. Kaizen has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Kaizen’s OROPHARYNGEAL DYSPHAGIA and CHRONIC PFD. Kaizen is at risk for compromised health and development due to a significantly limited food inventory, persistent picky eating behaviors, and decreased oral motor skills for safe chewing/swallowing. At his age, a child is typically expected to accept 8 or more foods across various food groups as well as consume 2 to 3 meals a day. Moreover, a child this age should be able to safely chew and swallow soft table foods and demonstrate emerging rotary chewing and full tongue lateralization. Therapy will target oropharyngeal development, oral awareness, pacing, and caregiver-guided safe feeding practices. Intervention will also focus on increasing food acceptance using systematic desensitization and the Steps to Eating hierarchy, along with oral motor exercises to support safe chewing and swallowing. Without therapy, Kaizen is at risk for nutritional deficiencies, restricted growth, and aspiration. Caregivers will implement the Home Management Program to reinforce strategies between sessions.

Feeding Rehabilitation Potential: Good. Prognosis is good with consistent feeding therapy and parental support. Kaizen 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
Feeding/Swallowing	In 12 months, Kaizen 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, Kaizen will participate in facial and oral stimulation/exploration exercises in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will participate in oral motor exercises targeting tongue lateralization and rotary chewing in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will chew and swallow meltables without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will chew and swallow soft cubes without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen 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 environment.
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.

58509

Plan Date: 02-24-2026

Feeding Assessment Summary: PATIENT HX: Kaizen is a 1 year 6 month old male who was referred by his pediatrician due to concerns regarding food aversion. Ms. Rosas expressed concern that a possible tongue tie may be impacting his ability to chew and manage solid foods. She further reported that Kaizen demonstrates texture aversion, as he previously required force feeding of purées and subsequently began rejecting solid foods. At present, Kaizen will consume some solids but tends to swallow them whole, which frequently results in coughing or choking episodes. He primarily receives nutrition via bottle feedings every four hours, taking 6–8 oz of Lactaid milk per feeding. His feeding history is notable for a milk sensitivity that required changes in formula and milk, with rashes and stomach problems occurring in response to prior exposures. A bedside feeding evaluation and skilled meal observation were conducted to reassess his feeding and swallowing skills. ORAL MECH: An informal oral mechanism assessment was attempted; however, Kaizen was resistant to direct examination and unable to follow structured instructions, resulting in a brief assessment. Despite these limitations, all oral structures were visually observed. Notable findings included the presence of both a tongue tie and a lip tie, as well as a high narrow palate consistent with a history of pacifier use (continued pacifier use is noted). Kaizen also demonstrated low facial muscle tone, observable drooling, and the presence of a phasic bite reflex. Oral motor function appeared reduced during the consumption of solids, impacting efficiency and safety of intake. Kaizen is not a mouth breather and does not present with snoring as reported by caregivers. It is recommended Kaizen receive formal evaluation of his tethered oral tissues by a pediatric dentist to determine the next course of action as they may be hindering his oral feeding skills and safety. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Kaizen continues to present with OROPHARYNGEAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Kaizen’s oropharyngeal dysphagia is characterized by poor bolus formation with decreased chewing skills, difficulty managing solids, and a tendency to overstuff the mouth, which frequently resulted in coughing, choking, and watery eyes during swallowing attempts. Kaizen’s PFD is characterized by impaired oral intake that is not age appropriate and appears to be influenced by several factors, including medical history (milk sensitivity), nutritional deficits (limited food inventory, main source of nutrition being bottle feedings), feeding skill impairments (sensory sensitivities to foods, decreased oral motor skills for chewing/swallowing), and psychosocial dysfunction (selective/restrictive eating and problematic mealtime behaviors). MEALTIME FEEDING OBSERVATION: Kaizen was observed seated in a high chair with full 90 90 90 postural support. It is important to note that this seating arrangement is used consistently at his father’s home, but not at his mother’s home. Kaizen typically only has opportunities with solids two times per day, but does not always consume solids during those times. During observation with preferred foods, Kaizen demonstrated overstuffing behaviors, placing entire pieces into his mouth rather than biting off smaller portions. He exhibited difficulty with biting skills, showed only minimal vertical munching patterns, and demonstrated emerging but limited tongue lateralization. He primarily swallowed food pieces whole, which frequently resulted in coughing episodes and watery eyes. When presented with non preferred foods, Kaizen became distressed, crying and refusing to interact with the items. He required the support of an iPhone displaying Ms. Rachel to remain engaged in the meal. Parents reported that these behaviors are consistent with feeding at home, noting that while he may show interest in exploring new foods with his hands and mouth, he often does not know how to consume them and typically limits himself to a single bite. SWALLOW/ORAL MOTOR EVALUATION: Notable findings included drooling and bolus holding, indicating reduced oral motor control. Kaizen demonstrated minimal vertical munching, emerging lateral tongue movements, and difficulty biting solids (meltables and soft mechanicals). During feeding with solids (meltables and soft mechanical), he primarily swallowed pieces whole, resulting in coughing and watery eyes. Overstuffing behaviors were observed. In contrast, during bottle feeding, the patient demonstrated an adequate rate of intake and safe swallowing without loss of fluids or other difficulties. Overall, oral motor function appeared reduced during solid food consumption, impacting his ability to efficiently and safely manage solids. Kaizen’s pharyngeal swallow function is also at risk and a modified barium swallow study may be warranted over the course of care. Kaizen has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Kaizen’s OROPHARYNGEAL DYSPHAGIA and CHRONIC PFD. Kaizen is at risk for compromised health and development due to a significantly limited food inventory, persistent picky eating behaviors, and decreased oral motor skills for safe chewing/swallowing. At his age, a child is typically expected to accept 8 or more foods across various food groups as well as consume 2 to 3 meals a day. Moreover, a child this age should be able to safely chew and swallow soft table foods and demonstrate emerging rotary chewing and full tongue lateralization. Therapy will target oropharyngeal development, oral awareness, pacing, and caregiver-guided safe feeding practices. Intervention will also focus on increasing food acceptance using systematic desensitization and the Steps to Eating hierarchy, along with oral motor exercises to support safe chewing and swallowing. Without therapy, Kaizen is at risk for nutritional deficiencies, restricted growth, and aspiration. Caregivers will implement the Home Management Program to reinforce strategies between sessions.

Feeding Progress to Date: 1. In 6 months, Kaizen will participate in facial and oral stimulation/exploration exercises in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing. BASELINE: 0% CURRENT: 10% 2. In 6 months, Kaizen will participate in oral motor exercises targeting tongue lateralization and rotary chewing in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing. BASELINE: 0% CURRENT: 10% 3. In 6 months, Kaizen will chew and swallow meltables without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing. BASELINE: 0% CURRENT: 10% 4. In 6 months, Kaizen will chew and swallow soft cubes without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing. BASELINE: 0% CURRENT: 10% 5. In 6 months, Kaizen 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 environment. BASELINE: 0% CURRENT: 10%

Feeding Long Term Goals:

Category	Goal Description
Feeding/Swallowing	In 12 months, Kaizen 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, Kaizen will participate in facial and oral stimulation/exploration exercises in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will participate in oral motor exercises targeting tongue lateralization and rotary chewing in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his facial/oral awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will chew and swallow meltables without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen will chew and swallow soft cubes without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his oral motor skills for safe feeding/swallowing.
Feeding/Swallowing	In 6 months, Kaizen 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 environment.
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 Therapy Soap Note/Visit:

Soap Note

491141

Note Date: 03-24-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Kaizen participated in facial and oral stimulation/exploration exercises in 2 out of 10 opportunities with MAX cues in order to improve his facial/oral awareness for feeding/swallowing. Kaizen participated in oral motor exercises targeting tongue lateralization and rotary chewing in 1 out of 10 opportunities with MAX cues in order to improve his facial/oral awareness for feeding/swallowing. Kaizen chewed and swallowed meltables without clinical s/s of aspiration/penetration in 2 out of 10 opportunities with MAX cuess in order to improve his oral motor skills for safe feeding/swallowing. Kaizen chewed and swallowed soft cubes without clinical s/s of aspiration/penetration in 2 out of 10 opportunities with MAX cues in order to improve his oral motor skills for safe feeding/swallowing. Kaizen touched non-preferred foods with his upper extremities (fingers, hands, arms) in 2 out of 10 opportunities with MAX cues in order to improve his tolerance and acceptance of non preferred foods in his immediate environment. 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.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4325	03-25-2026	Occupational Initial Evaluation	R62.0
Occupational Background History: Kaizen is a 1.7 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Father, was present in order to serve as the primary informant throughout the evaluation. Per father's report child was born at 36 weeks gestation via C-section. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and no seasonal allergies.
Occupational Medical History: Per parent report, medical history is not remarkable
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: Active, Cooperation: With some prompts, Behavior: Non-existent, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Usually, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Cooperative, Grasp, Motivated, UE Strength,
Occupational Communication Weaknesses: Balance, Body Awareness, Endurance, Eye-Hand Coordination, Manual Dexterity, Postural Stability/Trunk Support, Sensory Process/Mod, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Kaizen 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: Kaizen was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report PDMS-2 - Per standardized assessment scores Kaizen falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 14 months compared to his chronological age of 19 months, placing him at least (-2) standard deviations behind his peers. Kaizen 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 father, 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. Father 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

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
807120	92610: Feeding Evaluation	09-17-2025 02:15 PM	09-17-2025 03:00 PM	Jordan Orozco	NB2 far east side	Completed
820241	92526: Feeding Visit	10-16-2025 09:30 AM	10-16-2025 10:00 AM	Jordan Orozco	NB2 far east side	Completed
820242	92526: Feeding Visit	10-22-2025 01:15 PM	10-22-2025 01:45 PM	Jordan Orozco	NB2 far east side	Completed
820243	92526: Feeding Visit	10-29-2025 01:15 PM	10-29-2025 01:45 PM	Jordan Orozco	NB2 far east side	Completed
839166	92526: Feeding Visit	11-18-2025 11:00 AM	11-18-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
840372	92526: Feeding Visit	12-09-2025 11:00 AM	12-09-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
840376	92526: Feeding Visit	01-06-2026 11:00 AM	01-06-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
873937	92526: Feeding Visit	01-20-2026 09:30 AM	01-20-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873938	92526: Feeding Visit	01-27-2026 09:30 AM	01-27-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873939	92526: Feeding Visit	02-03-2026 09:30 AM	02-03-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873940	92526: Feeding Visit	02-10-2026 09:30 AM	02-10-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873942	S9152: Reevaluation	02-24-2026 09:30 AM	02-24-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873943	92526: Feeding Visit	03-03-2026 09:30 AM	03-03-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873944	92526: Feeding Visit	03-10-2026 10:30 AM	03-10-2026 11:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873945	92526: Feeding Visit	03-17-2026 09:30 AM	03-17-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
873946	92526: Feeding Visit	03-24-2026 09:30 AM	03-24-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Completed
913279	97167: OT Evaluation	03-25-2026 08:00 AM	03-25-2026 09:00 AM	Bertha Solis	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
820244	92526: Feeding Visit	11-05-2025 01:15 PM	11-05-2025 01:45 PM	Jordan Orozco	NB2 far east side	Canceled
820245	92526: Feeding Visit	11-12-2025 01:15 PM	11-12-2025 01:45 PM	Jordan Orozco	NB2 far east side	Canceled
840370	92526: Feeding Visit	11-25-2025 11:00 AM	11-25-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
840371	92526: Feeding Visit	12-02-2025 11:00 AM	12-02-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
840373	92526: Feeding Visit	12-16-2025 11:00 AM	12-16-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
840374	92526: Feeding Visit	12-23-2025 11:00 AM	12-23-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
840375	92526: Feeding Visit	12-30-2025 11:00 AM	12-30-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
840377	92526: Feeding Visit	01-13-2026 11:00 AM	01-13-2026 11:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
873941	92526: Feeding Visit	02-17-2026 09:30 AM	02-17-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
873947	92526: Feeding Visit	03-31-2026 09:30 AM	03-31-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912286	92526: Feeding Visit	04-07-2026 09:30 AM	04-07-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912287	92526: Feeding Visit	04-14-2026 09:30 AM	04-14-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912288	92526: Feeding Visit	04-21-2026 09:30 AM	04-21-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912289	92526: Feeding Visit	04-28-2026 09:30 AM	04-28-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912290	92526: Feeding Visit	05-05-2026 09:30 AM	05-05-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912291	92526: Feeding Visit	05-12-2026 09:30 AM	05-12-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912292	92526: Feeding Visit	05-19-2026 09:30 AM	05-19-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912293	92526: Feeding Visit	05-26-2026 09:30 AM	05-26-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912294	92526: Feeding Visit	06-02-2026 09:30 AM	06-02-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912295	92526: Feeding Visit	09-01-2026 09:30 AM	09-01-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912296	92526: Feeding Visit	09-08-2026 09:30 AM	09-08-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912297	92526: Feeding Visit	09-15-2026 09:30 AM	09-15-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912298	92526: Feeding Visit	09-22-2026 09:30 AM	09-22-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled
912299	92526: Feeding Visit	09-29-2026 09:30 AM	09-29-2026 10:00 AM	Andrea Rodriguez	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-17-2026	92526	Rodriguez, Andrea	Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
01-13-2026	92526	Rodriguez, Andrea
12-30-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-23-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-16-2025	92526	Rodriguez, Andrea
12-02-2025	92526	Rodriguez, Andrea
11-25-2025	92526	Rodriguez, Andrea
11-12-2025	92526	Orozco, Jordan
11-05-2025	92526	Orozco, Jordan	Patient fell asleep.

Paient Messages Admin:

Date	Posted By	Message
08-26-2025 01:44 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2103
08-26-2025 02:15 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=2103
08-26-2025 02:15 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=2103
08-27-2025 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=2103
08-28-2025 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=2103
08-29-2025 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=2103
08-30-2025 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=2103
08-31-2025 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=2103
09-01-2025 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=2103
09-02-2025 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=2103
09-03-2025 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=2103
09-04-2025 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=2103
09-05-2025 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=2103
09-06-2025 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=2103
09-07-2025 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=2103
09-07-2025 02:12 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=2103
09-08-2025 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=9673
09-08-2025 11:38 AM	Celeste Collette	Dear Valued Parent, This is a general broadcast to all parents, do not text this number to reply. As always, we at New Beginnings strive to keep our patients, parents, therapists, and staff safe and healthy. We have thermometers in our front lobbies and will be checking for high temperatures as we begin the traditional time of year for an increase in flu, colds, and COVID. Any child or parent with a temperature of 100 degrees and above will be asked to reschedule for another day & time. If you or your child or someone in your home has COVID, we continue to ask that you stay home and quarantine to stop the spread. The CDC urges people sick with symptoms of respiratory viruses to stay home until their fever has disappeared for at least 24 hours without relying on fever-lowering medications. Please do not come to therapy if you or your child are experiencing the following symptoms: fever, body aches, chills, vomiting, diarrhea, headache. Your treating therapist would be happy to reschedule your visit for you. Please feel free to call our offices if you have any questions. Far East (Rich Beem) (915) 303-5177 OR East (Zaragoza) (915) 855-0601. Thank you in advance for your help keeping others safe and healthy! Team New Beginnings Pediatric Therapy Services
09-09-2025 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=9673
09-10-2025 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=9673
09-11-2025 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=9673
09-12-2025 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=9673
09-13-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
09-14-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
09-15-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
10-03-2025 02:27 PM	Patsy Guajardo	Butler, Kaizen has been assigned a therapist.
11-13-2025 10:48 AM	Patsy Guajardo	Hi, Kaizen as been assigned a therapist for Feeding therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9673&tid=127
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
11-25-2025 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.
12-23-2025 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
01-20-2026 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! 💙
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! 💙
02-16-2026 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=9673
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/
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=9673
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/
03-18-2026 12:04 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Speech Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9673
03-18-2026 12:04 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Occupational Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/otevaluation.aspx?pid=9673
03-18-2026 12:04 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Physical Therapy Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/ptevaluation.aspx?pid=9673
03-19-2026 08:35 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=9673
03-19-2026 08:35 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=9673
03-19-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-20-2026 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=9673
03-20-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-21-2026 08:35 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=9673
03-21-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-22-2026 08:35 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=9673
03-22-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-23-2026 08:35 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=9673
03-23-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-24-2026 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=9673
03-24-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-25-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-26-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673
03-26-2026 01:39 PM	Julie Mora	Hello, this is the front office at New Beginnings (Zaragoza location). Our physical therapist will be reaching out to schedule Kaizen's initial evaluation. If you have any questions, please call us at 915-855-0601. Thank you!
03-26-2026 02:25 PM	Asbel Guajardo	aguajardo@newbeginnings-elp.com
03-27-2026 08:35 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9673

Paient Messages Therapist:

Date	Posted By	Message
09-15-2025 03:32 PM	Jordan Orozco	Hi! This is Jordan from New Beginnings. I can schedule Kaizen’s feeding eval on Wednesday at 2:15 after Kyro’s feeding therapy, would this work? :)
09-15-2025 04:10 PM	Kaizen Butler	Kaizen (Prim) Replied: yes
09-15-2025 04:10 PM	Kaizen Butler	Kaizen (Prim) Replied: thank you
09-15-2025 07:00 PM	Jordan Orozco	Great he is scheduled. Please bring 3 preferred and 3 non preferred foods as well as a drink in a cup/bottle he usually drinks from. I do have some paperwork for you to complete but I can give it to you to fill out while in session with Kyro.
09-16-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Evaluation appointment scheduled tomorrow at 02:15 PM. See you soon! - New Beginnings 🙂
09-17-2025 07:55 AM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Evaluation appointment scheduled today at 02:15 PM. See you soon! - New Beginnings 🙂
09-17-2025 02:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=807120
09-17-2025 02:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=807120
10-07-2025 08:25 AM	Jordan Orozco	Good morning! I got clearance to begin feeding therapy with Kaizen, but I will not be able to begin until next week. I do not have morning availability at the moment, would you like me to try and find two back to back slots where I can see him and his brother back to back?
10-07-2025 08:43 AM	Kaizen Butler	Kaizen (Prim) Replied: Yes pls
10-08-2025 09:14 AM	Jordan Orozco	Good morning! Sorry for my delayed response. For next week, I wasn’t able to move my Wednesday patient, so I’ll need to see the boys on different days. Kyro can keep his usual Wednesday appointment, and I can see Kaizen on Thursday, October 16th at 9:30 AM would that work for you? Starting the following week of October 20th, I can permanently schedule the boys back to back on Wednesdays with Kaizen at 1:15 PM and Kyro at 1:45 PM. Would this work? Also if morning slots open up I will be sure to offer that to you all first thing.
10-12-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 10-16-2025 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-15-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
10-16-2025 07:48 AM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
10-16-2025 09:15 AM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820241
10-16-2025 09:15 AM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820241
10-19-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 10-22-2025 at 1:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-20-2025 11:49 AM	Jordan Orozco	Good morning Ms Rosas! Our front office sent you a form last week for confidentiality in the case that Kaizen’s grandmother brings him to therapy. Will you sign off on it and add her name whenever you have a moment? :)
10-20-2025 11:57 AM	Kaizen Butler	Kaizen (Prim) Replied: Hi yes I believe I filled it out, if not you can resend it :)
10-20-2025 01:08 PM	Jordan Orozco	Awesome, it is filled out! Thank you!
10-21-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 01:15 PM. See you soon! - New Beginnings 🙂
10-22-2025 07:51 AM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 01:15 PM. See you soon! - New Beginnings 🙂
10-22-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820242
10-22-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820242
10-22-2025 03:54 PM	Jordan Orozco	Hi! Kaizen did a great job in therapy today. He stayed in the high chair for about 15 minutes (10 minutes longer than last time), and I used bubbles to support his regulation and prevent crying. He explored puree with his hands and practiced picking up small pieces of his Gerber meltable crackers, which were broken into smaller pieces to help prevent overstuffing. I recommend continuing to practice high chair time at home without TV or iPad distractions, encouraging food exploration, and breaking meltables into small, soft pieces to place on the sides of his mouth to promote chewing. Continue pacing him by offering only a few small pieces at a time. Overall, Kaizen had a positive session, and we’ll keep taking small steps toward improving his comfort with the high chair and feeding therapy.
10-22-2025 03:57 PM	Jordan Orozco	I am also working on facial and oral stimulation and desensitization with a oral motor tool. I recommend purchasing a buzz buddy if you are able to. They sell them on amazon and this can be a really beneficial tool for us to use on Kaizen’s feeding development journey. :)
10-22-2025 04:03 PM	Kaizen Butler	Kaizen (Prim) Replied: Okay that's good to hear, thank you so much!
10-26-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 10-29-2025 at 1:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-28-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 01:15 PM. See you soon! - New Beginnings 🙂
10-28-2025 06:37 PM	Kaizen Butler	Kaizen (Sec) Replied: Okay see you there
10-29-2025 07:50 AM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 01:15 PM. See you soon! - New Beginnings 🙂
10-29-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820243
10-29-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820243
10-31-2025 12:04 PM	Jordan Orozco	Hi Ms Rosas - Kaizen had a good feeding session! He lasted in the feeding high chair for 20 minutes and he did not cry until the vey end. He also self fed himself his meltables - by taking small bites and munching on them before swallowing them. He also held onto a small spoon and licked some puree off of the spoon. I recommend to continue to seat him in the high chair for meals, no screen time or distractions, allowing him to play with his food, and offering small soft bites and not larger or hard foods. I told his dad to bring soft cubed consistency for our next visit so we can start working on chewing and swallowing that consistency of food since he is starting to consistently chew and swallow meltables now. :)
10-31-2025 12:06 PM	Kaizen Butler	Kaizen (Prim) Replied: Liked “Hi Ms Rosas and Mr Butler, Kyro had a good session yesterday. He ate several pieces of strawberries and tried to eat a grape but I think it was too soft. I noticed when i cut the strawberries into smaller cubed pieces he was able to chew and swallow them rather than the big pieces that would fall out of his mouth or he would spit out. We only played with corn with out hands and he refused his corn dog and fries. His grandmother and I agree to maybe air fry the corn dog and fries so that they don’t get soft and he is more likely to want to eat them. :)”
10-31-2025 12:06 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.
10-31-2025 12:07 PM	Kaizen Butler	Kaizen (Prim) Replied: Loved “Hi Ms Rosas - Kaizen had a good feeding session! He lasted in the feeding high chair for 20 minutes and he did not cry until the vey end. He also self fed himself his meltables - by taking small bites and munching on them before swallowing them. He also held onto a small spoon and licked some puree off of the spoon. I recommend to continue to seat him in the high chair for meals, no screen time or distractions, allowing him to play with his food, and offering small soft bites and not larger or hard foods. I told his dad to bring soft cubed consistency for our next visit so we can start working on chewing and swallowing that consistency of food since he is starting to consistently chew and swallow meltables now. :)”
10-31-2025 12:07 PM	Jordan Orozco	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-31-2025 12:08 PM	Kaizen Butler	Kaizen (Prim) Replied: Okay sounds good thank you so much!
10-31-2025 12:08 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.
10-31-2025 12:08 PM	Kaizen Butler	Kaizen (Prim) Replied: Liked “Hi Ms Rosas - Kaizen had a good feeding session! He lasted in the feeding high chair for 20 minutes and he did not cry until the vey end. He also self fed himself his meltables - by taking small bites and munching on them before swallowing them. He also held onto a small spoon and licked some puree off of the spoon. I recommend to continue to seat him in the high chair for meals, no screen time or distractions, allowing him to play with his food, and offering small soft bites and not larger or hard foods. I told his dad to bring soft cubed consistency for our next visit so we can start working on chewing and swallowing that consistency of food since he is starting to consistently chew and swallow meltables now. :)”
10-31-2025 12:08 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.
11-02-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 11-05-2025 at 1:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-04-2025 06:30 PM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 01:15 PM. See you soon! - New Beginnings 🙂
11-05-2025 07:46 AM	Jordan Orozco	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 01:15 PM. See you soon! - New Beginnings 🙂
11-05-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820244
11-05-2025 01:00 PM	Jordan Orozco	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820244
11-05-2025 01:17 PM	Jordan Orozco	Jordan Orozco CANCELLED: 1:15PM-11/5/2025 92526: Feeding Visit
11-09-2025 04:00 PM	Jordan Orozco	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 11-12-2025 at 1:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-10-2025 02:48 PM	Andrea Rodriguez Stokes	Good afternoon, this is Andrea from New Beginnings. I will be Kaizen’s feeding therapist starting next week. I will be seeing Kaizen and Kyro back-to-back. Would you be available on Tuesdays at 11:00 am? :)
11-11-2025 09:52 AM	Jordan Orozco	Good morning, unfortunately I need to cancel Kyro and Kaizen’s feeding sessions tomorrow due to a family emergency. :( I saw Ms Andrea has already contacted you all regarding scheduling for next week - she will also complete Kyro’s feeding re evaluation. It has truly been a pleasure working with Kyro and Kaizen - they have both made such wonderful progress, and I know they will continue to thrive in great hands!
11-11-2025 10:01 AM	Jordan Orozco	Jordan Orozco CANCELLED: 1:15PM-11/12/2025 92526: Feeding Visit
11-11-2025 03:35 PM	Kaizen Butler	Kaizen (Prim) Replied: thank you so much!
11-16-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 11-18-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-18-2025 07:57 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
11-18-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839166
11-18-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=839166
11-18-2025 01:22 PM	Andrea Rodriguez Stokes	The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of the plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I do not want to eat the ham, but I can put it on my learning plate'. The 'learning plate' should be an empty plate/bowl placed in front of the dinner plate or place mat. The purpose of this plate is that if Kaizen expresses that he does not want a non-preferred item on his plate, you can tell him to put it on his 'learning plate'. By doing this, he will still be interacting with non-preferred items, as he will have them directly in front of him. Our goal is for him to start tolerating food around him without any pressure, eventually leading to him interacting with it at the level of the fingers and oral cavity. This will decrease any frustration during meal times and will prevent him from putting the food in the trash or away. Make sure plates, napkins, cups, and placemats are all plain and white (again, the focus should be the food). These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors.
11-18-2025 01:22 PM	Andrea Rodriguez Stokes	You can begin family meals with the following. Try to have meals at a scheduled time, so that he knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing him to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation. 3. Sit at the table - Start with an empty tray/plate to decrease frustration before meals. - Check his seat so he is positioned 90 degrees at the hips, knees, and ankles. We want to make sure his feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously.
11-18-2025 01:23 PM	Andrea Rodriguez Stokes	4. Family-style serving - Place all food items in the center of the table. - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of his tray, where he can place the food items he does not want) - Make sure there are at least 2 preferred items so he can have something to eat. 5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models. have pleasant conversation, and to let him do what he can by himself. - We want to avoid giving him negative feedback during mealtimes. Praise if any good attempts are made. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help him engage with food.
11-18-2025 01:23 PM	Andrea Rodriguez Stokes	7. After 20 minutes, if he is still not eating, you can introduce him to a preferred item (iPad, preferred toy, TV) - This will allow you and Kazien to be weaned off the TV with time rather than just removing the item at once. 8. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If he has been eating all along and is done eating sooner, do clean up sooner - If he really cannot sit any longer, you may need to do clean up earlier.
11-18-2025 01:23 PM	Andrea Rodriguez Stokes	You can do this both with Kaizen and Kyro. Thank you and I will see you next week :)
11-19-2025 04:21 PM	Kaizen Butler	Kaizen (Prim) Replied: Thank you!
11-23-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 11-25-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-24-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
11-25-2025 07:52 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
11-25-2025 09:30 AM	Kaizen Butler	Kaizen (Sec) Replied: Hey can we cancel today I have a lot to prep and do for thanksgiving and we just not ready today
11-25-2025 09:31 AM	Andrea Rodriguez Stokes	Good morning! Yes, of course! I will go ahead and cancel Kaizen's and Kyro's session. I will see you next week. Have a happy Thanksgiving :)
11-25-2025 09:31 AM	Kaizen Butler	Kaizen (Sec) Replied: I'm sorry for the last minute cancel but we can keep the schedule the same
11-25-2025 09:31 AM	Kaizen Butler	Kaizen (Sec) Replied: Happy thanksgiving
11-25-2025 09:31 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 11:00AM-11/25/2025 92526: Feeding Visit
11-30-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 12-02-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-01-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 07:54 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 10:35 AM	Kaizen Butler	Kaizen (Prim) Replied: Goodmorning Andrea this is kyro and kaizens mother, their dad won't be able to make they're appointment today, I was wondering if we can change their time and date to Friday after 1 i work every other day so I can forsure that them on that day
12-02-2025 10:35 AM	Kaizen Butler	Kaizen (Prim) Replied: so sorry for the inconvenience
12-02-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840371
12-02-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840371
12-02-2025 10:54 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 11:00AM-12/2/2025 92526: Feeding Visit
12-02-2025 11:02 AM	Andrea Rodriguez Stokes	Good morning! Unfortunately, at this time, I do not have any other openings. I can let you know if I have a cancellation to see if it works with your schedule for this week's visit. If that is not the case, I will see you next week :)
12-02-2025 12:44 PM	Kaizen Butler	Kaizen (Prim) Replied: okay thank you
12-07-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 12-09-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-08-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 07:50 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840372
12-09-2025 10:45 AM	Andrea Rodriguez Stokes	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840372
12-14-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 12-16-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 07:47 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 07:48 AM	Kaizen Butler	Kaizen (Prim) Replied: Hi goodmorning our kiddos tested positive for flu last night so we won't make it in this week! Thanks for everything and happy holidays we will see you next year!
12-16-2025 08:10 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 11:00AM-12/16/2025 92526: Feeding Visit
12-16-2025 08:13 AM	Andrea Rodriguez Stokes	I hope they feel better soon! Happy holidays! See you on the 6th :)
12-17-2025 02:14 PM	Kaizen Butler	Kaizen (Sec) Replied: Did mom change the day and time of the appointments?
12-17-2025 02:14 PM	Kaizen Butler	Kaizen (Sec) Replied: Did mom change the day and time of the appointments?
12-17-2025 02:17 PM	Andrea Rodriguez Stokes	Hello! No, they are still scheduled on Tuesdays at 11:00 and 11:30 am :)
12-17-2025 02:19 PM	Kaizen Butler	Kaizen (Sec) Replied: Okay sorry this flu came out of nowhere
12-17-2025 02:20 PM	Andrea Rodriguez Stokes	No worries at all! Their health comes first. I hope you all feel better for the holidays! I will see you on the 6th :)
12-17-2025 02:21 PM	Kaizen Butler	Kaizen (Sec) Replied: Okay see you then happy holidays
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 01-06-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-05-2026 09:23 AM	Kaizen Butler	Kaizen (Prim) Replied: YES, question should we pack lunches or breakfast items
01-05-2026 10:20 AM	Andrea Rodriguez	Hi! You can pack either, but please include shredded cheese or cheese cubes, 1 non-preferred protein, 1 non-preferred fruit, 1 non-preferred vegetable, and 1 preferred item. Thank you!
01-05-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 07:46 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 10:45 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840376
01-06-2026 10:45 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840376
01-11-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 01-13-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-12-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 07:46 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 08:20 AM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 11:00AM-1/13/2026 92526: Feeding Visit
01-18-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 01-20-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-19-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
01-20-2026 08:05 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
01-20-2026 08:51 AM	Andrea Rodriguez	Good morning! I am running a little late on my sessions. May I see Kaizen at 9:40 am? Thank you :)
01-20-2026 09:06 AM	Andrea Rodriguez	Good morning! I am running a little late on my sessions. May I see Kaizen at 9:40 am? Thank you :)
01-20-2026 09:10 AM	Kaizen Butler	Kaizen (Sec) Replied: Yes
01-20-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873937
01-20-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873937
01-25-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 01-27-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-26-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
01-27-2026 07:59 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
01-27-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873938
01-27-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873938
01-27-2026 10:28 AM	Andrea Rodriguez	Next week, we can keep the same food items for Kaizen. For Kyro, please pack scrambled eggs, sausages, apples, preferred yogurt, and cheese cubes.
01-27-2026 10:28 AM	Andrea Rodriguez	Good morning, Mom! Kaizen and Kyro did very well today! With Kaizen, we are still working on regulation and transitions. We worked on the floor today. He licked a cookie, sausage, and corn. He is very receptive to modeling. With Kyro, we targeted touching non-preferred with his hands, lips, and tongue. He ate all of his pancakes and tried the maple syrup and the apples. Have a good day! :)
01-27-2026 10:29 AM	Kaizen Butler	Kaizen (Prim) Replied: That's good to hear thank you so much!
02-01-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 02-03-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-02-2026 10:30 AM	Andrea Rodriguez	Rodriguez, Andrea: Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
02-02-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-03-2026 07:58 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-03-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873939
02-03-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873939
02-03-2026 10:24 AM	Andrea Rodriguez	Hi Mom! Today, Kaizen tolerated the high-chair all session. We did several sensory toys. Today he chewed and swallowed scrambled egg, cheese, and a cookie. Kyro did very well, too! We worked on both the floor and the high chair. He ate one slice of apple, licked the sausages, and the cheese. Thank you and have a good day :)
02-08-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 02-10-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-09-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-10-2026 07:57 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-10-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873940
02-10-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873940
02-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Speech Therapy appointment on 02-24-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 05:24 PM	Kaizen Butler	Kaizen (Prim) Replied: Yes
02-23-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
02-24-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Speech/Feeding Reevaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
02-24-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873942
02-24-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873942
03-01-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 03-03-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-02-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-03-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873943
03-03-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873943
03-08-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 03-10-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:46 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
03-10-2026 10:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873944
03-10-2026 10:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873944
03-15-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 03-17-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:45 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-17-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873945
03-17-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873945
03-17-2026 10:20 AM	Andrea Rodriguez	Hi Mom! Kaizen tolerated being in the high chair the whole session. Today he took small bites of the pancake, apple, and cookie. He was engaged throughout the session, and we also worked on the z-vibe in his oral cavity to desensitize. Next week, we can replace the yogurt with avocado cubes. Kyro needed a little redirection today to be engaged with the food. He touched everything with his lips and tongue. Next week, we can replace the pancakes and bacon with bread and shredded chicken. Thank you!
03-19-2026 09:54 AM	Annette Barron	Good morning. My name is Annette from New Beginnings, and I will be completing Kaizen's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Kaizen be available to come in on Thursday, March 26th, at 12 PM? We are located at 3551 Rich Beem Blvd, Suite B, 79938. Please let me know if you would like to confirm the appointment. Thank you.
03-19-2026 10:12 AM	Kaizen Butler	Kaizen (Sec) Replied: Yes that's good
03-19-2026 10:14 AM	Annette Barron	Great. Kaizen is scheduled for a speech evaluation on Thursday, March 26th, at 12 PM at our Far East location (3551 Rich Beem Blvd, suite B). What are your concerns? Is Kaizen not using enough words, and/or difficult to understand?
03-19-2026 11:41 AM	Kaizen Butler	Kaizen (Prim) Replied: yes, he isn't using any words, he babbles and tries his best to mimick what we say, he also says mama and dada but I don't believe he understands the meaning he'll just blurt it out and repeat it, so he makes lots of noises just not complete words really
03-19-2026 12:14 PM	Annette Barron	OK, thank you for that information. I am going to send you a medical history questionnaire. It will consist of 9 questions for you to complete before the evaluation. If you do not receive the next message with all 9 questions, let me know and I will resend it in smaller messages.
03-19-2026 12:15 PM	Annette Barron	Speech History Questionnaire for Kaizen B: 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.
03-19-2026 01:21 PM	Kaizen Butler	Kaizen (Prim) Replied: 1) Kaizen Azaire Butler 08/01/2024 2) born at 36 weeks via c-section 3) seasonal allergies 4) crawled at 10 mo, sat-up, 9 mo, stood up 15mo, walked 19 mo (currently) fed self (currently, not potty trained, 1st word( currently) 5)mouth breather when sleeping, snores, not on a set sleep schedule 6)attends feeding therapy . 7)English 8) no 9)I would like him to speak fluent sentences, understand words and their meanings, and use his vocabulary for wants and needs.
03-19-2026 01:59 PM	Annette Barron	One more question. Did Kaizen pass his newborn hearing screening?
03-19-2026 02:01 PM	Kaizen Butler	Kaizen (Prim) Replied: Yes
03-19-2026 02:07 PM	Annette Barron	Thank you for all the information. I look forward to meeting you all next week.
03-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Butler, Kaizen has a Feeding Therapy appointment on 03-24-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:47 AM	Andrea Rodriguez	Hi, this is a just a reminder that Kaizen has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-24-2026 08:35 AM	Bertha Solis	Good morning, this is Bertha Solis OTD, OTR/L, pediatric occupational therapist at New Beginnings, I received a referral for Kaizen for OT evaluation; I have an 8:00 am appointment available tomorrow March 25th? Would this time and day work for you?
03-24-2026 08:41 AM	Kaizen Butler	Kaizen (Prim) Replied: Do you by any chance have anything later in the day?
03-24-2026 08:44 AM	Bertha Solis	I have a 1pm? (:
03-24-2026 09:06 AM	Kaizen Butler	Kaizen (Sec) Replied: Yes 1 pm is fine
03-24-2026 09:13 AM	Kaizen Butler	Kaizen (Sec) Replied: Actually can we do 8am that'll be better
03-24-2026 09:14 AM	Kaizen Butler	Kaizen (Prim) Replied: We can do the 8am actually thank you!
03-24-2026 09:14 AM	Kaizen Butler	Kaizen (Prim) Replied: is this at the rich beem location?
03-24-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873946
03-24-2026 09:15 AM	Andrea Rodriguez	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873946
03-24-2026 09:57 AM	Bertha Solis	Yes! I will see you all tomorrow at 8 am (:
03-24-2026 10:00 AM	Kaizen Butler	Kaizen (Sec) Replied: Okay
03-24-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Kaizen has a Occupational Evaluation appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:45 AM	Bertha Solis	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913279
03-25-2026 07:45 AM	Bertha Solis	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913279
03-25-2026 08:00 AM	Kaizen Butler	Kaizen (Sec) Replied: Running just a little behind almost there
03-25-2026 08:02 AM	Bertha Solis	Hi, this is a just a reminder that Kaizen has a Occupational Evaluation appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 08:03 AM	Kaizen Butler	Kaizen (Sec) Replied: Thanks for the reminder I'm almost there passing pebble hills
03-25-2026 08:03 AM	Bertha Solis	No worries, let me know when you are here (:
03-25-2026 08:03 AM	Bertha Solis	sorry the reminders are automated- take your time, no worries
03-25-2026 08:13 AM	Kaizen Butler	Kaizen (Sec) Replied: Here
03-25-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Kaizen has a Speech Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 06:31 PM	Kaizen Butler	Kaizen (Sec) Replied: Ok
03-26-2026 07:56 AM	Annette Barron	Hi, this is a just a reminder that Kaizen has a Speech Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
03-26-2026 11:45 AM	Annette Barron	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910216
03-26-2026 11:45 AM	Annette Barron	Kaizen Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910216
03-26-2026 11:54 AM	Kaizen Butler	Kaizen (Sec) Replied: Here