New Beginnings | NB1-Office

Patient Name: Alexander

Patient Information:

Patient ID: 9697

Patient First Name: Alexander

Patient Date of Birth: 09-22-2022

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Michelle, Calderon

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Holguin, Valeria

FD - Feeding Therapy:

OT - Occupational Therapy: Marsland, Kaitlin

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23481	Active	02-27-2026	08-26-2026	Tricare Prime Retired	0	0	113	0
22904	Active	12-31-2025	06-09-2026	Tricare Prime Retired	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25394	09-10-2025	Speech Initial Evaluation	F80.2
Speech Background History: Alexander is a 2 year 11 month old male who was referred for a speech and language evaluation by his pediatrician after his mother voiced concerns regarding language development. Alexander was accompanied to the evaluation by his mother. Mother reported that Alexander was born at full-term without pregnancy or delivery complications. According to mother, Alexander “names a lot,” but has difficulty expressing himself. Alexander was previously receiving speech therapy services from another local facility, but mother chose to discharge Alexander after 1 month of service due to “disapproving therapy practices.” Based on clinical observations, Alexander’s current communication was characterized as 1-2 word utterances and scripted phrases, to name/label familiar object, using jargon as he played with assessment items, and was observed to pull/grab/reach for objects or lead the clinician’s hand to communicate his wants/needs. Alexander did not utilize appropriate joint attention eye-contact, and/or walked away when he was not interested in an object or task. A typically developing child that is Alexander’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Alexander’s receptive and expressive language skills. Based on Alexander’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable. Parent stated Alexander suffers from alopecia and takes medication to treat the alopecia 5 times out of the week. According to parent, Alexander frequently tugs his ears or plugs his fingers in his ears, and parent is currently seeking a specialist to rule out hearing difficulties.
Speech Medications: Medication to treat alopecia 5 times a week.
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Auditory and visually alert and attentive, Understands nuances of language,
Speech Communication Weaknesses: Difficult to understand, Poor use of eye contact, Self stimulation behaviors, Unable to answer questions, Unable to follow commands, Unable to participate in a conversation, Unable to take turns,
Speech Background Summary: The evaluation took place at the therapy room table and on the floor. Alexander required numerous redirection cues to engage with the assessment, and/or redirection from his mother. Alexander displayed self-stimulating behaviors such as, running from wall to wall touching or rubbing his hands on the texture, and plugging his fingers in his ears when excited. Overall, Alexander’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Alexander is a 2 year 11 month old male who was referred for a speech and language evaluation by his pediatrician after his mother voiced concerns regarding language development. Alexander was accompanied to the evaluation by his mother. Mother reported that Alexander was born at full-term without pregnancy or delivery complications. According to mother, Alexander “names a lot,” but has difficulty expressing himself, often utilizing a leading behavior to express his communication needs. Alexander was previously receiving speech therapy services from another local facility, but mother chose to discharge Alexander after 1 month of service due to “disapproving therapy practices.” Based on clinical observations, Alexander’s current communication was characterized as 1-2 word utterances and scripted phrases, to name/label familiar object, using jargon as he played with assessment items, and was observed to pull/grab/reach for objects or lead the clinician’s hand to communicate his wants/needs. Alexander did not utilize appropriate joint attention eye-contact, and/or walked away when he was not interested in an object or task. A typically developing child that is Alexander’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and NUMEROUS PROMPTS to cooperate. A formal oral mechanism exam could not be completed due to Alexander’s resistance and difficulty following instruction. It is recommended that Alexander’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Alexander’s receptive and expressive language skills. Alexander required numerous redirection cues to engage with the assessment from his mother and the clinician. Alexander displayed self-stimulating behaviors such as, running from wall to wall touching or rubbing his hands on the texture, and plugging his fingers in his ears when excited. Alexander received the following standard scores on the PLS-5: Auditory Comprehension 57 (percentile: 1, age-equivalent: 1 year 3 months), Expressive Communication 68 (percentile: 2, age-equivalent: 1 year 3 months), and Total Language Score 60 (percentile: 1, age-equivalent: 1 year 3 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Alexander presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his receptive Language score (PROFOUND) is more severe than his expressive language (SEVERE) score. Alexander would greatly benefit from speech therapy services that address the following functionally appropriate concepts: following commands with cues, turn-taking, naming objects, using words more often than gestures to communicate, and using words/word combinations for a variety of pragmatic functions. Alexander’s strengths and weaknesses in receptive and expressive language areas include STRENGTHS: identifies and names photographs of familiar objects, emerging demonstration of self-directed play, emerging use of following commands with gestural cues. WEAKNESSES: would not identify basic body parts, did not follow familiar directions or commands with gestural cues, did not initiate turn-taking game or social routine, did not demonstrate joint attention, used gestures about as often as words. Speech therapy is highly recommended at this time as Alexander’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Alexander’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Alexander’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Alexander’s language background, language input/output, and observed preference, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Diagnosis/Impressions: Alexander is a 2 year 11 month old male who was referred for a speech and language evaluation by his pediatrician after his mother voiced concerns regarding language development. Alexander was accompanied to the evaluation by his mother. Mother reported that Alexander was born at full-term without pregnancy or delivery complications. According to mother, Alexander “names a lot,” but has difficulty expressing himself, often utilizing a leading behavior to express his communication needs. Alexander was previously receiving speech therapy services from another local facility, but mother chose to discharge Alexander after 1 month of service due to “disapproving therapy practices.” Based on clinical observations, Alexander’s current communication was characterized as 1-2 word utterances and scripted phrases, to name/label familiar object, using jargon as he played with assessment items, and was observed to pull/grab/reach for objects or lead the clinician’s hand to communicate his wants/needs. Alexander did not utilize appropriate joint attention eye-contact, and/or walked away when he was not interested in an object or task. A typically developing child that is Alexander’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and NUMEROUS PROMPTS to cooperate. A formal oral mechanism exam could not be completed due to Alexander’s resistance and difficulty following instruction. It is recommended that Alexander’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Alexander’s receptive and expressive language skills. Alexander required numerous redirection cues to engage with the assessment from his mother and the clinician. Alexander displayed self-stimulating behaviors such as, running from wall to wall touching or rubbing his hands on the texture, and plugging his fingers in his ears when excited. Alexander received the following standard scores on the PLS-5: Auditory Comprehension 57 (percentile: 1, age-equivalent: 1 year 3 months), Expressive Communication 68 (percentile: 2, age-equivalent: 1 year 3 months), and Total Language Score 60 (percentile: 1, age-equivalent: 1 year 3 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Alexander presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his receptive Language score (PROFOUND) is more severe than his expressive language (SEVERE) score. Alexander would greatly benefit from speech therapy services that address the following functionally appropriate concepts: following commands with cues, turn-taking, naming objects, using words more often than gestures to communicate, and using words/word combinations for a variety of pragmatic functions. Alexander’s strengths and weaknesses in receptive and expressive language areas include STRENGTHS: identifies and names photographs of familiar objects, emerging demonstration of self-directed play, emerging use of following commands with gestural cues. WEAKNESSES: would not identify basic body parts, did not follow familiar directions or commands with gestural cues, did not initiate turn-taking game or social routine, did not demonstrate joint attention, used gestures about as often as words. Speech therapy is highly recommended at this time as Alexander’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Alexander’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Alexander’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Alexander’s language background, language input/output, and observed preference, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56401

Plan Date: 09-10-2025

Speech Assessment Summary: Alexander is a 2 year 11 month old male who was referred for a speech and language evaluation by his pediatrician after his mother voiced concerns regarding language development. Alexander was accompanied to the evaluation by his mother. Mother reported that Alexander was born at full-term without pregnancy or delivery complications. According to mother, Alexander “names a lot,” but has difficulty expressing himself, often utilizing a leading behavior to express his communication needs. Alexander was previously receiving speech therapy services from another local facility, but mother chose to discharge Alexander after 1 month of service due to “disapproving therapy practices.” Based on clinical observations, Alexander’s current communication was characterized as 1-2 word utterances and scripted phrases, to name/label familiar object, using jargon as he played with assessment items, and was observed to pull/grab/reach for objects or lead the clinician’s hand to communicate his wants/needs. Alexander did not utilize appropriate joint attention eye-contact, and/or walked away when he was not interested in an object or task. A typically developing child that is Alexander’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and NUMEROUS PROMPTS to cooperate. A formal oral mechanism exam could not be completed due to Alexander’s resistance and difficulty following instruction. It is recommended that Alexander’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Alexander’s receptive and expressive language skills. Alexander required numerous redirection cues to engage with the assessment from his mother and the clinician. Alexander displayed self-stimulating behaviors such as, running from wall to wall touching or rubbing his hands on the texture, and plugging his fingers in his ears when excited. Alexander received the following standard scores on the PLS-5: Auditory Comprehension 57 (percentile: 1, age-equivalent: 1 year 3 months), Expressive Communication 68 (percentile: 2, age-equivalent: 1 year 3 months), and Total Language Score 60 (percentile: 1, age-equivalent: 1 year 3 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Alexander presented with a SEVERE TO PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his receptive Language score (PROFOUND) is more severe than his expressive language (SEVERE) score. Alexander would greatly benefit from speech therapy services that address the following functionally appropriate concepts: following commands with cues, turn-taking, naming objects, using words more often than gestures to communicate, and using words/word combinations for a variety of pragmatic functions. Alexander’s strengths and weaknesses in receptive and expressive language areas include STRENGTHS: identifies and names photographs of familiar objects, emerging demonstration of self-directed play, emerging use of following commands with gestural cues. WEAKNESSES: would not identify basic body parts, did not follow familiar directions or commands with gestural cues, did not initiate turn-taking game or social routine, did not demonstrate joint attention, used gestures about as often as words. Speech therapy is highly recommended at this time as Alexander’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Alexander’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Alexander’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Alexander’s language background, language input/output, and observed preference, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.

Speech Rehabilitation Potential: Good. Prognosis for improvement in the area of Alexander’s impairments is good with consistent speech therapy. Alexander will be discharged when he achieves a standard score above - 1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the mild-to-average range and he will have met all long-term therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 12 months, Alexander will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to effectively communicate pain (i.e. tell his mom if stomach hurts) and safety issues (i.e., express when someone hits or bites him at school) with familiar listeners in familiar settings.
Receptive Language	In 12 months, Alexander will improve his receptive language skills with 50% accuracy across 5 consecutive sessions in order to follow safety concerns (i.e. follow safety personnel) and provide vital information to emergency personnel (i.e. name).

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, Alexander will imitate functional 1-2 word phrases (i.e., NOUN + VERB, ADJECTIVE +NOUN) modeled by clinician when talking about stimuli during play-based tasks in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Alexander will request for help from clinician using a 1-2 word phrases (i.e., "help me", "help please", "help" etc.) during play-based tasks in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Alexander will request for desired object(s) from clinician using 1-2 word phrases (i.e., "ball please", "want blue", "pink nose" etc.) during structured tasks (i.e., potato head, stacking blocks, puzzles, etc.) in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Receptive Language	In 6 months, Alexander will follow 1-2 step commands given gestural cues by clinician in 3 out of 10 opportunities across 3/5 consecutive session in order to improve auditory comprehension required for comprehending instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Receptive Language	In 6 months, Alexander will demonstrate an understanding of verbs (i.e., eat, drink, sleep, stop/go) in 3 out of 10 opportunities given fading cues across 3/5 consecutive sessions in order to promote safety when following emergency directions.
Play/Socialization	In 6 months, Alexander will demonstrate turn-taking skills (i.e., waiting his turn while clinician has a turn) with clinician for at least 3 turns in 3 out of 10 opportunities across 3/5 consecutive sessions in order to promote turn-taking skills and reduce impulsivity for social reciprocity.

57595

Plan Date: 12-05-2025

Speech Assessment Summary: Alexander, a 3-year 2-month-old male, was seen for a speech and language re-evaluation following ongoing parental concerns regarding his communication development. He was accompanied by his mother, who reported that Alexander frequently names/labels objects but has continued difficulty expressing himself and often uses leading behaviors to communicate wants and needs. During the evaluation, Alexander primarily communicated with 1–2 word utterances, scripted phrases, jargon during play, and nonverbal strategies such as pulling, grabbing, or leading the clinician’s hand to desired items. Joint attention and eye contact were observed to increase since last evaluation. Alexander was noted to disengage when disinterested and benefited from redirection. Behavioral observations included intermittent joint attention and visual contact, variable intent to communicate, withdrawn social interaction, high activity level, moderate environmental awareness, and the need for frequent prompts to participate. A full oral mechanism exam could not be completed due to limited cooperation; ongoing monitoring is recommended, with a complete exam performed when possible. The Preschool Language Scales, Fifth Edition (PLS-5) was administered to assess receptive and expressive communication skills. Alexander required frequent redirection from both the clinician and his mother. PLS-5 Results: Auditory Comprehension: Raw Score 21, Standard Score 53, Age Equivalent 1;5 Expressive Communication: Raw Score 30, Standard Score 80, Age Equivalent 2;3 Total Language Score: Raw Score 136, Standard Score 66, Age Equivalent 1;9 These scores indicate significant receptive and expressive language delays, with receptive language more impacted than expressive. During structured tasks, Alexander demonstrated strengths including naming familiar objects, emerging self-directed play skills, and ability to follow commands when paired with gestural cues. Weaknesses included difficulty identifying basic body parts, inconsistent response to familiar directions, limited initiation of social routines, and reliance on max cues to keep engagement. His use of scripted speech at times affected his ability to initiate or maintain meaningful interactions, contributing to difficulties with social communication skills, including reduced reciprocity and difficulty engaging in back-and-forth exchange. Based on standardized testing, parent report, and clinical observations, Alexander meets criteria for a Mixed Receptive-Expressive Language Disorder and qualifies for skilled speech therapy services. His current communication abilities are not developmentally appropriate for his age and may impact his safety and ability to express needs, especially in unfamiliar situations or emergencies. Alexander’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Alexander’s language background, language input/output, and observed preference, the language of intervention will be English. Skilled speech therapy is highly recommended to support receptive language, expressive communication, social interaction skills, functional vocabulary development, and increased use of verbal communication over gestures. A re-evaluation in approximately six months is recommended to monitor progress and update his treatment plan as needed.

Speech Progress to Date: 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. In 6 months, Alexander will imitate functional 1–2 word phrases (i.e., NOUN + VERB, ADJECTIVE + NOUN) modeled by clinician when talking about stimuli during play-based tasks in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). GOAL MET In 6 months, Alexander will request for help from clinician using 1–2 word phrases (i.e., "help me", "help please", "help" etc.) during play-based tasks in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). Currently at 30%, continue goal In 6 months, Alexander will request for desired object(s) from clinician using 1–2 word phrases (i.e., "ball please", "want blue", "pink nose" etc.) during structured tasks (i.e., potato head, stacking blocks, puzzles, etc.) in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). GOAL MET In 6 months, Alexander will follow 1–2 step commands given gestural cues by clinician in 3 out of 10 opportunities across 3/5 consecutive sessions in order to improve auditory comprehension required for comprehending instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street). Currently @30, goal met In 6 months, Alexander will demonstrate an understanding of verbs (i.e., eat, drink, sleep, stop/go) in 3 out of 10 opportunities given fading cues across 3/5 consecutive sessions in order to promote safety when following emergency directions. Currently @30, goal met In 6 months, Alexander will demonstrate turn-taking skills (i.e., waiting his turn while clinician has a turn) with clinician for at least 3 turns in 3 out of 10 opportunities across 3/5 consecutive sessions in order to promote turn-taking skills and reduce impulsivity for social reciprocity. Currently @30, goal met

Speech Rehabilitation Potential: Good. With continued Speech Therapy

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 12 months, Alexander will use 2–3 word phrases spontaneously to express needs, wants, or feelings (e.g., “I want ball,” “my turn please,” “I’m hurt”) with familiar adults or peers in 4 out of 5 opportunities across 5 consecutive sessions.
Receptive Language	In 12 months, Alexander will follow 2–3 step directions during structured and play-based activities in 4 out of 5 opportunities across 5 consecutive sessions without acting impulsively, demonstrating improved attention and self-regulation

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, Alexander will imitate functional 1–2 word phrases (i.e., NOUN + VERB, ADJECTIVE + NOUN) modeled by clinician when talking about stimuli during play-based tasks in 5 out of 10 opportunities across 3/5 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Receptive Language	In 6 months, Alexander will demonstrate an understanding of verbs during pretend play (i.e., eat, drink, sleep, stop/go) in 5 out of 10 opportunities given fading cues across 3/5 consecutive sessions in order to promote safety when following emergency directions.
Receptive Language	In 6 months, Alexander will use 2–3 word phrases during turn-taking activities in play (e.g., “my turn now,” “your turn please”) in 3 out of 10 opportunities across consecutive sessions
Expressive Language	In 6 months, Alexander will initiate social interactions with 2–3 word phrases (e.g., “play blocks with me,” “my turn please”) during cooperative or pretend play in 3 out of 10 opportunities across 3 consecutive sessions.
Receptive Language	In 6 months, Alexander will follow 1–2 step directions (e.g., “pick up the block and put it in the box”) during structured or play-based activities in 3 out of 10 opportunities across 3 consecutive sessions without acting impulsively (i.e., waiting for cues, not grabbing before instruction is complete).
Expressive Language	In 6 months, Alexander will use 2–3 word phrases to participate in pretend play scenarios (e.g., “give baby bottle,” “feed the dog,” “drink water please”) with a familiar adult in 3 out of 10 opportunities across 3 consecutive sessions.

Speech and Language Soap Note/Visit:

Soap Note

490723

Note Date: 03-22-2026

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

Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative, demonstrating appropriate engagement in all therapeutic activities. During the session, expressive language was targeted through structured and play-based tasks. The patient demonstrated progress in imitating functional 1-2 word phrases, including NOUN + VERB and ADJECTIVE + NOUN combinations, achieving success in 5 out of 10 opportunities when provided with a direct clinician model. The use of phrases to facilitate turn-taking was observed in 3 out of 10 opportunities. The independent initiation of social interactions using 2-3 word phrases remains an emerging skill, with data indicating success in 1 out of 10 opportunities during cooperative play. Receptive language skills were also addressed, with the patient showing notable progress in following 1-2 step directions, successfully completing the command in 6 out of 10 opportunities without demonstrating impulsivity. His understanding of functional verbs during pretend play was demonstrated in 3 out of 10 opportunities given fading verbal and gestural cues.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3917	11-18-2025	Occupational Initial Evaluation	R62.0
Occupational Background History: Alexander is a 3.1 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 41 weeks gestation. Child did not experience any complications at birth, however deliver via vacuum suction; child 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
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Non-existent, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Cooperative, Grasp, Motivated, Postural Stability/Trunk Support, UE Strength,
Occupational Communication Weaknesses: Attention to Task, Behavior (defiance, resistance to authority, etc.), Body Awareness, Eye-Hand Coordination, Manual Dexterity, Self-Control, Sensory Process/Mod, Social Interaction, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary:
Occupational Diagnosis/Impressions: Alexander was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Alexander falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 34 months compared to his chronological age of 37 months, placing him at least (-2) standard deviations behind his peers. Alexander 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 mother, 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. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

5038

Plan Date: 11-18-2025

Occupational Assessment Summary: Alexander was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Alexander falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 34 months compared to his chronological age of 37 months, placing him at least (-2) standard deviations behind his peers. Alexander 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 mother, 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. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Baseline 0%- Initial POC

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Bilateral Coordination	In 6 months, Alexander will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 4/5 trials. Baseline-? MAX assist, primitive reflex retention
Sensory Integration	In 6 months, Alexander will tolerate contact with non?preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least ?10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MOD assistance, 4/5 trials. Baseline?- MAX aversion/assistance
Sensory Issues/Self Regulation	In 6 months, Alexander will demonstrate social reciprocity by engaging in at least 3 verbal or non?verbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 4/5 trials. Baseline?-MAX cueing
Motor Planning/Praxis	In 6 months, Alexander will attend to and complete a 4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 4/5 trials. Baseline-?MAX VCs to sequence multi?step tasks

Occupational Short Term Goals:

Category	Goal Description
Bilateral Coordination	In 3 months, Alexander will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 3/4 trials. Baseline-? MAX assist, primitive reflex retention
Sensory Integration	In 3 months, Alexander will tolerate contact with non?preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least ?8-10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MOD assistance, 3/4 trials. Baseline?- MAX aversion/assistance
Sensory Issues/Self Regulation	In 3 months, Alexander will demonstrate social reciprocity by engaging in at least 2-3 verbal or non?verbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. Baseline?-MAX cueing
Motor Planning/Praxis	In 3 months, Alexander will attend to and complete a 3-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline-?MAX VCs to sequence multi?step tasks

5297

Plan Date: 02-16-2026

Occupational Assessment Summary: Alexander was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Per standardized assessment scores Alexander falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 34 months compared to his chronological age of 37 months, placing him at least (-2) standard deviations behind his peers. Alexander demonstrates deficits in visual motor integration, manual dexterity, 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 mother, 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. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Alexander demonstrates consistent progress with occupational therapy services evident by meeting 100% of previous goals with at least 70% accuracy, increased standardized assessment scores, per clinical observations and parental report. In 3 months, Alexander will demonstrate improved bilateral coordination by successfully completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers) in 3/4 trials. GOAL MET- 4/4 trials In 3 months, Alexander will tolerate contact with non-preferred feeding textures (e.g., wet textures, dry textures, mixed foods) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, avoid), to improve participation in feeding tasks with MOD assistance, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Alexander will demonstrate social reciprocity by engaging in at least 2-3 verbal or non-verbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MOD cueing, 3/4 trials. GOAL MET- 4/4 trials, to continue goal with less assist In 3 months, Alexander will attend to and complete a 3-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. GOAL MET- 4/4 trials with less assist

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Motor Planning/Praxis	In 6 months, Alexander will attend to and complete a 4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MIN VCs, to improve task sequencing and attention during daily routines, 4/5 trials. Baseline- MOD VCs
Attention	In 6 months, Alexander will demonstrate social reciprocity by engaging in at least 3 verbal or non-verbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MIN cueing, 4/5 trials. Baseline-MOD cueing
Fine Motor	In 6 months, Alexander will complete 8 minutes of pre-writing task with imitating of simple shapes (vertical and horizontal lines, circles, cross) with MOD assist to demonstrate improved fine motor control needed for writing tasks, 4/5 trials. Baseline- MAX assist

Occupational Short Term Goals:

Category	Goal Description
Motor Planning/Praxis	In 3 months, Alexander will attend to and complete a 3-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MIN VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline- MOD VCs
Attention	In 3 months, Alexander will demonstrate social reciprocity by engaging in at least 2-3 verbal or non-verbal back and forth exchange (e.g., greeting, sharing, responding to name, or commenting) with a peer or adult during structured play or daily routines, with MIN cueing, 3/4 trials. Baseline-MOD cueing
Fine Motor	In 3 months, Alexander will complete 5-8 minutes of pre-writing task with imitating of simple shapes (vertical and horizontal lines, circles, cross) with MOD assist to demonstrate improved fine motor control needed for writing tasks, 3/4 trials. Baseline- MAX assist

Occupational Therapy Soap Note/Visit:

Soap Note

147806

Note Date: 03-24-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Alexander attended to and completed a 3 step novel task when following a visual to assemble a fruit stacking tower with MOD VCs, to improve task sequencing and attention during daily routines. He also followed a visual given MAX verbal cues for sequencing to stack pancakes during "Pancake pile-up". He also engaged in a wooden dot art activity using tweezers with MOD tactile A to move colored balls onto the matching space with MOD verbal cues for redirection to increase his FM dexterity, hand strength, and ability to sequence multistep tasks. Alexander increased social reciprocity when engaged in a turn taking activity with only MIN cues to complete turn taking. He also imitated words and followed 2 step verbal directions with only MIN A to demo increased joint attention and social reciprocity skills. Alexander completed pre-writing tasks with imitating of simple shapes (vertical and horizontal lines, circles, cross) with MAX verbal and visual assistance to increase fine motor control needed for writing task. He was able to color within 1 inch of the border with MIN cues to demo increased FM control and VMI skills.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
799360	92523: Artic & Language Eval	09-10-2025 01:00 PM	09-10-2025 02:00 PM	Annette Barron	NB2 far east side	Completed
806923	92507: Speech & Language Visit	09-16-2025 03:00 PM	09-16-2025 03:45 PM	Valeria Holguin	NB2 far east side	Completed
806924	92507: Speech & Language Visit	09-23-2025 03:00 PM	09-23-2025 03:45 PM	Valeria Holguin	NB2 far east side	Completed
806925	92507: Speech & Language Visit	09-30-2025 03:00 PM	09-30-2025 03:45 PM	Valeria Holguin	NB2 far east side	Completed
806926	92507: Speech & Language Visit	10-07-2025 03:00 PM	10-07-2025 03:45 PM	Valeria Holguin	NB2 far east side	Completed
806927	92507: Speech & Language Visit	10-14-2025 03:00 PM	10-14-2025 03:45 PM	Valeria Holguin	NB2 far east side	Completed
825163	92507: Speech & Language Visit	10-23-2025 12:45 PM	10-23-2025 01:30 PM	Valeria Holguin	NB2 far east side	Completed
825164	92507: Speech & Language Visit	10-30-2025 12:45 PM	10-30-2025 01:30 PM	Valeria Holguin	NB2 far east side	Completed
825165	92507: Speech & Language Visit	11-06-2025 12:45 PM	11-06-2025 01:30 PM	Valeria Holguin	NB2 far east side	Completed
825166	92507: Speech & Language Visit	11-12-2025 01:00 PM	11-12-2025 01:45 PM	Valeria Holguin	NB2 far east side	Completed
844773	97167: OT Evaluation	11-18-2025 01:00 PM	11-18-2025 02:00 PM	Bertha Solis	NB2 far east side	Completed
825167	92507: Speech & Language Visit	11-20-2025 12:45 PM	11-20-2025 01:30 PM	Valeria Holguin	NB2 far east side	Completed
847069	92507: Speech & Language Visit	12-01-2025 10:00 AM	12-01-2025 10:45 AM	Valeria Holguin	NB2 far east side	Completed
848860	OT-VIS: OT Visit	12-02-2025 11:00 AM	12-02-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
851136	OT-VIS: OT Visit	12-04-2025 09:00 AM	12-04-2025 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
850015	S9152: Reevaluation	12-05-2025 10:00 AM	12-05-2025 10:45 AM	Valeria Holguin	NB2 far east side	Completed
847070	92507: Speech & Language Visit	12-08-2025 10:00 AM	12-08-2025 10:45 AM	Valeria Holguin	NB2 far east side	Completed
848861	OT-VIS: OT Visit	12-09-2025 11:00 AM	12-09-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
848862	OT-VIS: OT Visit	12-16-2025 11:00 AM	12-16-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
862419	92507: Speech & Language Visit	01-05-2026 10:00 AM	01-05-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
858647	OT-VIS: OT Visit	01-06-2026 11:00 AM	01-06-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
864625	92507: Speech & Language Visit	01-09-2026 10:30 AM	01-09-2026 11:15 AM	Valeria Holguin	NB2 far east side	Completed
862420	92507: Speech & Language Visit	01-12-2026 10:00 AM	01-12-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
858648	OT-VIS: OT Visit	01-13-2026 11:00 AM	01-13-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
872488	OT-VIS: OT Visit	01-14-2026 09:00 AM	01-14-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
862421	92507: Speech & Language Visit	01-19-2026 10:00 AM	01-19-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
858649	OT-VIS: OT Visit	01-20-2026 11:00 AM	01-20-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
858650	OT-VIS: OT Visit	01-27-2026 11:00 AM	01-27-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
880040	92507: Speech & Language Visit	01-28-2026 10:45 AM	01-28-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
876896	92507: Speech & Language Visit	02-02-2026 10:00 AM	02-02-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
889422	97168: OT Re-Evaluation	02-16-2026 09:00 AM	02-16-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
876898	92507: Speech & Language Visit	02-16-2026 10:00 AM	02-16-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
892908	OT-SUP: OT Supervision	02-17-2026 11:00 AM	02-17-2026 12:00 PM	Bertha Solis	NB2 far east side	Completed
858653	OT-VIS: OT Visit	02-17-2026 11:00 AM	02-17-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
892389	92507: Speech & Language Visit	02-19-2026 02:30 PM	02-19-2026 03:15 PM	Valeria Holguin	NB2 far east side	Completed
876900	92507: Speech & Language Visit	03-02-2026 10:00 AM	03-02-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
900971	OT-VIS: OT Visit	03-03-2026 11:00 AM	03-03-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
876901	92507: Speech & Language Visit	03-09-2026 10:00 AM	03-09-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
900972	OT-VIS: OT Visit	03-10-2026 11:00 AM	03-10-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
900973	OT-VIS: OT Visit	03-17-2026 11:00 AM	03-17-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
909022	92507: Speech & Language Visit	03-20-2026 11:30 AM	03-20-2026 12:15 PM	Valeria Holguin	NB2 far east side	Completed
900974	OT-VIS: OT Visit	03-24-2026 11:00 AM	03-24-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
825168	92507: Speech & Language Visit	11-27-2025 12:45 PM	11-27-2025 01:30 PM	Valeria Holguin	NB2 far east side	Canceled
847071	92507: Speech & Language Visit	12-15-2025 10:00 AM	12-15-2025 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
847072	92507: Speech & Language Visit	12-22-2025 10:00 AM	12-22-2025 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
848863	OT-VIS: OT Visit	12-23-2025 11:00 AM	12-23-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
847073	92507: Speech & Language Visit	12-29-2025 10:00 AM	12-29-2025 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
848864	OT-VIS: OT Visit	12-30-2025 11:00 AM	12-30-2025 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
866613	OT-VIS: OT Visit	01-07-2026 09:00 AM	01-07-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
862422	92507: Speech & Language Visit	01-26-2026 10:00 AM	01-26-2026 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
858651	OT-VIS: OT Visit	02-03-2026 11:00 AM	02-03-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
876897	92507: Speech & Language Visit	02-09-2026 10:00 AM	02-09-2026 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
858652	OT-VIS: OT Visit	02-10-2026 11:00 AM	02-10-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
883983	OT-VIS: OT Visit	02-12-2026 11:00 AM	02-12-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Canceled
876899	92507: Speech & Language Visit	02-23-2026 10:00 AM	02-23-2026 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
876902	92507: Speech & Language Visit	03-16-2026 10:00 AM	03-16-2026 10:45 AM	Valeria Holguin	NB2 far east side	Canceled
876903	92507: Speech & Language Visit	03-23-2026 10:00 AM	03-23-2026 10:45 AM	Valeria Holguin	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
876904	92507: Speech & Language Visit	03-30-2026 10:00 AM	03-30-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900975	OT-VIS: OT Visit	03-31-2026 11:00 AM	03-31-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
876905	92507: Speech & Language Visit	04-06-2026 10:00 AM	04-06-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900976	OT-VIS: OT Visit	04-07-2026 11:00 AM	04-07-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
876906	92507: Speech & Language Visit	04-13-2026 10:00 AM	04-13-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900977	OT-VIS: OT Visit	04-14-2026 11:00 AM	04-14-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
876907	92507: Speech & Language Visit	04-20-2026 10:00 AM	04-20-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900978	OT-VIS: OT Visit	04-21-2026 11:00 AM	04-21-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
862423	92507: Speech & Language Visit	04-27-2026 10:00 AM	04-27-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900979	OT-VIS: OT Visit	04-28-2026 11:00 AM	04-28-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
862424	92507: Speech & Language Visit	05-04-2026 10:00 AM	05-04-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900980	OT-VIS: OT Visit	05-05-2026 11:00 AM	05-05-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
862425	92507: Speech & Language Visit	05-11-2026 10:00 AM	05-11-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900981	OT-VIS: OT Visit	05-12-2026 11:00 AM	05-12-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
862426	92507: Speech & Language Visit	05-18-2026 10:00 AM	05-18-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
862427	92507: Speech & Language Visit	05-25-2026 10:00 AM	05-25-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
862428	92507: Speech & Language Visit	06-01-2026 10:00 AM	06-01-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
862429	92507: Speech & Language Visit	06-08-2026 10:00 AM	06-08-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
900982	OT-VIS: OT Visit	08-18-2026 11:00 AM	08-18-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled
900983	OT-VIS: OT Visit	08-25-2026 11:00 AM	08-25-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
9/10/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	38.00	-38.00
9/10/25	Patient Payment Received (Stripe)	38.00	38.00	0.00
9/16/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	38.00	76.00	-38.00
9/16/25	Patient Payment Received (Stripe)	76.00	76.00	0.00
9/23/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	76.00	114.00	-38.00
9/23/25	Patient Payment Received (Stripe)	114.00	114.00	0.00
9/30/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	114.00	152.00	-38.00
9/30/25	Patient Payment Received (Stripe)	152.00	152.00	0.00
10/7/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	152.00	190.00	-38.00
10/7/25	Patient Payment Received (Stripe)	190.00	190.00	0.00
10/14/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	190.00	228.00	-38.00
10/14/25	Patient Payment Received (Stripe)	228.00	228.00	0.00
10/23/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	228.00	266.00	-38.00
10/23/25	Patient Payment Received (Stripe)	266.00	266.00	0.00
10/30/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	266.00	304.00	-38.00
10/30/25	Patient Payment Received (Stripe)	304.00	304.00	0.00
10/31/25	Patient Payment Received (Stripe)	342.00	304.00	38.00
11/6/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	342.00	342.00	0.00
11/12/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	342.00	380.00	-38.00
11/12/25	Patient Payment Received (Stripe)	380.00	380.00	0.00
11/18/25	Patient visit charged - OT Evaluation: OT Evaluation	380.00	418.00	-38.00
11/18/25	Patient Payment Received (Stripe)	418.00	418.00	0.00
11/20/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	418.00	456.00	-38.00
11/20/25	Patient Payment Received (Stripe)	456.00	456.00	0.00
12/1/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	456.00	494.00	-38.00
12/2/25	Patient visit charged - OT Visit: OT Visit	456.00	532.00	-76.00
12/2/25	Patient Payment Received (Stripe)	494.00	532.00	-38.00
12/2/25	Patient Payment Received (Stripe)	532.00	532.00	0.00
12/4/25	Patient visit charged - OT Visit: OT Visit	532.00	570.00	-38.00
12/4/25	Patient Payment Received (Stripe)	570.00	570.00	0.00
12/5/25	Patient visit charged - Reevaluation: Reevaluation	570.00	608.00	-38.00
12/8/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	570.00	646.00	-76.00
12/8/25	Patient Payment Received (Stripe)	608.00	646.00	-38.00
12/8/25	Patient Payment Received (Stripe)	646.00	646.00	0.00
12/9/25	Patient visit charged - OT Visit: OT Visit	646.00	684.00	-38.00
12/16/25	Patient visit charged - OT Visit: OT Visit	646.00	722.00	-76.00
12/16/25	Patient Payment Received (Stripe)	684.00	722.00	-38.00
1/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	684.00	760.00	-76.00
1/5/26	Patient Payment Received (Stripe)	722.00	760.00	-38.00
1/6/26	Patient visit charged - OT Visit: OT Visit	722.00	798.00	-76.00
1/6/26	Patient Payment Received (Stripe)	760.00	798.00	-38.00
1/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	760.00	836.00	-76.00
1/10/26	Patient Payment Received (Stripe)	798.00	836.00	-38.00
1/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	798.00	874.00	-76.00
1/12/26	Patient Payment Received (Stripe)	836.00	874.00	-38.00
1/13/26	Patient visit charged - OT Visit: OT Visit	836.00	912.00	-76.00
1/13/26	Patient Payment Received (Stripe)	874.00	912.00	-38.00
1/14/26	Patient visit charged - OT Visit: OT Visit	874.00	950.00	-76.00
1/14/26	Patient Payment Received (Stripe)	912.00	950.00	-38.00
1/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	912.00	989.00	-77.00
1/19/26	Patient Payment Received (Stripe)	951.00	989.00	-38.00
1/20/26	Patient visit charged - OT Visit: OT Visit	951.00	1027.00	-76.00
1/20/26	Patient Payment Received (Stripe)	989.00	1027.00	-38.00
1/27/26	Patient visit charged - OT Visit: OT Visit	989.00	1065.00	-76.00
1/27/26	Patient Payment Received (Stripe)	1027.00	1065.00	-38.00
1/28/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1027.00	1104.00	-77.00
1/28/26	Patient Payment Received (Stripe)	1066.00	1104.00	-38.00
2/2/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1066.00	1143.00	-77.00
2/2/26	Patient Payment Received (Stripe)	1105.00	1143.00	-38.00
2/16/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1105.00	1182.00	-77.00
2/16/26	Patient visit charged - OT Re-Evaluation: OT Re-Evaluation	1105.00	1221.00	-116.00
2/16/26	Patient Payment Received (Stripe)	1144.00	1221.00	-77.00
2/17/26	Patient visit charged - OT Visit: OT Visit	1144.00	1259.00	-115.00
2/17/26	Patient Payment Received (Stripe)	1182.00	1259.00	-77.00
2/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1182.00	1298.00	-116.00
2/19/26	Patient Payment Received (Stripe)	1221.00	1298.00	-77.00
3/2/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1221.00	1337.00	-116.00
3/2/26	Patient Payment Received (Stripe)	1260.00	1337.00	-77.00
3/3/26	Patient visit charged - OT Visit: OT Visit	1260.00	1375.00	-115.00
3/3/26	Patient Payment Received (Stripe)	1298.00	1375.00	-77.00
3/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1298.00	1414.00	-116.00
3/9/26	Patient Payment Received (Stripe)	1337.00	1414.00	-77.00
3/10/26	Patient visit charged - OT Visit: OT Visit	1337.00	1452.00	-115.00
3/10/26	Patient Payment Received (Stripe)	1375.00	1452.00	-77.00
3/17/26	Patient visit charged - OT Visit: OT Visit	1375.00	1491.00	-116.00
3/17/26	Patient Payment Received (Stripe)	1414.00	1491.00	-77.00
3/20/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	1414.00	1530.00	-116.00
3/20/26	Patient Payment Received (Stripe)	1453.00	1530.00	-77.00
3/24/26	Patient visit charged - OT Visit: OT Visit	1453.00	1569.00	-116.00
3/24/26	Patient Payment Received (Stripe)	1492.00	1569.00	-77.00
3/25/26	Patient Payment Received (Stripe)	1531.00	1569.00	-38.00

Billing History:

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

Paient Notes:

Date	Posted By	Description
10-24-2025	Bertha Solis	The following are exact massages from parent in regards to OT eval “ I was thinking about holding off on it because I'm letting him do more on his own and I'm seeing that he's very capable. I've just been doing everything for him before he gets the chance.” “So now that I'm letting him do more on his own I think that he should be caught up in a few and he's in this program where a social worker comes over weekly and that's been helping too.” “I want him to get evaluated for it in a few months. Is that okay?” OTD replied and explained that we would have to get a new referral if parent would like to get evaluation done.
09-12-2025	Annette Barron	The following are the messages mother send prior to the evaluation regarding her complaints with Alexander's former speech agency: - Alexander Chalmers 09-03-2025 09:09 AM Alexander (Prim) Replied: He doesn't say hi or bye and he doesn't express his wants and needs clearly. Like he can talk and identify many things but to mommy or daddy or to say mommy I'm hungry. It's very rare. If something is bothering him and you didn't see what happen he has a hard time explaining it. He can tell me something hurts but not what. -Alexander Chalmers 09-03-2025 09:09 AM Alexander (Prim) Replied: He doesn't do back and forth conversations like the other kids -Alexander Chalmers 09-03-2025 09:14 AM Alexander (Prim) Replied: He was at a previous speech therapy place. They said he needed it 2 times a week for 30 mins. When I got the speech therapist she had someone who's in training or I guess a graduate student helping her. I don't mind once the graduate student is doing her job. But they would make the meeting 25 mins. I mentioned it and they said they needed time to clean before the next appointment. I thought it was unfair to my child but I accepted it. -Alexander Chalmers 09-03-2025 09:16 AM Alexander (Prim) Replied: I would come on time and sometimes they would let him in late and she started to end the meeting after 23 mins. The place had street parking in a strange area and it was in a house that they made into a facility. When the graduate student wasn't there or she changed programs, the other speech therapist who would usually talk to me, continued to talk to me and focus less and less on my child. She would just have him playing and fully facing me. I get that I need to contribute but you can explain things after. -Alexander Chalmers 09-03-2025 09:18 AM Alexander (Prim) Replied: I have to pay a co pay and I'm driving very far. The time kept getting cut down and I saw no real improvement from the therapy itself. I think it should be a bit for repetitive and structured. My son would do better with some structure instead of just having him play with the potato head today and something random the next day. -Alexander Chalmers 09-03-2025 09:20 AM Alexander (Prim) Replied: If you say put on arm or put on hat. I know he would start to repeat it eventually. But jumping around with different things makes it hard to learn. I asked her what's her plan and she said she doesn't really have one she's going with his flow. But he's 2 he's not directing her. The last session I saw him watching the back of her head and then looking at me and went back to playing. She completely turned away from him to talk to me and I wasn't even prolonging the conversation. It's like I'm bringing him there to play for 23 mins and pay them. -Alexander Chalmers 09-03-2025 09:22 AM Alexander (Prim) Replied: I really want what's best for my child and I want the speech therapist to be proactive with doing their job. Give him the full 30 mins if that's what was recommended and focus on him. Have some structure to build on. If there's little repetition i don't know how he would really improve. -Alexander Chalmers 09-03-2025 09:53 AM Alexander (Prim) Replied: There's nothing wrong with being play based but to just talk to me mostly and have him play by himself. That part I didn't understand how that was helping him. I think at least play with him. I would rather most of the dialogue be towards the end and not during the entire session. -Alexander Chalmers 09-03-2025 10:02 AM Alexander (Prim) Replied: Even when it was 23-25 mins long the graduate student would engage with him the entire time. I can see him bonding with her and she didn't let him play by himself or turn her back away. I can see from that consistent engagement throughout the session that he can expand his vocabulary.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-23-2026	92507	Holguin, Valeria
03-16-2026	92507	Holguin, Valeria
02-23-2026	92507	Holguin, Valeria
02-23-2026	92507	Holguin, Valeria
02-12-2026	OT-VIS	Marsland, Kaitlin
02-10-2026	OT-VIS	Marsland, Kaitlin
02-09-2026	92507	Holguin, Valeria
02-03-2026	OT-VIS	Marsland, Kaitlin
01-26-2026	92507	Holguin, Valeria
01-07-2026	OT-VIS	Marsland, Kaitlin
12-30-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-29-2025	92507	Holguin, Valeria
12-23-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-22-2025	92507	Holguin, Valeria	Office closed due to Holiday schedule.
12-15-2025	92507	Holguin, Valeria
11-27-2025	92507	Holguin, Valeria

Paient Messages Admin:

Date	Posted By	Message
08-28-2025 04:51 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2130
08-29-2025 11:42 AM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step1.aspx?sid=2130
09-03-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9697
09-04-2025 03:49 PM	Asbel Guajardo	Mrs.Chalmers this is Asbel from New Beginnings front office and I just wanted to let you know that there will be a $38 copy per visit. If you have any questions please let me know or give us a call 9153035177 Thank you
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
09-10-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36113. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-12-2025 10:50 AM	Patsy Guajardo	Chalmers, Alexander has been assigned a therapist.
09-16-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36219. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-23-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36369. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
09-30-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36498. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-03-2025 09:46 AM	Asbel Guajardo	Hello Mrs.Chalmers this is Asbel from New Beginnings and I am reaching out to you because we received a referral for occupational therapy. How I mentioned to in the beginning that we do not have any appointments in the afternoons only morning and during the day. Please let me know if you would like to proceed.
10-07-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36629. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-07-2025 04:13 PM	Alexander Chalmers	We can proceed
10-14-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36769. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-23-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36981. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-30-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37125. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-31-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 10-30-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37125. Thank you for allowing us to serve your child! 🙂
11-06-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37256. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-07-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 11-06-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37256. Thank you for allowing us to serve your child! 🙂
11-11-2025 10:40 AM	Stephen Tullius	Happy Veterans Day! Today we pause to honor and thank all those who have served our country with courage, dedication, and sacrifice. Your bravery and commitment protect the freedoms we cherish every day. From all of us at New Beginnings, we extend our deepest gratitude to veterans and their families for the strength, resilience, and love you have shown in service to our nation.
11-12-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37354. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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
11-18-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37484. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-20-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37548. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-25-2025 11:08 AM	Patsy Guajardo	Hi, Alexander as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Kaitlin https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9697&tid=86
11-25-2025 02:52 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-01-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37663. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-02-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 12-01-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37663. Thank you for allowing us to serve your child! 🙂
12-02-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37697. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-04-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37763. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-05-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 12-04-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37763. Thank you for allowing us to serve your child! 🙂
12-05-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37805. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-05-2025 07:14 PM	Alexander Chalmers	I paid the bill for 12/04. But it’s showing that I owe double for 12/05 and it’s not letting me adjust the payment for what I truly owe
12-08-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37826. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-08-2025 09:35 AM	Patsy Guajardo	Good Morning! I just send you a link for one visit is still owed which would be 12/05/25
12-08-2025 09:38 AM	Alexander Chalmers	Okay I just paid it thanks
12-16-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37998. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-05-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38119. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-06-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38152. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-09-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38289. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-10-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 01-09-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38289. Thank you for allowing us to serve your child! 🙂
01-12-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38309. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-13-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38344. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-14-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38390. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-19-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38528. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-20-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38553. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-21-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 01-20-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38553. Thank you for allowing us to serve your child! 🙂
01-26-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38707. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-27-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38740. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-28-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38796. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-29-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 01-28-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38796. Thank you for allowing us to serve your child! 🙂
02-02-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38894. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 02-02-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38894. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 05:54 PM	Patsy Guajardo	Hello, we just send you a link with balance owed of visits provided, please pay as soon as possible. Thank you!
02-03-2026 06:03 PM	Alexander Chalmers	I don't owe for any visits
02-03-2026 06:03 PM	Alexander Chalmers	This is like the 3rd time an invoice was sent and I didn't miss a payment
02-03-2026 06:05 PM	Alexander Chalmers	He didn't go to his appointment yesterday. I'm not sure if you're charging me for a canceled visit. I'm really not sure why this keeps happening.
02-03-2026 06:08 PM	Alexander Chalmers	Can you guys please double check your system before reaching out? I already don't like the constant messages about payments that I already made. But to have someone reach out on top of it is very uncomfortable.
02-03-2026 06:08 PM	Alexander Chalmers	I'm on top of my payments. I just checked again and honestly with this system if I'm not careful it would allow me to double pay for the same visit.
02-04-2026 08:22 AM	Patsy Guajardo	Good Morning, I just send you an email with attached payment log
02-04-2026 08:35 AM	Alexander Chalmers
02-04-2026 08:35 AM	Alexander Chalmers	This is why I'm confused about your system
02-04-2026 08:36 AM	Alexander Chalmers	It's showing so many missing payments in the past few weeks but it's all right there.
02-04-2026 08:36 AM	Alexander Chalmers	My son goes twice a week
02-04-2026 08:37 AM	Alexander Chalmers	It even shows nothing was paid Monday February 2
02-04-2026 08:37 AM	Alexander Chalmers	But I have the payment history on my card.
02-04-2026 08:37 AM	Alexander Chalmers	There's no way I can owe $154
02-04-2026 08:39 AM	Alexander Chalmers
02-04-2026 08:41 AM	Alexander Chalmers	I was going through the report before the email was sent. I saw it on his patient profile. From my understanding those charges accumulated this year
02-04-2026 08:41 AM	Alexander Chalmers	Because on the last page is where I see all these missing payments
02-04-2026 08:46 AM	Alexander Chalmers	In November I received a notification saying that I didn't pay the invoice and assuming that your system was accurate I paid it. Then I checked and I saw that I already paid it. So there was one visit that I was told not to pay since I paid double. I believe whoever is in the IT department gave me credit for the visit I paid double for and marked my 2 payments as 1 and made the next payment show up as if I didn't pay.
02-04-2026 08:46 AM	Patsy Guajardo	let me have billing department check the payment links and see if it something happen with the payment. I will get back to you as soon as they give me an answer, Thank you!
02-04-2026 09:26 AM	Patsy Guajardo	ok Ma'am, had IT re check the payment for 12/09, 01/20, 01/28, and 2,02 and its not showing any payment on those dates. If you can provide us with some Transaction ID then we can request Stripe to investigate. My email pguajardo@newbeginings-elp.com
02-04-2026 09:31 AM	Alexander Chalmers	I'm not seeing a transaction id
02-04-2026 09:31 AM	Alexander Chalmers	Just what I sent you
02-04-2026 09:31 AM	Alexander Chalmers
02-04-2026 09:32 AM	Alexander Chalmers
02-04-2026 09:32 AM	Alexander Chalmers	I just have those 2 charges for that week
02-04-2026 09:32 AM	Alexander Chalmers	And the time stamp
02-04-2026 09:32 AM	Alexander Chalmers	But no transaction id
02-04-2026 10:05 AM	Patsy Guajardo	Hi, will you please email it to me, since we are not able to receive images tru here. Thank you!
02-16-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39312. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-16-2026 12:54 PM	Patsy Guajardo	Hello, IT was able to get all 3 payments updated, the delayed was from the bank, but now its cleared Thank you!
02-16-2026 01:00 PM	Alexander Chalmers	Thanks I hope they fix this problem. This is the only place that misses my payments and tries to double charge me. It's also the second time I had to send proof of payment.
02-16-2026 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 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=9697
02-17-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39362. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39435. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-23-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39483. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-02-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39675. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-03-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39699. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39977. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:22 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=9697
03-10-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40007. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-11-2026 05:39 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/
03-16-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40181. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-17-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40214. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-18-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Alexander Chalmers from therapy on 03-17-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40245. Thank you for allowing us to serve your child! 🙂
03-20-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40447. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-23-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40491. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-24-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40524. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-25-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Alexander Chalmers. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40577. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
09-02-2025 01:15 PM	Annette Barron	Hi, my name is Annette, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9697&tid=46
09-02-2025 01:15 PM	Alexander Chalmers	Alexander SCHEDULED: 1:00PM-9/10/2025 92523: Speech Evaluation
09-02-2025 02:50 PM	Annette Barron	Good afternoon. My name is Annette from New Beginnings, and I will be completing Alexander's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. What are your concerns? Is Alexander not using enough words, and/or difficult to understand?
09-03-2025 08:50 AM	Annette Barron	Good morning. My name is Annette from New Beginnings, and I will be completing Alexander's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. What are your concerns? Is Alexander not using enough words, and/or difficult to understand?
09-03-2025 09:09 AM	Alexander Chalmers	Alexander (Prim) Replied: He doesn't say hi or bye and he doesn't express his wants and needs clearly. Like he can talk and identify many things but to mommy or daddy or to say mommy I'm hungry. It's very rare. If something is bothering him and you didn't see what happen he has a hard time explaining it. He can tell me something hurts but not what.
09-03-2025 09:09 AM	Alexander Chalmers	Alexander (Prim) Replied: He doesn't do back and forth conversations like the other kids
09-03-2025 09:14 AM	Alexander Chalmers	Alexander (Prim) Replied: He was at a previous speech therapy place. They said he needed it 2 times a week for 30 mins. When I got the speech therapist she had someone who's in training or I guess a graduate student helping her. I don't mind once the graduate student is doing her job. But they would make the meeting 25 mins. I mentioned it and they said they needed time to clean before the next appointment. I thought it was unfair to my child but I accepted it.
09-03-2025 09:16 AM	Alexander Chalmers	Alexander (Prim) Replied: I would come on time and sometimes they would let him in late and she started to end the meeting after 23 mins. The place had street parking in a strange area and it was in a house that they made into a facility. When the graduate student wasn't there or she changed programs, the other speech therapist who would usually talk to me, continued to talk to me and focus less and less on my child. She would just have him playing and fully facing me. I get that I need to contribute but you can explain things after.
09-03-2025 09:18 AM	Alexander Chalmers	Alexander (Prim) Replied: I have to pay a co pay and I'm driving very far. The time kept getting cut down and I saw no real improvement from the therapy itself. I think it should be a bit for repetitive and structured. My son would do better with some structure instead of just having him play with the potato head today and something random the next day.
09-03-2025 09:20 AM	Alexander Chalmers	Alexander (Prim) Replied: If you say put on arm or put on hat. I know he would start to repeat it eventually. But jumping around with different things makes it hard to learn. I asked her what's her plan and she said she doesn't really have one she's going with his flow. But he's 2 he's not directing her. The last session I saw him watching the back of her head and then looking at me and went back to playing. She completely turned away from him to talk to me and I wasn't even prolonging the conversation. It's like I'm bringing him there to play for 23 mins and pay them.
09-03-2025 09:22 AM	Alexander Chalmers	Alexander (Prim) Replied: I really want what's best for my child and I want the speech therapist to be proactive with doing their job. Give him the full 30 mins if that's what was recommended and focus on him. Have some structure to build on. If there's little repetition i don't know how he would really improve.
09-03-2025 09:44 AM	Annette Barron	Yes, I understand your concerns and I cannot say what the other facility was targeting. However, I can tell you that a lot of clinician will use a play-based approach when working with younger patients. We get down to their level, but language is always focused, providing language for all actions and items used. Should your child qualify for services, we start off at 1 time a week and the session is about 45 min. and we use the last few min to clean up and dialog with the parent post session.
09-03-2025 09:45 AM	Annette Barron	I am sending you a questionnaire in preparation for the evaluation. Please complete when you have a moment. Thank you. Speech History Questionnaire for Alexander: 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.
09-03-2025 09:53 AM	Alexander Chalmers	Alexander (Prim) Replied: There's nothing wrong with being play based but to just talk to me mostly and have him play by himself. That part I didn't understand how that was helping him. I think at least play with him. I would rather most of the dialogue be towards the end and not during the entire session.
09-03-2025 10:02 AM	Alexander Chalmers	Alexander (Prim) Replied: Even when it was 23-25 mins long the graduate student would engage with him the entire time. I can see him bonding with her and she didn't let him play by himself or turn her back away. I can see from that consistent engagement throughout the session that he can expand his vocabulary.
09-03-2025 10:50 AM	Annette Barron	I appreciate all the information, and I am sorry you did not have the greatest experience with the former facility. I do have an earlier opening on Tuesday morning, Sept. 9th, at 9 AM, if this time would work out better for you all. Please let me know as soon as possible.
09-03-2025 10:51 AM	Alexander Chalmers	Alexander (Prim) Replied: My son is in daycare around that time so I prefer 1pm appointments
09-03-2025 10:51 AM	Alexander Chalmers	Alexander (Prim) Replied: It doesn't clash too much with his nap
09-03-2025 10:51 AM	Alexander Chalmers	Alexander (Prim) Replied: Thank you
09-03-2025 10:57 AM	Annette Barron	OK. If you could please fill out the medical history questionnaire when you get a chance, that would be most helpful. Thank you and I look forward to meeting you all next week.
09-09-2025 08:55 AM	Annette Barron	Good morning. Just a friendly reminder, please fill out the medical history questionnaire before tomorrow’s evaluation. Thank you.
09-09-2025 11:12 AM	Alexander Chalmers	Alexander (Prim) Replied: Okay
09-09-2025 11:12 AM	Alexander Chalmers	Alexander (Prim) Replied: Do I use the first link that I got?
09-09-2025 11:13 AM	Alexander Chalmers	Alexander (Prim) Replied: To find the medical questionnaire
09-09-2025 11:17 AM	Annette Barron	I will resend the questionnaire.
09-09-2025 11:18 AM	Annette Barron	Speech History Questionnaire for Alexander: 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.
09-09-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
09-09-2025 07:34 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi I still didn't get the medical questionnaire
09-09-2025 07:34 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-10-2025 07:50 AM	Annette Barron	Hi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
09-10-2025 08:29 AM	Annette Barron	Good morning. It was resent via this messaging system yesterday, but not a problem. I will obtain the information during the evaluation today.
09-10-2025 12:45 PM	Annette Barron	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=799360
09-10-2025 12:52 PM	Alexander Chalmers	Alexander is CHECKED IN for: 1:00PM-9/10/2025 92523: Artic & Language Eval
09-11-2025 12:03 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Alexander has been diagnosed with a severe to profound mixed receptive-expressive language disorder. Alexander would greatly benefit from speech therapy services that address the following functionally appropriate concepts: following commands with cues, turn-taking, naming objects, using words more often than gestures to communicate, and using words/word combinations for a variety of pragmatic functions. Once the office has processed the report, they obtain the needed signatures, and insurance approves the report, the assigned treating therapist will reach out to you to discuss beginning treatment. Please let me know if you have any questions. Thank you.
09-15-2025 01:45 PM	Valeria Holguin	Good morning! My name is Valeria from New Beginnings, I will be the speech therapist for your child. I want to introduce myself as well as to offer tuesdays at 3:00pm or Next week starting Wednesday at 12:15pm. Please ket me know if any of these days/ times work for your schedule. Thank you!! I look forward to meeting you
09-15-2025 01:50 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi does Tuesday mean tomorrow?
09-15-2025 01:50 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm fine with Tuesday's at 3pm
09-15-2025 02:25 PM	Valeria Holguin	Yes so sorry! I meant to clarify, we can totally start tomorrow at 3:00pm, the Wednesday time I only have starting next week that’s why. Thank you!!
09-15-2025 02:26 PM	Alexander Chalmers	Alexander (Prim) Replied: Okay tomorrow at 3pm
09-15-2025 02:26 PM	Alexander Chalmers	Alexander (Prim) Replied: Is fine
09-15-2025 02:28 PM	Valeria Holguin	Awesome thank you
09-15-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
09-16-2025 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
09-16-2025 02:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806923
09-16-2025 02:59 PM	Alexander Chalmers	Alexander is RUNNING LATE for: 3:00PM-9/16/2025 92507: Speech & Language Visit
09-16-2025 03:04 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/16/2025 92507: Speech & Language Visit
09-16-2025 03:04 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/16/2025 92507: Speech & Language Visit
09-16-2025 03:04 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/16/2025 92507: Speech & Language Visit
09-16-2025 03:05 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi
09-16-2025 03:05 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm here I'm not seeing anyone
09-21-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 09-23-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-21-2025 06:28 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
09-21-2025 06:28 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-22-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
09-23-2025 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
09-23-2025 02:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806924
09-23-2025 02:57 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/23/2025 92507: Speech & Language Visit
09-28-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 09-30-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:32 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
09-28-2025 04:32 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-29-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
09-30-2025 07:46 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
09-30-2025 02:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806925
09-30-2025 02:59 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/30/2025 92507: Speech & Language Visit
09-30-2025 02:59 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-9/30/2025 92507: Speech & Language Visit
10-05-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 10-07-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 04:07 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
10-05-2025 04:07 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-06-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-07-2025 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-07-2025 02:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806926
10-07-2025 03:00 PM	Alexander Chalmers	Alexander is RUNNING LATE for: 3:00PM-10/7/2025 92507: Speech & Language Visit
10-07-2025 03:06 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-10/7/2025 92507: Speech & Language Visit
10-07-2025 03:06 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-10/7/2025 92507: Speech & Language Visit
10-12-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 10-14-2025 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 08:23 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
10-12-2025 08:23 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-13-2025 01:54 PM	Bertha Solis	Good after-noon, this is Bertha Solis OTD, OTR/L, the occupational therapist at New Beginnings Pediatric Therapy Rich Beem Location; I received a referral for Izkara for Occupational Therapy evaluation; I have an appointment for this coming Thursday October 16th at 3:00 pm? Would this time and day work for you for OT evaluation?
10-13-2025 01:55 PM	Alexander Chalmers	Alexander (Prim) Replied: Izkara?
10-13-2025 01:55 PM	Alexander Chalmers	Alexander (Prim) Replied: You mean Alex?
10-13-2025 01:56 PM	Bertha Solis	I apologize, yes Alexander.
10-13-2025 01:57 PM	Alexander Chalmers	Alexander (Prim) Replied: I was thinking about holding off on it because I'm letting him do more on his own and I'm seeing that he's very capable. I've just been doing everything for him before he gets the chance.
10-13-2025 01:58 PM	Alexander Chalmers	Alexander (Prim) Replied: So now that I'm letting him do more on his own I think that he should be caught up in a few and he's in this program where a social worker comes over weekly and that's been helping too.
10-13-2025 01:58 PM	Alexander Chalmers	Alexander (Prim) Replied: I want him to get evaluated for it in a few months. Is that okay?
10-13-2025 02:02 PM	Bertha Solis	Yes of course I understand that completely; if you wanted him to get evaluated in a few months, you would need a new referral, but we can definitely do that; I will wait for the new referral and for you to contact us for when you are ready for eval (:
10-13-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
10-14-2025 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
10-14-2025 02:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806927
10-14-2025 03:02 PM	Alexander Chalmers	Alexander is CHECKED IN for: 3:00PM-10/14/2025 92507: Speech & Language Visit
10-15-2025 02:20 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi Valeria
10-15-2025 02:20 PM	Alexander Chalmers	Alexander (Prim) Replied: Do you have a 12:15 appointment available during the week?
10-16-2025 10:28 AM	Valeria Holguin	hi!! I only have 2:00pm on Wednesdays right now, but I can let you know as soon as another spot opens!:) The 12:15 was taken last week but I completely forgot, im so sorry!
10-16-2025 10:41 AM	Valeria Holguin	you know what! I just saw that I have 12:45 on Thursdays straining next week. Would that be ok?
10-16-2025 10:57 AM	Alexander Chalmers	Alexander (Prim) Replied: Yes that should be good
10-16-2025 10:57 AM	Alexander Chalmers	Alexander (Prim) Replied: Thanks
10-16-2025 11:02 AM	Valeria Holguin	ok ill put you down for next week at 12:45, thank you!
10-16-2025 11:02 AM	Alexander Chalmers	Alexander (Prim) Replied: Thanks!
10-19-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 10-23-2025 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-20-2025 12:10 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
10-22-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
10-23-2025 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
10-23-2025 12:30 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825163
10-23-2025 12:41 PM	Alexander Chalmers	Alexander is CHECKED IN for: 12:45PM-10/23/2025 92507: Speech & Language Visit
10-26-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 10-30-2025 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:51 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
10-26-2025 04:51 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-29-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
10-30-2025 07:53 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
10-30-2025 12:30 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825164
10-30-2025 12:36 PM	Alexander Chalmers	Alexander is RUNNING LATE for: 12:45PM-10/30/2025 92507: Speech & Language Visit
10-30-2025 12:51 PM	Alexander Chalmers	Alexander is CHECKED IN for: 12:45PM-10/30/2025 92507: Speech & Language Visit
11-02-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 11-06-2025 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:22 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
11-02-2025 04:22 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-05-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
11-06-2025 07:46 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
11-06-2025 12:30 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825165
11-06-2025 12:48 PM	Alexander Chalmers	Alexander is CHECKED IN for: 12:45PM-11/6/2025 92507: Speech & Language Visit
11-09-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 11-13-2025 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-11-2025 02:32 PM	Valeria Holguin	hi!! I wanted to ask if it was ok to change Alex's appointment for tomorrow at 2:30, I have a meeting on Thursday. Im sorry!
11-11-2025 03:15 PM	Valeria Holguin	Also, I received the paperwork, I will ask my supervisor tomorrow to help me fill it out. I can have it ready for tomorrow as well. Is that ok?
11-11-2025 04:43 PM	Alexander Chalmers	Alexander (Prim) Replied: He might fall asleep but I will try to make it
11-11-2025 04:44 PM	Valeria Holguin	ok thank you!
11-11-2025 04:44 PM	Valeria Holguin	actually I have tomorrow at 1:00, that time's better right?
11-11-2025 04:51 PM	Alexander Chalmers	Alexander (Prim) Replied: That should be better
11-11-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
11-11-2025 06:33 PM	Alexander Chalmers	Alexander (Prim) Replied: Is it 2:30 or 1?
11-12-2025 07:48 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-12-2025 12:45 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825166
11-12-2025 12:51 PM	Alexander Chalmers	Alexander is CHECKED IN for: 1:00PM-11/12/2025 92507: Speech & Language Visit
11-13-2025 01:44 PM	Alexander Chalmers	Alexander (Prim) Replied: Hello I think I'm ready for the eval
11-13-2025 07:38 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi do you have any openings for Fridays
11-13-2025 07:38 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-14-2025 11:11 AM	Valeria Holguin	Hi! No I’m so sorry I don’t have openings for Friday, I usually only have appointment for make ups when needed!
11-16-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 11-20-2025 at 12:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 09:55 AM	Alexander Chalmers	Alexander (Prim) Replied: Hello
11-17-2025 09:55 AM	Alexander Chalmers	Alexander (Prim) Replied: My husband was wondering if you can just put that Alex goes to speech therapy once a week
11-17-2025 09:55 AM	Alexander Chalmers	Alexander (Prim) Replied: Because we might be changing the day if possible
11-17-2025 09:56 AM	Alexander Chalmers	Alexander (Prim) Replied: Hello
11-17-2025 10:03 AM	Bertha Solis	Hello, I apologize for the delay in massage; however, you will need to call front office to make sure that the prior referral is still active; thank you, once they give me a green light, I can definitely offer times for eval (:
11-17-2025 10:06 AM	Alexander Chalmers	Alexander (Prim) Replied: They said that it's active
11-17-2025 02:21 PM	Bertha Solis	Okay perfect, the only time I have this week (unless I get a cancelation) is this Thursday at 8:00am? (: would that work? Or should we look into next week?
11-17-2025 03:11 PM	Bertha Solis	I also have an 8 am tomorrow if that works better than the Thursday one (:
11-17-2025 03:25 PM	Alexander Chalmers	Alexander (Prim) Replied: Do you have any later appointments for tomorrow
11-17-2025 03:25 PM	Alexander Chalmers	Alexander (Prim) Replied: Thursday I won't be able to go in
11-17-2025 04:32 PM	Bertha Solis	I can do 12:00pm tomorrow?
11-17-2025 04:33 PM	Alexander Chalmers	Alexander (Prim) Replied: That's perfect thanks
11-18-2025 08:03 AM	Bertha Solis	Hi, this is a just a reminder that Alexander has a Occupational Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
11-18-2025 08:17 AM	Alexander Chalmers	Alexander (Prim) Replied: Is it for 1 or 12?
11-18-2025 08:18 AM	Bertha Solis	Yes 1 pm! I apologize! Does it work?
11-18-2025 08:19 AM	Alexander Chalmers	Alexander (Prim) Replied: That's fine
11-18-2025 12:45 PM	Bertha Solis	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844773
11-18-2025 01:01 PM	Alexander Chalmers	Alexander is CHECKED IN for: 1:00PM-11/18/2025 97167: OT Evaluation
11-19-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
11-20-2025 07:44 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
11-20-2025 10:46 AM	Valeria Holguin	hi! I just wanted to confirm if Alexander would be able to come in on today for his speech appoitnemtn?:)
11-20-2025 10:46 AM	Alexander Chalmers	Alexander (Prim) Replied: Oh yes sorry
11-20-2025 10:46 AM	Alexander Chalmers	Alexander (Prim) Replied: I didn't realize that I didn't reply
11-20-2025 12:19 PM	Valeria Holguin	its ok! ill see you soon!
11-20-2025 12:30 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=825167
11-20-2025 12:44 PM	Alexander Chalmers	Alexander is RUNNING LATE for: 12:45PM-11/20/2025 92507: Speech & Language Visit
11-20-2025 12:48 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm around the corner
11-20-2025 12:48 PM	Alexander Chalmers	Alexander (Prim) Replied: The school crossing guard is stopping us
11-20-2025 12:50 PM	Valeria Holguin	no worries!
11-20-2025 12:51 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
11-20-2025 04:55 PM	Valeria Holguin	Valeria Holguin CANCELLED: 12:45PM-11/27/2025 92507: Speech & Language Visit
11-26-2025 09:16 AM	Kaitlin Marsland	Good morning, my name is Kaitlin and I will be seeing Alexander for occupational therapy with New Beginnings. Unfortunately I do not have much flexibility in my schedule. I have Tuesdays at 10 or 11am open right now. Would either of those times work for you?
11-26-2025 09:38 AM	Alexander Chalmers	Alexander (Prim) Replied: Hi so Alex wouldn't be going twice a week?
11-26-2025 09:43 AM	Kaitlin Marsland	Unfortunately with my schedule right now I am not able to offer the second session as a permanent slot. I can let you know if I get cancellations to give him a second visit. I should have some openings coming up within the next month or so. As soon as I am able to I will offer a second permanent slot
11-26-2025 09:44 AM	Alexander Chalmers	Alexander (Prim) Replied: Okay we can do Tuesday at 11 and as soon as you can get a second spot I would love that. I'm concerned about him and I want him to feel better
11-26-2025 09:44 AM	Alexander Chalmers	Alexander (Prim) Replied: Thank you!
11-26-2025 09:45 AM	Kaitlin Marsland	Yes I understand, as soon as I have it I will let you know :) I appreciate your understanding! I will schedule him for next week Tuesday at 11:00am, I look forward to meeting him!
11-26-2025 09:46 AM	Alexander Chalmers	Alexander (Prim) Replied: Thank you!
11-30-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 12-02-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 12-01-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:03 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
11-30-2025 04:03 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 04:03 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
11-30-2025 04:03 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-01-2025 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-01-2025 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847069
12-01-2025 09:52 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-12/1/2025 92507: Speech & Language Visit
12-01-2025 10:04 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
12-01-2025 10:50 AM	Valeria Holguin	I completely forgot to mention! his re evaluation is coming up, we can do it on friday though:)
12-01-2025 11:11 AM	Alexander Chalmers	Alexander (Prim) Replied: Oh already
12-01-2025 11:11 AM	Alexander Chalmers	Alexander (Prim) Replied: It's every 3 months?
12-01-2025 11:11 AM	Alexander Chalmers	Alexander (Prim) Replied: Well okay great how do you think he will do?
12-01-2025 12:32 PM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-12/15/2025 92507: Speech & Language Visit
12-01-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 08:03 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-02-2025 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=848860
12-02-2025 11:01 AM	Alexander Chalmers	Alexander is CHECKED IN for: 11:00AM-12/2/2025 OT-VIS: OT Visit
12-03-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 08:00 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 08:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=851136
12-04-2025 08:53 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 9:00AM-12/4/2025 OT-VIS: OT Visit
12-04-2025 09:03 AM	Kaitlin Marsland	Good morning, please let me know when you arrive :)
12-04-2025 09:05 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
12-04-2025 09:05 AM	Alexander Chalmers	Alexander (Prim) Replied: Parking
12-04-2025 09:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm inside
12-04-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-05-2025 07:37 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech/Feeding Reevaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-05-2025 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=850015
12-05-2025 09:53 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-12/5/2025 S9152: Reevaluation
12-05-2025 10:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I am just around the corner
12-05-2025 10:07 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-05-2025 10:09 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
12-05-2025 10:09 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 12-09-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 12-08-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:12 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
12-07-2025 04:12 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:12 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
12-07-2025 04:12 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:49 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-08-2025 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847070
12-08-2025 10:00 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-12/8/2025 92507: Speech & Language Visit
12-08-2025 10:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
12-08-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 07:56 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-09-2025 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=848861
12-09-2025 11:02 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-12/9/2025 OT-VIS: OT Visit
12-09-2025 11:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
12-10-2025 09:57 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-12/22/2025 92507: Speech & Language Visit
12-10-2025 11:11 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-12/29/2025 92507: Speech & Language Visit
12-14-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 12-16-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:10 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
12-14-2025 04:10 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 07:51 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-16-2025 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=848862
12-16-2025 10:58 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-12/16/2025 OT-VIS: OT Visit
12-16-2025 11:06 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-04-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 01-06-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 01-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:07 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-04-2026 04:07 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:07 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-04-2026 04:07 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-05-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=862419
01-05-2026 09:49 AM	Alexander Chalmers	Alexander is CHECKED IN for: 10:00AM-1/5/2026 92507: Speech & Language Visit
01-05-2026 09:49 AM	Alexander Chalmers	Alexander (Prim) Replied: I meant to press that I'm running late
01-05-2026 09:54 AM	Valeria Holguin	no worries! thank you :)
01-05-2026 10:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-05-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 07:55 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858647
01-06-2026 10:58 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-1/6/2026 OT-VIS: OT Visit
01-06-2026 11:04 AM	Alexander Chalmers	Alexander (Prim) Replied: We are here
01-06-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-07-2026 06:58 AM	Alexander Chalmers	Alexander (Prim) Replied: Hi can I cancel the appointment for today
01-07-2026 06:58 AM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-07-2026 06:59 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 9:00AM-1/7/2026 OT-VIS: OT Visit
01-07-2026 07:23 AM	Kaitlin Marsland	Hello, I cancelled the visit. Please sign the link for yesterday's session so I can complete the documentation. Thank you
01-08-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
01-09-2026 07:35 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
01-09-2026 10:02 AM	Valeria Holguin	Hi! I just wanted to confirm appointmen for Alex today:)?
01-09-2026 10:15 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864625
01-09-2026 10:33 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:30AM-1/9/2026 92507: Speech & Language Visit
01-09-2026 10:33 AM	Alexander Chalmers	Alexander (Prim) Replied: Sorry he had my phone
01-09-2026 10:33 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-09-2026 10:33 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm right around the corner
01-09-2026 10:33 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-09-2026 10:36 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-09-2026 10:36 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 01-13-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 01-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:09 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-11-2026 04:09 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 04:10 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-11-2026 04:10 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:49 AM	Alexander Chalmers	Alexander (Prim) Replied: Hello he has a cough and a runny nose should he still come in?
01-12-2026 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 08:39 AM	Alexander Chalmers	Alexander (Prim) Replied: Hi
01-12-2026 08:43 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm not sure if he should come in I'll cancel
01-12-2026 08:52 AM	Alexander Chalmers	Alexander (Prim) Replied: Okay so he just woke up and I do have the time to make it there
01-12-2026 08:53 AM	Alexander Chalmers	Alexander (Prim) Replied: And he doesn't seem lethargic and no fever
01-12-2026 08:53 AM	Alexander Chalmers	Alexander (Prim) Replied: So I guess I'll go
01-12-2026 08:57 AM	Valeria Holguin	Good morning! Sounds good, let me know if he starts feeling unwell, thank you!
01-12-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=862420
01-12-2026 09:55 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-1/12/2026 92507: Speech & Language Visit
01-12-2026 10:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-12-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 07:55 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858648
01-13-2026 10:56 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-1/13/2026 OT-VIS: OT Visit
01-13-2026 11:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-13-2026 02:08 PM	Kaitlin Marsland	Hello, I got a cancellation for tomorrow at 9:00am, if you wanted to try and do the make-up session again? Let me know :)
01-13-2026 02:08 PM	Alexander Chalmers	Alexander (Prim) Replied: Sure
01-13-2026 02:08 PM	Alexander Chalmers	Alexander (Prim) Replied: Thanks for letting me know
01-13-2026 02:09 PM	Kaitlin Marsland	Perfect, see you tomorrow :)
01-13-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-14-2026 08:05 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-14-2026 08:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=872488
01-14-2026 08:58 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 9:00AM-1/14/2026 OT-VIS: OT Visit
01-14-2026 09:06 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-18-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 01-20-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:01 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-18-2026 04:01 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 01-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:20 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-18-2026 04:20 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:50 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=862421
01-19-2026 09:55 AM	Alexander Chalmers	Alexander is CHECKED IN for: 10:00AM-1/19/2026 92507: Speech & Language Visit
01-19-2026 09:55 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-1/19/2026 92507: Speech & Language Visit
01-19-2026 09:55 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-1/19/2026 92507: Speech & Language Visit
01-19-2026 10:05 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
01-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-20-2026 07:52 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-20-2026 09:31 AM	Kaitlin Marsland	Good morning, I had a cancellation so I am able to see Alex early if you're able to come :) let me know
01-20-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858649
01-20-2026 10:47 AM	Alexander Chalmers	Alexander (Prim) Replied: Sorry I was in the middle of something and Alex was on my phone
01-20-2026 10:47 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-1/20/2026 OT-VIS: OT Visit
01-20-2026 11:05 AM	Alexander Chalmers	Alexander (Prim) Replied: We're here
01-25-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 01-27-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 01-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:04 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-25-2026 04:04 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 04:04 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
01-25-2026 04:04 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 08:29 AM	Valeria Holguin	Hi! I wanted to let you know that I’m feeling unwell today. Would it be possible to reschedule our session to this Friday instead? Thank you so much for your understanding.
01-26-2026 08:30 AM	Alexander Chalmers	Alexander (Prim) Replied: Sure
01-26-2026 08:30 AM	Alexander Chalmers	Alexander (Prim) Replied: I hope you feel better
01-26-2026 08:35 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-1/26/2026 92507: Speech & Language Visit
01-26-2026 06:15 PM	Valeria Holguin	thank you so much! i actually just checked my schedule, I do have wednesday at 10:45 would the be ok?
01-26-2026 06:22 PM	Alexander Chalmers	Alexander (Prim) Replied: That should be good thanks!
01-26-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 09:15 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi
01-26-2026 09:15 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 09:16 PM	Alexander Chalmers	Alexander (Prim) Replied: I keep forgetting to say that Alex is back to his normal self and those 2 days where he was really distracted and not following orders I think it was just a phase.
01-26-2026 09:16 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 09:16 PM	Alexander Chalmers	Alexander (Prim) Replied: If you still want him to go into the other room instead of the gym it's fine.
01-26-2026 09:16 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-26-2026 09:16 PM	Alexander Chalmers	Alexander (Prim) Replied: I just wanted to let you know.
01-26-2026 09:16 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-27-2026 07:38 AM	Kaitlin Marsland	Good morning, thank you for letting me know. I would like to try today just to see if I am able to implement more structured activities. If I see that it works for us then I can have you come back into the sessions. It will give me an opportunity to develop better rapport with Alex so he isn't seeking your attention and needing more redirection during the session.
01-27-2026 07:40 AM	Alexander Chalmers	Alexander (Prim) Replied: No problem
01-27-2026 07:49 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858650
01-27-2026 11:01 AM	Alexander Chalmers	Alexander is CHECKED IN for: 11:00AM-1/27/2026 OT-VIS: OT Visit
01-27-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-28-2026 08:02 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-28-2026 10:30 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880040
01-28-2026 10:47 AM	Alexander Chalmers	Alexander is CHECKED IN for: 10:45AM-1/28/2026 92507: Speech & Language Visit
02-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 02-03-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:01 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
02-01-2026 04:01 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 02-02-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:02 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
02-01-2026 04:02 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:51 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876896
02-02-2026 09:54 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-2/2/2026 92507: Speech & Language Visit
02-02-2026 10:05 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
02-02-2026 12:58 PM	Kaitlin Marsland	Hello! I will still see Alex tomorrow for OT but wanted to let you know I have an opening on Thursday at 11:00am if you're interested for an additional session this week. Let me know if you'd like me to schedule him :)
02-02-2026 01:58 PM	Alexander Chalmers	Alexander (Prim) Replied: Actually we are going out of town and I was just about to cancel this weeks appointment
02-02-2026 02:09 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-2/3/2026 OT-VIS: OT Visit
02-02-2026 02:11 PM	Kaitlin Marsland	Ok. Thank you for letting me know
02-02-2026 03:25 PM	Kaitlin Marsland	I can schedule him next Thursday February 12th at 11:00am as a make-up would that work?
02-02-2026 03:43 PM	Alexander Chalmers	Alexander (Prim) Replied: That should work
02-02-2026 03:43 PM	Alexander Chalmers	Alexander (Prim) Replied: Thanks
02-02-2026 03:49 PM	Kaitlin Marsland	Thank you as well :) enjoy your trip
02-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 02-10-2026 at 11:00 AM, and on 02-12-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 02-09-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:03 PM	Alexander Chalmers	Alexander (Prim) Replied: No
02-08-2026 04:03 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 04:03 PM	Alexander Chalmers	Alexander (Prim) Replied: No
02-08-2026 04:03 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 04:55 PM	Valeria Holguin	hi! Would you like to rescheule for another day/time?:)
02-08-2026 04:56 PM	Alexander Chalmers	Alexander (Prim) Replied: We won't be in town this week I'm not sure. Maybe I can double it next week?
02-08-2026 04:56 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 05:19 PM	Valeria Holguin	sounds good! Ill reach out later during the week to see whats best for you :)
02-08-2026 05:28 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-2/10/2026 OT-VIS: OT Visit
02-08-2026 05:28 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 11:00AM-2/12/2026 OT-VIS: OT Visit
02-08-2026 06:11 PM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-2/9/2026 92507: Speech & Language Visit
02-09-2026 02:50 PM	Alexander Chalmers	Alexander (Prim) Replied: Hello, I am still out of town and I'll be back Thursday evening. I will be available for an appointment from Friday
02-09-2026 02:50 PM	Alexander Chalmers	Alexander (Prim) Replied: From the 20 to the 28 of February, we will be on another trip.
02-09-2026 02:54 PM	Alexander Chalmers	Alexander (Prim) Replied: Also, I just want to be transparent. I have to do a copay and I've been making all of my payments. I have all the transactions on my card but this system has been saying that I owe $154. This is my second time going through the process of proving that I've made the payments. Since the balance they say I owe is much higher I have to go match the payments to the dates that they said I didn't pay for.
02-09-2026 02:55 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm not sure if anything is popping up on your end that could block any future appointments. I just wanted to be transparent about that.
02-09-2026 03:00 PM	Kaitlin Marsland	Hello, if you are ready the OT could re-evaluate Alex to see if he is still needing occupational therapy? That way you can decide if it is something still necessary for you? I am not able to help with any of the payment process, for that you will need to contact the front office as they have access to all that information. If you would like to conduct a re-evaluation please let me know so I can have the OT schedule it for you :)
02-09-2026 03:06 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes we can do that. Even though we are on a trip I do look for playgrounds and he's been going there just about everyday. Since we aren't in his normal environment, I make up different activities like drawing different animals and I see he's trying to draw them too. He's using the toilet more. He plays and interacts with me more. He wants me to run with him. He tries to explain what he wants more and repeats after me. I saw a jump in his progress but I think it's because of the one on one attention he's getting more of since we aren't traveling.
02-09-2026 03:07 PM	Alexander Chalmers	Alexander (Prim) Replied: I was going to ask you what other milestones he needed to reach in occupational therapy because with the tips I have been seeing alot of progress
02-09-2026 03:08 PM	Alexander Chalmers	Alexander (Prim) Replied: He even takes off his sweater and tries to put back on his clothes. If I ask him where something is he can remember where he put it and bring it to me
02-09-2026 03:09 PM	Alexander Chalmers	Alexander (Prim) Replied: But I guess the evaluation can tell me where else he could be lacking
02-09-2026 03:10 PM	Alexander Chalmers	Alexander (Prim) Replied: Anytime something falls or he falls he says uh oh or oh no when before he didn't really say that or anything
02-09-2026 03:57 PM	Kaitlin Marsland	That's so great to hear all his improvements! If you feel like occupational therapy is helping him work towards those achievements and you want to continue with it we can continue for the next 3 months or so of his authorization. If you're thinking he isn't needing occupational therapy or it is becoming a strain on you financially we can conduct the re-evalution to possibly discontinue services. I just wanted you to be aware of your options so you can make an informed decision moving forward because during the 6 months of authorization it is expected he will attend sessions each week and if he misses due to vacations or illness we need to conduct make-up appointments. So whatever you decide works best for you guys is what we can do moving forward :)
02-09-2026 04:06 PM	Alexander Chalmers	Alexander (Prim) Replied: Okay so I don't have an issue with the payments and it's not a financial strain. For me, I don't care about the costs once it's helpful to my son's development. On my end, I've made all of the payments and I can see that all the transactions cleared on my end. Luckily I am fortunate to have a husband that can more than afford providing for us. The issue that I have with them is they are charging me for appointments that I already paid for. If I truly owed it, then I would just pay it.
02-09-2026 04:07 PM	Alexander Chalmers	Alexander (Prim) Replied: On the other hand, my husband does love to travel. The cruise and the trip to Seattle was planned in advance but these 2 week trip wasn't planned.
02-09-2026 04:09 PM	Alexander Chalmers	Alexander (Prim) Replied: He does want us to come back out to Cali after our cruise so I can see how it can clash with Alex's appointments. I would like to do the evaluation and see if he can be discharged from the clinic.
02-09-2026 04:11 PM	Alexander Chalmers	Alexander (Prim) Replied: Personally I would rather him stay there for as long as he should and make up the appointments than for him to have a developmental delay because we were traveling. If the evaluation says he should stay then I'll try to make up the appointments.
02-10-2026 01:52 PM	Bertha Solis	Good after-noon, this is Bertha Solis OTD, OTR/L the Occupational Therapist at New Beginnings; I was informed by Kaitlin that you are ready for re-evaluation of Alex? I wanted to offer a re-evaluation appointment I have available next week; it is for 1:00pm on Monday February 16th; would this time and day work for you?
02-10-2026 02:37 PM	Alexander Chalmers	Alexander (Prim) Replied: Monday wouldn't be good for me I have an appointment at 10 and it would be a hassle to go back
02-10-2026 02:37 PM	Alexander Chalmers	Alexander (Prim) Replied: Tuesday he already has an occupational therapy appointment can it be right before or after?
02-10-2026 02:58 PM	Bertha Solis	No worries; I have patients scheduled all morning on Tuesday- the other option I have is Wednesday at 12pm? Would that work? If I get any cancelations I can definitely let you know; but for now unfortunately those are my only options for next week
02-10-2026 02:59 PM	Alexander Chalmers	Alexander (Prim) Replied: I can do Wednesday
02-10-2026 03:05 PM	Bertha Solis	Perfect, I will see you all Wednesday the 18th at 12pm; thank you so much! Have a great day! (;
02-10-2026 03:05 PM	Bertha Solis	* (:
02-10-2026 03:05 PM	Alexander Chalmers	Alexander (Prim) Replied: You too!
02-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 02-17-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 02-18-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 02-16-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 05:15 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
02-15-2026 05:15 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:15 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
02-15-2026 05:15 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 05:16 PM	Alexander Chalmers	Alexander (Prim) Replied: No I forgot that I have an appointment at 1pm can we reschedule?
02-15-2026 05:16 PM	Bertha Solis	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-16-2026 07:45 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-16-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876898
02-16-2026 09:49 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-2/16/2026 92507: Speech & Language Visit
02-16-2026 10:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
02-16-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-17-2026 07:46 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-17-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858653
02-17-2026 10:47 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-2/17/2026 OT-VIS: OT Visit
02-17-2026 11:05 AM	Alexander Chalmers	Alexander (Prim) Replied: Hello just letting you know im about 2 mins away
02-17-2026 11:08 AM	Alexander Chalmers	Alexander (Prim) Replied: Here
02-18-2026 12:10 PM	Bertha Solis	Good morning, just wanted to let you know that I have taken the raw scores that Alex obtained during assessment and have scored them in comparison to skills in his age group; he had a 3 month gain in visual motor integration from last assessment; he is still scoring at a standard score of 5, which qualifies him for OT therapy; per Kaitlin, he continues to demo increased attention and interaction skills which can allow for him to continue gaining and learning skills through OT; if you want we can continue therapy, so he can continue to bloom and thrive with the guidance that OT therapy can provide; I was impressed with the amount of skills he demonstrated in the short period of time; what do you think?
02-18-2026 12:11 PM	Bertha Solis	this is Bertha Solis OTD, OTR/L the occupational therapist (:
02-18-2026 12:15 PM	Alexander Chalmers	Alexander (Prim) Replied: Can you let me know what he scored low on?
02-18-2026 12:18 PM	Alexander Chalmers	Alexander (Prim) Replied: Kaitlin gave me a lot of tips and I'm very appreciative of that. I feel like I was able to use alot of them at home to get him to expand on his skills. I like being able to talk to her about the concerns I have with him. But right now I'm not really sure where he's lacking. I was going through his 3 year old assessment yesterday and the only things that required occupational therapy were hand washing and drawing shapes.
02-18-2026 12:18 PM	Alexander Chalmers	Alexander (Prim) Replied: He's doing better with that.
02-18-2026 12:20 PM	Bertha Solis	It was in the visual motor integration category; he continued to score highly on the grasping category; the visual motor integration category, consisting on ability to process what one asks then execute the activity- for example asking him to place blocks a certain way to form a bridge, a wall, stairs, etc, after giving him an example; demonstrating pre-writing skills such as circle, square and cross; I don't believe this comes from lack of skills, but maybe more so from processing skills- I am hoping we can continue to aid in his processing so he can feel like he can demonstrate all his skills- he is a very bright boy and learns quickly from the times I have observed him
02-18-2026 12:22 PM	Alexander Chalmers	Alexander (Prim) Replied: Okay I'll continue and we can reevaluate in 3 more months.
02-18-2026 12:24 PM	Alexander Chalmers	Alexander (Prim) Replied: I just read the 3 month goals and I think he's tolerating the textures more and he was already good at the bilateral coordination. He does respond to his name but I am not sure about the sharing or commenting and he doesn't greet anyone.
02-18-2026 12:24 PM	Alexander Chalmers	Alexander (Prim) Replied: He does follow more instructions just not fully. Yesterday he dropped 2 things on the floor and when I asked him to pick it up he only picked up one thing and he seemed confused when I was asking him to pick up the other thing.
02-18-2026 12:26 PM	Alexander Chalmers	Alexander (Prim) Replied: So this is considered a processing issue?
02-18-2026 12:28 PM	Alexander Chalmers	Alexander (Prim) Replied: Next week I would be on a trip but after that we can do the make ups
02-18-2026 12:30 PM	Bertha Solis	Yes that is why I believe it is more of a motor planning/praxis and processing, than the actual skill itself; I do think language development is probably what is blocking that as well- so you can decide if you want the extra help from OT or just stick to speech? I want to ensure we work on things that matter to you and Alex; OT is versatile in a way that we don't have to focus so much on the scores, but more so on development itself- Alex demonstrates decreased focus and attention due to decreased executive functioning and processing skills, not because he lacks ability to perform, but more so understanding what is required of him to perform- therefore, I believe he can benefit from OT- but he can also very well learn this from you, school or with developing his language more- just let me know what you decide, so I can complete his report (: also let me know if you have any other questions for me.
02-18-2026 12:37 PM	Bertha Solis	Okay sweet, I will continue to recommend services and we can re-evaluate in 3 months (:
02-18-2026 12:39 PM	Alexander Chalmers	Alexander (Prim) Replied: From my understanding, you believe that it's more of a language processing issue? Like he doesn't understand what we are asking him to do?
02-18-2026 12:44 PM	Alexander Chalmers	Alexander (Prim) Replied: I think 3 more months with a focus on what he's lacking would be good on both parts. I can focus on the rest of the goals and gain more insight. I think I would have 3 make ups to do.
02-18-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 02:30 PM. See you soon! - New Beginnings 🙂
02-19-2026 08:00 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 02:30 PM. See you soon! - New Beginnings 🙂
02-19-2026 12:32 PM	Bertha Solis	Hello, this is Bertha the OT; I wanted to wait to message until I was done with the report; it should be available to you now as I just submit it; let me know if you have any questions; I set it up for 1x a week for 3 months; you will see a charge for OT session and OT re-eval this week, just so you know for your records- if you have any questions on the report or anything else, please don't hesitate to message, I am here to answer any questions you may have.
02-19-2026 12:33 PM	Alexander Chalmers	Alexander (Prim) Replied: (0,@2675x
02-19-2026 12:36 PM	Bertha Solis	I am not sure if you meant to send this message?
02-19-2026 12:36 PM	Alexander Chalmers	Alexander (Prim) Replied: Sorry my son was playing on my phone
02-19-2026 12:36 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm okay with that thanks
02-19-2026 01:08 PM	Alexander Chalmers	Alexander (Prim) Replied: Okay I just read the report. I was wondering if only a few sections changed?
02-19-2026 01:08 PM	Alexander Chalmers	Alexander (Prim) Replied: Some parts seem exactly the same as the previous report. Like the last paragraph says 20 months for visual motor but in the scoring section it said 23 months.
02-19-2026 01:09 PM	Alexander Chalmers	Alexander (Prim) Replied: And it's saying he's 37 months in the last paragraph when he's 40 about to be 41 months.
02-19-2026 01:11 PM	Alexander Chalmers	Alexander (Prim) Replied: Should be he able to wash his hair at this age?
02-19-2026 01:11 PM	Alexander Chalmers	Alexander (Prim) Replied: Bathe and brush his own teeth?
02-19-2026 01:12 PM	Alexander Chalmers	Alexander (Prim) Replied: If he is I can start showing him I just wasn't aware
02-19-2026 01:21 PM	Valeria Holguin	hi! I just wanted to confirm if Alex would be coming to Speech today?:)
02-19-2026 01:23 PM	Alexander Chalmers	Alexander (Prim) Replied: Hi yes
02-19-2026 02:15 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=892389
02-19-2026 02:17 PM	Alexander Chalmers	Alexander is RUNNING LATE for: 2:30PM-2/19/2026 92507: Speech & Language Visit
02-19-2026 02:34 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm a few minutes away I didn't expect all these cars on the road
02-19-2026 02:35 PM	Valeria Holguin	no worries! thank you for letting me know!
02-19-2026 02:38 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
02-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 02-23-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-23-2026 07:46 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-23-2026 08:30 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-2/23/2026 92507: Speech & Language Visit
02-23-2026 08:30 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-2/23/2026 92507: Speech & Language Visit
02-23-2026 09:18 AM	Valeria Holguin	Hi! I’m missing signature from noté from last week please!:)
02-23-2026 09:18 AM	Alexander Chalmers	Alexander (Prim) Replied: Sorry about that I thought I signed!
02-23-2026 09:19 AM	Alexander Chalmers	Alexander (Prim) Replied: Hi can you confirm on your end if the invoice was paid?
02-23-2026 09:20 AM	Alexander Chalmers	Alexander (Prim) Replied: I saw two invoices sent on Thursday. One for the speech appointment and another one. I assumed the first one was from you.
02-23-2026 09:20 AM	Alexander Chalmers	Alexander (Prim) Replied: When I tried to pay it it said that it was paid already
02-23-2026 09:21 AM	Valeria Holguin	I would call front office, I don’t have access to billing info I’m sorry!
02-23-2026 09:26 AM	Alexander Chalmers	Alexander (Prim) Replied: Oh I thought I was writing the other person Bertha I think
02-24-2026 03:03 PM	Bertha Solis	Hello this is Bertha the OT, I am not in charge of billing- Patsy or Asbel at the front office can assist you with that, you can give them a call- let me know if you need any other assistance (:
03-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 03-03-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 03-02-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-01-2026 06:31 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-01-2026 06:31 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:31 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-01-2026 06:31 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-02-2026 07:44 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-02-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876900
03-02-2026 09:53 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-3/2/2026 92507: Speech & Language Visit
03-02-2026 10:10 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-02-2026 10:41 AM	Valeria Holguin	https://st-pros.com/newbeginnings/documents/03022026104109-BilingualSentenceStripsEnglishSpanish-1.pdf
03-02-2026 02:22 PM	Alexander Chalmers	Alexander (Prim) Replied: Thank you
03-02-2026 02:22 PM	Alexander Chalmers	Alexander (Prim) Replied: Do you use all of those phrases?
03-02-2026 02:22 PM	Alexander Chalmers	Alexander (Prim) Replied: Or just the first few for now
03-02-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 08:07 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900971
03-03-2026 10:54 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-3/3/2026 OT-VIS: OT Visit
03-03-2026 10:54 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-3/3/2026 OT-VIS: OT Visit
03-03-2026 11:07 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-03-2026 11:22 AM	Valeria Holguin	https://www.meaningfulspeech.com/products/masterclass-on-echolalia-and-child-led-therapy/categories/2154758420/posts/2176048203
03-03-2026 11:23 AM	Valeria Holguin	This one is free and i believe its an intro class but they have more that you can purchase:)
03-03-2026 11:23 AM	Alexander Chalmers	Alexander (Prim) Replied: Thanks!
03-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 03-10-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 03-09-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:04 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-08-2026 04:04 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 04:04 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-08-2026 04:04 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 07:42 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 09:45 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876901
03-09-2026 09:58 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 10:00AM-3/9/2026 92507: Speech & Language Visit
03-09-2026 10:06 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-09-2026 11:23 AM	Alexander Chalmers	Alexander (Prim) Replied: Hi I am trying to teach Alex to drink from a cup and I noticed that he doesn't like when the water goes on top of his lip
03-09-2026 11:23 AM	Alexander Chalmers	Alexander (Prim) Replied: I think it goes to the bottom too and it makes him not want to drink directly from the cup. He's still using the straw
03-09-2026 11:23 AM	Alexander Chalmers	Alexander (Prim) Replied: Or a sippy cup
03-09-2026 11:24 AM	Alexander Chalmers	Alexander (Prim) Replied: I want him to stop because it's messing with his teeth but I noticed that he's having some sensory issues and I'm not sure how to resolve that
03-09-2026 11:24 AM	Alexander Chalmers	Alexander (Prim) Replied: It looks like he can take some sips from the cup directly but when the water goes too high he stops
03-09-2026 11:55 AM	Kaitlin Marsland	Try giving him the lid from a bottle cap with some water/drink in it, then you can use a small cup like almost shot glass size, then a little larger cup but only 1/4 full or less and move up slowly so he gets more control of how much liquid is moving towards his mouth
03-09-2026 04:06 PM	Alexander Chalmers	Alexander (Prim) Replied: Thank you I was at the playground and another parent said they were having this issue and I told them what you said. There was a kid there and he actually tried talking to him and he was giving him a lot of eye contact.
03-09-2026 04:06 PM	Alexander Chalmers	Alexander (Prim) Replied: There was also a baby and he was trying to talk to the baby and give the baby eye contact too. But he's not saying hi he just says random animals
03-09-2026 04:07 PM	Alexander Chalmers	Alexander (Prim) Replied: And I tried the scissors and I'm not understanding how to show him how to use his fingers to use the scissors.
03-09-2026 04:15 PM	Kaitlin Marsland	I can show you how I am showing him the scissors :)
03-09-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:59 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900972
03-10-2026 10:51 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-3/10/2026 OT-VIS: OT Visit
03-10-2026 11:08 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 03-17-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 03-16-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:09 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-15-2026 04:09 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 04:09 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-15-2026 04:09 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-15-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 07:42 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-16-2026 07:49 AM	Valeria Holguin	Hi! I just wanted to let you know that I’m not feeling well today and unfortunately will need to cancel our session. I apologize for the short notice and appreciate your understanding. I’ll reach out soon to reschedule. Thank you!
03-16-2026 07:54 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-3/16/2026 92507: Speech & Language Visit
03-16-2026 08:06 AM	Alexander Chalmers	Alexander (Prim) Replied: No worries I hope you feel better soon
03-16-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:55 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 10:38 AM	Valeria Holguin	Good morning! thank you so much I feel so much better now!:) I wanted to offer you friday at 11:350 to make up the appointment, would that be ok?:) I also have tomorrow at 1 available
03-17-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900973
03-17-2026 10:49 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-3/17/2026 OT-VIS: OT Visit
03-17-2026 11:10 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-17-2026 01:33 PM	Alexander Chalmers	Alexander (Prim) Replied: Friday works thanks
03-17-2026 01:37 PM	Valeria Holguin	Thank you!:)
03-19-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
03-20-2026 07:36 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
03-20-2026 11:15 AM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909022
03-20-2026 11:17 AM	Alexander Chalmers	Alexander (Prim) Replied: I thought it was 11:35
03-20-2026 11:17 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 11:17 AM	Alexander Chalmers	Alexander (Prim) Replied: But I'm on my way
03-20-2026 11:17 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 11:26 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:30AM-3/20/2026 92507: Speech & Language Visit
03-20-2026 11:38 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-20-2026 11:38 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 11:43 AM	Alexander Chalmers	Alexander (Prim) Replied: Leave Kiss Hug Peanut butter I want juice Tickle Can you stop No! Go
03-20-2026 11:43 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 11:43 AM	Alexander Chalmers	Alexander (Prim) Replied: These are the words he's been saying this week
03-20-2026 11:43 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 11:43 AM	Alexander Chalmers	Alexander (Prim) Replied: And he's also been saying hello in context and using no correctly
03-20-2026 11:43 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Chalmers, Alexander has a Occupational Therapy appointment on 03-24-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Chalmers, Alexander has a Speech Therapy appointment on 03-23-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:09 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-22-2026 06:09 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:09 PM	Alexander Chalmers	Alexander (Prim) Replied: Yes
03-22-2026 06:09 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:43 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 08:57 AM	Alexander Chalmers	Alexander (Prim) Replied: Hello I won't be able to make it my husband took my sons car seat I was actually up earlier today too
03-23-2026 09:37 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:00AM-3/23/2026 92507: Speech & Language Visit
03-23-2026 09:38 AM	Valeria Holguin	Good morning! oh no ok thank you, would you like me to reschedule for next week? that way we can get a head of make ups
03-23-2026 09:40 AM	Alexander Chalmers	Alexander (Prim) Replied: Sure thanks
03-23-2026 11:49 AM	Alexander Chalmers	Alexander (Prim) Replied: I think today he was saying hello to me to get my attention
03-23-2026 11:49 AM	Alexander Chalmers	Alexander (Prim) Replied: He was asking for pepperoni he calls it pizza and he said hello to get me to look at him
03-23-2026 11:49 AM	Alexander Chalmers	Alexander (Prim) Replied: But then his dad came and he stopped I want to see if he did it more
03-23-2026 02:23 PM	Valeria Holguin	Yay!! thats amazing, how he learned super quick that it applies to different contexts!
03-23-2026 02:24 PM	Valeria Holguin	I wanted to also let you know i have an opening for this wednesday at 9:15am in case youre interested!:)
03-23-2026 02:24 PM	Alexander Chalmers	Alexander (Prim) Replied: Yea but he didn't do it again
03-23-2026 02:25 PM	Alexander Chalmers	Alexander (Prim) Replied: Wednesday at 9:15 might be a bit too early but I'll take it. He doesn't drink his milk anymore so I try to make sure he eats his breakfast and he eats it slowly
03-23-2026 06:31 PM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:58 AM	Kaitlin Marsland	Hi, this is a just a reminder that Alexander has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 09:58 AM	Valeria Holguin	hi! i have an opening for 12:15 instead if thats better!
03-24-2026 10:15 AM	Alexander Chalmers	Alexander (Prim) Replied: Yes that's better
03-24-2026 10:45 AM	Kaitlin Marsland	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900974
03-24-2026 10:59 AM	Alexander Chalmers	Alexander is RUNNING LATE for: 11:00AM-3/24/2026 OT-VIS: OT Visit
03-24-2026 11:08 AM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-24-2026 11:58 AM	Valeria Holguin	awesome seeyou tomorrow:)
03-24-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
03-25-2026 08:01 AM	Valeria Holguin	Hi, this is a just a reminder that Alexander has a Speech Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
03-25-2026 11:46 AM	Alexander Chalmers	Alexander (Prim) Replied: I noticed he doesn't answer yes or no. I'm glad he's answering me but he just repeats what I say if he wants it or he doesn't reply if he doesn't want it.
03-25-2026 11:46 AM	Alexander Chalmers	Alexander (Prim) Replied: But if I'm giving him something to eat and he doesn't want anymore of it I can get him to say all done
03-25-2026 11:47 AM	Alexander Chalmers	Alexander (Prim) Replied: If I say no I think he thinks I'm telling him no
03-25-2026 11:48 AM	Alexander Chalmers	Alexander (Prim) Replied: I know I'm seeing you soon but I tend to forget what I observe if I don't send it right away
03-25-2026 12:00 PM	Valeria Holguin	Alexander Chalmers : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=912379
03-25-2026 12:16 PM	Alexander Chalmers	Alexander (Prim) Replied: I'm here
03-25-2026 12:16 PM	Alexander Chalmers	Alexander is CHECKED IN for: 12:15PM-3/25/2026 92507: Speech & Language Visit
03-27-2026 01:33 PM	Alexander Chalmers	Alexander (Prim) Replied: He's been talking a lot more. He did say no the other day when I tried to take my phone from him. Just now I asked him if he wanted more juice and he said more juice. Then I said it's cold outside do you want a sweater and he said cold sweater. Then he wanted to take it off but he was having trouble with the zipper so he said zipper to me and then I zipped it half way and I asked if he wanted me to take it off and he said take it off.
03-27-2026 01:33 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-27-2026 01:33 PM	Alexander Chalmers	Alexander (Prim) Replied: Then he said door to me and pushed me and I said do you want me to leave and he said leave
03-27-2026 01:33 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-27-2026 01:34 PM	Alexander Chalmers	Alexander (Prim) Replied: Yesterday he said up because he wanted me to put him on a tree branch and I said do you want to climb up the tree and he said climb tree
03-27-2026 01:34 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-27-2026 01:35 PM	Alexander Chalmers	Alexander (Prim) Replied: He uses intonation like hes asking a question.
03-27-2026 01:35 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.