New Beginnings | NB1-Office

Patient Name: Alexandrea

Patient Information:

Patient ID: 9711

Patient First Name: Alexandrea

Patient Date of Birth: 01-27-2024

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Crystal, Torres

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Rodriguez, Andrea

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23330	Active	03-16-2026	08-04-2026	Tricare Prime	0	26	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25429	09-17-2025	Feeding Initial Evaluation	R63.32
Feeding Background History: Alexandrea is a 1-year-7-month-old female who was referred by her pediatrician for concerns regarding feeding difficulties and weight. Alexandrea’s mother served as the informant for this evaluation. Alexandrea's primary source of nutrition is breastmilk. Mother reported that feeding difficulties began at 6 months old when Alexandrea started purees and soft solids. Per parent report, Alexandrea is not consistent with her eating and will stop consuming food items she was previously eating. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Alexandrea’s feeding/swallowing skills. Language of intervention: English
Feeding Medical History: Per parent report, medical history is not remarkable. Alexandrea was born full-term at 38 weeks via vaginal delivery.
Feeding Medications: None at this time
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary:
Feeding Diagnosis/Impressions: Alexandrea is a 1-year-7-month-old female who was referred by her pediatrician for concerns regarding feeding difficulties and weight. Alexandrea’s mother served as the informant for this evaluation. Alexandrea's primary source of nutrition is breastmilk. Mother reported that feeding difficulties began at 6 months old when Alexandrea started purees and soft solids. Per parent report, Alexandrea is not consistent with her eating and will stop consuming food items she was previously eating. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Alexandrea’s feeding/swallowing skills. Language of intervention: English. The structure and function of Alexandrea’s oral cavity could not be formally assessed due to Alexandrea’s resistance. Alexandrea is reportedly very protective of her mouth, and for this reason, a formal assessment could not be administered. Alexandrea presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed. Alexandrea’s assigned treatment therapist should ensure to monitor her oral cavity and perform a formal oral mech exam when she permits. Alexandrea’s mother stated that she does not have a history of tethered oral tissues. A bedside swallow evaluation and skilled meal feeding observation revealed that Alexandrea presents with a CHRONIC PEDIATRIC FEEDING DISORDER that is characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (underweight), nutritional status (limited diet), feeding skill (sensory difficulties, decrease oral motor function), and/or psychosocial dysfunction (problematic mealtime behavior, selective/restrictive eating). FOOD REPERTOIRE: Alexandrea’s mother reported that she consumes 2 solids and 2 liquids, including the following: PROTEINS: yogurt, cottage cheese, LIQUIDS: milk, chocolate milk. Alexandrea’s mother would like her to consume more purees and soft table foods. NORM REFERENCED ASSESSMENT Mrs. Gonzalez completed the Pediatric Eating Assessment Tool (PediEAT), which is a questionnaire used to subjectively assess feeding behavior in children ages 6 months to 7 years. Alexandrea received a rating of "high concern" for problematic mealtime behavior and selective/restrictive feeding behaviors, both of which are consistent with her performance in the evaluation. Alexandrea’s mother reported on the assessment that Alexandrea will often become frustrated during mealtimes and watch television as a distraction. MEAL TIME FEEDING OBSERVATION: Alexandrea remained seated in her mother’s lap during the evaluation. Alexandrea was presented with the following food items in the evaluation: vanilla puree, Dole fruit pineapple cup, strawberry meltables, and cheese squares. Alexandrea refused all trials of food. She turned away from the food and verbally refused. With the clinician’s support, Alexandrea tolerated foods directly in front of her. SWALLOW/ORAL MOTOR EVALUATION: Alexandrea’s oral motor skills could not be formally assessed due to her refusing solid trials of foods. Mrs. Gonzalez does not report unexplained fevers or a history of aspiration pneumonia. Alexandrea’s pharyngeal/esophageal swallow function should be monitored by her treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed munching pattern and management of thicker purees and soft solids. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. At this time, feeding therapy at the rate of 1x per week for 30 minutes is recommended to treat Alexandrea’s CHRONIC PEDIATRIC FEEDING DISORDER. Intervention should focus on increasing Alexandrea’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Alexandrea to explore food on her tray and with her hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address selffeeding skills to increase Levi’s independence and engagement during meals. At her current age, Alexandrea’s primary source of nutrition should come from a variety of ageappropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. She should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Alexandrea may be at risk for compromised nutrition due to the limited and restricted nature of her current diet. Mrs. Lopez will play a critical role in supporting carryover through participation in Alexandrea’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

56467

Plan Date: 09-17-2025

Feeding Assessment Summary: PATIENT HX: Alexandrea is a 1-year-7-month-old female who was referred by her pediatrician for concerns regarding feeding difficulties and weight. Alexandrea’s mother served as the informant for this evaluation. Alexandrea's primary source of nutrition is breastmilk. Mother reported that feeding difficulties began at 6 months old when Alexandrea started purees and soft solids. Per parent report, Alexandrea is not consistent with her eating and will stop consuming food items she was previously eating. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Alexandrea’s feeding/swallowing skills. Language of intervention: English. ORAL MECH EXAM: The structure and function of Alexandrea’s oral cavity could not be formally assessed due to Alexandrea’s resistance. Alexandrea is reportedly very protective of her mouth, and for this reason, a formal assessment could not be administered. Alexandrea presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed. Alexandrea’s assigned treatment therapist should ensure to monitor her oral cavity and perform a formal oral mech exam when she permits. Alexandrea’s mother stated that she does not have a history of tethered oral tissues. FEEDING SKILLS: A bedside swallow evaluation and skilled meal feeding observation revealed that Alexandrea presents with a CHRONIC PEDIATRIC FEEDING DISORDER that is characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (underweight), nutritional status (limited diet), feeding skill (sensory difficulties, decrease oral motor function), and/or psychosocial dysfunction (problematic mealtime behavior, selective/restrictive eating). FOOD REPERTOIRE: Alexandrea’s mother reported that she consumes 2 solids and 2 liquids, including the following: PROTEINS: yogurt, cottage cheese, LIQUIDS: milk, chocolate milk. Alexandrea’s mother would like her to consume more purees and soft table foods. NORM REFERENCED ASSESSMENT Mrs. Gonzalez completed the Pediatric Eating Assessment Tool (PediEAT), which is a questionnaire used to subjectively assess feeding behavior in children ages 6 months to 7 years. Alexandrea received a rating of "high concern" for problematic mealtime behavior and selective/restrictive feeding behaviors, both of which are consistent with her performance in the evaluation. Alexandrea’s mother reported on the assessment that Alexandrea will often become frustrated during mealtimes and watch television as a distraction. MEAL TIME FEEDING OBSERVATION: Alexandrea remained seated in her mother’s lap during the evaluation. Alexandrea was presented with the following food items in the evaluation: vanilla puree, Dole fruit pineapple cup, strawberry meltables, and cheese squares. Alexandrea refused all trials of food. She turned away from the food and verbally refused. With the clinician’s support, Alexandrea tolerated foods directly in front of her. SWALLOW/ORAL MOTOR EVALUATION: Alexandrea’s oral motor skills could not be formally assessed due to her refusing solid trials of foods. Mrs. Gonzalez does not report unexplained fevers or a history of aspiration pneumonia. Alexandrea’s pharyngeal/esophageal swallow function should be monitored by her treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed munching pattern and management of thicker purees and soft solids. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. At this time, feeding therapy at the rate of 1x per week for 30 minutes is recommended to treat Alexandrea’s CHRONIC PEDIATRIC FEEDING DISORDER. Intervention should focus on increasing Alexandrea’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Alexandrea to explore food on her tray and with her hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address selffeeding skills to increase Levi’s independence and engagement during meals. At her current age, Alexandrea’s primary source of nutrition should come from a variety of ageappropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. She should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Alexandrea may be at risk for compromised nutrition due to the limited and restricted nature of her current diet. Mrs. Lopez will play a critical role in supporting carryover through participation in Alexandrea’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Alexandrea will be discharged when her feeding inventory is clinically deemed adequate for her age, nutritional needs, and safety.

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Alexandrea will tolerate non preferred foods directly in front of her in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Alexandrea will touch non preferred foods using her finger tips OR hands 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Alexandrea will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors.
Feeding/Swallowing	In 6 months, Alexandrea will complete facial AND/OR oral stimulation via zvibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Alexandrea will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.

58221

Plan Date: 02-02-2026

Feeding Assessment Summary: PATIENT HX: Alexandrea is a 2-year-old female who was referred by her pediatrician for concerns regarding feeding difficulties and weight. Alexandrea’s mother served as the informant for this re-evaluation. Alexandrea's primary source of nutrition is breastmilk. Mother reported that feeding difficulties began at 6 months old when Alexandrea started purees and soft solids. Per parent report, Alexandrea is not consistent with her eating and will stop consuming food items she was previously eating. A bedside feeding evaluation and skilled meal feeding observation were utilized to re-assess Alexandrea’s feeding/swallowing skills. Language of intervention: English. ORAL MECH EXAM: The structure and function of Alexandrea’s oral cavity could not be formally assessed due to Alexandrea’s resistance. Alexandrea is reportedly very protective of her mouth, and for this reason, a formal assessment could not be administered. Alexandrea presents with typical lip, dentition, and tongue structure; however, decreased facial tone was observed. Alexandrea’s assigned treatment therapist should ensure to monitor her oral cavity and perform a formal oral mech exam when she permits. Alexandrea’s mother stated that she does not have a history of tethered oral tissues. FEEDING SKILLS: A bedside swallow evaluation and skilled meal feeding observation revealed that Alexandrea presents with a CHRONIC PEDIATRIC FEEDING DISORDER that is characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (underweight), nutritional status (limited diet), feeding skill (sensory difficulties, decrease oral motor function), and/or psychosocial dysfunction (problematic mealtime behavior, selective/restrictive eating). FOOD REPERTOIRE: Alexandrea’s mother reported that she consumes 2 solids and 2 liquids, including the following: PROTEINS: yogurt, cottage cheese, LIQUIDS: milk, chocolate milk. Alexandrea’s mother would like her to consume more purees and soft table foods. NORM REFERENCED ASSESSMENT Mrs. Gonzalez completed the Pediatric Eating Assessment Tool (PediEAT), which is a questionnaire used to subjectively assess feeding behavior in children ages 6 months to 7 years. Alexandrea received a rating of "high concern" for problematic mealtime behavior and selective/restrictive feeding behaviors, both of which are consistent with her performance in the evaluation. Alexandrea’s mother reported on the assessment that Alexandrea will often become frustrated during mealtimes and watch television as a distraction. MEAL TIME FEEDING OBSERVATION: Alexandrea remained seated in her mother’s lap during the evaluation. Alexandrea was presented with the following food items in the evaluation: cheese itz, strawberries, cereal, cheese, waffles, and cottage cheese. Alexandrea kissed and licked non-preferred items. With the clinician’s support, Alexandrea tolerated foods directly in front of her. SWALLOW/ORAL MOTOR EVALUATION: Mrs. Gonzalez does not report unexplained fevers or a history of aspiration pneumonia. Alexandrea’s pharyngeal/esophageal swallow function should be monitored by her treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed munching pattern and management of thicker purees and soft solids. RECOMMENDATIONS: Feeding therapy is highly recommended at this time. At this time, feeding therapy at the rate of 1x per week for 30 minutes is recommended to treat Alexandrea’s CHRONIC PEDIATRIC FEEDING DISORDER. Intervention should focus on increasing Alexandrea’s tolerance to solid food items using the Steps to Eating hierarchy and desensitization techniques. Therapy should also support the development of positive mealtime behaviors and routines, including the elimination of television during meals and the incorporation of opportunities for Alexandrea to explore food on her tray and with her hands. Targeted intervention will include facial and oral sensory stimulation and exercises to promote desensitization of the face and oral cavity, increase sensory awareness, and support the development of oral motor skills necessary for safe and effective feeding and swallowing. Therapy will also address selffeeding skills to increase Levi’s independence and engagement during meals. At her current age, Alexandrea’s primary source of nutrition should come from a variety of ageappropriate solid foods, including meltables, soft cubes, and soft mechanical mixed textures. She should be able to accept and safely manage foods across various consistencies, flavor profiles, and food groups. Without feeding therapy, Alexandrea may be at risk for compromised nutrition due to the limited and restricted nature of her current diet. Mrs. Lopez will play a critical role in supporting carryover through participation in Alexandrea’s Home Management Intervention Program (HMIP), which will reinforce therapeutic strategies in the home environment.

Feeding Progress to Date: 1. In 6 months, Alexandrea will tolerate non preferred foods directly in front of her in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment. BASELINE: 0% CURRENT: 30% --- GOAL MET 2. In 6 months, Alexandrea will touch non preferred foods using her finger tips OR hands 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment. BASELINE: 0% CURRENT: 20% 3. In 6 months, Alexandrea will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors. BASELINE: 0% CURRENT: 20% 4. In 6 months, Alexandrea will complete facial AND/OR oral stimulation via zvibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration. BASELINE: 0% CURRENT: 20% 5. In 6 months, Alexandrea will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety. BASELINE: 0% CURRENT: 10%

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Alexandrea will tolerate non preferred foods directly in front of her in 4 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Alexandrea will touch non preferred foods using her finger tips OR hands 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment.
Feeding/Swallowing	In 6 months, Alexandrea will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors.
Feeding/Swallowing	In 6 months, Alexandrea will complete facial AND/OR oral stimulation via zvibe in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral sensitivity and awareness for future food exploration.
Feeding/Swallowing	In 6 months, Alexandrea will consume solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities across 3 consecutive sessions, as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.
Feeding/Swallowing	In 6 months, Alexandrea will lick non preferred foods in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non preferred foods in her immediate environment.

Feeding Therapy Soap Note/Visit:

Soap Note

491527

Note Date: 03-26-2026

Subjective:

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Alexandrea tolerated non preferred foods directly in front of her in 7 out of 10 opportunities with MIN cues in order to improve aceptance and exploration of non preferred foods in her immediate environment. Alexandrea touched non preferred foods using her finger tips OR hands 5 out of 10 opportunities with MODERATEcues in order to improve acceptance and exploration of non preferred foods in her immediate environment. Alexandrea self-fed with preferred food items given decreasing clinician/parental cues/support in 7 out of 10 opportunities with MIN cues in order to improve mealtime behaviors. Alexandrea completed facial AND/OR oral stimulation via zvibe in 4 out of 10 opportunities with MOD cues in order to improve oral sensitivity and awareness for future food exploration. Alexandrea consumed solids of increased texture (mashed table foods, meltables, soft cubes, etc.) in 3 out of 10opportunities with MAX cues as measured by clinician observation or parent report, in order to support safe oral intake and expand nutritional variety.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
805616	92610: Feeding Evaluation	09-17-2025 10:00 AM	09-17-2025 11:00 AM	Andrea Rodriguez	NB2 far east side	Completed
808823	92526: Feeding Visit	09-29-2025 09:45 AM	09-29-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808824	92526: Feeding Visit	10-06-2025 09:45 AM	10-06-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
817201	92526: Feeding Visit	10-07-2025 11:00 AM	10-07-2025 11:30 AM	Andrea Rodriguez	NB2 far east side	Completed
808825	92526: Feeding Visit	10-13-2025 09:45 AM	10-13-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808826	92526: Feeding Visit	10-20-2025 09:45 AM	10-20-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
823457	92526: Feeding Visit	10-29-2025 09:00 AM	10-29-2025 09:30 AM	Andrea Rodriguez	NB2 far east side	Completed
808828	92526: Feeding Visit	11-03-2025 09:45 AM	11-03-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808829	92526: Feeding Visit	11-10-2025 09:45 AM	11-10-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808832	92526: Feeding Visit	12-01-2025 09:45 AM	12-01-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808837	92526: Feeding Visit	01-05-2026 09:45 AM	01-05-2026 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808838	92526: Feeding Visit	01-12-2026 09:45 AM	01-12-2026 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808839	92526: Feeding Visit	01-19-2026 09:45 AM	01-19-2026 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808840	92526: Feeding Visit	01-26-2026 09:45 AM	01-26-2026 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
808841	S9152: Reevaluation	02-02-2026 09:45 AM	02-02-2026 10:15 AM	Andrea Rodriguez	NB2 far east side	Completed
883443	92526: Feeding Visit	02-12-2026 10:00 AM	02-12-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883445	92526: Feeding Visit	02-26-2026 10:00 AM	02-26-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
883446	92526: Feeding Visit	03-05-2026 10:00 AM	03-05-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
899507	92526: Feeding Visit	03-26-2026 10:00 AM	03-26-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
808827	92526: Feeding Visit	10-27-2025 09:45 AM	10-27-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
808830	92526: Feeding Visit	11-17-2025 09:45 AM	11-17-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
844009	92526: Feeding Visit	11-18-2025 09:15 AM	11-18-2025 09:45 AM	Andrea Rodriguez	NB2 far east side	Canceled
808831	92526: Feeding Visit	11-24-2025 09:45 AM	11-24-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
808833	92526: Feeding Visit	12-08-2025 09:45 AM	12-08-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
808834	92526: Feeding Visit	12-15-2025 09:45 AM	12-15-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
808835	92526: Feeding Visit	12-22-2025 09:45 AM	12-22-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
808836	92526: Feeding Visit	12-29-2025 09:45 AM	12-29-2025 10:15 AM	Andrea Rodriguez	NB2 far east side	Canceled
883444	92526: Feeding Visit	02-19-2026 10:00 AM	02-19-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
883447	92526: Feeding Visit	03-12-2026 10:00 AM	03-12-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
899506	92526: Feeding Visit	03-19-2026 10:00 AM	03-19-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899508	92526: Feeding Visit	04-02-2026 10:00 AM	04-02-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
899509	92526: Feeding Visit	04-09-2026 10:00 AM	04-09-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
899510	92526: Feeding Visit	04-16-2026 10:00 AM	04-16-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
899511	92526: Feeding Visit	04-23-2026 10:00 AM	04-23-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
899512	92526: Feeding Visit	04-30-2026 10:00 AM	04-30-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled
899513	92526: Feeding Visit	05-07-2026 10:00 AM	05-07-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-19-2026	92526	Rodriguez, Andrea
03-12-2026	92526	Rodriguez, Andrea
03-12-2026	92526	Rodriguez, Andrea
02-19-2026	92526	Rodriguez, Andrea	Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
12-29-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-22-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025	92526	Rodriguez, Andrea
12-15-2025	92526	Rodriguez, Andrea
12-08-2025	92526	Rodriguez, Andrea
11-24-2025	92526	Rodriguez, Andrea
11-18-2025	92526	Rodriguez, Andrea
11-17-2025	92526	Rodriguez, Andrea
10-27-2025	92526	Rodriguez, Andrea

Paient Messages Admin:

Date	Posted By	Message
08-19-2025 01:42 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2068
09-10-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2068
09-11-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2068
09-17-2025 12:01 PM	Patsy Guajardo	Gonzalez, Alexandrea has been assigned a therapist.
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.
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:52 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.
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9711
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 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=9711
03-11-2026 05:40 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/

Paient Messages Therapist:

Date	Posted By	Message
09-11-2025 08:44 AM	Andrea Rodriguez Stokes	Hi, my name is Andrea, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9711&tid=127
09-11-2025 08:44 AM	Alexandrea Gonzalez	Alexandrea SCHEDULED: 9:00AM-9/17/2025 92610: Feeding Evaluation
09-15-2025 08:46 AM	Andrea Rodriguez Stokes	Good morning! This is Andrea from New Beginnings. I will be doing Alexandrea’s feeding evaluation. There was an error in the system as 9/17 at 9:00 am is not available, but would you be available that same day at 10:00 am? Let me know if that works for you. There is also some paperwork that needs to be filled out for the evaluation. Do you have access to a printer? :)
09-15-2025 09:00 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: 10:00 is good for us and yes I have access to a printer
09-15-2025 10:49 AM	Andrea Rodriguez Stokes	Perfect! I will go ahead and send you the 3 forms. On the PediEat, please disregard the scoring portion.
09-15-2025 10:50 AM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/09152025105022-Feeding-Patient-Background---English.pdf
09-15-2025 10:51 AM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/09152025105100-Food-Chaining-Intake-Form---English.pdf
09-15-2025 10:51 AM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/09152025105115-PediEAT_Full_English_2019-7-31.pdf
09-15-2025 10:53 AM	Andrea Rodriguez Stokes	If you could only please confirm Alexandrea's date of birth and, in a few words, describe your concerns regarding Alexandrea's feeding skills. For the day of the evaluation, you can bring 3 preferred items and 3 non-preferred items, as well as utensils/cups she is using at home. Thank you!
09-15-2025 11:12 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: 27 January 2024. She won't eat most anything. And the things she will eat it's very hit or miss
09-15-2025 12:22 PM	Andrea Rodriguez Stokes	Thank you for your response! Please let me know if you got the three forms. I will see you on Wednesday at 10:00 am. Just a reminder, our address is 3551 Rich Beem Blvd, Unit B.
09-17-2025 09:45 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805616
09-17-2025 09:55 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 10:00AM-9/17/2025 92610: Feeding Evaluation
09-17-2025 11:55 AM	Andrea Rodriguez Stokes	Good morning. This is Andrea from New Beginnings. Here is a summary from the evaluation. Alexandrea is diagnosed with a chronic pediatric feeding disorder that is characterized by impaired oral intake that is not age-appropriate. We will be targeting the following goals for the next few months: tolerating food directly in front of her, tolerating food on her fingertips and/or hands, self-feeding with preferred food items, completing facial and/or oral stimulation via zvibe, and consuming solids of increased texture. Again, we will be working with food based on the steps to eating hierarchy that we discussed during the evaluation. At home, you can start implementing the family meals (I will be sending you a step-by-step on how to do it). We want to respect her boundaries and start modeling to her how we touch food with our fingers. We can always verbally model, too! Using phrases like "This cheese is very soft!", "This apple is wet", etc.
09-17-2025 11:59 AM	Andrea Rodriguez Stokes	Family Meals: You can begin family meals with the following. Try to have meals at a scheduled time, so that Alexandrea knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing her to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation. 3. Sit at the table - Start with empty tray/plate to decrease frustration before meals. - Check Alexandrea's seat so she is positioned 90 degrees at the hips, knees, and ankles. We want to make sure her feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously. 4. Family-style serving - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of her tray, where she can place the food items she does not want) - Make sure there are at least 2 preferred item so she can have something to eat. 5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models. have pleasant conversation, and to let her do what she can by herself. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Alexandrea engage with food. 7. After 20 minutes, if she is still not eating, you can introduce her preferred item, in her case, TV. - This will allow you and Alexandrea to be weaned off the TV with time rather than just removing the item at once. 7. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If she has been eating all along and is done eating sooner, do clean up sooner - If she really cannot sit any longer, may need to do clean up earlier. The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of her plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I do not want to eat the ham, but I can put it on my learning plate'. Make sure plates, napkins, cups, and placemats are all plain and white (again, the focus should be the food). These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors.
09-17-2025 12:00 PM	Andrea Rodriguez Stokes	Let me know if you have received the "Family Meals Guide". Once the office has processed the report, obtained the needed signatures, and insurance approves the report, I will reach out to you to schedule your first session. If you have any questions, please reach out. Thank you.
09-17-2025 01:50 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: I haven't gotten the meal guides. Would it be my email or through a text ?
09-17-2025 01:51 PM	Andrea Rodriguez Stokes	Family Meals: You can begin family meals with the following. Try to have meals at a scheduled time, so that Alexandrea knows what to expect. Children typically learn best with structure. 1. Give a verbal warning prior to mealtimes (5-minute warning) - This prepares for the sensory input shift, allowing her to take on a new task. 2. Introduce transition activity (washing his hands) -Input for calming and washing for tactile preparation.
09-17-2025 01:51 PM	Andrea Rodriguez Stokes	3. Sit at the table - Start with empty tray/plate to decrease frustration before meals. - Check Alexandrea's seat so she is positioned 90 degrees at the hips, knees, and ankles. We want to make sure her feet have support. You may need to adjust the footrest or place towels or any item that can help with support. - It may be useful to make a change to where people sit at the table, to change the visual environment, and avoid negative cues that may have been formed previously. 4. Family-style serving - Everyone has to take some of each food offered (you can include a "learning plate" placed in front of her tray, where she can place the food items she does not want) - Make sure there are at least 2 preferred item so she can have something to eat.
09-17-2025 01:52 PM	Andrea Rodriguez Stokes	5. Everybody eats for the first 10 minutes - The focus of the meal should be the food - Goal for parents is to be good role models. have pleasant conversation, and to let her do what she can by herself. 6. Offer a drink (if needed and/or not eating) - If not eating, you can offer a drink to help Alexandrea engage with food. 7. After 20 minutes, if she is still not eating, you can introduce her preferred item, in her case, TV. - This will allow you and Alexandrea to be weaned off the TV with time rather than just removing the item at once
09-17-2025 01:52 PM	Andrea Rodriguez Stokes	7. After 30 minutes, begin the clean-up routine. - Have everyone empty their plate into a bowl/trash can - If she has been eating all along and is done eating sooner, do clean up sooner - If she really cannot sit any longer, may need to do clean up earlier.
09-17-2025 01:52 PM	Andrea Rodriguez Stokes	The goal of family meals is to focus on the volume of foods consumed, with exposure to unfamiliar or unaccepted food as a secondary goal. Our goal for these meals will not be to consume non-preferred foods but to start tolerating them at the level of her plate and fingers. Throughout the meal, you can emphasize things like 'I am touching the chicken with my fingers' or 'I do not want to eat the ham, but I can put it on my learning plate'. Make sure plates, napkins, cups, and placemats are all plain and white (again, the focus should be the food). These family meals should be performed once per day. Pick a time that works best for you where you can all model behaviors.
09-17-2025 01:55 PM	Andrea Rodriguez Stokes	I sent it as separate text messages. Let me know if you received it. Thank you!
09-17-2025 01:56 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Yes I got them thank you
09-17-2025 02:03 PM	Andrea Rodriguez Stokes	Perfect! We have received authorization to begin Alexandrea's feeding therapies. Starting the week of the 29th, I have Mondays available at 9:45 am or Thursdays at 12:30 pm. Let me know what works best for you. Thank you!!
09-17-2025 02:04 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Mondays at 9:45 work better!
09-17-2025 02:13 PM	Andrea Rodriguez Stokes	Perfect! See you Monday, 29th at 9:45 am. You will be getting reminders. We will start working with a preferred yogurt, preferred cottage cheese, non-preferred apple cubes (no skin), and preferred chocolate milk in her regular cup. If you can bring those food items for her first therapy session. Thank you :)
09-17-2025 02:14 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Sounds good thank you !
09-17-2025 03:41 PM	Andrea Rodriguez Stokes	I forgot to include her preferred saltine crackers on the list for her first feeding appointment, thank you!!
09-28-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 09-29-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
09-28-2025 04:07 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Yes
09-28-2025 04:07 PM	Andrea Rodriguez Stokes	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-28-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
09-29-2025 07:48 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
09-29-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808823
09-29-2025 09:43 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-9/29/2025 92526: Feeding Visit
09-29-2025 03:22 PM	Andrea Rodriguez Stokes	Hi! Here is the link for the z-vibe: https://www.amazon.com/Gafly-Therapen-Feeding-Disorders-Included/dp/B08FMTQ1D9/ref=sr_1_5_sspa?dib=eyJ2IjoiMSJ9.BleQDu_Sr2xZZVlSqljWtzGhb6X4JZBsDQpUxKv3IziAyymyCwU6hw1Ys89MNvDFk_SCKARwpcF5zAQIc4ygb3cYmJ1h00xO-MwEBc_z1EcLF-T9erode4v5wThwzGJGF5R7MLkHDscYmhrpXUQQx09RwP_P29fjCo2k9-wyU9jjAtqnC_QXTW3UgO8ebJlXIavQ9CEFoQ3e9Le2AW-qhFTIq-Tk9p2kbcKxQTktZq2xraa0OBoaLmSfN5S2tUVUOzawBFe1rqfqY5gg4PUZ47KyNHDxuXcHohuv1cNK96s.Hdq4cBRfaYKE-4SinESg6dD8A2gwVFLzlm-Rgsx9el4&dib_tag=se&hvadid=683906092265&hvdev=c&hvexpln=0&hvlocphy=1026376&hvnetw=g&hvocijid=7063180653623074116--&hvqmt=b&hvrand=7063180653623074116&hvtargid=kwd-362205098589&hydadcr=7698_13469236&keywords=z+vibe+tool&mcid=97adaa8e0d1936f1bf3a3890a5fc2eb3&qid=1759180760&sr=8-5-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1
10-05-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 10-06-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-05-2025 05:17 PM	Andrea Rodriguez Stokes	Good afternoon! Let me know if I can do an extra feeding session for Alexandrea on Tuesday at 11:00 am. If it doesn’t work with your schedule, I can offer more in the following weeks. Thank you:)
10-05-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
10-06-2025 07:45 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
10-06-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808824
10-06-2025 09:40 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-10/6/2025 92526: Feeding Visit
10-06-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 07:55 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
10-07-2025 10:45 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=817201
10-07-2025 10:50 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 11:00AM-10/7/2025 92526: Feeding Visit
10-07-2025 12:32 PM	Andrea Rodriguez Stokes	Hi! Based on Alexandrea's food inventory, you can start implementing items that are the same in consistency and taste. Preferred: 1. Protein yogurt - start trying different flavors, and also, you can start adding crushed Goldfish crumbs to slightly change the texture. You want to make sure Alexandrea sees you when adding the goldfish. 2. Goldfish- try crunchy foods like Cheez-its, rice cakes, Ritz. 3. Yogurt: Try pudding (vanilla or chocolate) 4. Cottage cheese- Try mixing it with greek yogurt for smoother texture 5. Milk- Try different cups/straws or milk-based smoothies (milk, yogurt, banana) 6. Transitional Bridge Foods: yogurt melts, gerber meltables, soft cereal pieces.
10-07-2025 12:33 PM	Andrea Rodriguez Stokes	Here are some things you can start trying at home to help Alexandrea get more comfortable with new foods and textures. Right now, our main goal is to help her touch and smell non-preferred foods without pressure to eat them. You can start by offering a small “exploration plate” next to her usual foods, where she can look at, touch, or smell something new. Keep it fun and relaxed — you might say things like “This yogurt smells sweet!” or “I’m touching this cracker with one finger.”
10-07-2025 12:33 PM	Andrea Rodriguez Stokes	You can also make it playful by letting her finger-paint with yogurt or crush Goldfish to make “crumb trails.” Praise any small step she takes (“You touched it!” or “You smelled it!”). The key is to keep mealtimes positive and curiosity-based — no pressure to taste, just explore with eyes, hands, and nose for now.
10-07-2025 12:34 PM	Andrea Rodriguez Stokes	Thank you and I will see you next week! :)
10-12-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 10-13-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
10-13-2025 07:46 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
10-13-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808825
10-13-2025 09:39 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-10/13/2025 92526: Feeding Visit
10-14-2025 09:29 AM	Andrea Rodriguez Stokes	Good morning! I will not be here on Monday, the 27th. For that week, can I see Alexandrea on Wednesday, the 29th, at 9:00 am? Let me know if it works with your schedule. If that is not the case, we can do a makeup in the following weeks. Thank you:)
10-14-2025 09:29 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-10/27/2025 92526: Feeding Visit
10-14-2025 09:30 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: The 29th will be fine for us
10-14-2025 09:34 AM	Andrea Rodriguez Stokes	Perfect! I will see you next week for her usual appointment on Monday and the following on Wednesday at 9:00 am. Have a good day!
10-14-2025 09:35 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Thank you! Have a good day as well!
10-19-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 10-20-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
10-20-2025 07:47 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
10-20-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808826
10-20-2025 09:33 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-10/20/2025 92526: Feeding Visit
10-26-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 10-29-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-28-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-29-2025 07:52 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-29-2025 08:45 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=823457
10-29-2025 08:45 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:00AM-10/29/2025 92526: Feeding Visit
10-29-2025 09:41 AM	Andrea Rodriguez Stokes	What are Hard Munchables? Hard munchables are firm, resistive foods that do not easily break apart in the mouth. Purpose: To let Alexandrea practice controlled jaw movements (rotary chewing), strengthen oral muscles, and explore pressure and texture safely. Important: These foods are for oral exploration only — not for swallowing. Always supervise closely.
10-29-2025 09:42 AM	Andrea Rodriguez Stokes	Examples: 1. Raw carrot sticks 2. Celery sticks 3. Jicama stick 4. Beef jerky 5. Hard bread crust 6. Licorice stick 7. Rib bone (cleaned)
10-29-2025 09:43 AM	Andrea Rodriguez Stokes	• Goal: Practice lateral tongue movement and rotary jaw patterns — not actual eating. • Model first: Show her how to bite on the molar area. • Alternate sides: Encourage switching sides to build bilateral chewing skills.
11-02-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 11-03-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
11-03-2025 07:44 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
11-03-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808828
11-03-2025 09:37 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-11/3/2025 92526: Feeding Visit
11-09-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 11-10-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
11-10-2025 07:44 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
11-10-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808829
11-10-2025 09:37 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-11/10/2025 92526: Feeding Visit
11-11-2025 09:25 AM	Andrea Rodriguez Stokes	Good morning! I hope you are doing well. I wanted to ask if, starting next week, I could start seeing Alexandrea on Thursdays at 10:00 am. Let me know if that would work with your schedule. Thank you :)
11-11-2025 01:17 PM	Andrea Rodriguez Stokes	Good afternoon! I hope you are doing well. I wanted to ask if, starting next week, I could start seeing Alexandrea on Thursdays at 10:00 am. Let me know if that would work with your schedule. Thank you :)
11-11-2025 01:25 PM	Andrea Rodriguez Stokes	Please disregard the above message. I was trying to reorganize my schedule, but there is no need to move Alexandrea's appointment. Thank you, and I will see Monday! If you could please bring 1 protein, 1 fruit, 1 vegetable, and 1 starch, all non-preferred. Thank you!!
11-16-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 11-17-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
11-17-2025 07:13 AM	Andrea Rodriguez Stokes	Good morning! I wanted to let you know that I’m not feeling well today, so I will need to cancel our session. I’m very sorry for the inconvenience. Let me know if tomorrow at 9:15 am works for you for Alexandrea’s feeding session. Thank you for your understanding!
11-17-2025 07:14 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-11/17/2025 92526: Feeding Visit
11-17-2025 07:15 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: No worries I understand. Tomorrow works for us
11-17-2025 07:31 AM	Andrea Rodriguez Stokes	Thank you! For tomorrow please bring 1 protein, 1 fruit, 1 vegetable and 1 starch all non-preferred. As well as 1 preferred item. Portions can be small. See you tomorrow:)
11-17-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:15 AM. See you soon! - New Beginnings 🙂
11-18-2025 07:25 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: I'm so sorry Alexandrea woke up with a fever this morning so we won't be able to make it today
11-18-2025 08:01 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:15 AM. See you soon! - New Beginnings 🙂
11-18-2025 08:54 AM	Andrea Rodriguez Stokes	Hello! I am so sorry to hear that! I hope she feels better soon. I will see you next week :)
11-18-2025 08:56 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:15AM-11/18/2025 92526: Feeding Visit
11-23-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 11-24-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:01 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: No
11-23-2025 04:01 PM	Andrea Rodriguez Stokes	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.
11-23-2025 04:12 PM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-11/24/2025 92526: Feeding Visit
11-23-2025 04:19 PM	Andrea Rodriguez Stokes	Hello! I went ahead and canceled tomorrow’s session. I hope everything is well. I will see you next week :)
11-30-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 12-01-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-01-2025 07:40 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-01-2025 09:30 AM	Andrea Rodriguez Stokes	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808832
12-01-2025 09:37 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-12/1/2025 92526: Feeding Visit
12-02-2025 10:19 AM	Andrea Rodriguez Stokes	Good morning! Whenever you have a moment, can you please send me Alexandrea's current food inventory, including any specific brands, flavors, etc? Thank you:)
12-07-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 12-08-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:38 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-08-2025 08:53 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: I'm so sorry there is a sickness running through the house and it got me today so we won't make it
12-08-2025 09:06 AM	Andrea Rodriguez Stokes	I am sorry to hear that! I hope you feel better soon. I will see you next week :)
12-08-2025 09:07 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-12/8/2025 92526: Feeding Visit
12-14-2025 04:01 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 12-15-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-15-2025 06:21 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Good morning! Sage has 102 fever and super congested. I hate to do this again but I don't think it's a good idea to bring her in today. Again I am so sorry I hope everyone starts to get better so I don't have to cancel anymore
12-15-2025 06:21 AM	Andrea Rodriguez Stokes	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 07:37 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-15-2025 07:48 AM	Andrea Rodriguez Stokes	I am so sorry to hear that! Her health comes first. I hope she feels better soon. We will be closed the next two weeks for the holidays but I will see you again on the 5th. Thank you!
12-15-2025 07:49 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-12/15/2025 92526: Feeding Visit
12-15-2025 07:49 AM	Andrea Rodriguez Stokes	Andrea Rodriguez Stokes CANCELLED: 9:45AM-12/15/2025 92526: Feeding Visit
12-15-2025 07:51 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Okay sounds good! Yes she's honestly gotten more miserable in the last couple hours and the health of the others in the building I didn't want to compromise either! Thank you so much for understanding!
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 01-05-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:35 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-05-2026 09:30 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808837
01-05-2026 09:39 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-1/5/2026 92526: Feeding Visit
01-05-2026 10:26 AM	Andrea Rodriguez	At home, you can start trying different brands of strawberry yogurt. We do want to avoid kids recognizing brands, so I would recommend serving the yogurt in a little container, so Alexandrea doesn't become dependent on only one brand. Continue to target the string cheese and other items at home following the hierarch head, nose, mouth. Try offering fruit loops, blueberries, and grapes in the same bowl to expose her to similar items. I will see you next week :)
01-11-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 01-12-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:36 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-12-2026 09:30 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808838
01-12-2026 09:42 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-1/12/2026 92526: Feeding Visit
01-12-2026 10:15 AM	Andrea Rodriguez	Hi! For this week, you can try: cheese crisps or any kind of cheese chips, shredded cheddar cheese, cottage cheese with mixed granola. Thank you!!
01-18-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 01-19-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:36 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-19-2026 09:30 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808839
01-19-2026 09:40 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-1/19/2026 92526: Feeding Visit
01-19-2026 10:16 AM	Andrea Rodriguez	This week, please try pancakes and maple syrup at home. Even if she doesn't like them the first time, remember it takes 15-20 times for a child to know if they like something or not. Continue to introduce and model :)
01-25-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 01-26-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:35 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-26-2026 09:30 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808840
01-26-2026 09:32 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-1/26/2026 92526: Feeding Visit
01-26-2026 09:32 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 9:45AM-1/26/2026 92526: Feeding Visit
01-26-2026 10:32 AM	Andrea Rodriguez	Hi! Try: Quest protein bars, freeze-dried fruits, cheese chips, nuts, beef jerky. Remember to serve 30% preferred food items and 70% non-preferred food items on her plate during mealtimes.
01-26-2026 10:33 AM	Andrea Rodriguez	Just a reminder to continue serving both preferred and non-preferred foods on her plate during mealtimes. Even if her preferred foods may look “unhealthy,” the goal right now is for her to stay seated and eat something. By sitting and eating her preferred foods, we’re helping her feel safe and regulated at the table. Over time, this can help her become more receptive to new foods—eventually tolerating them on her plate and working up to touching, smelling, and exploring them :)
01-26-2026 10:34 AM	Andrea Rodriguez	Include a learning plate in front of her plate. If she indicates she doesn’t want the nonpreferred food, you can place it in her learning plate. That way she is tolerating nonpreferred food directly in front of her.
02-01-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Speech Therapy appointment on 02-02-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:35 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Speech/Feeding Reevaluation appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 10:30 AM	Andrea Rodriguez	Rodriguez, Andrea: Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
02-02-2026 12:03 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02022026120337-IMG_0919.jpeg
02-02-2026 12:04 PM	Andrea Rodriguez	You can find them at Walmart, Albertsons, Walgreens. Let me know how it goes :)
02-08-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 02-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-11-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:55 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 09:45 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883443
02-12-2026 09:48 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 10:00AM-2/12/2026 92526: Feeding Visit
02-12-2026 10:30 AM	Andrea Rodriguez	When she says “no” to something (for example, a food item, an activity, or help), it’s important that we respect that response and calmly remove the item right away. This helps her learn that “no” has meaning and consequences. If we continue offering it or negotiating after she says no, she may learn that saying no keeps the interaction going.
02-12-2026 10:30 AM	Andrea Rodriguez	You can also give her a clear, simple choice: “You can do it by yourself, or I can help you.” If she says “no” to both options or does not respond, calmly follow through and say, “Okay, I will help you,” and complete the task without further negotiation. This teaches her that:
02-12-2026 10:30 AM	Andrea Rodriguez	• Saying no does not stop necessary tasks. • She still has some control (choice of independence or help). • Adults will calmly follow through.
02-12-2026 10:30 AM	Andrea Rodriguez	The key is to stay neutral, calm, and consistent. No extra explaining, no bargaining — just simple language and follow-through. Consistency at home will make a big difference. Let me know how it goes and we can adjust as needed!
02-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 02-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-25-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:51 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 09:45 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883445
02-26-2026 09:48 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 10:00AM-2/26/2026 92526: Feeding Visit
03-01-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 03-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-04-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 09:45 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883446
03-05-2026 09:53 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 10:00AM-3/5/2026 92526: Feeding Visit
03-08-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 03-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-11-2026 05:41 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: No
03-11-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-11-2026 06:35 PM	Andrea Rodriguez	I will see you next week! :)
03-11-2026 06:36 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 10:00AM-3/12/2026 92526: Feeding Visit
03-11-2026 06:36 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 10:00AM-3/12/2026 92526: Feeding Visit
03-11-2026 06:41 PM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Thank you!
03-15-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 03-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-18-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:52 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:33 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Good morning! I thought Sage was over being sick but she woke up this morning throwing up ! I'm so sorry to cancel last minute
03-19-2026 08:33 AM	Andrea Rodriguez	Good morning! No worries! I really hope she feels better soon, poor baby. I will see you next week :)
03-19-2026 08:34 AM	Alexandrea Gonzalez	Alexandrea (Prim) Replied: Thank you!
03-19-2026 08:34 AM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 10:00AM-3/19/2026 92526: Feeding Visit
03-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Gonzalez, Alexandrea has a Feeding Therapy appointment on 03-26-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-25-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:50 AM	Andrea Rodriguez	Hi, this is a just a reminder that Alexandrea has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 09:45 AM	Andrea Rodriguez	Alexandrea Gonzalez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899507
03-26-2026 09:48 AM	Alexandrea Gonzalez	Alexandrea is CHECKED IN for: 10:00AM-3/26/2026 92526: Feeding Visit