New Beginnings | NB1-Office

Patient Name: Madelyn

Patient Information:

Patient ID: 9717

Patient First Name: Madelyn

Patient Date of Birth: 01-10-2023

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Roberto, Canales

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Gallegos, Gabriela

FD - Feeding Therapy:

OT - Occupational Therapy: Solis, Bertha

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22443	Active	10-20-2025	04-17-2026	Superior Health Plan	26	0	0	0
22488	Active	10-20-2025	04-17-2026	Superior Health Plan	0	0	209	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25500	09-19-2025	Speech Initial Evaluation	F80.2, F84.0, G40.9
Speech Background History: Madelyn is a 2 year-old and 8 month-old female who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Ruiz accompanied her and served as the primary informant. Mrs. Ruiz expressed concerns that Madelyn communicates primarily using single words. During the evaluation, Madelyn's expressive language was characterized primarily by the use of single words and symbolic gestures (pointing, waving hi). According to developmental norms, a typically developing child of Madelyn’s age should have an expressive vocabulary of over 200 words and produce utterances of 1-2 words in length. Madelyn was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Madelyn’s parents reported that Madelyn is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, it was noted that Madelyn primarily communicates in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed.
Speech Medical History: Per parent report, medical history is not remarkable. According to the parent’s report, the mother experienced preeclampsia during her pregnancy.
Speech Medications: Mrs. Ruiz reported that Madelyn is currently prescribed Clobazam for seizure management, Lacosamide for the treatment of partial-onset seizures, and Phenobarbital for seizure control.
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths:
Speech Communication Weaknesses: Diminished vocabulary, Poor use of eye contact, Unable to follow commands,
Speech Background Summary: Madelyn was accompanied by her mother to the evaluation, which was conducted in the clinic room. During the evaluation, Madelyn exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT and NUMEROUS prompts to engage in the evaluation process.
Speech Diagnosis/Impressions: Madelyn is a 2 year-old and 8 month-old female who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Ruiz_ accompanied her and served as the primary informant. Mrs. Ruiz expressed concerns that Madelyn communicates primarily using single words. During the evaluation, Madelyn's expressive language was characterized primarily by the use of single words and symbolic gestures (pointing, waving hi). According to developmental norms, a typically developing child of Madelyn’s age should have an expressive vocabulary of over 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Madelyn’s parents reported that Madelyn is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, it was noted that Madelyn primarily communicates in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Madelyn exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT and NUMEROUS prompts to engage in the evaluation process. Madelyn was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. It should be noted that the PLS 5 is not normed on children like Madelyn who have a diagnosis of ASD. The assessment is not intended to compare her to neurotypical peers. The use of this assessment is intended to identify areas of need and document progress throughout time. Madelyn received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 13, percentile: 1, age equivalent: 8 months), Expressive Communication 60 (raw score: 18, percentile: 1, age equivalent: 1 year 2 months, and Total Language Score 51 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Madelyn received, he presents with SEVERE TO PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Madelyn’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Speech therapy is required at this time and should target the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, imitating gestures/actions, imitating nonspeech sounds/words, using total communication approach, following everyday instructions (sit down, give me, etc). Speech therapy is highly recommended at this time as Madelyn’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Madelyn’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Madelyn's mother will be responsible for her Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Madelyn is a 2 year-old and 8 month-old female who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Ruiz_ accompanied her and served as the primary informant. Mrs. Ruiz expressed concerns that Madelyn communicates primarily using single words. During the evaluation, Madelyn's expressive language was characterized primarily by the use of single words and symbolic gestures (pointing, waving hi). According to developmental norms, a typically developing child of Madelyn’s age should have an expressive vocabulary of over 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Madelyn’s parents reported that Madelyn is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, it was noted that Madelyn primarily communicates in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Madelyn exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT and NUMEROUS prompts to engage in the evaluation process. Madelyn was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. It should be noted that the PLS 5 is not normed on children like Madelyn who have a diagnosis of ASD. The assessment is not intended to compare her to neurotypical peers. The use of this assessment is intended to identify areas of need and document progress throughout time. Madelyn received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 13, percentile: 1, age equivalent: 8 months), Expressive Communication 60 (raw score: 18, percentile: 1, age equivalent: 1 year 2 months, and Total Language Score 51 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Madelyn received, he presents with SEVERE TO PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Madelyn’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Speech therapy is required at this time and should target the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, imitating gestures/actions, imitating nonspeech sounds/words, using total communication approach, following everyday instructions (sit down, give me, etc). Speech therapy is highly recommended at this time as Madelyn’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Madelyn’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Madelyn's mother will be responsible for her Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56660

Plan Date: 09-19-2025

Speech Assessment Summary: Madelyn is a 2 year-old and 8 month-old female who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Ruiz accompanied her and served as the primary informant. Mrs. Ruiz expressed concerns that Madelyn communicates primarily using single words. During the evaluation, Madelyn's expressive language was characterized primarily by the use of single words and symbolic gestures (pointing, waving hi). According to developmental norms, a typically developing child of Madelyn’s age should have an expressive vocabulary of over 200 words and produce utterances of 1-2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Madelyn’s parents reported that Madelyn is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, it was noted that Madelyn primarily communicates in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. During the evaluation, Madelyn exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT and NUMEROUS prompts to engage in the evaluation process. Madelyn was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. ** It should be noted that the PLS 5 is not normed on children like Madelyn who have a diagnosis of ASD. The assessment is not intended to compare her to neurotypical peers. The use of this assessment is intended to identify areas of need and document progress throughout time. ** Madelyn received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 13, percentile: 1, age equivalent: 8 months), Expressive Communication 60 (raw score: 18, percentile: 1, age equivalent: 1 year 2 months, and Total Language Score 51 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Madelyn received, he presents with SEVERE TO PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Madelyn’s SEVERE TO PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Speech therapy is required at this time and should target the following ageappropriate concepts: joint attention/sustaining attention to tasks, demonstrating functional play, imitating gestures/actions, imitating nonspeech sounds/words, using total communication approach, following everyday instructions (sit down, give me, etc). Speech therapy is highly recommended at this time as Madelyn’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Madelyn’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Madelyn's mother will be responsible for her Home Exercise Program (HEP).

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

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.
Receptive Language	Within 1 year, Madelyn will utilize age-appropriate expressive language skills in order to effectively communicate pain (i.e. tell her caregiver if her stomach hurts), wants (i.e. ask her caregiver for milk), and safety issues (i.e. express when someone hits or bites her at home) with familiar listeners in familiar settings with 50% accuracy of opportunities in 4/5 consecutive sessions.
Receptive Language	Within 1 year, Madelyn will utilize age-appropriate receptive language skills in order to comprehend when familiar speakers in familiar settings are trying to convey safety concerns (i.e. do not run into street) and comprehend commands (i.e. hold my hand and look both ways before crossing the street) with 50% accuracy of opportunities in 4/5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	Within 6 months, Madelyn will imitate non-speech/ words modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what she wants to play, when she is sick).
Expressive Language	Within 6 months, Madelyn will imitate gestures/actions modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what she wants to play, when she is sick).
Play/Socialization	Within 6 months, Madelyn will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.
Play/Socialization	Within 6 months, Madelyn will sustain attention to therapy tasks with clinician for at least 45-60 seconds per task in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.
Receptive Language	In 6 months, Madelyn will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 30% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions.
Expressive Language	In 6 months, Madelyn will communicate her basic wants and needs via total communication approach (i.e., sign + spoken word) with 30% accuracy given multi-sensory cues across 3 consecutive sessions in order to promote independence when communicating with caregivers.

Speech and Language Soap Note/Visit:

Soap Note

490498

Note Date: 03-19-2026

Subjective: Patient was eager to participate,Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Madelyn sustained attention to therapy tasks with clinician for at least 4560 seconds per task with 50% accuracy. Max verbal and visual cuing provided by clinician. Madelyn followed everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 10% accuracy. Max verbal and visual cuing provided by clinician. Madelyn communicated her basic wants and needs via total communication approach (i.e., sign + spoken word) with 0% accuracy. Max verbal and visual cuing provided by clinician

Plans: Continue with current Plan of Care,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3715	09-15-2025	Occupational Initial Evaluation	F82, R62.0
Occupational Background History: Madelyn is a 2.8 year old girl 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 38 weeks gestation. Child did not experience any complications at birth, however complications arose ~11 months (see medical history section), does have any visual deficits and NO hearing deficits. Child does not have history of aggression and no seasonal allergies.
Occupational Medical History: 0. - 11 months child suffered seizure which resulted in 1 month hospitalization - resulted in vegetative state and 3 medications to maintain control over seizures - vision complications with eye correction from glasses, oculomotor difficulties with L eye affected
Occupational Medications: Phenobarbital, clobazam, lacomaside
Occupational Behavioral Observations: Attending Skills: Distractible, Response Rate: Severe delays, Level of Activity: Active, Cooperation: With numerous prompts, Behavior: Non-existent, Awareness of Others: Fair, Reliability of Scores: Questionable, Awarencess of Environmental Events: Occasionally, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Cooperative, Motivated, Social Interaction,
Occupational Communication Weaknesses: ADL's, Attention to Task, Balance, Body Awareness, Endurance, Eye-Hand Coordination, Grasp, Manual Dexterity, Postural Stability/Trunk Support, Self-Control, Tone, UE Strength, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Madelyn demos difficulty with in-hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as writing, grasping small objects, and fastening clothing. Weaknesses in fine motor skills can affect a child's ability to eat, write legibly, use a computer, turn pages in a book, and perform personal care tasks such as dressing and grooming.
Occupational Diagnosis/Impressions: Madelyn was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Madelyn demo increased oral seeking via mouthing objects, preventing her from participation in FM tasks; per parent report child demos difficulty with tolerance of textures on hair, face and neck decreasing her participation in grooming, bathing and oral hygiene activities. Per clinical observation child demo retention of primitive reflexes due to seizure incident at 11 months of age- tested positive for babinski, Palmar and rooting reflexes. Per standardized assessment scores Madelyn falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores at 10 months compared to her chronological age of 32 months, placing her at least (-3 to -2) standard deviations behind her peers. Madelyn 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

4808

Plan Date: 09-15-2025

Occupational Assessment Summary: Madelyn was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Madelyn demo increased oral seeking via mouthing objects, preventing her from participation in FM tasks; per parent report child demos difficulty with tolerance of textures on hair, face and neck decreasing her participation in grooming, bathing and oral hygiene activities. Per clinical observation child demo retention of primitive reflexes due to seizure incident at 11 months of age- tested positive for babinski, Palmar and rooting reflexes. Per standardized assessment scores Madelyn falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores at 10 months compared to her chronological age of 32 months, placing her at least (-3 to -2) standard deviations behind her peers. Madelyn 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: Initial POC- Baseline 0%

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	In 6 months, Madelyn will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, tooth-brush) on the hands and face for at least 10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MIN assistance, 4/5 trials. Baseline- Baseline- MAX aversion/assistance
Self Care	In 6 months, Madelyn will independently complete tooth-brushing with setup assistance and use of a built-up or adapted toothbrush, demonstrating appropriate grip and brushing motions for at least 2 minutes, to improve independence in self-care, 4/5 trials. Baseline- MAX assist to complete task
Bilateral Coordination	In 6 months, Madelyn will demonstrate improved BUE strength by completing a 3-minute gross motor circuit (e.g., bear walks, wall push-ups, wheelbarrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age-appropriate play and self-care tasks, 4/5 trials. Baseline- MAX compensations due to low tone in BUEs
Bilateral Coordination	In 6 months, Madelyn will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 4/5 trials. Baseline- MAX assist to cross midline when participating in functional tasks

Occupational Short Term Goals:

Category	Goal Description
Sensory Issues/Self Regulation	In 3 months, Madelyn will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, tooth-brush) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MOD assistance, 3/4 trials. Baseline- MAX aversion/assistance
Self Care	In 3 months, Madelyn will complete tooth-brushing with setup assistance and use of a built-up or adapted toothbrush, demonstrating appropriate grip and brushing motions for at least 1-2 minutes, to improve independence in self-care, 3/4 trials. Baseline- MAX assist to complete task
Bilateral Coordination	In 3 months, Madelyn will demonstrate improved BUE strength by completing a 2-3-minute gross motor circuit (e.g., bear walks, wall push-ups, wheelbarrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age-appropriate play and self-care tasks, 3/4 trials. Baseline- MAX compensations due to low tone in BUEs
Bilateral Coordination	In 3 months, Madelyn will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 3/4 trials. Baseline- MAX assist to cross midline when participating in functional tasks

5354

Plan Date: 03-11-2026

Occupational Assessment Summary: Madelyn was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Madelyn demo increased oral seeking via mouthing objects, preventing her from participation in FM tasks; per parent report child demos difficulty with tolerance of textures on hair, face and neck decreasing her participation in grooming, bathing and oral hygiene activities. Per clinical observation child demo retention of primitive reflexes due to seizure incident at 11 months of age- tested positive for babinski, Palmar and rooting reflexes. Per standardized assessment scores Madelyn falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 11 months to 13 months compared to her chronological age of 38 months, placing her at least (-3 to -3) standard deviations behind her peers. Madelyn 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: Madelyn 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 per parental report. In 3 months, Madelyn will tolerate contact with non-preferred grooming textures (e.g., wet wipes, washcloth, lotion, toothbrush) on the hands and face for at least 8-10 seconds without aversive reactions (e.g., pulling away, crying), to improve participation in grooming tasks with MOD assistance, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Madelyn will complete toothbrushing with setup assistance and use of a built-up or adapted toothbrush, demonstrating appropriate grip and brushing motions for at least 12 minutes, to improve independence in self-care, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Madelyn will demonstrate improved BUE strength by completing a 2-3 minute gross motor circuit (e.g., bear walks, wall pushups, wheelbarrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age appropriate play and self-care tasks, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Madelyn will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 3/4 trials. GOAL MET- 4/4 trials

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Self Care	In 6 months, Madelyn will use fork and knife to cut soft foods with appropriate hand placement and control, requiring no more than MOD assist due to decreased hand dexterity, 4/5 trials. Baseline- MAX assist for hand placement
Bilateral Coordination	In 6 months, Madelyn will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 4/5 trials. Baseline- MAX assist
Bilateral Coordination	In 6 months, Madelyn will manage toileting clothing before and after toileting without loss of balance with MOD assist, to increase IND in dressing, in 4/5 trials. Baseline- MAX assist, decreased dynamic balance and orientation
Fine Motor	In 6 months, Madelyn will utilize pincer/3-jaw chuck grasping pattern to manipulate 5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 4/5 trials. Baseline- ulnar raking grasping pattern not appropriate for age

Occupational Short Term Goals:

Category	Goal Description
Self Care	In 3 months, Madelyn will use fork and knife to cut soft foods with appropriate hand placement and control, requiring no more than MOD assist due to decreased hand dexterity, 3/4 trials. Baseline- MAX assist for hand placement
Bilateral Coordination	In 3 months, Madelyn will demonstrate bilateral coordination by completing tasks requiring two hands working together with MOD assist (e.g., cutting, stringing, opening containers,) to increase IND with feeding tasks in 3/4 trials. Baseline- MAX assist
Bilateral Coordination	In 3 months, Madelyn will manage toileting clothing before and after toileting without loss of balance with MOD assist, to increase IND in dressing, in 3/4 trials. Baseline- MAX assist, decreased dynamic balance and orientation
Fine Motor	In 3 months, Madelyn will utilize pincer/3-jaw chuck grasping pattern to manipulate 3-5 small objects with MOD tactile cueing to increase grasping patterns when holding objects during ADLs, 3/4 trials. Baseline- ulnar raking grasping pattern not appropriate for age

Occupational Therapy Soap Note/Visit:

Soap Note

148101

Note Date: 03-26-2026

Subjective: Patient was eager to participate,Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Targeted sensory issues/ self- reg, and bilateral coordination: pt participated in wet messy play with NO aversion to activity and tolerance to B hands 8 minute interaction with facilitation to demo pincer grasping to pinch ~10 small pieces; pt participated in all activities at high chair in 90-90-90 seated position and 1 gross motor task with MOD redirection this date due to increased sensory seeking; pt participated in clothes pin activity to increase crossing of midline throughout body with NO compensations noted and increased reaching across and laterally ~14 total and MOD assist to demo pinching to open pins; pt participated in 3 step gross motor task with demo of climbing, crawling and increased sequencing skills with CGA due to decreased dynamic standing balance, circuit ~8 minutes; pt participated in vibration mat 2xs to activate muscles with demo of increased tolerance to input; pt participated in scooping activity with large weighted grip as a modification on spoon to increase precision, MIN assist to demo appropriate grasp pattern

Plans: Continue with current Plan of Care,Continue with Occupational Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
806811	97167: OT Evaluation	09-15-2025 12:00 PM	09-15-2025 01:00 PM	Bertha Solis	NB2 far east side	Completed
805590	92523: Artic & Language Eval	09-19-2025 10:30 AM	09-19-2025 11:30 AM	Jessica Ortiz	NB2 far east side	Completed
830365	OT-VIS: OT Visit	10-29-2025 09:00 AM	10-29-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
827698	92507: Speech & Language Visit	10-29-2025 10:00 AM	10-29-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
830309	OT-VIS: OT Visit	10-30-2025 09:00 AM	10-30-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
831163	OT-VIS: OT Visit	11-03-2025 12:00 PM	11-03-2025 01:00 PM	Bertha Solis	NB2 far east side	Completed
831872	92507: Speech & Language Visit	11-05-2025 10:00 AM	11-05-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
831199	OT-VIS: OT Visit	11-06-2025 12:00 PM	11-06-2025 01:00 PM	Bertha Solis	NB2 far east side	Completed
831873	92507: Speech & Language Visit	11-12-2025 10:00 AM	11-12-2025 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
834406	OT-VIS: OT Visit	11-13-2025 09:00 AM	11-13-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
831874	92507: Speech & Language Visit	11-19-2025 11:30 AM	11-19-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
834407	OT-VIS: OT Visit	11-20-2025 09:00 AM	11-20-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
831876	92507: Speech & Language Visit	12-03-2025 11:30 AM	12-03-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
834409	OT-VIS: OT Visit	12-04-2025 09:00 AM	12-04-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
831877	92507: Speech & Language Visit	12-10-2025 11:30 AM	12-10-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
834410	OT-VIS: OT Visit	12-11-2025 09:00 AM	12-11-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
857287	OT-VIS: OT Visit	12-17-2025 10:00 AM	12-17-2025 11:00 AM	Bertha Solis	NB2 far east side	Completed
831878	92507: Speech & Language Visit	12-17-2025 11:30 AM	12-17-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
834411	OT-VIS: OT Visit	12-18-2025 09:00 AM	12-18-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
867422	OT-VIS: OT Visit	01-07-2026 10:00 AM	01-07-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831879	92507: Speech & Language Visit	01-07-2026 11:30 AM	01-07-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
834414	OT-VIS: OT Visit	01-08-2026 09:00 AM	01-08-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
857289	OT-VIS: OT Visit	01-14-2026 10:00 AM	01-14-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831880	92507: Speech & Language Visit	01-14-2026 11:30 AM	01-14-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
864016	OT-VIS: OT Visit	01-15-2026 09:00 AM	01-15-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
857290	OT-VIS: OT Visit	01-21-2026 10:00 AM	01-21-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831881	92507: Speech & Language Visit	01-21-2026 11:30 AM	01-21-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
864017	OT-VIS: OT Visit	01-22-2026 09:00 AM	01-22-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
873589	92507: Speech & Language Visit	01-22-2026 10:00 AM	01-22-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
877809	NB001: Supervision	01-22-2026 10:00 AM	01-22-2026 10:45 AM	Christine Adame	NB2 far east side	Completed
857291	OT-VIS: OT Visit	01-28-2026 10:00 AM	01-28-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831882	92507: Speech & Language Visit	01-28-2026 11:45 AM	01-28-2026 12:30 PM	Gabriela Gallegos	NB2 far east side	Completed
864018	OT-VIS: OT Visit	01-29-2026 09:00 AM	01-29-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
875609	92507: Speech & Language Visit	01-29-2026 10:00 AM	01-29-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
857292	OT-VIS: OT Visit	02-04-2026 10:00 AM	02-04-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
857293	OT-VIS: OT Visit	02-11-2026 10:00 AM	02-11-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
889348	NB001: Supervision	02-11-2026 11:30 AM	02-11-2026 12:15 PM	Christine Adame	NB2 far east side	Completed
864020	OT-VIS: OT Visit	02-12-2026 09:00 AM	02-12-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
885664	92507: Speech & Language Visit	02-12-2026 10:00 AM	02-12-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
857294	OT-VIS: OT Visit	02-18-2026 10:00 AM	02-18-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831885	92507: Speech & Language Visit	02-18-2026 11:30 AM	02-18-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
864021	OT-VIS: OT Visit	02-19-2026 09:00 AM	02-19-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
857296	OT-VIS: OT Visit	03-04-2026 10:00 AM	03-04-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831887	92507: Speech & Language Visit	03-04-2026 11:00 AM	03-04-2026 11:45 AM	Gabriela Gallegos	NB2 far east side	Completed
904422	97168: OT Re-Evaluation	03-11-2026 10:00 AM	03-11-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831888	92507: Speech & Language Visit	03-11-2026 11:30 AM	03-11-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
864024	OT-VIS: OT Visit	03-12-2026 09:00 AM	03-12-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
904878	92507: Speech & Language Visit	03-12-2026 10:00 AM	03-12-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Completed
857298	OT-VIS: OT Visit	03-18-2026 10:00 AM	03-18-2026 11:00 AM	Bertha Solis	NB2 far east side	Completed
831889	92507: Speech & Language Visit	03-18-2026 11:30 AM	03-18-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Completed
864025	OT-VIS: OT Visit	03-19-2026 09:00 AM	03-19-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed
857299	OT-VIS: OT Visit	03-25-2026 12:00 PM	03-25-2026 01:00 PM	Bertha Solis	NB2 far east side	Completed
864026	OT-VIS: OT Visit	03-26-2026 09:00 AM	03-26-2026 10:00 AM	Bertha Solis	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
834371	OT-VIS: OT Visit	11-10-2025 09:00 AM	11-10-2025 10:00 AM	Bertha Solis	NB2 far east side	Canceled
831875	92507: Speech & Language Visit	11-26-2025 11:30 AM	11-26-2025 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
834408	OT-VIS: OT Visit	11-27-2025 12:00 PM	11-27-2025 01:00 PM	Bertha Solis	NB2 far east side	Canceled
834377	OT-VIS: OT Visit	12-22-2025 12:00 PM	12-22-2025 01:00 PM	Bertha Solis	NB2 far east side	Canceled
834412	OT-VIS: OT Visit	12-25-2025 12:00 PM	12-25-2025 01:00 PM	Bertha Solis	NB2 far east side	Canceled
834378	OT-VIS: OT Visit	12-29-2025 12:00 PM	12-29-2025 01:00 PM	Bertha Solis	NB2 far east side	Canceled
834413	OT-VIS: OT Visit	01-01-2026 12:00 PM	01-01-2026 01:00 PM	Bertha Solis	NB2 far east side	Canceled
831883	92507: Speech & Language Visit	02-04-2026 11:30 AM	02-04-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
864019	OT-VIS: OT Visit	02-05-2026 09:00 AM	02-05-2026 10:00 AM	Bertha Solis	NB2 far east side	Canceled
881109	92507: Speech & Language Visit	02-05-2026 10:00 AM	02-05-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Canceled
831884	92507: Speech & Language Visit	02-11-2026 11:30 AM	02-11-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
857295	OT-VIS: OT Visit	02-25-2026 10:00 AM	02-25-2026 11:00 AM	Bertha Solis	NB2 far east side	Canceled
831886	92507: Speech & Language Visit	02-25-2026 11:30 AM	02-25-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Canceled
864022	OT-VIS: OT Visit	02-26-2026 09:00 AM	02-26-2026 10:00 AM	Bertha Solis	NB2 far east side	Canceled
864023	OT-VIS: OT Visit	03-05-2026 09:00 AM	03-05-2026 10:00 AM	Bertha Solis	NB2 far east side	Canceled
894694	92507: Speech & Language Visit	03-05-2026 10:00 AM	03-05-2026 10:45 AM	Gabriela Gallegos	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913419	S9152: Reevaluation	03-30-2026 10:30 AM	03-30-2026 11:15 AM	Christine Adame	NB2 far east side	Scheduled
857300	OT-VIS: OT Visit	04-01-2026 10:00 AM	04-01-2026 11:00 AM	Bertha Solis	NB2 far east side	Scheduled
831891	92507: Speech & Language Visit	04-01-2026 11:00 AM	04-01-2026 11:45 AM	Gabriela Gallegos	NB2 far east side	Scheduled
864027	OT-VIS: OT Visit	04-02-2026 09:00 AM	04-02-2026 10:00 AM	Bertha Solis	NB2 far east side	Scheduled
857301	OT-VIS: OT Visit	04-08-2026 10:00 AM	04-08-2026 11:00 AM	Bertha Solis	NB2 far east side	Scheduled
831892	92507: Speech & Language Visit	04-08-2026 11:30 AM	04-08-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Scheduled
864028	OT-VIS: OT Visit	04-09-2026 09:00 AM	04-09-2026 10:00 AM	Bertha Solis	NB2 far east side	Scheduled
857302	OT-VIS: OT Visit	04-15-2026 10:00 AM	04-15-2026 11:00 AM	Bertha Solis	NB2 far east side	Scheduled
831893	92507: Speech & Language Visit	04-15-2026 11:30 AM	04-15-2026 12:15 PM	Gabriela Gallegos	NB2 far east side	Scheduled
864029	OT-VIS: OT Visit	04-16-2026 09:00 AM	04-16-2026 10:00 AM	Bertha Solis	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
11-13-2025	Patsy Guajardo	Gabriel from superior health called to verify if patient was receiving services for ST and OT.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-05-2026	92507	Gallegos, Gabriela	Madelyn Angel 03-05-2026 07:33 AM Madelyn (Prim) Replied: Hello, good morning, sorry for the last minute.Cancellation, but maddy just had another seizure.So i'm going to take her to the e r again
03-05-2026	OT-VIS	Solis, Bertha
02-26-2026	OT-VIS	Solis, Bertha
02-25-2026	92507	Gallegos, Gabriela	Parent canceled session, conversation as follows, "Madelyn Angel 2/25/2026 9:37 AM Madelyn (Prim) Replied: Hello, good morning, sorry, I have to cancel for today. And maybe tomorrow too, depending on how it goes. I'm currently at the ER with Maddie. She had a seizure this morning."
02-25-2026	OT-VIS	Solis, Bertha
02-11-2026	92507	Gallegos, Gabriela	Therapist canceled , car trouble
02-05-2026	92507	Gallegos, Gabriela	Parent canceled make up appt. Conversation as follows, "No Call No show Parent advised she was running late but never made it to appt. Conversation as follows, "Madelyn Angel 2/4/2026 11:55 AM Madelyn (Prim) Replied: Sorry for the inconvenience couldn't make it back. Also needed to cancel tomorrow she has an appointment with her neurologist""
02-05-2026	OT-VIS	Solis, Bertha
02-04-2026	92507	Gallegos, Gabriela	No Call No show Parent advised she was running late but never made it to appt. Conversation as follows, "Madelyn Angel 2/4/2026 11:55 AM Madelyn (Prim) Replied: Sorry for the inconvenience couldn't make it back. Also needed to cancel tomorrow she has an appointment with her neurologist"
01-01-2026	OT-VIS	Solis, Bertha	Christmas/New Years- office closed
12-29-2025	OT-VIS	Solis, Bertha	Christmas/New Years- office closed
12-25-2025	OT-VIS	Solis, Bertha	Christmas/New Years- office closed
12-22-2025	OT-VIS	Solis, Bertha	Christmas/New Years- office closed
11-27-2025	OT-VIS	Solis, Bertha	Thanksgiving- office closed
11-26-2025	92507	Gallegos, Gabriela
11-10-2025	OT-VIS	Solis, Bertha

Paient Messages Admin:

Date	Posted By	Message
09-10-2025 04:51 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2183
09-15-2025 11:59 AM	Monica Contreras-Tullius	Thank you for signing up to receive text messages from New Beginnings. To send a message to your child's therapist just reply here. To stop receiving messages from us, reply STOP at any time.
10-21-2025 11:04 AM	Patsy Guajardo	Angel, Madelyn has been assigned a therapist.
10-23-2025 02:33 PM	Patsy Guajardo	Angel, Madelyn has been assigned a therapist.
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
11-13-2025 12:46 PM	Madelyn Angel	❤️ to “ Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings ”
11-25-2025 02:51 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9717
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9717
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
09-10-2025 05:59 PM	Bertha Solis	Hi, my name is Bertha, with New Beginnings, and I will be performing your child's Occupational Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9717&tid=119
09-10-2025 05:59 PM	Madelyn Angel	Madelyn SCHEDULED: 12:00PM-9/15/2025 97167: Occupational Evaluation
09-10-2025 05:59 PM	Jessica Ortiz	Hi, my name is Jessica, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9717&tid=44
09-10-2025 05:59 PM	Madelyn Angel	Madelyn SCHEDULED: 10:30AM-9/19/2025 92523: Speech Evaluation
09-11-2025 12:20 PM	Jessica Ortiz	Hi, Mrs. Ruiz, this is Jessica. I will be performing Madelyn's speech evaluation. I wanted to ask if it's possible to switch her initial evaluation to Tuesday at 1 pm instead of Friday. Also, please complete a short questionnaire, which I’ll be sending as an attachment. You can reply to the questions via text message. Thank you!
09-11-2025 12:21 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/09112025122108-NB-initial.pdf
09-11-2025 12:21 PM	Jessica Ortiz	Hi. Mrs. Ruiz, when you get a chance, please let me know if you received the attachment. Thank you!
09-11-2025 12:23 PM	Madelyn Angel	Madelyn (Prim) Replied: Are you able to do it earlier?
09-11-2025 12:23 PM	Madelyn Angel	Madelyn (Prim) Replied: She usually take a nap between 11-2pm
09-11-2025 12:23 PM	Madelyn Angel	Madelyn (Prim) Replied: And then she has PT in afternoon
09-11-2025 12:32 PM	Jessica Ortiz	Hello, Mrs. Ruiz! Unfortunately, I’m unable to see you earlier in the week except on Friday at 9:30. But no worries, we can keep the original appointment as planned.
09-11-2025 12:33 PM	Madelyn Angel	Madelyn (Prim) Replied: That's fine u can switch it to Tuesday at 1 I'll just try and keep her up
09-11-2025 12:34 PM	Madelyn Angel	Madelyn (Prim) Replied: Tuesday the 16 at 1pm
09-11-2025 12:39 PM	Jessica Ortiz	It's okay, I don't want to interrupt her sleep schedule. We can keep it on Friday :). One more thing, did you receive the attachment?
09-11-2025 12:40 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes I will get to it now
09-11-2025 12:40 PM	Jessica Ortiz	Perfect! Thank you for your quick response and I will see you next week. :)
09-11-2025 12:59 PM	Madelyn Angel	Madelyn (Prim) Replied: 1. Madelyn Naomi Angel, January 10,2023 2.no, preeclampsia 3. No, major: Autism, epilepsy, No allergies Medication: Clobazam, lacosamide, phenobarbital 4. Crawling: 1year 6m Sitting: 1year 6m Standing: 2 years Walking:2 years 6m Feeding: no self feeding only finger feeds with whole hand sometimes with fingers Dressing: doesn't self dress or push hands or legs through I need to do it for her Potty train: not potty trained and doesn't advise when wet or dirty First word: 1year 6m non verbal doesn't advise or cry when hurt or in danger or need help Word comb: 2 years 5. Fights sleep takes clonidine for sleeping at night because she would wake up at 2-4am and wouldn't go back to sleep till 5-7am she does snore and sleeps with open mouth 6. No school or daycare 7. Some Spanish words (ay ta) 8. She does wear glasses but very little prescription and doesn't leave them on Hearing is good 9. Just to get her to be able to express herself and if there is something wrong to be able to explain what she need or as for help
09-11-2025 02:32 PM	Jessica Ortiz	Thank you for your quick response, Mrs. Ruiz.
09-11-2025 02:32 PM	Madelyn Angel	Madelyn (Prim) Replied: Welcome see you soon
09-15-2025 11:54 AM	Bertha Solis	Hi, your Occupational Evaluation on MM-dd-yyyy HH:mm has been removed. If you have any questions or need to reschedule, please message us. Thank you!
09-18-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Madelyn has a Speech Evaluation appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
09-19-2025 07:33 AM	Jessica Ortiz	Hi, this is a just a reminder that Madelyn has a Speech Evaluation appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
09-19-2025 10:15 AM	Jessica Ortiz	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=805590
09-19-2025 11:18 AM	Jessica Ortiz	Hi Mrs. Ruiz, I just wanted to check if lights or flashing visuals affect Madelyn because of her epilepsy. This is to be included in the report and also notified to her treating therapist. Thank you:)
09-27-2025 10:34 AM	Jessica Ortiz	Good morning, Mrs. Ruiz. Here is a summary of Madelyn’s goals based on her performance in the language assessment, clinical observations, and the information you provided. Madelyn will be working on joint attention/sustaining attention to tasks, demonstrating functional play, imitating gestures/actions, imitating nonspeech sounds/words, using total communication approach, following everyday instructions (sit down, give me, etc). As it was mentioned, she presents with a severe to profound mixed expressive-receptive language disorder, for which she qualifies for speech therapy 1x week for 45-60 minutes. Just wanted to let you know that Madelyn's report has been submitted we are just waiting for authorization.
09-27-2025 10:35 AM	Jessica Ortiz	Also, I just wanted to check if lights or flashing visuals affect Madelyn because of her epilepsy. This is to notify her treating therapist. :)
09-27-2025 10:52 AM	Madelyn Angel	Madelyn (Prim) Replied: Yes sometimes she likes them sometimes she will have seizures
09-27-2025 10:52 AM	Jessica Ortiz	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 12:35 PM	Jessica Ortiz	¡Hola! Solo le quería comunicar que el Dr. ya nos regresó el plan de cuidado de Madelyn. muy pronto le mandaran mensaje para agendar su cita :)
10-13-2025 12:36 PM	Madelyn Angel	Madelyn (Prim) Replied: Is this for her speech and occupation therapy at new beginnings
10-13-2025 12:37 PM	Jessica Ortiz	This is for Speech, Mrs. Ruiz.
10-13-2025 12:37 PM	Madelyn Angel	Madelyn (Prim) Replied: Okay thank you
10-21-2025 11:21 AM	Gabriela Gallegos	Good morning! This is Ms. Gabby from New Beginnings Far East location - I am texting you from our patient portal which is a secure texting only system. I have been assigned as Madelyn’s treating speech therapist at our far east location (3551 Rich Beem Blvd Unit B) - Excited to meet her and the family! We may begin our speech services! I have an opening next week on Wednesday at 10:00 AM. Would this work for her 1st initial session with me?
10-21-2025 11:52 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello Gabby 😊 Perfect! See u then!
10-21-2025 12:18 PM	Gabriela Gallegos	Thank you for confirming, see you then!
10-24-2025 12:08 PM	Bertha Solis	Hello good afternoon; this is Bertha Solis OTD, OTR/L I will be working with Madelyn for occupational therapy intervention; for next week I have Thursday at 9:00 am open for OT therapy; as I continue to get openings I will offer her 2xs a week and other available times (: let me know if this works (:
10-24-2025 01:37 PM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Hello good afternoon; this is Bertha Solis OTD, OTR/L I will be working with Madelyn for occupational therapy intervention; for next week I have Thursday at 9:00 am open for OT therapy; as I continue to get openings I will offer her 2xs a week and other available times (: let me know if this works (: ”
10-24-2025 01:37 PM	Madelyn Angel	Madelyn (Prim) Replied: Sounds good
10-24-2025 04:08 PM	Bertha Solis	Hello, my 9am on Wednesday just canceled next week; would you want that for 2nd appointment? It would be before her speech appointment at 10 and then Thursday again at 9 am (:
10-24-2025 04:10 PM	Madelyn Angel	Madelyn (Prim) Replied: Sure!
10-26-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 10-29-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 10-29-2025 at 9:00 AM, and on 10-30-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:21 PM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 10-29-2025 at 9:00 AM, and on 10-30-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂 ”
10-26-2025 04:21 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.
10-26-2025 04:21 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes
10-26-2025 04:21 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.
10-26-2025 04:21 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes
10-26-2025 04:21 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 04:21 PM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 10-29-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂 ”
10-26-2025 04:21 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-28-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
10-28-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-29-2025 07:56 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
10-29-2025 07:59 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-29-2025 08:03 AM	Madelyn Angel	Madelyn (Prim) Replied: Yes
10-29-2025 08:04 AM	Madelyn Angel	Madelyn (Prim) Replied: Yes
10-29-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830365
10-29-2025 08:59 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-10/29/2025 OT-VIS: OT Visit
10-29-2025 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827698
10-29-2025 09:49 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-10/29/2025 92507: Speech & Language Visit
10-29-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
10-30-2025 07:56 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
10-30-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830309
10-30-2025 09:04 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-10/30/2025 OT-VIS: OT Visit
11-02-2025 12:43 PM	Bertha Solis	Solis, Bertha: Thanksgiving- office closed
11-02-2025 12:45 PM	Bertha Solis	Solis, Bertha: Christmas/New Years- office closed
11-02-2025 12:45 PM	Bertha Solis	Solis, Bertha: Christmas/New Years- office closed
11-02-2025 12:45 PM	Bertha Solis	Solis, Bertha: Christmas/New Years- office closed
11-02-2025 12:45 PM	Bertha Solis	Solis, Bertha: Christmas/New Years- office closed
11-02-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 11-05-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 11-03-2025 at 12:00 PM, and on 11-06-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-03-2025 07:54 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-03-2025 11:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831163
11-04-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-04-2025 07:00 PM	Madelyn Angel	Madelyn (Prim) Replied: Okay see you Tomorrow
11-05-2025 07:35 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello does Madelyn have OT today?
11-05-2025 07:52 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-05-2025 07:53 AM	Bertha Solis	Hello, I have her second visit scheduled for tomorrow thursday at 12 pm (:
11-05-2025 07:54 AM	Madelyn Angel	Madelyn (Prim) Replied: Okay i was just wondering because she has speech today ... thats fine see u tomorrow
11-05-2025 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831872
11-05-2025 09:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-11/5/2025 92507: Speech & Language Visit
11-05-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-06-2025 07:49 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-06-2025 11:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831199
11-06-2025 11:59 AM	Madelyn Angel	Madelyn is RUNNING LATE for: 12:00PM-11/6/2025 OT-VIS: OT Visit
11-09-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 11-12-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 11-10-2025 at 9:00 AM, and on 11-13-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 05:59 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes
11-09-2025 05:59 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 05:59 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes
11-09-2025 05:59 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.
11-09-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-09-2025 06:31 PM	Madelyn Angel	Madelyn (Prim) Replied: No
11-09-2025 06:31 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.
11-09-2025 07:44 PM	Bertha Solis	Hello, do I need to cancel the appointment for tomorrow?
11-09-2025 07:44 PM	Madelyn Angel	Madelyn (Prim) Replied: Rescheduled please she has therapy at home we are available Tuesday-Thursday
11-09-2025 07:44 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.
11-09-2025 07:47 PM	Bertha Solis	I do not have any other availability at the moment; I will see Maddie Thursdays at 9:00 am if it works for you and as appointments open up I can offer the second visit (:
11-09-2025 07:48 PM	Bertha Solis	Bertha Solis CANCELLED: 9:00AM-11/10/2025 OT-VIS: OT Visit
11-09-2025 08:05 PM	Madelyn Angel	Madelyn (Prim) Replied: Ok thank u
11-09-2025 08:05 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.
11-11-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-12-2025 07:53 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-12-2025 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831873
11-12-2025 10:02 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-11/12/2025 92507: Speech & Language Visit
11-12-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-13-2025 07:52 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-13-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834406
11-16-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 11-19-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 11-20-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-18-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
11-19-2025 07:49 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
11-19-2025 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831874
11-19-2025 11:31 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-11/19/2025 92507: Speech & Language Visit
11-19-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 07:49 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-20-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834407
11-20-2025 09:02 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-11/20/2025 OT-VIS: OT Visit
11-23-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 11-26-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-25-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
11-25-2025 08:41 PM	Gabriela Gallegos	Good evening, no session for speech tomorrow. My family and I have decided to leave a day early for thanksgiving festivities. I apologize for any inconvenience. Thank you for your patience and understanding. We will resume our speech session next week. Happy Thanksgiving! Hope you have a wonderful holiday with loved ones!
11-25-2025 08:47 PM	Madelyn Angel	Madelyn (Prim) Replied: 😊
11-25-2025 08:47 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-26-2025 06:51 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-11/26/2025 92507: Speech & Language Visit
11-30-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 12-03-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:00 PM	Madelyn Angel	Madelyn (Prim) Replied: YES
11-30-2025 04:00 PM	Gabriela Gallegos	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 12-04-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-02-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
12-03-2025 07:47 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
12-03-2025 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831876
12-03-2025 11:27 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-12/3/2025 92507: Speech & Language Visit
12-03-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 07:47 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834409
12-04-2025 08:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-12/4/2025 OT-VIS: OT Visit
12-07-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 12-10-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 12-11-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-09-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
12-10-2025 07:45 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
12-10-2025 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831877
12-10-2025 11:20 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-12/10/2025 92507: Speech & Language Visit
12-10-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-11-2025 07:46 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-11-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834410
12-11-2025 08:52 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-12/11/2025 OT-VIS: OT Visit
12-11-2025 08:52 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-12/11/2025 OT-VIS: OT Visit
12-14-2025 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 12-17-2025 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 12-17-2025 at 10:00 AM, and on 12-18-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-16-2025 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
12-16-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-17-2025 07:45 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
12-17-2025 08:02 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-17-2025 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857287
12-17-2025 09:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-12/17/2025 OT-VIS: OT Visit
12-17-2025 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831878
12-17-2025 11:33 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-12/17/2025 92507: Speech & Language Visit
12-17-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 07:45 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834411
12-18-2025 09:08 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-12/18/2025 OT-VIS: OT Visit
01-04-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 01-07-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 01-07-2026 at 10:00 AM, and on 01-08-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-06-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-06-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-07-2026 07:42 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-07-2026 07:52 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-07-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857288
01-07-2026 09:48 AM	Madelyn Angel	Madelyn is RUNNING LATE for: 10:00AM-1/7/2026 OT-VIS: OT Visit
01-07-2026 10:04 AM	Bertha Solis	No worries, let me know when you arrive (:
01-07-2026 10:25 AM	Madelyn Angel	Madelyn (Prim) Replied: Sorry about the inconvenience we are here now 😊
01-07-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831879
01-07-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 07:44 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=834414
01-08-2026 08:45 AM	Madelyn Angel	Madelyn is RUNNING LATE for: 9:00AM-1/8/2026 OT-VIS: OT Visit
01-08-2026 09:14 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-1/8/2026 OT-VIS: OT Visit
01-11-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 01-14-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 01-14-2026 at 10:00 AM, and on 01-15-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-13-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-13-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-14-2026 07:42 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-14-2026 07:51 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-14-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857289
01-14-2026 09:57 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/14/2026 OT-VIS: OT Visit
01-14-2026 10:02 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/14/2026 OT-VIS: OT Visit
01-14-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831880
01-14-2026 11:16 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-1/14/2026 92507: Speech & Language Visit
01-14-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:53 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864016
01-15-2026 09:13 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-1/15/2026 OT-VIS: OT Visit
01-15-2026 09:13 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-1/15/2026 OT-VIS: OT Visit
01-18-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 01-21-2026 at 11:30 AM, and on 01-22-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 01-21-2026 at 10:00 AM, and on 01-22-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-20-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-20-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-21-2026 07:40 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-21-2026 07:48 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-21-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857290
01-21-2026 09:56 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/21/2026 OT-VIS: OT Visit
01-21-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831881
01-21-2026 11:15 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-1/21/2026 92507: Speech & Language Visit
01-21-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-21-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 07:51 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 07:58 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864017
01-22-2026 09:02 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-1/22/2026 OT-VIS: OT Visit
01-22-2026 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873589
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-22-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/22/2026 92507: Speech & Language Visit
01-25-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 01-28-2026 at 11:30 AM, and on 01-29-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 01-28-2026 at 10:00 AM, and on 01-29-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-27-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-27-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-28-2026 07:40 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-28-2026 07:47 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-28-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857291
01-28-2026 09:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/28/2026 OT-VIS: OT Visit
01-28-2026 09:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/28/2026 OT-VIS: OT Visit
01-28-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831882
01-28-2026 11:26 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-1/28/2026 92507: Speech & Language Visit
01-28-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-28-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-29-2026 07:46 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-29-2026 07:53 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-29-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864018
01-29-2026 09:00 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-1/29/2026 OT-VIS: OT Visit
01-29-2026 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875609
01-29-2026 09:46 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-1/29/2026 92507: Speech & Language Visit
02-01-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 02-04-2026 at 11:30 AM, and on 02-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 02-04-2026 at 10:00 AM, and on 02-05-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-03-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
02-03-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-04-2026 07:39 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
02-04-2026 07:45 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-04-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857292
02-04-2026 09:49 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-2/4/2026 OT-VIS: OT Visit
02-04-2026 10:47 AM	Bertha Solis	Bertha Solis CANCELLED: 9:00AM-2/5/2026 OT-VIS: OT Visit
02-04-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831883
02-04-2026 11:28 AM	Madelyn Angel	Madelyn is RUNNING LATE for: 11:30AM-2/4/2026 92507: Speech & Language Visit
02-04-2026 11:55 AM	Madelyn Angel	Madelyn (Prim) Replied: Sorry for the inconvenience couldn't make it back. Also needed to cancel tomorrow she has an appointment with her neurologist
02-04-2026 11:57 AM	Gabriela Gallegos	Thank you for letting me know. Hope everything is okay. I will se you next week. TY!
02-04-2026 11:58 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-2/4/2026 92507: Speech & Language Visit
02-04-2026 11:59 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:00AM-2/5/2026 92507: Speech & Language Visit
02-04-2026 12:00 PM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Thank you for letting me know. Hope everything is okay. I will se you next week. TY! ”
02-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 02-11-2026 at 11:30 AM, and on 02-12-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 02-11-2026 at 10:00 AM, and on 02-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-10-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
02-10-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-11-2026 07:38 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
02-11-2026 07:43 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-11-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857293
02-11-2026 10:38 AM	Gabriela Gallegos	Hi hi I am having car trouble and am in the process of changing the battery to my vehicle. I won’t be able to see Maddie today. I apologize for any inconvenience
02-11-2026 10:39 AM	Madelyn Angel	Madelyn (Prim) Replied: Okay no problem, dont worry hope u can fix it see u tomorrow hopefully 🙏
02-11-2026 10:44 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-2/11/2026 92507: Speech & Language Visit
02-11-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-11-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:46 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:57 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864020
02-12-2026 08:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-2/12/2026 OT-VIS: OT Visit
02-12-2026 09:26 AM	Gabriela Gallegos	Hi, I will be able to see Maddie right after OT. Ms. Bertha will bring her right over to me =)
02-12-2026 09:26 AM	Madelyn Angel	Madelyn (Prim) Replied: Great!
02-12-2026 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=885664
02-12-2026 09:52 AM	Bertha Solis	Hello, Maddie did awesome!! She practice pincer grasping, stringing, swinging, sliding upside down, playdoh and slime play; she did not attempt to eat the playdoh or slime and she isolated the pincer grasp a few times today; she also worked on coordination and precision with a suction toy I have and I place several ones on wondow and table so she could sort the colors, since she likes the input from pulling the suction toys (:
02-12-2026 10:07 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Hello, Maddie did awesome!! She practice pincer grasping, stringing, swinging, sliding upside down, playdoh and slime play; she did not attempt to eat the playdoh or slime and she isolated the pincer grasp a few times today; she also worked on coordination and precision with a suction toy I have and I place several ones on wondow and table so she could sort the colors, since she likes the input from pulling the suction toys (: ”
02-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 02-18-2026 at 11:30 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 Angel, Madelyn has a Occupational Therapy appointment on 02-18-2026 at 10:00 AM, and on 02-19-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-17-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
02-17-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-18-2026 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
02-18-2026 07:41 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-18-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857294
02-18-2026 09:55 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-2/18/2026 OT-VIS: OT Visit
02-18-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831885
02-18-2026 11:15 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-2/18/2026 92507: Speech & Language Visit
02-18-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 07:45 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864021
02-19-2026 09:01 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-2/19/2026 OT-VIS: OT Visit
02-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 02-25-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 02-25-2026 at 10:00 AM, and on 02-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-24-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
02-24-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-25-2026 07:38 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
02-25-2026 07:42 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-25-2026 09:37 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello, good morning, sorry, I have to cancel for today. And maybe tomorrow too, depending on how it goes. I'm currently at the ER with Maddie. She had a seizure this morning.
02-25-2026 09:37 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello, good morning, sorry, I have to cancel for today. And maybe tomorrow too, depending on how it goes. I'm currently at the ER with Maddie. She had a seizure this morning.
02-25-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857295
02-25-2026 09:47 AM	Bertha Solis	Oh my, I am sorry to hear that, do not worry about therapy, I will cancel this week; I hope she can rest and recover from the seizure, sending prayers your way that everything becomes stable, please keep me updated on her health; I will see you all next week once she is rested (:
02-25-2026 09:48 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Oh my, I am sorry to hear that, do not worry about therapy, I will cancel this week; I hope she can rest and recover from the seizure, sending prayers your way that everything becomes stable, please keep me updated on her health; I will see you all next week once she is rested (: ”
02-25-2026 09:48 AM	Madelyn Angel	Madelyn (Prim) Replied: Yes thank you i appreciate it 🙏
02-25-2026 09:48 AM	Gabriela Gallegos	Oh my goodness! Please keep us updated. Don't worry about her sessions this week. Her little body is going thru a lot
02-25-2026 09:48 AM	Bertha Solis	Bertha Solis CANCELLED: 10:00AM-2/25/2026 OT-VIS: OT Visit
02-25-2026 09:49 AM	Bertha Solis	Bertha Solis CANCELLED: 9:00AM-2/26/2026 OT-VIS: OT Visit
02-25-2026 09:49 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 11:30AM-2/25/2026 92507: Speech & Language Visit
02-25-2026 09:51 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Oh my goodness! Please keep us updated. Don't worry about her sessions this week. Her little body is going thru a lot ”
02-25-2026 09:51 AM	Madelyn Angel	Madelyn (Prim) Replied: Thank you ❤️🙏
03-01-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 03-04-2026 at 11:30 AM, and on 03-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 03-04-2026 at 10:00 AM, and on 03-05-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-03-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
03-03-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 07:36 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
03-04-2026 07:40 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 08:26 AM	Gabriela Gallegos	Hello good morning, following up on last weeks messages. How is Madelyn recovering from last weeks episode. Is she feeling better to attend therapy today? Let us know how she is doing 😊
03-04-2026 08:51 AM	Madelyn Angel	Madelyn (Prim) Replied: Yes we will see u all today 😊 she is back to her normal self
03-04-2026 08:59 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Hello good morning, following up on last weeks messages. How is Madelyn recovering from last weeks episode. Is she feeling better to attend therapy today? Let us know how she is doing 😊 ”
03-04-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857296
03-04-2026 09:50 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-3/4/2026 OT-VIS: OT Visit
03-04-2026 10:33 AM	Gabriela Gallegos	Hi, wanted to let you know I will be able to get Maddy earlier. I will get her at 11:10am
03-04-2026 10:33 AM	Madelyn Angel	Madelyn (Prim) Replied: Okay dounds good
03-04-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-04-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:33 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello, good morning, sorry for the last minute.Cancellation, but maddy just had another seizure.So i'm going to take her to the e r again
03-05-2026 07:33 AM	Madelyn Angel	Madelyn (Prim) Replied: Hello, good morning, sorry for the last minute.Cancellation, but maddy just had another seizure.So i'm going to take her to the e r again
03-05-2026 07:44 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:54 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:55 AM	Bertha Solis	Oh no, I am sorry to hear that- I hope she recovers, she is so strong- please keep me updated on her health- session is canceled do not worry about it (:
03-05-2026 07:55 AM	Bertha Solis	Bertha Solis CANCELLED: 9:00AM-3/5/2026 OT-VIS: OT Visit
03-05-2026 08:06 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ Oh no, I am sorry to hear that- I hope she recovers, she is so strong- please keep me updated on her health- session is canceled do not worry about it (: ”
03-05-2026 08:07 AM	Madelyn Angel	Madelyn (Prim) Replied: Thank yoy i will let u know what they tell me 😮‍💨💔
03-05-2026 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=894694
03-05-2026 09:51 AM	Madelyn Angel	Madelyn (Prim) Replied: 😢 to “ Hello, good morning, sorry for the last minute.Cancellation, but maddy just had another seizure.So i'm going to take her to the e r again ”
03-05-2026 11:04 AM	Gabriela Gallegos	I am sorry to hear that, I hope she has a speedy recovery. Please keep us updated on her health
03-05-2026 11:04 AM	Madelyn Angel	Madelyn (Prim) Replied: ❤️ to “ I am sorry to hear that, I hope she has a speedy recovery. Please keep us updated on her health ”
03-05-2026 11:04 AM	Madelyn Angel	Madelyn (Prim) Replied: Will do thank you
03-05-2026 11:06 AM	Gabriela Gallegos	Gabriela Gallegos CANCELLED: 10:00AM-3/5/2026 92507: Speech & Language Visit
03-08-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 03-11-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 03-11-2026 at 10:00 AM, and on 03-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-10-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
03-10-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Reevaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:38 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:59 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Reevaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-11-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904422
03-11-2026 09:51 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-3/11/2026 97168: OT Re-Evaluation
03-11-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831888
03-11-2026 11:15 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:30AM-3/11/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-11-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:42 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:57 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864024
03-12-2026 08:57 AM	Madelyn Angel	Madelyn is RUNNING LATE for: 9:00AM-3/12/2026 OT-VIS: OT Visit
03-12-2026 09:06 AM	Bertha Solis	drive safe, let me know when you are here (:
03-12-2026 09:16 AM	Madelyn Angel	Madelyn (Prim) Replied: We are here now sorry
03-12-2026 09:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904878
03-12-2026 09:53 AM	Madelyn Angel	Madelyn is CHECKED IN for: 10:00AM-3/12/2026 92507: Speech & Language Visit
03-15-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 03-18-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 03-18-2026 at 10:00 AM, and on 03-19-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-17-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
03-17-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:40 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 09:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857298
03-18-2026 11:15 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831889
03-18-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:42 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864025
03-19-2026 08:53 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-3/19/2026 OT-VIS: OT Visit
03-22-2026 04:00 PM	Gabriela Gallegos	Hi, this is a just a reminder that Angel, Madelyn has a Speech Therapy appointment on 03-25-2026 at 11:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Bertha Solis	Hi, this is a just a reminder that Angel, Madelyn has a Occupational Therapy appointment on 03-25-2026 at 12:00 PM, and on 03-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:08 PM	Bertha Solis	Hello, for Wednesdays appointment, would it be okay to see Maddie at 12pm after speech instead of 9:00am? Just for this week?
03-22-2026 04:38 PM	Madelyn Angel	Madelyn (Prim) Replied: Yes thats fine
03-22-2026 04:38 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.
03-24-2026 12:27 PM	Christine Adame	Good afternoon! My name is Christine, I'm Ms. Gabby's supervisor. I will perform the re-evaluation for continuation of speech therapy services. I was wondering if Madelyn would be able to come in on Monday at 10:30 am. Please let me know :)
03-24-2026 12:28 PM	Madelyn Angel	Madelyn (Prim) Replied: Okay thats fine
03-24-2026 12:28 PM	Christine Adame	Thank you so much!! :)
03-24-2026 12:29 PM	Madelyn Angel	Madelyn (Prim) Replied: See u then
03-24-2026 06:30 PM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled tomorrow at 11:15 AM. See you soon! - New Beginnings 🙂
03-24-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
03-24-2026 06:30 PM	Madelyn Angel	Madelyn (Prim) Replied: Thanks!
03-24-2026 06:30 PM	Madelyn Angel	Madelyn (Prim) Replied: Thanks!
03-25-2026 07:37 AM	Gabriela Gallegos	Hi, this is a just a reminder that Madelyn has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:40 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
03-25-2026 10:45 AM	Gabriela Gallegos	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831890
03-25-2026 10:45 AM	Madelyn Angel	Madelyn is CHECKED IN for: 11:00AM-3/25/2026 92507: Speech & Language Visit
03-25-2026 11:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857299
03-25-2026 11:47 AM	Madelyn Angel	Madelyn is CHECKED IN for: 12:00PM-3/25/2026 OT-VIS: OT Visit
03-25-2026 11:48 AM	Madelyn Angel	Madelyn is CHECKED IN for: 12:00PM-3/25/2026 OT-VIS: OT Visit
03-25-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:41 AM	Bertha Solis	Hi, this is a just a reminder that Madelyn has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 08:45 AM	Bertha Solis	Madelyn Angel : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864026
03-26-2026 08:49 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-3/26/2026 OT-VIS: OT Visit
03-26-2026 08:57 AM	Madelyn Angel	Madelyn is CHECKED IN for: 9:00AM-3/26/2026 OT-VIS: OT Visit