New Beginnings | NB1-Office

Patient Name: Imix

Patient Information:

Patient ID: 9725

Patient First Name: Imix

Patient Date of Birth: 10-11-2019

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Kim, Rodriguez

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barron, Annette

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23675	Active	04-13-2026	10-12-2026	El Paso First Health Plans	26	0	0	0
22366	Active	10-13-2025	04-10-2026	El Paso First Health Plans	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25472	09-15-2025	Speech Initial Evaluation	F80.4, H90.3
Speech Background History: Imix is a 5 year 11 month old female who was referred for a speech and language evaluation due to speech delay and bilateral hearing loss. Imix was accompanied to the evaluation by both her parents, and both served as informants. According to mother, Imix was born full-term without any pregnancy or birth complications, and passed her new born hearing screener. Parents stated Imix was developing within normal functioning limits for her age until the age of 2 when she became severely ill during the COVID-19 pandemic. According to mother, after the age of 2 Imix’s speech development decelerated and within 3 months, Imix began speech therapy services with another local agency. Due to lack of progress and further parent concerns, additional testing was requested for Imix. In April 2023, Imix was evaluated by Audiologist Andrea Sweetnam who diagnosed Imix with an unspecified hearing loss. By the end of 2023, Imix was referred to Dr. Jonathan Chiao who then diagnosed Imix with a sensori-neural hearing loss and determined that Imix was a candidate for bilateral cochlear implants. In December 2023, Imix had surgery and her bilateral cochlear hearing aids were activated one month later in January 2024. Parents would like to begin auditory-verbal training as Imix needs to regain her awareness of sounds around her and gain information through listening and imitating speech sounds. English is the dominate language used in home, as well as Signing Exact English. Imix is currently enrolled at the Regional Day School Program for the Deaf where she spends majority of her time in a general education classroom with an interpreter, and 2 hours a day in a classroom for children with hearing loss. Therapist is familiar with Signing Exact English (SEE) and Total Communication sign language. Parents have seen progress since Imix began attending the Regional Day School Program for children with hearing loss, and would like Imix to increase her use of expressive language while given the support of SEE. Imix was given the Comprehension Assessment of Spoken Language-Second Edition (CASL-2) as the family speaks English in the home and Imix listens to videos and family members’ voices in English, and attempts to repeat and/or respond to what they direct towards her.
Speech Medical History: Per parent report, medical history is not remarkable. Per parent report, Imix suffered to a serious illness during the COVID-19 pandemic, which parents believe led to her hearing issues. Imix was implanted for bilateral cochlear hearing aids in 2023 and they were activated January 2024.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: With some prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive, Easily separated from Parents,
Speech Communication Weaknesses: Unable to participate in a conversation, Unintelligible, Difficult to understand, Poor vocabulary, Unable to answer questions,
Speech Background Summary: Imix is a very shy young girl and entered into the office with no prompting. Imix participated fully in the evaluation with some prompting. Sign language was limited as well as verbal output, but she looked at the pictures and pointed to corresponding pictures. Imix imitated onomatopoeias, she imitated and used sign language she knew to help support what she was attempting to say.
Speech Diagnosis/Impressions: Imix is a 5 year 11 month old female who was referred for a speech and language evaluation due to speech delay and bilateral hearing loss. Imix was accompanied to the evaluation by both her parents, and both served as informants. According to mother, Imix was born full-term without any pregnancy or birth complications, and passed her new born hearing screener. Parents stated Imix was developing within normal functioning limits for her age until the age of 2 when she became severely ill during the COVID-19 pandemic. According to mother, after the age of 2 Imix’s speech development decelerated and within 3 months, Imix began speech therapy services with another local agency. Due to lack of progress and further parent concerns, additional testing was requested for Imix. In April 2023, Imix was evaluated by Audiologist Andrea Sweetnam who diagnosed Imix with an unspecified hearing loss. By the end of 2023, Imix was referred to Dr. Jonathan Chiao who then diagnosed Imix with a sensori-neural hearing loss and determined that Imix was a candidate for bilateral cochlear implants. In December 2023, Imix had surgery and her bilateral cochlear hearing aids were activated one month later in January 2024. Parents would like to begin auditory-verbal training as Imix needs to regain her awareness of sounds around her and gain information through listening and imitating speech sounds. English is the dominate language used in home, as well as Signing Exact English. Imix is currently enrolled at the Regional Day School Program for the Deaf where she spends majority of her time in a general education classroom with an interpreter, and 2 hours a day in a classroom for children with hearing loss. Therapist is familiar with Signing Exact English (SEE) and Total Communication sign language. Parents have seen progress since Imix began attending the Regional Day School Program for children with hearing loss, and would like Imix to increase her use of expressive language while given the support of SEE. Imix was given the Comprehension Assessment of Spoken Language-Second Edition (CASL-2) as the family speaks English in the home and Imix listens to videos and family members’ voices in English, and attempts to repeat and/or respond to what they direct towards her. Imix was given the Comprehension Assessment of Spoken Language-Second Edition by Auditory-Verbal means upon first presentation. Imix pointed to accurate picture when assessment began, but soon relied on the signs to support her express her verbal responses when prompted. Imix’s raw scores on the Receptive Language sub-test was 14 as she listened and showed understanding by pointing to simple CORE words that labeled common household items (i.e., cat, girl, cup, etc.). Imix’s standard score for her Receptive Language is 59, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Expressive Language sub-test was 8 as she actually used 8 real words by signing and naming from the picture cards. Imix’s standard score for her Expressive Language is 66, at least 3 standard deviations below that of average score and of her same-aged hearing peers. Imix’s raw score on the Sentence Expression sub-test was 1 as she actually only repeated one 3-word utterance. Imix’s standard score on the Sentence Expression sub-test was 54, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Sentence Comprehension sub-test was 5 as she listened and showed understanding by pointing to the matching picture scene. Imix’s standard score on the Sentence Comprehension was 70, at least 2 standard deviations below that of average score and of her same-aged hearing peers. Strengths: Imix can name a few items using CORE Words and her voice. She follows and understands therapist social greetings, but used more sign language and gestures for communication at this time. Imix gains attention at home by raising her voice in frustration, often choosing to play alone according to parents. DIFFICULTIES: Imix does not fully make her wants and needs known with words. She does not consistently verbalize ideas and/or use words to request and comment in conversation unless guided by communication partner. Imix presented with a MIXED MODERATE TO PROFOUND RECEPTIVE-EXPRESSIVE LANGUAGE DELAY secondary to her hearing loss and speech therapy with Auditory-Verbal strategies to support her language development is warranted. Without Speech therapy, Imix’s safety risk and functional health risk is HIGH, as well as her independence in that she cannot convey that she needs help or assistance if need/ill, or danger. She would not understand those who are giving her direction to move to a location or give help without a communication partner to guide and use sign language to support her needs. Speech therapy at once-a-week for 45-60 minutes is recommended.
Speech Diagnosis/Impressions: Imix is a 5 year 11 month old female who was referred for a speech and language evaluation due to speech delay and bilateral hearing loss. Imix was accompanied to the evaluation by both her parents, and both served as informants. According to mother, Imix was born full-term without any pregnancy or birth complications, and passed her new born hearing screener. Parents stated Imix was developing within normal functioning limits for her age until the age of 2 when she became severely ill during the COVID-19 pandemic. According to mother, after the age of 2 Imix’s speech development decelerated and within 3 months, Imix began speech therapy services with another local agency. Due to lack of progress and further parent concerns, additional testing was requested for Imix. In April 2023, Imix was evaluated by Audiologist Andrea Sweetnam who diagnosed Imix with an unspecified hearing loss. By the end of 2023, Imix was referred to Dr. Jonathan Chiao who then diagnosed Imix with a sensori-neural hearing loss and determined that Imix was a candidate for bilateral cochlear implants. In December 2023, Imix had surgery and her bilateral cochlear hearing aids were activated one month later in January 2024. Parents would like to begin auditory-verbal training as Imix needs to regain her awareness of sounds around her and gain information through listening and imitating speech sounds. English is the dominate language used in home, as well as Signing Exact English. Imix is currently enrolled at the Regional Day School Program for the Deaf where she spends majority of her time in a general education classroom with an interpreter, and 2 hours a day in a classroom for children with hearing loss. Therapist is familiar with Signing Exact English (SEE) and Total Communication sign language. Parents have seen progress since Imix began attending the Regional Day School Program for children with hearing loss, and would like Imix to increase her use of expressive language while given the support of SEE. Imix was given the Comprehension Assessment of Spoken Language-Second Edition (CASL-2) as the family speaks English in the home and Imix listens to videos and family members’ voices in English, and attempts to repeat and/or respond to what they direct towards her. Imix was given the Comprehension Assessment of Spoken Language-Second Edition by Auditory-Verbal means upon first presentation. Imix pointed to accurate picture when assessment began, but soon relied on the signs to support her express her verbal responses when prompted. Imix’s raw scores on the Receptive Language sub-test was 14 as she listened and showed understanding by pointing to simple CORE words that labeled common household items (i.e., cat, girl, cup, etc.). Imix’s standard score for her Receptive Language is 59, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Expressive Language sub-test was 8 as she actually used 8 real words by signing and naming from the picture cards. Imix’s standard score for her Expressive Language is 66, at least 3 standard deviations below that of average score and of her same-aged hearing peers. Imix’s raw score on the Sentence Expression sub-test was 1 as she actually only repeated one 3-word utterance. Imix’s standard score on the Sentence Expression sub-test was 54, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Sentence Comprehension sub-test was 5 as she listened and showed understanding by pointing to the matching picture scene. Imix’s standard score on the Sentence Comprehension was 70, at least 2 standard deviations below that of average score and of her same-aged hearing peers. Strengths: Imix can name a few items using CORE Words and her voice. She follows and understands therapist social greetings, but used more sign language and gestures for communication at this time. Imix gains attention at home by raising her voice in frustration, often choosing to play alone according to parents. DIFFICULTIES: Imix does not fully make her wants and needs known with words. She does not consistently verbalize ideas and/or use words to request and comment in conversation unless guided by communication partner. Imix presented with a MIXED MODERATE TO PROFOUND RECEPTIVE-EXPRESSIVE LANGUAGE DELAY secondary to her hearing loss and speech therapy with Auditory-Verbal strategies to support her language development is warranted. Without Speech therapy, Imix’s safety risk and functional health risk is HIGH, as well as her independence in that she cannot convey that she needs help or assistance if need/ill, or danger. She would not understand those who are giving her direction to move to a location or give help without a communication partner to guide and use sign language to support her needs. Speech therapy at once-a-week for 45-60 minutes is recommended.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56492

Plan Date: 09-15-2025

Speech Assessment Summary: Imix is a 5 year 11 month old female who was referred for a speech and language evaluation due to speech delay and bilateral hearing loss. Imix was accompanied to the evaluation by both her parents, and both served as informants. According to mother, Imix was born full-term without any pregnancy or birth complications, and passed her new born hearing screener. Parents stated Imix was developing within normal functioning limits for her age until the age of 2 when she became severely ill during the COVID-19 pandemic. According to mother, after the age of 2 Imix’s speech development decelerated and within 3 months, Imix began speech therapy services with another local agency. Due to lack of progress and further parent concerns, additional testing was requested for Imix. In April 2023, Imix was evaluated by Audiologist Andrea Sweetnam who diagnosed Imix with an unspecified hearing loss. By the end of 2023, Imix was referred to Dr. Jonathan Chiao who then diagnosed Imix with a sensori-neural hearing loss and determined that Imix was a candidate for bilateral cochlear implants. In December 2023, Imix had surgery and her bilateral cochlear hearing aids were activated one month later in January 2024. Parents would like to begin auditory-verbal training as Imix needs to regain her awareness of sounds around her and gain information through listening and imitating speech sounds. English is the dominate language used in home, as well as Signing Exact English. Imix is currently enrolled at the Regional Day School Program for the Deaf where she spends majority of her time in a general education classroom with an interpreter, and 2 hours a day in a classroom for children with hearing loss. Therapist is familiar with Signing Exact English (SEE) and Total Communication sign language. Parents have seen progress since Imix began attending the Regional Day School Program for children with hearing loss, and would like Imix to increase her use of expressive language while given the support of SEE. Imix was given the Comprehension Assessment of Spoken Language-Second Edition (CASL-2) as the family speaks English in the home and Imix listens to videos and family members’ voices in English, and attempts to repeat and/or respond to what they direct towards her. Imix was given the Comprehension Assessment of Spoken Language-Second Edition by Auditory-Verbal means upon first presentation. Imix pointed to accurate picture when assessment began, but soon relied on the signs to support her express her verbal responses when prompted. Imix’s raw scores on the Receptive Language sub-test was 14 as she listened and showed understanding by pointing to simple CORE words that labeled common household items (i.e., cat, girl, cup, etc.). Imix’s standard score for her Receptive Language is 59, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Expressive Language sub-test was 8 as she actually used 8 real words by signing and naming from the picture cards. Imix’s standard score for her Expressive Language is 66, at least 3 standard deviations below that of average score and of her same-aged hearing peers. Imix’s raw score on the Sentence Expression sub-test was 1 as she actually only repeated one 3-word utterance. Imix’s standard score on the Sentence Expression sub-test was 54, at least 3 standard deviations below that of average scores and below that of her same-age hearing peers. Imix’s raw score on the Sentence Comprehension sub-test was 5 as she listened and showed understanding by pointing to the matching picture scene. Imix’s standard score on the Sentence Comprehension was 70, at least 2 standard deviations below that of average score and of her same-aged hearing peers. Strengths: Imix can name a few items using CORE Words and her voice. She follows and understands therapist social greetings, but used more sign language and gestures for communication at this time. Imix gains attention at home by raising her voice in frustration, often choosing to play alone according to parents. DIFFICULTIES: Imix does not fully make her wants and needs known with words. She does not consistently verbalize ideas and/or use words to request and comment in conversation unless guided by communication partner. Imix presented with a MIXED MODERATE TO PROFOUND RECEPTIVE-EXPRESSIVE LANGUAGE DELAY secondary to her hearing loss and speech therapy with Auditory-Verbal strategies to support her language development is warranted. Without Speech therapy, Imix’s safety risk and functional health risk is HIGH, as well as her independence in that she cannot convey that she needs help or assistance if need/ill, or danger. She would not understand those who are giving her direction to move to a location or give help without a communication partner to guide and use sign language to support her needs. Speech therapy at once-a-week for 45-60 minutes is recommended.

Speech Rehabilitation Potential: Good. Imix presented with a MODERATE TO PROFOUND RECEPTIVE/EXPRESSIVE LANGUAGE DELAY due to bilateral sensori¬neural hearing loss. At this time Imix wears bilateral cochlear implants and her learning to listen as well as use her voice. When Imix’s standard score on a standardized language assessment is within at least one standard deviation of average development, then Imix will no longer be in need of speech therapy services.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 2 years, using auditory-verbal methods and Total communication as needed, Imix will demonstrate acquired, developmentally appropriate communication by vocalizing and/or using word utterances to communicate with family and others in her daily routine and environment with 90% accuracy.
Receptive Language	In 2 years, using auditory-verbal methods and Total communication as needed, Imix will demonstrate acquired, developmentally appropriate communication by pointing and/or getting objects talked about with 90% accuracy that are a part of her daily routine and/or in her environment with family and others.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 months, using auditory-verbal techniques and total communication approach, Imix will demonstrate understanding of one-step directives (plus two elements of color and location) that help to show follow the rules is important and hearing urgency in voices (i.e., Hold my hand, Give me that) by participating with gestures, vocalizations, and/or facial expressions in at least 3 of 10 trials in at least 3 consecutive sessions with family and others in his daily environment.
Receptive Language	In 6 months, using auditory-verbal techniques and total communication approach, Imix will demonstrate understanding of vocal play by participating in finger plays with gestures, facial expressions, and/or vocalizations in order to understand 'conversation' and turn taking in at least 3 of 10 trials in at least 3 consecutive sessions with family and others in his daily.
Receptive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will demonstrate understanding of single and two syllable words related to objects, animals, and/or people by reaching for, pointing at, or vocalizing same with 30% accuracy in at least 3 consecutive sessions with family and others in her daily routine.
Expressive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will name common objects (body parts, food, and clothing items) use one-to-three word utterances with 30% accuracy in order to allow for functional communication when relaying information to family and caregivers.
Expressive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will attend to Ling 6 Sounds from up to 20 minutes by perceiving, discriminating, and imitating with activities that incorporate such and lead to utterances within functional language (up, up, up, YaY, and/or oh no!) at 30% accuracy in at least 3 consecutive sessions with family and others in his daily routine.

58777

Plan Date: 03-09-2026

Speech Assessment Summary: Imix is now 6 years 4 months old and is due for a review of language growth and improvement, as well as an update on the use of her auditory acuity for listening and language since beginning speech and language services 6 months ago. Both parents have reported a noticed improvement and progress made since beginning speech therapy, increasing her inclusion in a general education class, and minimizing her time in the Regional Day School Program for children with hearing loss. Imix was given the Comprehensive Assessment of Spoken Language-Second Edition (CASL-2), and it will continue to be used as the tool of assessment to measure growth and progress since these last 6 months of speech therapy. Imix participated fully in the assessment, but needed frequent prompts and/or redirection to attend and/or return to the assessment. Imix utilized signs to support her verbal output, but increased her use of verbal output during this assessment. Imix pointed to accurate pictures and selectively utilized sign to support her verbal output. Imix received the following scores on the CASL-2: Receptive Language sub-test raw score was 35, as she listened and showed understanding by pointing to basic CORE words that labeled common core vocabulary items (i.e., dog, cup, party). Imix’s standard score for Receptive Language was 92 (percentile: 30, age-equivalent: 5;6-5;8). Imix has made steady gains with listening and understanding to what is needed. On the CASL-2: Expressive Language sub-test, Imix received a raw score of 16 as she could tell and give information about the pictures she saw in the assessment. Imix’s Standard Score on Expressive Language is 78 (percentile: 7, age-equivalent: 4;3-4;5). Imix has made steady gains as she has increased her use of verbal output. Imix’s Standard Score on Expressive Language is at least 2 STANDARD DEVIATIONS BELOW that of average score and BELOW that of her same-aged hearing peers. On the CASL-2: Sentence Expression sub-test, Imix received a raw score of 11 as she could tell and give simple information about the pictures she saw in the assessment. Imix’s Standard Score on Sentence Expression is 81 (percentile: 10, age-equivalent: 4;3-4;5). Imix’s Standard Score on Sentence Expression is at least 1.5 STANDARD DEVIATIONS BELOW that of average score and BELOW that of her same-aged hearing peers. On the CASL-2: Sentence Comprehension sub-test, Imix received a raw score of 22, as she listened and showed understanding by pointing to basic CORE words that identified common core vocabulary words and were in response to simple questions. Imix’s Standard Score on Sentence Comprehension is 89 (percentile: 23, age-equivalent: 5;0-5;2). STRENGTHS: Imix will name, label and request items using CORE Words and her voice; labeling and commenting emerging her use of attributes (i.e., color, size, shape). Imix increased her ability to follow therapist and understand social greetings, as well as use sign language and gestures for communication support at times. Imix will verbalize 2-3 word phrases utilizing common core vocabulary words, increasing her use of multisyllable words. Imix will gain the attention of her communication partner using vocalizations, which include names of the desired item and/or using the phrase “I know” as she gestures toward the item by pointing. DIFFICULTIES: Imix does not consistently make her wants and needs known with intelligible words, rather uses a mixture of 2-3 word phrases mixed with word approximations, aided by pointing and sign to her communication partner. Imix does not consistently verbalize clear ideas and/or use 3+ words to comment in conversation unless guided by her communication partner, noting emerging signs of independence. Imix required constant and consistent redirection to complete the assessment. Imix now presented with a MODERATE EXPRESSIVE LANGUAGE DELAY secondary to her hearing loss. Speech therapy with Auditory-Verbal strategies to support her language development is showing progress and continues to be warranted. Without Speech therapy, Imix’s safety risk and functional health risk is HIGH, as well as her independence; in that she cannot convey that she needs help or assistance if in need/ill, or danger. She also would not understand those who are giving her direction to move to a location or give help without a communication partner to guide and use sign language to support her needs. Continued Speech Therapy at once-a-week for 45-60 minutes is recommended.

Speech Progress to Date: 1. Imix will demonstrate understanding of one-step directives (plus two elements of color and location) that help to show follow the rules is important and hearing urgency in voices (i.e., Hold my hand, Give me that) by participating with gestures, vocalizations, and/or facial expressions in at least 3 of 10 trials. BASELINE: 0 OUT OF 10 OPPORTUNITIES; CURRENTLY: 4 OUT OF 10 OPPORTUNITIES. OBJECTIVE MET 2. Imix will demonstrate understanding of vocal play by participating in finger plays with gestures, facial expressions, and/or vocalizations in order to understand 'conversation' and turn taking in at least 3 of 10 trials. BASELINE: 1 OUT OF 10 OPPORTUNITIES; CURRENTLY: 4 OUT OF 10 OPPORTUNITIES. OBJECTIVE MET 3. Imix will demonstrate understanding of single and two syllable words related to objects, animals, and/or people by reaching for, pointing at, or vocalizing same with 30% accuracy. BASELINE: 5% ACCURACY; CURRENTLY: 40% ACCURACY. OBJECTIVE MET 4. Imix will name common objects (body parts, food, and clothing items) use one-to-three word utterances with 30% accuracy. BASELINE: 5% ACCURACY; CURRENTLY: 45% ACCURACY. OBJECTIVE MET 5. Imix will attend to Ling 6 Sounds from up to 20 minutes by perceiving, discriminating, and imitating with activities that incorporate such and lead to utterances within functional language (up, up, up, YaY, and/or oh no!) at 30% accuracy. BASELINE: 5% ACCURACY; CURRENTLY: 50% ACCURACY. OBJECTIVE MET

Speech Rehabilitation Potential: Good. With continued Speech Therapy. Imix presented with a MODERATE EXPRESSIVE LANGUAGE DELAY due to bilateral sensori¬neural hearing loss. At this time Imix wears bilateral cochlear implants and her learning to listen as well as use her voice. When Imix’s standard score on a standardized language assessment is within at least one standard deviation of average development, then Imix will no longer be in need of speech therapy services.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 2 years, using auditory-verbal methods and Total communication as needed, Imix will demonstrate acquired, developmentally appropriate communication by vocalizing and/or using word utterances to communicate with family and others in her daily routine and environment with 90% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, using auditory-verbal techniques and strategies, Imix will listen and produce similar sounding phrases and/or sentences by discriminating and identifying in pictures or by answering appropriately from a field of 3-4 items in order to discriminate conversation with family and others in her daily routines and answer or speak appropriately in danger and in need with 30% accuracy.
Expressive Language	In 6 months, using auditory-verbal techniques and total communication approach, Imix will name category of common household objects (furniture, dishes, clothes, rooms, food, etc.) and verbalize function of item with 30% accuracy in at least 3 consecutive sessions in order to increase her understanding and use of with family and others in her daily routine.
Expressive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will verbalize a simple sentence (3-4 words) in order to label, request, and comment when telling information, especially when needing assistance or wanting items with 40% accuracy in at least 3 consecutive sessions in order to make wants and needs known and to increase expressive language to family and others in her daily routine.
Expressive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will produce multisyllabic words with all speech sounds given with 30% accuracy by imitating and/or verbalizing two, and 3-syllable words with early developing speech sounds in at least 3 consecutive sessions in order to be understood when conveying important ideas and information and to increase her expressive language skills with family and others in her daily routine.
Expressive Language	In 6 months, using auditory-verbal strategies and total communication approach, Imix will use attributes with 50% accuracy, as well as when asked to bring one item with differences in attribute, with 30% accuracy in at least 3 consecutive sessions in order to discuss and note differences with family and others in her daily environment.

Speech and Language Soap Note/Visit:

Soap Note

488161

Note Date: 03-03-2026

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

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. In 6 months, using auditory-verbal techniques and total communication approach, Imix will demonstrate understanding of one-step directives (plus two elements of color and location) that help to show follow the rules is important and hearing urgency in voices (i.e., Hold my hand, Give me that) by participating with gestures, vocalizations, and/or facial expressions in at least 3 of 10 trials in at least 3 consecutive sessions with family and others in his daily environment. **Imix demonstrated understanding of one-step directives (plus two elements of color and location) that help to show follow the rules is important and hearing urgency in voices (i.e., Hold my hand, Give me that) by participating with gestures, vocalizations, and/or facial expressions in at least 4 of 10 trials. In 6 months, using auditory-verbal techniques and total communication approach, Imix will demonstrate understanding of vocal play by participating in finger plays with gestures, facial expressions, and/or vocalizations in order to understand 'conversation' and turn taking in at least 3 of 10 trials in at least 3 consecutive sessions with family and others in his daily. **Imix demonstrated understanding of vocal play by participating in finger plays with gestures, facial expressions, and/or vocalizations in order to understand 'conversation' and turn taking in at least 4 of 10 trials. In 6 months, using auditory-verbal strategies and total communication approach, Imix will demonstrate understanding of single and two syllable words related to objects, animals, and/or people by reaching for, pointing at, or vocalizing same with 30% accuracy in at least 3 consecutive sessions with family and others in her daily routine. **Imix demonstrated understanding of single and two syllable words related to objects, animals, and/or people by reaching for, pointing at, or vocalizing same with 40% accuracy. In 6 months, using auditory-verbal strategies and total communication approach, Imix will name common objects (body parts, food, and clothing items) use one-to-three word utterances with 30% accuracy in order to allow for functional communication when relaying information to family and caregivers. **Imix named common objects (body parts, food, and clothing items) use one-to-three word utterances with 45% accuracy. In 6 months, using auditory-verbal strategies and total communication approach, Imix will attend to Ling 6 Sounds from up to 20 minutes by perceiving, discriminating, and imitating with activities that incorporate such and lead to utterances within functional language (up, up, up, YaY, and/or oh no!) at 30% accuracy in at least 3 consecutive sessions with family and others in his daily routine. **Imix attended to Ling 6 Sounds from up to 20 minutes by perceiving, discriminating, and imitating with activities that incorporate such and lead to utterances within functional language (up, up, up, YaY, and/or oh no!) at 50% accuracy.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
809765	92523: Artic & Language Eval	09-15-2025 05:00 PM	09-15-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821909	92507: Speech & Language Visit	10-13-2025 05:00 PM	10-13-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821910	92507: Speech & Language Visit	10-20-2025 05:00 PM	10-20-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821911	92507: Speech & Language Visit	10-27-2025 05:00 PM	10-27-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821912	92507: Speech & Language Visit	11-03-2025 05:00 PM	11-03-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821914	92507: Speech & Language Visit	11-17-2025 05:00 PM	11-17-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821915	92507: Speech & Language Visit	11-24-2025 05:00 PM	11-24-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821916	92507: Speech & Language Visit	12-01-2025 05:00 PM	12-01-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821917	92507: Speech & Language Visit	12-08-2025 05:00 PM	12-08-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821918	92507: Speech & Language Visit	12-15-2025 05:00 PM	12-15-2025 06:00 PM	Annette Barron	NB2 far east side	Completed
821949	92507: Speech & Language Visit	12-22-2025 10:00 AM	12-22-2025 11:00 AM	Annette Barron	NB2 far east side	Completed
821921	92507: Speech & Language Visit	01-13-2026 05:00 PM	01-13-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821922	92507: Speech & Language Visit	01-19-2026 10:00 AM	01-19-2026 11:00 AM	Annette Barron	NB2 far east side	Completed
821923	92507: Speech & Language Visit	01-26-2026 05:00 PM	01-26-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821924	92507: Speech & Language Visit	02-02-2026 05:00 PM	02-02-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821925	92507: Speech & Language Visit	02-09-2026 05:00 PM	02-09-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821927	92507: Speech & Language Visit	02-23-2026 05:00 PM	02-23-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821928	92507: Speech & Language Visit	03-02-2026 05:00 PM	03-02-2026 06:00 PM	Annette Barron	NB2 far east side	Completed
821929	S9152: Reevaluation	03-09-2026 05:00 PM	03-09-2026 06:00 PM	Annette Barron	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
821913	92507: Speech & Language Visit	11-10-2025 05:00 PM	11-10-2025 06:00 PM	Annette Barron	NB2 far east side	Canceled
821919	92507: Speech & Language Visit	12-29-2025 05:00 PM	12-29-2025 06:00 PM	Annette Barron	NB2 far east side	Canceled
821920	92507: Speech & Language Visit	01-05-2026 05:00 PM	01-05-2026 06:00 PM	Annette Barron	NB2 far east side	Canceled
821926	92507: Speech & Language Visit	02-16-2026 05:00 PM	02-16-2026 06:00 PM	Annette Barron	NB2 far east side	Canceled
821930	92507: Speech & Language Visit	03-16-2026 05:00 PM	03-16-2026 06:00 PM	Annette Barron	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
821932	92507: Speech & Language Visit	03-30-2026 05:00 PM	03-30-2026 06:00 PM	Annette Barron	NB2 far east side	Scheduled
821933	92507: Speech & Language Visit	04-06-2026 05:00 PM	04-06-2026 06:00 PM	Annette Barron	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
11-10-2025	Annette Barron	Parent notified clinician at the time of appointment that they would not attend, and sent the following messages: - Imix Melendez 11/10/2025 5:00 PM Imix (Prim) Replied: Hi, we are not attending today's session. We are unable to arrive on time or during the 15min of tolerance. - Imix Melendez 11/10/2025 5:01 PM Imix (Prim) Replied: We will continue next week as normal. An apology for today.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-16-2026	92507	Barron, Annette	Parent messaged to stated they could not attend due to parent's work schedule.
02-16-2026	92507	Barron, Annette	Mother requested to cancel due to Imix throwing up on the way home from school.
01-05-2026	92507	Barron, Annette	Mother and patient have the flu.
12-29-2025	92507	Barron, Annette	Office closed for Christmas Break.
11-10-2025	92507	Barron, Annette	Parent notified clinician at the time of appointment that they would not attend, and sent the following messages: - Imix Melendez 11/10/2025 5:00 PM Imix (Prim) Replied: Hi, we are not attending today's session. We are unable to arrive on time or during the 15min of tolerance. - Imix Melendez 11/10/2025 5:01 PM Imix (Prim) Replied: We will continue next week as normal. An apology for today.

Paient Messages Admin:

Date	Posted By	Message
09-12-2025 09:12 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2189
09-12-2025 09:14 AM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I messaging you to let you know that I have sent you the link for your daughter to start services with us. I did speak the therapist and and she does have an after school spot for you child. If you have any question let me know or give us a call 915-303-5177 Thank you
09-12-2025 09:42 AM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9725
09-13-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9725
09-14-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9725
09-15-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9725
10-10-2025 08:23 AM	Patsy Guajardo	Melendez, Imix has been assigned a therapist.
11-13-2025 12:47 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:53 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9725
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
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=9725
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
09-12-2025 09:54 AM	Annette Barron	Good morning. My name is Annette from New Beginnings, and I will be completing Imix's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Imix be available to come in on Monday, Sept. 15th at 5 PM? We are located at 3551 Rich Beem Blvd, Suite B, 79938. Please let me know if you would like to confirm the appointment. Thank you.
09-12-2025 09:55 AM	Imix Melendez	Imix (Prim) Replied: Yes. Thank you! We will see you at 5 on Monday.
09-12-2025 09:59 AM	Annette Barron	I am currently still waiting for the authorization for the evaluation to come in via fax, but I wanted to offer you my afternoon appointment. When you come in, we will review medical history, and then we will do the evaluation. What are your concerns? Is Imix not using enough words, and/or difficult to understand?
09-12-2025 10:06 AM	Imix Melendez	Imix (Prim) Replied: I think she is not using enough words. We mostly use SEE sign. She had have her cochlear implants for 3 years now and she would respond to her name wen calling her but she have a hard time with other instructions.
09-12-2025 10:56 AM	Annette Barron	When was her last appointment with her audiologist, and when were the cochlear implants last programmed?
09-12-2025 11:00 AM	Imix Melendez	Imix (Prim) Replied: She is constantly checking her. She is at the school. Audiologist is Andrea Sweetnam. Last report she send home was on April 2025. But she check her again First week of school, August 2025.
09-12-2025 11:01 AM	Imix Melendez	Imix (Prim) Replied:
09-12-2025 11:12 AM	Annette Barron	Yes, ma'am I know Ms. Sweetnam. Thank you for the information. I am sending you a questionnaire in preparation for the evaluation. Please complete when you have a moment. Thank you. Speech History Questionnaire for Imix: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)? 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? 5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils? 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? 7.) Which language(s) is the child exposed to regularly? 8.) Vision or hearing issues? 9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
09-15-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=806791
09-15-2025 05:02 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-9/15/2025 92523: Artic & Language Eval
09-15-2025 05:05 PM	Annette Barron	Thank you for letting me know. You have 10 min left in the grace period.
09-16-2025 09:51 AM	Annette Barron	Good morning. I had a few other questions about Imix's developmental milestones. Could you please answer the following question? When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word?
09-16-2025 11:03 AM	Imix Melendez	Imix (Prim) Replied: Sat-up around 8 months. Crawl 10months. Stood up 13 months. Fed self with hand 8 months. With utensils around 13 months. Walk 14/15 months. Dress self 2 1/2 yo. Potty trained completely at 3. 1 words. First word 13 months. Combined words 19 months.
09-16-2025 11:57 AM	Annette Barron	Thank you. I want to be as thorough as possible to prevent insurance from denying her again.
09-16-2025 02:32 PM	Imix Melendez	Imix (Prim) Replied: Thank you!
10-10-2025 08:31 AM	Annette Barron	Good morning. This is Ms. Annette with New Beginnings. I just received the authorization to begin speech therapy services with Imix. During our evaluation, we discussed scheduling Imix on Mondays at 5 PM. I have been saving this time for you and I am ready to begin therapy this coming Monday, October 13th, at 5 PM. If for some reason this time/day does not work for you, please let me know as soon as possible. Thank you.
10-10-2025 08:32 AM	Imix Melendez	Imix (Prim) Replied: Perfect! Sounds good, Monday 13 at 5pm. Will see you there
10-10-2025 08:33 AM	Annette Barron	Thank you.
10-10-2025 08:34 AM	Imix Melendez	Imix (Prim) Replied: Thank you!!!!
10-12-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 10-13-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 06:06 PM	Imix Melendez	Imix (Prim) Replied: Yes
10-12-2025 06:06 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-12-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
10-13-2025 07:54 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
10-13-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821909
10-13-2025 04:45 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-10/13/2025 92507: Speech & Language Visit
10-19-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 10-20-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:08 PM	Imix Melendez	Imix (Prim) Replied: Yes
10-19-2025 04:08 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-19-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
10-20-2025 07:53 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
10-20-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821910
10-20-2025 04:51 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-10/20/2025 92507: Speech & Language Visit
10-26-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 10-27-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:09 PM	Imix Melendez	Imix (Prim) Replied: Yes
10-26-2025 04:09 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
10-27-2025 07:50 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
10-27-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821911
10-27-2025 04:47 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-10/27/2025 92507: Speech & Language Visit
10-27-2025 04:58 PM	Annette Barron	Thank you for letting me know. I will be waiting.
11-02-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 11-03-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
11-03-2025 05:40 AM	Imix Melendez	Imix (Prim) Replied: Yes
11-03-2025 05:40 AM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-03-2025 07:48 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
11-03-2025 02:09 PM	Annette Barron	Good afternoon. The holiday season is right around the corner and I wanted to let you know that our offices will be closed Thursday and Friday during the week of Thanksgiving. In December, the offices will close beginning December 24th (Wednesday) and I will return to the office on Monday, Jan. 5th. If your appointment happens to fall during the time of a closure, I will offer you a make-up appointment based on availability. You will receive notice shortly regarding any cancellations during the holiday closing.
11-03-2025 02:13 PM	Annette Barron	Barron, Annette: Office closed for Christmas Break.
11-03-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821912
11-03-2025 04:47 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-11/3/2025 92507: Speech & Language Visit
11-07-2025 12:25 PM	Annette Barron	Good afternoon. The front office just informed me of the scheduling issue you all are encountering. Unfortunately, 5 PM is the latest appointment we offer. However, we can consider Telehealth meaning, we will still have the 5 PM appointment but we would have the session via Zoom.
11-09-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 11-10-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
11-10-2025 07:48 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
11-10-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821913
11-10-2025 05:00 PM	Imix Melendez	Imix (Prim) Replied: Hi, we are not attending today's session. We are unable to arrive on time or during the 15min of tolerance.
11-10-2025 05:01 PM	Imix Melendez	Imix (Prim) Replied: We will continue next week as normal. An apology for today.
11-10-2025 05:05 PM	Annette Barron	Ok. Thank you for letting me know.
11-10-2025 05:07 PM	Annette Barron	Annette Barron CANCELLED: 5:00PM-11/10/2025 92507: Speech & Language Visit
11-16-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 11-17-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 05:07 PM	Imix Melendez	Imix (Prim) Replied: Yes
11-16-2025 05:07 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-16-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
11-17-2025 07:44 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
11-17-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821914
11-17-2025 04:46 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-11/17/2025 92507: Speech & Language Visit
11-23-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 11-24-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:13 PM	Imix Melendez	Imix (Prim) Replied: Yes
11-23-2025 04:13 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-23-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
11-24-2025 07:40 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
11-24-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821915
11-24-2025 04:53 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-11/24/2025 92507: Speech & Language Visit
11-24-2025 04:53 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-11/24/2025 92507: Speech & Language Visit
11-30-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 12-01-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:00 PM	Imix Melendez	Imix (Prim) Replied: Yes
11-30-2025 04:00 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
12-01-2025 07:44 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
12-01-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821916
12-01-2025 04:51 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-12/1/2025 92507: Speech & Language Visit
12-01-2025 05:03 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-12/1/2025 92507: Speech & Language Visit
12-07-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 12-08-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:04 PM	Imix Melendez	Imix (Prim) Replied: Yes
12-07-2025 04:04 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
12-08-2025 07:40 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
12-08-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821917
12-08-2025 04:49 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-12/8/2025 92507: Speech & Language Visit
12-12-2025 11:54 AM	Annette Barron	Good morning. As our Christmas break approaches, I wanted to send you a reminder about the office closure. Both offices will be closed from Wednesday, Dec. 24th through January 2nd. We will resume regular office hours and therapy schedules Monday, January 5th. I am more than happy to answer questions before and after Christmas break.
12-14-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 12-15-2025 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
12-14-2025 06:50 PM	Imix Melendez	Imix (Prim) Replied: Yes
12-14-2025 06:50 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-15-2025 07:39 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
12-15-2025 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821918
12-15-2025 04:46 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-12/15/2025 92507: Speech & Language Visit
12-15-2025 05:06 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-12/15/2025 92507: Speech & Language Visit
12-21-2025 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 12-22-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-21-2025 04:00 PM	Imix Melendez	Imix (Prim) Replied: Yes
12-21-2025 04:00 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-21-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-22-2025 07:33 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-22-2025 09:45 AM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821949
12-22-2025 09:45 AM	Imix Melendez	Imix is CHECKED IN for: 10:00AM-12/22/2025 92507: Speech & Language Visit
01-04-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 01-05-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Imix Melendez	Imix (Prim) Replied: Yea
01-04-2026 04:02 PM	Imix Melendez	Imix (Prim) Replied: Yes
01-04-2026 04:02 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:02 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 07:37 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 11:55 AM	Imix Melendez	Imix (Prim) Replied: Wi have to cancel the appointment for today. Imix and I get positive for flu. We are so sorry.
01-05-2026 12:51 PM	Annette Barron	Oh no, I am so sorry to hear this. I hope you all feel better soon. See you next week if everyone else is feeling better.
01-05-2026 12:57 PM	Imix Melendez	Imix (Prim) Replied: Thank you! Have a great week
01-05-2026 01:00 PM	Annette Barron	Annette Barron CANCELLED: 5:00PM-1/5/2026 92507: Speech & Language Visit
01-06-2026 02:27 PM	Annette Barron	Good afternoon. Next Monday I will not be in the office due to my father in-law having back surgery. Would it be possible to see Imix on Tuesday, Jan. 13th, at 5 pm?
01-06-2026 02:46 PM	Imix Melendez	Imix (Prim) Replied: We struggle a bit because of transportation. I have to talk to my husband.
01-06-2026 02:52 PM	Annette Barron	Yes, I completely understand. This is why I notified you first. Please discuss it with your husband and let me know as soon as possible. Thank you.
01-06-2026 06:16 PM	Imix Melendez	Imix (Prim) Replied: Sorry to answer you this late. It's okay wi will be there
01-06-2026 06:43 PM	Annette Barron	Thank you! See you next Tuesday.
01-11-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 01-13-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 07:34 PM	Imix Melendez	Imix (Prim) Replied: Yes
01-11-2026 07:34 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-12-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 07:41 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821921
01-13-2026 04:57 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-1/13/2026 92507: Speech & Language Visit
01-16-2026 01:53 PM	Annette Barron	Good afternoon. Due to the school holiday on Monday, I would like to see Imix at 10 AM. Please let me know if this is possible for you all. Thank you.
01-16-2026 01:53 PM	Imix Melendez	Imix (Prim) Replied: Okay. That time works for us
01-16-2026 01:54 PM	Annette Barron	Great. Thank you so much! See you then.
01-18-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 01-19-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:15 PM	Imix Melendez	Imix (Prim) Replied: Yes
01-18-2026 04:15 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-18-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:37 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 09:45 AM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821922
01-19-2026 09:53 AM	Imix Melendez	Imix is CHECKED IN for: 10:00AM-1/19/2026 92507: Speech & Language Visit
01-25-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 01-26-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 05:46 PM	Imix Melendez	Imix (Prim) Replied: Yes
01-25-2026 05:46 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
01-26-2026 07:36 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
01-26-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821923
02-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 02-02-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 05:58 PM	Imix Melendez	Imix (Prim) Replied: Yes
02-01-2026 05:58 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-02-2026 07:36 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-02-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821924
02-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 02-09-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:01 PM	Imix Melendez	Imix (Prim) Replied: Yes
02-08-2026 04:01 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 07:37 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821925
02-09-2026 04:48 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-2/9/2026 92507: Speech & Language Visit
02-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 02-16-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:59 PM	Imix Melendez	Imix (Prim) Replied: Yes
02-15-2026 04:59 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 07:35 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 03:56 PM	Imix Melendez	Imix (Prim) Replied: Hi. We can't make it today. She just arrived from school, she threw up in the bus. Would be okay if we reschedule?
02-16-2026 03:59 PM	Annette Barron	Yes, definitely. Sorry to hear Imix is feeling sick. Hope she feels better soon.
02-16-2026 04:37 PM	Imix Melendez	Imix (Prim) Replied: Thank you!
02-16-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821926
02-16-2026 04:51 PM	Annette Barron	Annette Barron CANCELLED: 5:00PM-2/16/2026 92507: Speech & Language Visit
02-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 02-23-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:46 PM	Imix Melendez	Imix (Prim) Replied: Yes
02-22-2026 04:46 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:34 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
02-23-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821927
02-23-2026 04:58 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-2/23/2026 92507: Speech & Language Visit
02-23-2026 05:03 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-2/23/2026 92507: Speech & Language Visit
03-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 03-02-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 05:00 PM	Imix Melendez	Imix (Prim) Replied: Yes
03-01-2026 05:00 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:35 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821928
03-02-2026 04:53 PM	Imix Melendez	Imix is CHECKED IN for: 5:00PM-3/2/2026 92507: Speech & Language Visit
03-02-2026 05:49 PM	Annette Barron	If you are free, I have next Monday at 10 AM open or 2 PM. If this does not work, we can keep the 5 PM appointment.
03-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 03-09-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:34 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech/Feeding Reevaluation appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821929
03-09-2026 04:54 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-3/9/2026 S9152: Reevaluation
03-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 03-16-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:34 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 04:18 PM	Imix Melendez	Imix (Prim) Replied: Hi, would be possible to reschedule today's appointment for Imix Melendez? We are unable to make it. I'm sorry for the inconvenience.
03-16-2026 04:41 PM	Annette Barron	Ok. Thank you for letting me know. I will look over my schedule to see if I have something else available for her during the week since she is still on spring break.
03-16-2026 04:42 PM	Imix Melendez	Imix (Prim) Replied: Thank you!
03-16-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821930
03-16-2026 05:00 PM	Annette Barron	If you are available, I have an opening Thursday at 12 PM or 2 PM. Will this work for you?
03-16-2026 05:08 PM	Imix Melendez	Imix (Prim) Replied: Do you have any availability at 5. If no I think we will have to cancel, sorry. I move jobs and we are trying to reconfigure our schedule now that we both work until 5. Sorry.
03-16-2026 05:13 PM	Annette Barron	No, I do not have any other 5 PM appointments open.
03-16-2026 05:14 PM	Imix Melendez	Imix (Prim) Replied: Okay. Sorry again. We will see you next week.
03-16-2026 05:15 PM	Annette Barron	Annette Barron CANCELLED: 5:00PM-3/16/2026 92507: Speech & Language Visit
03-16-2026 05:16 PM	Annette Barron	Yes, see you all next week.
03-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Melendez, Imix has a Speech Therapy appointment on 03-23-2026 at 5:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Imix Melendez	Imix (Prim) Replied: Yes
03-22-2026 04:01 PM	Annette Barron	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:34 AM	Annette Barron	Hi, this is a just a reminder that Imix has a Speech Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 04:45 PM	Annette Barron	Imix Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=821931
03-23-2026 04:45 PM	Imix Melendez	Imix is RUNNING LATE for: 5:00PM-3/23/2026 92507: Speech & Language Visit