New Beginnings | NB1-Office

Patient Name: Jace

Patient Information:

Patient ID: 9735

Patient First Name: Jace

Patient Date of Birth: 10-18-2018

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: LALAINE, VILLAROJO

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Viramontes, Victoria

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

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25570	10-03-2025	Speech Initial Evaluation	F80.2, F84.0, F90.9
Speech Background History: Jace is a 6 year 11 month old female who was referred for a speech and language evaluation by her pediatrician and parental concerns with language. Jace was accompanied to the assessment by her mother, who served as the informant. According to mother, Jace was diagnosed with autism spectrum disorder when Jace was 4 years old, and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Per parent report, Jace has been receiving speech therapy services since she was 18 months old due to her initial non-verbal diagnosis. There is also a history of applied behavioral analysis (ABA) therapy, but mother removed Jace from services when Jace began kindergarten in August of 2024. Since the family relocated to El Paso, Jace has been receiving speech therapy in the public school once a week. However, mother is concerned with Jace’s struggle to understand and use grammatical sentences. Based on clinical observations, Jace’s current communication was characterized as simple grammatical and non-grammatical sentences, with inconsistent age-appropriate vocabulary, and “baby-talk” to communicate her wants/needs. Jace was evaluated using the Comprehensive Assessment of Spoken Language 2nd Edition (CASL-2). Based on Jace’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Jace was diagnosed with autism spectrum disorder at 4 years, and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Jace was also found to have a tongue tie, but per recommendation of her dentist, removal of the tie has been pushed until Jace is older due to Jace’s resistance to follow through with doctor recommended stretches post-surgery.
Speech Medications: Jace consumes 10 mg of Adderall XR once a day.
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Speech Communication Strengths: Auditory and visually alert and attentive, Follows verbal command with cues, Understands nuances of language,
Speech Communication Weaknesses: Diminished vocabulary, Inappropriate Behaviors, Poor use of eye contact, Poor vocabulary, Repetitiveness, Unable to follow commands,
Speech Background Summary: Jace entered the evaluation room with her mother. Jace demonstrated some emotional outburst when frustrated, and required constant redirection by her mother. Jace had difficulty remaining focused and/or seated for the duration of the evaluation, often jumping out of the chair, laying on the floor, and/or turning away from the assessment.
Speech Diagnosis/Impressions: Jace is a 6 year 11 month old female who was referred for a speech and language evaluation by her pediatrician and parental concerns with language. Jace was accompanied to the assessment by her mother, who served as the informant. According to mother, Jace was diagnosed with autism spectrum disorder when Jace was 4 years old, and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Per parent report, Jace has been receiving speech therapy services since she was 18 months old due to her initial non-verbal diagnosis. There is also a history of applied behavioral analysis (ABA) therapy, but mother removed Jace from services when Jace began kindergarten in August of 2024. Since the family relocated to El Paso, Jace has been receiving speech therapy in the public school once a week. However, mother is concerned with Jace’s struggle to understand and use grammatical sentences. Based on clinical observations, Jace’s current communication was characterized as simple grammatical and non-grammatical sentences, with inconsistent age-appropriate vocabulary, and “baby-talk” to communicate her wants/needs. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE in response rate, ACTIVE level of activity, USUALLY awareness of others/environment, and need for NUMEROUS prompts to cooperate. Jace was evaluated using the Comprehensive Assessment of Spoken Language 2nd Edition (CASL-2). Jace received the following scores on the CASL-2: Receptive Vocabulary sub-test: 81 (raw score: 32, percentile: 10, age-equivalent: 5;0-5;2), Expressive Vocabulary sub-test: 66 (raw score: 13, percentile: 1, age-equivalent: 3;9-3;11), Sentence Expression sub-test: 74 (raw score: 10, percentile: 4, age-equivalent: 4;0-4;2), and Sentence Comprehension sub-test: 102 (raw score: 25, percentile: 55, age-equivalent: 5;3-5;5). According to the standard scores on the CASL-2, Jace presented with a MODERATE TO SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language score (SEVERE) is more severe than her receptive score (MODERATE). Jace would benefit from speech therapy services that address the following: following 2-step directions, answer simple why questions, determine whether a sentence is grammatically correct, improve auditory processing skills, and discriminate and identify different common phrases with a one difference. Speech therapy is highly recommended at this time as Jace’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Jace’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Jace’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Jace’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Diagnosis/Impressions: Jace is a 6 year 11 month old female who was referred for a speech and language evaluation by her pediatrician and parental concerns with language. Jace was accompanied to the assessment by her mother, who served as the informant. According to mother, Jace was diagnosed with autism spectrum disorder when Jace was 4 years old, and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Per parent report, Jace has been receiving speech therapy services since she was 18 months old due to her initial non-verbal diagnosis. There is also a history of applied behavioral analysis (ABA) therapy, but mother removed Jace from services when Jace began kindergarten in August of 2024. Since the family relocated to El Paso, Jace has been receiving speech therapy in the public school once a week. However, mother is concerned with Jace’s struggle to understand and use grammatical sentences. Based on clinical observations, Jace’s current communication was characterized as simple grammatical and non-grammatical sentences, with inconsistent age-appropriate vocabulary, and “baby-talk” to communicate her wants/needs. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE in response rate, ACTIVE level of activity, USUALLY awareness of others/environment, and need for NUMEROUS prompts to cooperate. Jace was evaluated using the Comprehensive Assessment of Spoken Language 2nd Edition (CASL-2). Jace received the following scores on the CASL-2: Receptive Vocabulary sub-test: 81 (raw score: 32, percentile: 10, age-equivalent: 5;0-5;2), Expressive Vocabulary sub-test: 66 (raw score: 13, percentile: 1, age-equivalent: 3;9-3;11), Sentence Expression sub-test: 74 (raw score: 10, percentile: 4, age-equivalent: 4;0-4;2), and Sentence Comprehension sub-test: 102 (raw score: 25, percentile: 55, age-equivalent: 5;3-5;5). According to the standard scores on the CASL-2, Jace presented with a MODERATE TO SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language score (SEVERE) is more severe than her receptive score (MODERATE). Jace would benefit from speech therapy services that address the following: following 2-step directions, answer simple why questions, determine whether a sentence is grammatically correct, improve auditory processing skills, and discriminate and identify different common phrases with a one difference. Speech therapy is highly recommended at this time as Jace’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Jace’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Jace’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Jace’s language background, language input/output, and observed preference, the language of intervention will be English.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56738

Plan Date: 10-03-2025

Speech Assessment Summary: Jace is a 6 year 11 month old female who was referred for a speech and language evaluation by her pediatrician and parental concerns with language. Jace was accompanied to the assessment by her mother, who served as the informant. According to mother, Jace was diagnosed with autism spectrum disorder when Jace was 4 years old, and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Per parent report, Jace has been receiving speech therapy services since she was 18 months old due to her initial non-verbal diagnosis. There is also a history of applied behavioral analysis (ABA) therapy, but mother removed Jace from services when Jace began kindergarten in August of 2024. Since the family relocated to El Paso, Jace has been receiving speech therapy in the public school once a week. However, mother is concerned with Jace’s struggle to understand and use grammatical sentences. Based on clinical observations, Jace’s current communication was characterized as simple grammatical and non-grammatical sentences, with inconsistent age-appropriate vocabulary, and “baby-talk” to communicate her wants/needs. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE in response rate, ACTIVE level of activity, USUALLY awareness of others/environment, and need for NUMEROUS prompts to cooperate. Jace was evaluated using the Comprehensive Assessment of Spoken Language 2nd Edition (CASL-2). Jace received the following scores on the CASL-2: Receptive Vocabulary sub-test: 81 (raw score: 32, percentile: 10, age-equivalent: 5;0-5;2), Expressive Vocabulary sub-test: 66 (raw score: 13, percentile: 1, age-equivalent: 3;9-3;11), Sentence Expression sub-test: 74 (raw score: 10, percentile: 4, age-equivalent: 4;0-4;2), and Sentence Comprehension sub-test: 102 (raw score: 25, percentile: 55, age-equivalent: 5;3-5;5). According to the standard scores on the CASL-2, Jace presented with a MODERATE TO SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where her expressive language score (SEVERE) is more severe than her receptive score (MODERATE). Jace would benefit from speech therapy services that address the following: following 2-step directions, answer simple why questions, determine whether a sentence is grammatically correct, improve auditory processing skills, and discriminate and identify different common phrases with a one difference. Speech therapy is highly recommended at this time as Jace’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Jace’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Jace’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Jace’s language background, language input/output, and observed preference, the language of intervention will be English.

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 1 year, Jace will utilize age-appropriate receptive language skills in order to follow safety concerns and provide vital information to emergency personnel with 60% accuracy of opportunities in 3/5 consecutive sessions.
Receptive Language	In 1 year, Jace will utilize age-appropriate expressive language skills in order to effectively communicate pain (i.e. tell her mom/dad if stomach hurts) and safety issues (i.e. express when someone hits or bites her at school) with familiar listeners in familiar settings with 60% accuracy across 3/5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 months, using multi-sensory approach and related elements, Jace will follow 2-step commands that is sequential in nature and moves into 2 elements included, so as to finish or obtain objects needed in her environment with 40% accuracy in at least 3 consecutive sessions with family and others.
Receptive Language	In 6 months, using multi-sensory approach including fading prompts and cues, Jace will discriminate and identify different common phrases with a one difference and note those differences (using synonyms/compare/contrast) at 40% accuracy in at least 3 consecutive sessions with family and others.
Receptive Language	In 6 months, using multi-sensory approach including fading prompts and cues, Jace will improve auditory processing skills by building repetition skills with 7 word sentences (repeating exactly), choosing correct synonyms (field of 3-4), and noting reasons for categorizations at 40% accuracy within at least 3 consecutive sessions in order to communicate understanding of details within her environment and responding to family and others.
Expressive Language	In 6 months, using multi-sensory approach including fading prompts and cues, Jace will determine whether a sentence is grammatically correct in 5 out of 10 trials within at least 3 consecutive sessions in order to communicate understanding of details within her environment and responding to family and others.
Expressive Language	In 6 months, using multi-sensory approach including fading pictures, cues, and prompts, Jace will sequence a story giving at least two details in 5-7 sentences (3 complete sentences) to give cohesive information to family and friends with 40% accuracy within at least 3 consecutive sessions.
Expressive Language	In 6 months, using multi-sensory approach including fading prompts and cues, Jace will answer simple WHY (to use the word because) questions for information given regarding routines or age-appropriate environment at 40% accuracy within at least 3 consecutive sessions.

58921

Plan Date: 03-18-2026

Speech Assessment Summary: Jace is a 7-year-5-month-old female who has been receiving virtual speech therapy services for the past 6 months with New Beginnings. Jace has made gradual progress with her speech therapy goal and is due for a re-evaluation to determine if there is a continued need for medically based speech therapy services. Jace participated in the assessment virtually alongside her mother. During the assessment, she appeared to be oriented and engaged; however, she demonstrated frequent moments of fatigue. She benefitted from short breaks and snacks during the assessment to facilitate adequate participation. Jace was diagnosed with autism spectrum disorder when Jace was 4 years old and then with attention-deficit/hyperactivity disorder (ADHD) when Jace was 6 years old. Per parent report, Jace has been receiving speech therapy services since she was 18 months old due to her initial non-verbal diagnosis. Jace also receives speech therapy in the public school once a week. Mother continues to present concerns with Jace’s ability to understand and use grammatical sentences. Based on clinical observations, Jace’s current communication was characterized as simple grammatical and non-grammatical sentences, with inconsistent age-appropriate vocabulary and "baby talk" to communicate her wants/needs. The following behavioral observations continue to be noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE in response rate, ACTIVE level of activity, USUALLY awareness of others/environment, and need for NUMEROUS prompts to cooperate. Jace was administered four tests of the Clinical Evaluation of Language Fundamentals-Fifth Edition (CELF-5), from which her Core Language Score was derived. Jace received a Core Language Score of 74 (confidence interval = 69 to 79, percentile rank = 4). This places Jace in the low/moderate range of language functioning. Jace received an Expressive Language Index score of 70 (confidence interval = 65 to 75, percentile rank = 2). Jace received a Language Structure Index score of 74 (confidence interval = 69 to 79, percentile rank = 4). Jace received a scaled score of 7 (confidence interval = 5 to 9, percentile rank = 16) on the Sentence Comprehension test. Presenting difficulty with negation, verb phrases, subordinate clauses, passive phrases, and direct requests. Jace received a scaled score of 4 (confidence interval = 2 to 6, percentile rank = 2) on the Word Structure test. Presenting difficulty with irregular plurals, possessive nouns, regular/irregular past tense verbs, subjective/objective pronouns, comparatives, and superlatives. Jace received a scaled score of 5 (confidence interval = 3 to 7, percentile rank = 5) on the Formulated Sentences test. Presenting with difficulty using adjectives, adverbs, and coordinating/subordinating conjunctions. Jace received a scaled score of 5 (confidence interval = 4 to 6, percentile rank = 5) on the Recalling Sentences test. Presenting with difficulty recalling sentences with subordinate/relative clauses and negation in both declaratives and interrogatives. Based on the evaluation results, Jace presents with a MODERATE TO SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Jace would continue to benefit from speech therapy services to address her communication needs. Previously, recommended services consisted of 1x a week for 45-60 minute sessions, however when considering Jace's ability to maintain attention as well as her other diagnoses of ADHD and autism, the mother and clinician have discussed reducing her time to 30-45 minute sessions, as she has struggled with longer sessions over her previous authorization period. Speech therapy is highly recommended at this time as Jace’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age and for safety. Without speech therapy, Jace’s safety risk is high since she will likely not be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Jace’s mother will be responsible for her Home Management Intervention Plan (HMIP). Based on Jace’s language background, language input/output, and observed preference, the language of intervention will be English.

Speech Progress to Date: In 6 months, using multisensory approach and related elements, Jace will follow 2-step commands that are sequential in nature and move into 2 elements included so as to finish or obtain objects needed in her environment with 40% accuracy in at least 3 consecutive sessions with family and others. Baseline: 40.00% Progress to Date: 80.00% In 6 months, using a multisensory approach including fading prompts and cues, Jace will discriminate and identify different common phrases with one difference and note those differences (using synonyms/compare/contrast) at 40% accuracy in at least 3 consecutive sessions with family and others. Baseline: 10.00% Progress to Date: 20.00% In 6 months, using multisensory approach including fading prompts and cues, Jace will improve auditory processing skills by building repetition skills with 7-word sentences (repeating exactly), choosing correct synonyms (field of 3-4), and noting reasons for categorizations at 40% accuracy within at least 3 consecutive sessions in order to communicate understanding of details within her environment and respond to family and others. Baseline: 00.00% Progress to Date: 20.00% Jace was able to repeat sentences of 4-6 words in length. At this time she had increased difficulty with synonyms and categorizations. In 6 months, using multisensory approach including fading prompts and cues, Jace will determine whether a sentence is grammatically correct in 5 out of 10 trials within at least 3 consecutive sessions in order to communicate understanding of details within her environment and responding to family and others. Baseline: 00.00% Progress to Date: 60.00% In 6 months, using multisensory approach including fading pictures, cues, and prompts, Jace will sequence a story giving at least two details in 5-7 sentences (3 complete sentences) to give cohesive information to family and friends with 40% accuracy within at least 3 consecutive sessions. Baseline: 20.00% Progress to Date: 50.00% Jace sequences images in the correct order; however, she demonstrates most difficulty with using 5-7 words and supporting details. In 6 months, using multisensory approach including fading prompts and cues, Jace will answer simple WHY (to use the word "because") questions for information given regarding routines or age-appropriate environments at 40% accuracy within at least 3 consecutive sessions. Baseline: 20.00% Progress to Date: 80.00% Jace presents with characteristics consistent with ADHD, which significantly impact attention, task persistence, and overall participation. These established speech and language goals were above Jace's current level of capability. Although efforts were made to simplify and target these goals, their complexity—particularly the inclusion of multiple behavioral expectations within each objective—made it difficult for Jace to effectively engage and demonstrate progress. As a result, goal targeting was inconsistent, and further modification to reduce complexity and better align with her present levels of performance is recommended.

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 1 year, Jace will utilize age-appropriate receptive language skills in order to follow safety concerns and provide vital information to emergency personnel with 60% accuracy of opportunities in 3/5 consecutive sessions.
Receptive Language	In 1 year, Jace will utilize age-appropriate expressive language skills in order to effectively communicate pain (i.e. tell her mom/dad if stomach hurts) and safety issues (i.e. express when someone hits or bites her at school) with familiar listeners in familiar settings with 60% accuracy across 3/5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	In 6 months, given moderate verbal/visual cues, Jace will follow 1-2-step directions containing negation (e.g., “point to an animal that is not a cat” 70% accuracy in at least 3 consecutive sessions with family and others.
Expressive Language	In 6 months, given moderate verbal/visual cues, Jace will use subjective (he, she, they) and objective pronouns (him, her, them) by selecting or verbally identifying the correct pronoun to complete a sentence with 70% accuracy in at least 3 consecutive sessions with family and others.
Expressive Language	In 6 months, given moderate verbal/visual cues, Jace will formulate complete sentences (4–6 words) including at least one adjective (e.g., big, fast) or adverb (e.g., quickly, slowly) when describing pictures or actions with 70% accuracy within at least 3 consecutive sessions in order to communicate understanding of details within her environment and responding to family and others.
Expressive Language	In 6 months, given moderate verbal/visual cues, Jace will correctly use irregular plural nouns (e.g., feet, mice, children) in structured tasks with 70% accuracy within at least 3 consecutive sessions in order to communicate understanding of details within her environment and responding to family and others.
Expressive Language	In 6 months, given moderate verbal/visual cues, Jace will compare and contrast two familiar items, pictures, or concepts by stating at least one similarity and one difference using complete sentences with 70% accuracy within at least 3 consecutive sessions.

Speech and Language Soap Note/Visit:

Soap Note

489512

Note Date: 03-12-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Jace presented as alert, cooperative, and engaged throughout the session, demonstrating good rapport and willingness to participate in therapeutic activities. Moderate progress was noted in the area of receptive language, specifically in following multi-step directions. Jace successfully followed 2-step sequential commands containing two elements with 60% accuracy during structured tasks, exceeding the established goal of 40% accuracy and indicating improved auditory processing and comprehension. Intervention will now focus on increasing the complexity of commands and promoting generalization. In contrast, expressive language skills remain an area of significant need. When presented with tasks requiring grammatical judgment, Jace demonstrated an ability to determine if a sentence was correct, scoring 60% accuracy (6/10 trials). Similarly, when targeting narrative skills, Jace sequenced a story and provided relevant details, in 4 out of 5 trials toward the goal. The patient required maximal clinician prompting to generate specific ideas related to visual stimuli and could not yet formulate a cohesive narrative structure. Future sessions will target these foundational expressive language deficits, focusing on explicit instruction in basic syntactic structures and story grammar elements using a multi-sensory approach with visual supports to build prerequisite skills.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
813496	92523: Artic & Language Eval	10-03-2025 04:00 PM	10-03-2025 05:00 PM	Annette Barron	NB2 far east side	Completed
823009	92507: Speech & Language Visit	10-15-2025 03:30 PM	10-15-2025 04:15 PM	Victoria Viramontes	NB2 far east side	Completed
823010	92507: Speech & Language Visit	10-23-2025 04:00 PM	10-23-2025 05:00 PM	Victoria Viramontes	NB2 far east side	Completed
831345	92507: Speech & Language Visit	10-30-2025 04:00 PM	10-30-2025 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
831346	92507: Speech & Language Visit	11-06-2025 04:00 PM	11-06-2025 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
831347	92507: Speech & Language Visit	11-13-2025 04:00 PM	11-13-2025 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
831348	92507: Speech & Language Visit	11-20-2025 04:00 PM	11-20-2025 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
847411	92507: Speech & Language Visit	12-04-2025 05:00 PM	12-04-2025 05:45 PM	Victoria Viramontes	NB2 far east side	Completed
847412	92507: Speech & Language Visit	12-09-2025 05:15 PM	12-09-2025 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
847415	92507: Speech & Language Visit	12-31-2025 02:30 PM	12-31-2025 03:15 PM	Victoria Viramontes	NB2 far east side	Completed
847416	92507: Speech & Language Visit	01-08-2026 04:00 PM	01-08-2026 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
847417	92507: Speech & Language Visit	01-15-2026 04:00 PM	01-15-2026 04:45 PM	Victoria Viramontes	NB2 far east side	Completed
847418	92507: Speech & Language Visit	01-20-2026 05:15 PM	01-20-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879851	92507: Speech & Language Visit	01-27-2026 05:15 PM	01-27-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879852	92507: Speech & Language Visit	02-03-2026 05:15 PM	02-03-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879853	92507: Speech & Language Visit	02-10-2026 05:15 PM	02-10-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879854	92507: Speech & Language Visit	02-17-2026 05:15 PM	02-17-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879855	92507: Speech & Language Visit	02-24-2026 05:15 PM	02-24-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879856	92507: Speech & Language Visit	03-03-2026 05:15 PM	03-03-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879857	92507: Speech & Language Visit	03-10-2026 05:15 PM	03-10-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed
879858	S9152: Reevaluation	03-17-2026 05:15 PM	03-17-2026 06:00 PM	Victoria Viramontes	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
847410	92507: Speech & Language Visit	11-24-2025 02:30 PM	11-24-2025 03:15 PM	Victoria Viramontes	NB2 far east side	Canceled
847413	92507: Speech & Language Visit	12-18-2025 04:00 PM	12-18-2025 04:45 PM	Victoria Viramontes	NB2 far east side	Canceled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
12-18-2025	92507	Viramontes, Victoria
11-24-2025	92507	Viramontes, Victoria

Paient Messages Admin:

Date	Posted By	Message
09-17-2025 11:55 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2217
09-17-2025 12:11 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2217
09-24-2025 12:31 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I just wanted to let you that I have not received the referral from the PCM. If you have a copy could you please email to me to aguajardo@newbeginnings-elp.com so I can submit to tricare. With out that we will not be able to evaluate.
09-24-2025 02:36 PM	Asbel Guajardo	Ok we received the referral but it is not to our location
09-25-2025 09:46 AM	Asbel Guajardo	Hi, it looks like we need to reschedule your Speech Evaluation. We will get back to you soon with an update or to schedule a new appointment. If you have any questions, please let us know. Thanks! 😊
09-25-2025 09:47 AM	Asbel Guajardo	REMOVED: Revell, Jace 4:00PM-9/26/2025 92523: Speech Evaluation
09-25-2025 09:47 AM	Asbel Guajardo	RESCHEDULED: Revell, Jace 4:00PM-9/26/2025 92523: Speech Evaluation
09-25-2025 03:00 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Speech Evaluation. We will get back to you soon with an update or to schedule a new appointment. If you have any questions, please let us know. Thanks! 😊
09-25-2025 03:02 PM	Asbel Guajardo	REMOVED: Revell, Jace 4:00PM-10/3/2025 92523: Speech Evaluation
09-25-2025 03:02 PM	Asbel Guajardo	RESCHEDULED: Revell, Jace 4:00PM-10/3/2025 92523: Speech Evaluation
10-08-2025 09:35 AM	Patsy Guajardo	Revell, Jace has been assigned a therapist.
11-11-2025 10:40 AM	Stephen Tullius	Happy Veterans Day! Today we pause to honor and thank all those who have served our country with courage, dedication, and sacrifice. Your bravery and commitment protect the freedoms we cherish every day. From all of us at New Beginnings, we extend our deepest gratitude to veterans and their families for the strength, resilience, and love you have shown in service to our nation.
11-13-2025 12:47 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 02:06 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 12:11 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 03:53 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 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9735
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=9735
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/
03-24-2026 10:26 AM	Patsy Guajardo	Good Morning, this is Patsy from front office, we submitted request for continuation for Speech therapy to Tricare, they are advising us that you need to request a new referral from your PCP. If you would please see your pediatrician and request a new referral please!

Paient Messages Therapist:

Date	Posted By	Message
09-17-2025 12:35 PM	Annette Barron	Hi, my name is Annette, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9735&tid=46
09-17-2025 12:35 PM	Jace Revell	Jace SCHEDULED: 4:00PM-9/26/2025 92523: Speech Evaluation
09-17-2025 12:57 PM	Annette Barron	Good afternoon. My name is Annette from New Beginnings, and I will be completing Jace's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. What are your concerns? Is Jace not using enough words, and/or difficult to understand?
09-17-2025 01:02 PM	Jace Revell	Jace (Prim) Replied: Hi, my main concern is that she is not using enough words for her age. And sometimes she will not make the correct sentence structure when she is trying to communicate.
09-17-2025 01:24 PM	Annette Barron	OK, thank you for the information. I am going to send you a medical history questionnaire via this messaging system. Please copy and paste the questions, answer the questions, and then resend to me as soon as you get a chance.
09-17-2025 01:25 PM	Jace Revell	Jace (Prim) Replied: Ok !
09-17-2025 01:26 PM	Annette Barron	Speech History Questionnaire for Jace: 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.
09-22-2025 10:29 AM	Annette Barron	Good morning. Please do not forget to answer the medical history questionnaire before the assessment on Friday. If you need the questions resent, please let me know. Thank you.
09-22-2025 10:31 AM	Jace Revell	Jace (Prim) Replied: Good morning, I have not received any questions. Were they sent to my email address?
09-22-2025 10:32 AM	Annette Barron	No, they were sent via this messaging system. I will resend now.
09-22-2025 10:32 AM	Annette Barron	Speech History Questionnaire for Jace: 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.
09-22-2025 10:33 AM	Jace Revell	Jace (Prim) Replied: Ok!
09-22-2025 10:33 AM	Annette Barron	They were just resent. If the issue is the length of the message, I will resend on smaller messages. Please let me know. Thank you.
09-22-2025 10:35 AM	Jace Revell	Jace (Prim) Replied: Ok, maybe try and send them smaller because the messages come to me as a text message.
09-22-2025 10:36 AM	Annette Barron	Speech History Questionnaire for Jace: 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.)?
09-22-2025 10:37 AM	Annette Barron	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?
09-22-2025 10:37 AM	Annette Barron	6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? 7.) Which language(s) is the child exposed to regularly?
09-22-2025 10:38 AM	Annette Barron	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.
09-22-2025 10:39 AM	Annette Barron	I do apologize for all the messages. I just sent the questions in 4 separate messages. I hope this worked. If not, I will simply plan to go over all the history during the assessment.
09-22-2025 10:40 AM	Jace Revell	Jace (Prim) Replied: No worries! I just received them. I will send my responses to you by the end of the day.
09-22-2025 10:40 AM	Annette Barron	Great. Thank you again.
09-22-2025 05:01 PM	Jace Revell	Jace (Prim) Replied: Speech History Questionnaire for Jace: 1.) Name and DOB Jace Nicole Revell 10/18/2018 2.) Any complications with pregnancy or birth? Emergency C-Section due to prolonged labor. 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.)? Jace is diagnosed with Autism and ADHD.
09-22-2025 05:14 PM	Jace Revell	Jace (Prim) Replied: 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? Crawl: 7 months Sat-up: 6 months Stood up: 8 months Walked: 11 months Fed self: 1.5 years old Dressed self: 3.5- 4 years old Potty trained: 2.5 years old 1st words: 2 years old Combined Words: 2.5 years old 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? Jace gets approximately 10.5 hours of sleep. She only wakes through the night if her normal routine/environment changes. It typically takes her about 2 weeks to get readjusted to not waking through the night. Jace rarely snores and sleeps with her mouth open.
09-22-2025 05:17 PM	Jace Revell	Jace (Prim) Replied: 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? Jace attended daycare from 11 months- 3 years old. She attended preschool and currently attend 1st grade in public school. She received speech therapy since 18 months until present and attended ABA therapy from the age of 4-6 years old. 7.) Which language(s) is the child exposed to regularly? English
09-22-2025 05:22 PM	Jace Revell	Jace (Prim) Replied: 8.) Vision or hearing issues? Jace currently wears glasses. 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. My concerns are that Jace's expressive and receptive language are not at the level expected of a 6 year old. Also, she often struggles to place words in the correct order when speaking making it harder for others outside of her family to understand her. Goals: - use complete sentences with correct word order - expand her vocabulary
09-22-2025 05:23 PM	Annette Barron	Good afternoon. Thank you so much for all the information. Again, I apologize for any technical issues regarding the medical questionnaire. I look forward to meeting you all Friday afternoon. Please make sure she wears her glasses for the assessment.
09-22-2025 05:29 PM	Jace Revell	Jace (Prim) Replied: Good afternoon, you're welcome and it is no problem! We will see you on Friday. Have a great evening.
09-24-2025 05:45 PM	Annette Barron	Good afternoon. I heard Jace is sick and you need to reschedule.
09-24-2025 05:46 PM	Annette Barron	Will she been in school next week or does her fall break start next week?
09-24-2025 05:47 PM	Jace Revell	Jace (Prim) Replied: Yes, if we can that will be great. She is in school next week.
09-24-2025 05:50 PM	Annette Barron	I have an opening next Thursday at 4 PM.
09-24-2025 05:55 PM	Jace Revell	Jace (Prim) Replied: Do you have anything on a Wednesday or Friday?
09-25-2025 08:33 AM	Annette Barron	Good morning. I have next Friday at 4 PM available.
09-25-2025 08:33 AM	Jace Revell	Jace (Prim) Replied: Good morning, we will see you then.
10-02-2025 06:30 PM	Annette Barron	Hi, this is a just a reminder that Jace has a Speech Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
10-03-2025 07:34 AM	Annette Barron	Hi, this is a just a reminder that Jace has a Speech Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
10-03-2025 07:52 AM	Jace Revell	Jace (Prim) Replied: Hi, thank you. We will see you soon.
10-03-2025 03:45 PM	Annette Barron	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813496
10-07-2025 09:53 AM	Annette Barron	Good morning. I apologize for not messaging you yesterday. Jace's report has been submitted. She was diagnosed with a severe to moderate mixed receptive-expressive language disorder, where her expressive language is more severe than her receptive language skills. As mention on Friday, her goals will consist of identifying grammatical/non-grammatical sentences, following 2-part directions, improve auditory processing skills, and discriminate and identify different common phrases with a one difference using antonyms and synonyms. Once the authorization has been approved by insurance, the treating therapist will reach out to you to schedule the first speech appointment. If you have any questions, please let me know. Thank you.
10-07-2025 10:04 AM	Jace Revell	Jace (Prim) Replied: Good morning, no worries! Thank you for letting me know. Are you able to tell me her age equivalent for her expressive and receptive language skills?
10-07-2025 10:10 AM	Annette Barron	Yes ma’am. Receptively her age was about 5 years 2 months and expressively her age was about 3 years 9 months.
10-07-2025 10:11 AM	Jace Revell	Jace (Prim) Replied: Ok! Thank you
10-13-2025 02:22 PM	Victoria Viramontes	Hello! This is Victoria. I have been assigned Jace for speech therapy. I believe I used to see her when she first started with NB! I’m happy to be working with her again. I can schedule her this week. I am available on Wednesdays or Thursdays. What time if best for you?
10-13-2025 02:28 PM	Jace Revell	Jace (Prim) Replied: Hi! Wednesdays are good for us. Since she is out of school we can do anytime in the morning. Or if you would like to keep the schedule consistent we can meet at 3:30.
10-13-2025 02:37 PM	Victoria Viramontes	Wednesdays at 3:30 works great for me. We'll see you guys then. A link will be sent to you the morning of.
10-13-2025 02:38 PM	Jace Revell	Jace (Prim) Replied: Ok thank you
10-14-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 03:30 PM. - New Beginnings 🙂
10-15-2025 07:57 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 03:30 PM. Here is the link https://us06web.zoom.us/j/83363874201 - New Beginnings 🙂
10-16-2025 11:12 AM	Jace Revell	Jace (Prim) Replied: Hi Thursdays at 4 pm works for us.
10-16-2025 11:12 AM	Victoria Viramontes	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.
10-16-2025 11:40 AM	Victoria Viramontes	Hello! Okay instead of Wednesdays at 4 correct?
10-16-2025 12:22 PM	Jace Revell	Jace (Prim) Replied: Hi, yes instead of Wednesday at 4pm we can do Thursdays at 4.
10-16-2025 12:22 PM	Victoria Viramontes	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 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 10-22-2025 at 3:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 05:20 PM	Jace Revell	Jace (Prim) Replied: Hi, I thought we rescheduled to Thursdays at 4pm.
10-19-2025 05:20 PM	Victoria Viramontes	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.
10-20-2025 09:56 AM	Victoria Viramontes	Hello yes, I updated it just now! Sorry for the confusion. I also have 5:15 on tuesdays in case that also works for you guys. If not thursdays at 4 works.
10-20-2025 10:05 AM	Jace Revell	Jace (Prim) Replied: No worries! Let's keep it for Thursdays at 4.
10-22-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
10-23-2025 07:50 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/84246239648 - New Beginnings 🙂
10-23-2025 07:50 AM	Jace Revell	Jace (Prim) Replied: Thank you
10-23-2025 07:50 AM	Victoria Viramontes	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-29-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
10-29-2025 07:19 PM	Jace Revell	Jace (Prim) Replied: Thank you we will see you then.
10-30-2025 07:58 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/86078198968 - New Beginnings 🙂
11-02-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 11-06-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-03-2025 07:36 AM	Jace Revell	Jace (Prim) Replied: Yes
11-05-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
11-06-2025 07:50 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/83992138376 - New Beginnings 🙂
11-06-2025 03:32 PM	Jace Revell	Jace (Prim) Replied: Hi, I wanted to give you a heads up. Jace has not started her afternoon dose of ADHD medicine. There is an issue with the provider getting to prescription sent on base.
11-06-2025 03:32 PM	Victoria Viramontes	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.
11-06-2025 03:59 PM	Victoria Viramontes	Hi okay thank you for the heads up!
11-09-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 11-13-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:00 PM	Jace Revell	Jace (Prim) Replied: Yes
11-09-2025 04:00 PM	Victoria Viramontes	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.
11-12-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
11-13-2025 07:49 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/81546772789 - New Beginnings 🙂
11-13-2025 07:49 AM	Jace Revell	Jace (Prim) Replied: Thank you
11-13-2025 07:49 AM	Victoria Viramontes	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 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 11-20-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-17-2025 10:49 AM	Jace Revell	Jace (Prim) Replied: Yes
11-19-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
11-20-2025 07:47 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/89981224292 - New Beginnings 🙂
11-20-2025 03:21 PM	Jace Revell	Jace (Prim) Replied: Hi Victoria, I want to give you a heads up Jace had a rough night (she was up from 2 am- 6 am) and is really sleepy.
11-23-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 11-24-2025 at 2:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 02:30 PM. - New Beginnings 🙂
11-24-2025 07:52 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 02:30 PM. Here is the link https://us06web.zoom.us/j/83610013889 - New Beginnings 🙂
11-24-2025 12:09 PM	Jace Revell	Jace (Prim) Replied: Hi Victoria, I am sorry for the last minute notice but going to have to cancel today's session. I'm not feeling well and headed to the hospital.
11-24-2025 12:39 PM	Victoria Viramontes	So sorry to hear that! No worries at all. Get well soon!
11-24-2025 12:40 PM	Victoria Viramontes	Victoria Viramontes CANCELLED: 2:30PM-11/24/2025 92507: Speech & Language Visit
11-30-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 12-04-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-03-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
12-04-2025 07:56 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/84828655670 - New Beginnings 🙂
12-04-2025 07:56 AM	Jace Revell	Jace (Prim) Replied: Thank you
12-04-2025 04:42 PM	Victoria Viramontes	Hi, im home now if youd like me to see her! If not its okay. Additionally, if the next to months are too hard to reschedule we can either put her on hold for a month, or we can do 2x a week to catch up when you guys are ready :)
12-04-2025 04:45 PM	Victoria Viramontes	Hi, im home now if youd like me to see her! If not its okay. Additionally, if the next to months are too hard to reschedule we can either put her on hold for a month, or we can do 2x a week to catch up when you guys are ready :)
12-04-2025 04:46 PM	Jace Revell	Jace (Prim) Replied: We can do 5pm if that works today. And next Thursday we will be fine. The week of December 15th we will need to reschedule because I'll be in the hospital but after that we should be good because my husband will be home and if he needs to sign her on he can.
12-04-2025 04:47 PM	Victoria Viramontes	5 works!
12-07-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 12-11-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 06:31 PM	Victoria Viramontes	Hi! I just sent the link for you to sign, as I forgot to send it on thursday. I apologize!
12-07-2025 06:32 PM	Jace Revell	Jace (Prim) Replied: No worries! I just signed it.
12-07-2025 06:32 PM	Victoria Viramontes	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.
12-09-2025 12:17 PM	Jace Revell	Jace (Prim) Replied: Hey Victoria, I just was notified by my doctor that I may be induced this Thursday. I will know for sure by Thursday morning at 8:30 am. Is that too late to let you know if we need to cancel or not?
12-09-2025 02:59 PM	Victoria Viramontes	Hi! Do you want me to see her today at 5:15? It wont be too late to cancel on Thursday; you let me know whatever you prefer.
12-09-2025 03:16 PM	Jace Revell	Jace (Prim) Replied: Yes! That will work, we can do 5:15 today.
12-09-2025 03:35 PM	Victoria Viramontes	Sounds good.
12-09-2025 05:08 PM	Jace Revell	Jace (Prim) Replied: Do we use the same link from Thursday?
12-09-2025 05:16 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has an appointment scheduled on 12-09-2025 via telehealth at 05:15 PM. Here is the link https://us06web.zoom.us/j/88599264134 - New Beginnings 🙂
12-09-2025 05:17 PM	Victoria Viramontes	just sent the new one, sorry about that!
12-09-2025 05:17 PM	Jace Revell	Jace (Prim) Replied: No worries logging on from my computer now.
12-09-2025 06:05 PM	Victoria Viramontes	Victoria Viramontes CANCELLED: 4:00PM-12/18/2025 92507: Speech & Language Visit
12-28-2025 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 01-01-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-28-2025 06:59 PM	Jace Revell	Jace (Prim) Replied: Yes
12-28-2025 06:59 PM	Victoria Viramontes	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.
12-30-2025 03:51 PM	Victoria Viramontes	Hello! I hope all is well! I was wondering if tomorrow at 12:30 or 2:30 works for you instead of Thursday? Or I can also do two sessions, one on each day.
12-30-2025 03:52 PM	Jace Revell	Jace (Prim) Replied: Hi, tomorrow at 2:30 works.
12-30-2025 03:56 PM	Victoria Viramontes	Sounds good see you then!
12-30-2025 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 02:30 PM. - New Beginnings 🙂
12-31-2025 07:30 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 02:30 PM. Here is the link https://us06web.zoom.us/j/83147890265 - New Beginnings 🙂
12-31-2025 08:33 AM	Jace Revell	Jace (Prim) Replied: Thank you
12-31-2025 02:15 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=847415
01-04-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 01-08-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:00 PM	Jace Revell	Jace (Prim) Replied: Yes
01-04-2026 04:00 PM	Victoria Viramontes	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-07-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
01-08-2026 07:47 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/83536372919 - New Beginnings 🙂
01-08-2026 03:45 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=847416
01-11-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 01-15-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-14-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
01-14-2026 06:31 PM	Jace Revell	Jace (Prim) Replied: Thank you
01-15-2026 07:45 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/89057673176 - New Beginnings 🙂
01-15-2026 03:45 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=847417
01-18-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 01-20-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-19-2026 01:06 AM	Jace Revell	Jace (Prim) Replied: Yes
01-19-2026 01:06 AM	Victoria Viramontes	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.
01-19-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
01-20-2026 07:47 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/87211691777 - New Beginnings 🙂
01-20-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=847418
01-25-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 01-29-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-26-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
01-27-2026 08:06 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/86594084822 - New Beginnings 🙂
01-27-2026 08:06 AM	Jace Revell	Jace (Prim) Replied: Thank you
01-27-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879851
02-01-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 02-03-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-02-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
02-03-2026 08:02 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/83678903910?pwd=q2ctDo1MyTs4EvpjNr2U8hOIETENP6.1 - New Beginnings 🙂
02-03-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879852
02-08-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 02-10-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-09-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
02-10-2026 08:01 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/89949099309?pwd=l5iPCl0Z9xjuNpMfDc6kxwIoeCamv8.1 - New Beginnings 🙂
02-10-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879853
02-15-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 02-17-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-16-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
02-17-2026 07:55 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/88285396696 - New Beginnings 🙂
02-17-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879854
02-22-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 02-24-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
02-24-2026 07:53 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/82599165739 - New Beginnings 🙂
02-24-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879855
03-01-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 03-03-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-02-2026 09:00 AM	Jace Revell	Jace (Prim) Replied: Yes
03-02-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
03-03-2026 07:52 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/82964534053 - New Beginnings 🙂
03-03-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879856
03-08-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 03-10-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Jace Revell	Jace (Prim) Replied: Yes
03-08-2026 04:01 PM	Victoria Viramontes	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.
03-09-2026 03:14 PM	Jace Revell	Jace (Prim) Replied: Hey Victoria, did you want to keep Jace's session time for Tuesday at 5:15pm?
03-09-2026 03:21 PM	Victoria Viramontes	Hi! Im thinking yes, but if anything changes I will let you know :)
03-09-2026 03:22 PM	Jace Revell	Jace (Prim) Replied: Ok!
03-09-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
03-10-2026 07:48 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/88204310895 - New Beginnings 🙂
03-10-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879857
03-15-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Revell, Jace has a Speech Therapy appointment on 03-17-2026 at 5:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled tomorrow at 05:15 PM. - New Beginnings 🙂
03-17-2026 07:47 AM	Victoria Viramontes	Hi, this is a just a reminder that Jace has a Speech Therapy appointment scheduled today at 05:15 PM. Here is the link https://us06web.zoom.us/j/85905783999 - New Beginnings 🙂
03-17-2026 02:33 PM	Victoria Viramontes	Hello! I overlooked Jace'sauthorization dates and I just realized I will need to evaluate her today or this week. Will today be okay, or would you prefer Wednesday or Thursday in addtion to therapy today?
03-17-2026 02:35 PM	Jace Revell	Jace (Prim) Replied: Hi, today should be fine. Just a heads up she is a little congested due to allergies but was fine when I dropped her off at camp.
03-17-2026 02:42 PM	Victoria Viramontes	Okay sounds good. Thank you
03-17-2026 05:00 PM	Victoria Viramontes	Jace Revell : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=879858
03-19-2026 09:39 AM	Victoria Viramontes	Good morning! Are we thinking 1x a week?
03-19-2026 09:40 AM	Jace Revell	Jace (Prim) Replied: Good morning, yes 1X a week 30-45 minutes. Also, I didn't get the text to where I can sign for her appointment on Tuesday.
03-19-2026 10:28 AM	Victoria Viramontes	Okay sounds good. Yes, for the re-evaluations, we do not require a signature.
03-19-2026 10:31 AM	Jace Revell	Jace (Prim) Replied: Ok! And if the authorization comes back in time for next week we are going to have to reschedule to a different day that week or just wait until the following week.
03-19-2026 12:24 PM	Victoria Viramontes	I honestly don't think it'll be approved by next week, so I think let's just plan for the following week. I have already submitted it and the office is aware.
03-19-2026 12:25 PM	Victoria Viramontes	But I will keep you updated!
03-19-2026 12:25 PM	Jace Revell	Jace (Prim) Replied: Ok thank you!
03-27-2026 03:12 PM	Victoria Viramontes	Hello! I am still waiting to be notified about Jace's authorization. I will touch base again on Monday!
03-27-2026 03:15 PM	Jace Revell	Jace (Prim) Replied: Hello! Ok sounds good. Her doctor put the referral in this morning so hopefully next week we hear something.