New Beginnings | NB1-Office

Patient Name: Joshua

Patient Information:

Patient ID: 9736

Patient First Name: Joshua

Patient Date of Birth: 01-26-2023

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Paulina, Hernandez

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Holguin, Valeria

FD - Feeding Therapy:

OT - Occupational Therapy: Marsland, Kaitlin

PT - Physical Therapy: Molina, Dolly

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22590	Active	11-10-2025	05-08-2026	Superior Health Plan	0	0	0	1249
23532	Active	03-01-2026	05-05-2026	Superior Health Plan	0	0	81	0
23531	Active	03-01-2026	04-10-2026	Superior Health Plan	6	6	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25553	09-23-2025	Speech Initial Evaluation	F80.2, F84.0, 783.42
Speech Background History: Joshua is a 2-year-old and 7-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Johnson accompanied him and served as the primary source of information. Mrs. Johnson reported concerns that Joshua is nonverbal, does not engage in pointing to indicate wants or interests, and does not utilize gestures to express dislike or refusal. Mrs. Johnson informed the clinician that Joshua has been diagnosed with Autism Spectrum Disorder, Level 2, global developmental delay, while residing in North Dakota. She reported that Joshua is hypersensitive to sounds, is non-ambulatory, and fully dependent on his mother. He will be receiving physical and occupational therapy services. Mrs. Johnson also indicated that during a recent medical appointment, the physician recommended a CT scan due to concern that Joshua’s cranial sutures may have fused prematurely, which may be contributing to his delayed developmental milestones. During the evaluation, Joshua DID NOT HAVE any verbal output. According to developmental norms, a typically developing child of Joshua’s age should have an expressive vocabulary of over 200 words and produce utterances of 1 -2 words in length. Joshua was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Joshua’s mother reported that he is exposed to English, and he has some exposure to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Joshua had no verbal output.LANGUAGE OF INTERVENTION: It is recommended that the intervention be conducted primarily in English.
Speech Medical History: Per parent report, medical history is not remarkable. According to the parent report, Joshua was born without any complications prior to, during, or following the delivery.
Speech Medications: None at this time
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Severe delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: With numerous prompts, Awareness of Others: Non-existent, Reliability of Scores: Poor, Awarencess of Environmental Events: Good, Social Interactions: Occasionally, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths:
Speech Communication Weaknesses: Poor use of eye contact, Unable to answer questions, Unable to follow commands,
Speech Background Summary: Joshua was accompanied by his mother for the evaluation, which was conducted in the clinic room. He required FREQUENT and NUMEROUS prompts to engage in the evaluation tasks. Joshua exhibited limited social-communication skills, which may be impacting his overall pragmatic language abilities. He did not demonstrate interest or intentionality in communicating during the activities presented. On occasion, he approached the clinician to observe what she was doing, though this was not accompanied by communicative intent.
Speech Diagnosis/Impressions: Joshua is a 2-year-old and 7-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Johnson accompanied him and served as the primary source of information. Mrs. Johnson reported concerns that Joshua is nonverbal, does not engage in pointing to indicate wants or interests, and does not utilize gestures to express dislike or refusal. Mrs. Johnson informed the clinician that Joshua has been diagnosed with Autism Spectrum Disorder, Level 2, global developmental delay, while residing in North Dakota. She reported that Joshua is hypersensitive to sounds, is non-ambulatory, and fully dependent on his mother. He will be receiving physical and occupational therapy services. Mrs. Johnson also indicated that during a recent medical appointment, the physician recommended a CT scan due to concern that Joshua’s cranial sutures may have fused prematurely, which may be contributing to his delayed developmental milestones. During the evaluation, Joshua DID NOT HAVE any verbal output. According to developmental norms, a typically developing child of Joshua’s age should have an expressive vocabulary of over 200 words and produce utterances of 1 -2 words in length. Joshua was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Joshua’s mother reported that he is exposed to English, and he has some exposure to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Joshua had no verbal output.LANGUAGE OF INTERVENTION: It is recommended that the intervention be conducted primarily in English. During the evaluation, Joshua required FREQUENT and NUMEROUS prompts to engage in the evaluation tasks. Joshua exhibited limited social-communication skills, which may be impacting his overall pragmatic language abilities. He did not demonstrate interest or intentionality in communicating during the activities presented. On occasion, he approached the clinician to observe what she was doing, though this was not accompanied by communicative intent. Joshua was evaluated using the Preschool Language Scales Fifth (PLS-5). Joshua received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 10, percentile: 1, age equivalent: 6 months), Expressive Communication 50 (raw score: 16, percentile: 1, age equivalent: 11 months, and Total Language Score 50 (percentile: 1, age equivalent: 8 months). According to the Standard Scores that Joshua received, he presents with PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 2x per week for 45-60 minutes is warranted to treat Joshua’s PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Joshua would greatly benefit from speech therapy that target the following age-appropriate concepts: responding to his name, demonstrating functional play, sustaining joint attention and attention to tasks, imitating actions/ gestures, and following routine instructions that contain common objects. Speech therapy is highly recommended at this time as Joshua’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Joshua’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Joshua’s mother will be responsible for his Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Joshua is a 2-year-old and 7-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Johnson accompanied him and served as the primary source of information. Mrs. Johnson reported concerns that Joshua is nonverbal, does not engage in pointing to indicate wants or interests, and does not utilize gestures to express dislike or refusal. Mrs. Johnson informed the clinician that Joshua has been diagnosed with Autism Spectrum Disorder, Level 2, global developmental delay, while residing in North Dakota. She reported that Joshua is hypersensitive to sounds, is non-ambulatory, and fully dependent on his mother. He will be receiving physical and occupational therapy services. Mrs. Johnson also indicated that during a recent medical appointment, the physician recommended a CT scan due to concern that Joshua’s cranial sutures may have fused prematurely, which may be contributing to his delayed developmental milestones. During the evaluation, Joshua DID NOT HAVE any verbal output. According to developmental norms, a typically developing child of Joshua’s age should have an expressive vocabulary of over 200 words and produce utterances of 1 -2 words in length. Joshua was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Joshua’s mother reported that he is exposed to English, and he has some exposure to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Joshua had no verbal output.LANGUAGE OF INTERVENTION: It is recommended that the intervention be conducted primarily in English. During the evaluation, Joshua required FREQUENT and NUMEROUS prompts to engage in the evaluation tasks. Joshua exhibited limited social-communication skills, which may be impacting his overall pragmatic language abilities. He did not demonstrate interest or intentionality in communicating during the activities presented. On occasion, he approached the clinician to observe what she was doing, though this was not accompanied by communicative intent. Joshua was evaluated using the Preschool Language Scales Fifth (PLS-5). Joshua received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 10, percentile: 1, age equivalent: 6 months), Expressive Communication 50 (raw score: 16, percentile: 1, age equivalent: 11 months, and Total Language Score 50 (percentile: 1, age equivalent: 8 months). According to the Standard Scores that Joshua received, he presents with PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 2x per week for 45-60 minutes is warranted to treat Joshua’s PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Joshua would greatly benefit from speech therapy that target the following age-appropriate concepts: responding to his name, demonstrating functional play, sustaining joint attention and attention to tasks, imitating actions/ gestures, and following routine instructions that contain common objects. Speech therapy is highly recommended at this time as Joshua’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Joshua’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Joshua’s mother will be responsible for his Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

59027

Plan Date: 03-19-2026

Speech Assessment Summary: Joshua is a 3-year-old and 1-month-old male who was referred for a speech and language reevaluation by his pediatrician due to language delay. Mrs. Johnson accompanied him and served as the primary source of information. Mrs. Johnson reported concerns that Joshua is nonverbal, does not engage in pointing to indicate wants or interests, and does not utilize gestures to express dislike or refusal. Mrs. Johnson informed the clinician that Joshua has been diagnosed with Autism Spectrum Disorder, Level 2, global developmental delay, while residing in North Dakota. She reported that Joshua is hypersensitive to sounds, is non-ambulatory, and fully dependent on his mother. He will be receiving physical and occupational therapy services. Mrs. Johnson also indicated that during a recent medical appointment, the physician recommended a CT scan due to concern that Joshua’s cranial sutures may have fused prematurely, which may be contributing to his delayed developmental milestones. During the evaluation, Joshua DID NOT HAVE any verbal output. According to developmental norms, a typically developing child of Joshua’s age should have an expressive vocabulary of over 200 words and produce utterances of 1 -2 words in length. Joshua was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Joshua’s mother reported that he is exposed to English, and he has some exposure to Spanish within his home environment. LANGUAGE OUTPUT: During the evaluation, Joshua had no verbal output.LANGUAGE OF INTERVENTION: It is recommended that the intervention be conducted primarily in English. During the evaluation, Joshua required FREQUENT and NUMEROUS prompts to engage in the evaluation tasks. Joshua exhibited limited social-communication skills, which may be impacting his overall pragmatic language abilities. He did not demonstrate interest or intentionality in communicating during the activities presented. On occasion, he approached the clinician to observe what she was doing, though this was not accompanied by communicative intent. Joshua was evaluated using the Preschool Language Scales Fifth (PLS-5). Joshua received the following Standard Scores on the PLS-5: Auditory Comprehension 50 (raw score: 15, percentile: 1, age equivalent: 0;11 months), Expressive Communication 58 (raw score: 19, percentile: 1, age equivalent: 1 year and 2 months, and Total Language Score 50 (percentile: 1, age equivalent: 1 year and 0 months). According to the Standard Scores that Joshua received, he presents with PROFOUND MIXED EXPRESSIVE LANGUAGE DISORDER. Per past scores, pt made progress in both areas however scores may no reflect increasing change due to age range incrasing and complexity of stimuli increasing as well. Both raw scores and total language roaw scores demonstated improvement. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 2x per week for 45-60 minutes is warranted to treat Joshua’s PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Joshua would greatly benefit from speech therapy that target the following age-appropriate concepts: responding to his name, demonstrating functional play, sustaining joint attention and attention to tasks, imitating actions/ gestures, and following routine instructions that contain common objects. Speech therapy is highly recommended at this time as Joshua’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Joshua’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Joshua’s mother will be responsible for his Home Exercise Program (HEP).

Speech Progress to Date: Within 6 months, using play-based therapy techniques, Joshua will respond to his name with decreasing multisensory cues with 20% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Joshua can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting. GOAL @20% with MAX cues, will continue to target with higher %. Within 6 months, using play-based therapy techniques, Joshua will demonstrate functional play with decreasing multisensory cues with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Joshua demonstrates age-appropriate play with peers. GOAL @20% with MAX cues, will continue to target with higher %. Within 6 months, using play-based therapy techniques, Joshua will imitate actions/gestures with decreasing multisensory cues with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Joshua can begin to imitate age-appropriate phonemes and eventually core vocabulary. GOAL @20% with MAX cues, will continue to target with higher %. Within 6 months, using play-based therapy techniques, Joshua will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development. GOAL MET In 6 months, Joshua will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 20% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions. GOAL @20% with MAX cues, will continue to target with higher %.

Speech Rehabilitation Potential: Fair. with consistent Speech Therapy and parental support. Joshua will be discharged when he achieves a standard score above - 1.5 standard deviations from the mean for ALL impairments, indicating that his speech and language skills will be in the mild to average range and he will have met all long term therapy goals.

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	Within 1 year, Joshua will utilize age-appropriate expressive language skills in order to communicate effectively with family and peers with 50% accuracy.
Receptive Language	Within 1 year, Joshua will utilize age-appropriate receptive language skills in order to communicate effectively with family and peers with 50% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Joshua will respond to his name with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Joshua can stop and turn towards speaker if in a dangerous situation or if he is lost in a public setting
Receptive Language	Within 6 months, using play-based therapy techniques, Joshua will demonstrate functional play with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Joshua demonstrates age-appropriate play with peers
Expressive Language	Within 6 months, using play-based therapy techniques, Joshua will imitate actions/gestures with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Joshua can begin to imitate age-appropriate phonemes and eventually core vocabulary.
Receptive Language	In 6 months, Joshua will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 50% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions.
Expressive Language	Within 6 months, using play-based therapy techniques, Joshua will utilize total communication (e.g., AAC device, gestures, vocalizations, signs) to express wants, needs, or comments during structured and play-based activities in 3 out of 10 opportunities across 3 consecutive sessions in order to improve functional communication and support overall language development.
Play/Socialization	Within 6 months, using play-based therapy techniques, Joshua will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 6 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.

Speech and Language Soap Note/Visit:

Soap Note

491793

Note Date: 03-29-2026

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

Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative for the duration of the therapy session. During therapeutic activities, the patient demonstrated notable progress across all targeted objectives. Regarding receptive language, the patient worked on responding to his name and has shown significant advancement, achieving this skill with 80% accuracy across recent sessions, thereby exceeding the initial target of 20% accuracy. This progress was observed with a reduction in the need for multisensory cues, which is crucial for safety and environmental awareness. In the domain of expressive language, foundational skills were targeted through the imitation of actions and gestures. The patient demonstrated 50% progress toward this objective, successfully imitating clinician models with decreasing physical and verbal prompts. This skill serves as a critical precursor to vocal and verbal imitation for communication. Substantial gains were also noted in play and socialization skills. The patient demonstrated functional play with objects, showing 60% progress towards independent mastery of this goal. Furthermore, he exhibited improved task persistence by completing functional, multi step play tasks from beginning to end. He is currently completing such tasks in approximately 2 out of 10 opportunities, reflecting 70% progress toward the mastery criterion of 3 out of 10 opportunities. These developing play skills are crucial for creating naturalistic language learning contexts and facilitating future peer interactions.

Plans: Continue with Speech Therapy,

Additional Notes: The patient presented as alert, oriented, and cooperative for the duration of the therapy session. During therapeutic activities, the patient demonstrated notable progress across all targeted objectives. Regarding receptive language, the patient worked on responding to his name and has shown significant advancement, achieving this skill with 80% accuracy across recent sessions, thereby exceeding the initial target of 20% accuracy. This progress was observed with a reduction in the need for multisensory cues, which is crucial for safety and environmental awareness. In the domain of expressive language, foundational skills were targeted through the imitation of actions and gestures. The patient demonstrated 50% progress toward this objective, successfully imitating clinician models with decreasing physical and verbal prompts. This skill serves as a critical precursor to vocal and verbal imitation for communication. Substantial gains were also noted in play and socialization skills. The patient demonstrated functional play with objects, showing 60% progress towards independent mastery of this goal. Furthermore, he exhibited improved task persistence by completing functional, multi step play tasks from beginning to end. He is currently completing such tasks in approximately 2 out of 10 opportunities, reflecting 70% progress toward the mastery criterion of 3 out of 10 opportunities. These developing play skills are crucial for creating naturalistic language learning contexts and facilitating future peer interactions.

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25817	11-04-2025	Feeding Initial Evaluation	R13.11, R63.32
Feeding Background History: Joshua is a 2-year, 9-month-old male referred by his pediatrician for a feeding evaluation due to ongoing feeding difficulties. He was diagnosed with Level 2 Autism Spectrum Disorder and global developmental delay in 2025. According to his mother, Mrs. Johnson, Joshua’s feeding challenges began around 5 months ago when they moved to El Paso, Texas. Joshua is described as a picky eater with notable sensory sensitivities and reportedly consumes minimal amounts during most meals. Mother reported that the first bite is typically the most difficult for Joshua, and she often needs to prompt or place the bite in his mouth. She also noted Joshua will frequently accept only two to three bites before refusing subsequent trials. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Language of intervention: English
Feeding Medical History: Per parent report, medical history is not remarkable. According to mother, Joshua was born without any complications before, during, or following the delivery.
Feeding Medications: None at this time
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Joshua’s pragmatic skills were not formally assessed, as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Joshua is a 2-year, 9-month-old male referred by his pediatrician for a feeding evaluation due to ongoing feeding difficulties. He was diagnosed with Level 2 Autism Spectrum Disorder and global developmental delay in 2025. According to his mother, Mrs. Johnson, Joshua’s feeding challenges began around 5 months ago when they moved to El Paso, Texas. Joshua is described as a picky eater with notable sensory sensitivities and reportedly consumes minimal amounts during most meals. Mother reported that the first bite is typically the most difficult for Joshua, and she often needs to prompt or place the bite in his mouth. She also noted Joshua will frequently accept only two to three bites before refusing subsequent trials. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. A formal oral peripheral examination could not be completed due to Joshua’s distractibility and difficulty following instructions. However, observable findings suggest that Joshua presents with the oral structures necessary for feeding and swallowing. However, excessive drooling was noted, which can be attributed to reduced oral motor skills. No tethered oral tissues were reported by his mother. It is recommended that Joshua’s oral cavity be monitored throughout the course of treatment. A bedside swallow evaluation and skilled meal feeding observation revealed that Joshua presents with ORAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Joshua's PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by several factors, including medical history (Autism, global developmental delay), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities to foods), and psychosocial dysfunction (physiologic symptoms, selective/restrictive eating, and problematic mealtime behaviors). FOOD REPERTOIRE: Joshua's food inventory includes 60+ foods and 10 liquids; however, it is important to note that he will only accept two to three bites per meal. Per parent report, mother often needs to initiate feeding by placing the first bite in his mouth, as he does not independently self-feed without prompting. His food inventory includes PROTEINS: Chicken in different presentations (baked, fried, strips, nuggets), turkey, beef, ham, bacon, shrimp, salmon, yogurt, and corn dogs. STARCHES: Crackers, chips, cheesecake, vegetable chips, flour tortillas, pizza crust, cookies, popcorn, French toast, pancakes, French fries, mashed potatoes. VEGETABLES: Green beans, carrots, peas, broccoli, corn, spinach, onion, mushrooms.FRUITS: Apple, blueberries, cherry, kiwi, strawberry, pineapple, blackberries, peaches, banana, grapes, orange, dried fruit, mango, plums. LIQUIDS: Juices, milkshake, lemonade, milk, drinkable yogurt, and water. NORM REFERENCED ASSESSMENT: Mrs. Johnson completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Joshua received an overall rating of “high concern”, as well as in the noted areas of physiologic symptoms, selective/restrictive eating, and problematic mealtime behaviors. This caregiver reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Joshua was sitting at the high chair with hips, knees, and ankles at a 90-90-90 degree position. His mother reported it was his first time being in a high chair. According to mother, meals at home typically occur on the couch while watching television. Joshua self-fed with his hands and only ate whole grapes and strawberries. Overstuffing was observed. When presented with non-preferred foods, Joshua immediately rejected them by turning away. With clinician support, he briefly tolerated the foods on his tray before avoiding further contact. SWALLOW/ORAL MOTOR EVALUATION: Joshua presented with increased drooling and decreased oral motor tone. He demonstrated munching with anterior and lateral dentition, with limited transferring of the bolus laterally to utilize posterior molars for mastication. Joshua did not take appropriate bites; instead, he placed whole food items into his mouth. No clinical signs of aspiration or penetration were observed. Mrs. Johnson reported no concerns regarding swallowing at home, and Joshua has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Joshua's CHRONIC PFD and ORAL DYSPHAGIA. At this age, Joshua should be able to consume solids of various consistencies to include purées, soft mechanicals, and hard mechanicals. Joshua should also consume foods from all nutrition food groups and have at least 10 foods per nutrition food group (proteins, starches, fruits, and vegetables) in his food inventory. Joshua’s health and development are at risk due to his limited diet (solid consistencies), decreased oral motor skills, and problematic mealtime behaviors. Therapy should target increasing Joshua’s oral motor skills for safe and efficient feeding/swallowing of age-appropriate solids. Therapy will also focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy, as well as appropriate mealtime behaviors. Without feeding therapy, safety risks include, but are not limited to: lack of appropriate nutrition due to a restricted diet characterized by foods of inappropriate nutritional value and inappropriate consistency. Joshua’s mother will be responsible for his Home Education Program (HEP).
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

57189

Plan Date: 11-04-2025

Feeding Assessment Summary: PATIENT HX: Joshua is a 2-year, 9-month-old male referred by his pediatrician for a feeding evaluation due to ongoing feeding difficulties. He was diagnosed with Level 2 Autism Spectrum Disorder and global developmental delay in 2025. According to his mother, Mrs. Johnson, Joshua’s feeding challenges began around 5 months ago when they moved to El Paso, Texas. Joshua is described as a picky eater with notable sensory sensitivities and reportedly consumes minimal amounts during most meals. Mother reported that the first bite is typically the most difficult for Joshua, and she often needs to prompt or place the bite in his mouth. She also noted Joshua will frequently accept only two to three bites before refusing subsequent trials. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. ORAL MECH EXAM: A formal oral peripheral examination could not be completed due to Joshua’s distractibility and difficulty following instructions. However, observable findings suggest that Joshua presents with the oral structures necessary for feeding and swallowing. However, excessive drooling was noted, which can be attributed to reduced oral motor skills. No tethered oral tissues were reported by his mother. It is recommended that Joshua’s oral cavity be monitored throughout the course of treatment. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Joshua presents with ORAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Joshua's PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by several factors, including medical history (Autism, global developmental delay), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities to foods), and psychosocial dysfunction (physiologic symptoms, selective/restrictive eating, and problematic mealtime behaviors). FOOD REPERTOIRE: Joshua's food inventory includes 60+ foods and 10 liquids; however, it is important to note that he will only accept two to three bites per meal. Per parent report, mother often needs to initiate feeding by placing the first bite in his mouth, as he does not independently self-feed without prompting. His food inventory includes PROTEINS: Chicken in different presentations (baked, fried, strips, nuggets), turkey, beef, ham, bacon, shrimp, salmon, yogurt, and corn dogs. STARCHES: Crackers, chips, cheesecake, vegetable chips, flour tortillas, pizza crust, cookies, popcorn, French toast, pancakes, French fries, mashed potatoes. VEGETABLES: Green beans, carrots, peas, broccoli, corn, spinach, onion, mushrooms.FRUITS: Apple, blueberries, cherry, kiwi, strawberry, pineapple, blackberries, peaches, banana, grapes, orange, dried fruit, mango, plums. LIQUIDS: Juices, milkshake, lemonade, milk, drinkable yogurt, and water. NORM REFERENCED ASSESSMENT: Mrs. Johnson completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver questionnaire for children ages 6 months to 7 years. Joshua received an overall rating of “high concern”, as well as in the noted areas of physiologic symptoms, selective/restrictive eating, and problematic mealtime behaviors. This caregiver reported concerns aligned with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Joshua was sitting at the high chair with his hips, knees, and ankles at a 90-90-90 degree position. His mother reported it was his first time being in a high chair. According to mother, meals at home typically occur on the couch while watching television. Joshua self-fed with his hands and only ate whole grapes and strawberries. Overstuffing was observed. When presented with non-preferred foods, Joshua immediately rejected them by turning away. With clinician support, he briefly tolerated the foods on his tray before avoiding further contact. SWALLOW/ORAL MOTOR EVALUATION: Joshua presented with increased drooling and decreased oral motor tone. He demonstrated munching with anterior and lateral dentition, with limited transferring of the bolus laterally to utilize posterior molars for mastication. Joshua did not take appropriate bites; instead, he placed whole food items into his mouth. No clinical signs of aspiration or penetration were observed. Mrs. Johnson reported no concerns regarding swallowing at home, and Joshua has no history of aspiration pneumonia. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Joshua's CHRONIC PFD and ORAL DYSPHAGIA. At this age, Joshua should be able to consume solids of various consistencies to include purées, soft mechanicals, and hard mechanicals. Joshua should also consume foods from all nutrition food groups and have at least 10 foods per nutrition food group (proteins, starches, fruits, and vegetables) in his food inventory. Joshua’s health and development are at risk due to his limited diet (solid consistencies), decreased oral motor skills, and problematic mealtime behaviors. Therapy should target increasing Joshua’s oral motor skills for safe and efficient feeding/swallowing of age-appropriate solids. Therapy will also focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy, as well as appropriate mealtime behaviors. Without feeding therapy, safety risks include, but are not limited to: lack of appropriate nutrition due to a restricted diet characterized by foods of inappropriate nutritional value and inappropriate consistency. Joshua’s mother will be responsible for his Home Education Program (HEP).

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Good. Prognosis is good with consistent feeding therapy and parental support. Joshua will be discharged when his feeding/swallowing skills and food inventory are deemed adequate to support his nutritional needs.

Feeding Long Term Goals:

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

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Joshua will touch non preferred foods with his upper extremities (fingers, hands, arms) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, given multi sensory cues, Joshua will take appropriately sized bites and avoid overstuffing his oral cavity in 3 out of 10 opportunities across 3 consecutive sessions to promote safe swallowing and reduce risk of choking during meals.
Feeding/Swallowing	In 6 months, Joshua will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors.
Feeding/Swallowing	In 6 months, Joshua will complete oral motor exercises for rotary chew in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/Swallowing	In 6 months, Joshuas mother will demonstrate understanding and implementation of the home feeding plan, including removing TV during mealtimes and supporting proper seated positioning, with 50% accuracy as measured by therapist observation and caregiver feedback across 3 consecutive sessions, to promote safe and efficient feeding and reduce choking risk.

58936

Plan Date: 03-20-2026

Feeding Assessment Summary: Joshua is a 3-year, 1-month-old male referred by his pediatrician for a feeding reevaluation due to ongoing feeding difficulties. He was diagnosed with Level 2 Autism Spectrum Disorder and global developmental delay in 2025. According to his mother, Mrs. Johnson, Joshua’s feeding challenges began around 5 months ago when they moved to El Paso, Texas. Joshua is described as a picky eater with notable sensory sensitivities and reportedly consumes minimal amounts during most meals. Mother reported that the first bite is typically the most difficult for Joshua, and she often needs to prompt or place the bite in his mouth. She also noted Joshua will frequently accept only two to three bites before refusing subsequent trials. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. A formal oral peripheral examination could not be completed due to Joshua’s distractibility and difficulty following instructions. However, observable findings suggest that Joshua presents with the oral structures necessary for feeding and swallowing. However, excessive drooling was noted, which can be attributed to reduced oral motor skills. No tethered oral tissues were reported by his mother. It is recommended that Joshua’s oral cavity be monitored throughout the course of treatment. A bedside swallow evaluation and skilled meal feeding observation revealed that Joshua presents with ORAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). Joshua's PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by several factors, including medical history (Autism, global developmental delay), nutritional deficits (limited food inventory), feeding skill impairments (sensory sensitivities to foods), and psychosocial dysfunction (physiologic symptoms, selective/restrictive eating, and problematic mealtime behaviors). FOOD REPERTOIRE: Joshua's food inventory includes 60+ foods and 10 liquids; however, it is important to note that he will only accept two to three bites per meal. Per parent report, mother often needs to initiate feeding by placing the first bite in his mouth, as he does not independently self-feed without prompting.

Feeding Progress to Date: In 6 months, Joshua will touch non preferred foods with his upper extremities (fingers, hands, arms) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment. GOAL MET In 6 months, given multi sensory cues, Joshua will take appropriately sized bites and avoid overstuffing his oral cavity in 3 out of 10 opportunities across 3 consecutive sessions to promote safe swallowing and reduce risk of choking during meals. GOAL MET In 6 months, Joshua will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors. In 6 months, Joshua will complete oral motor exercises for rotary chew in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing. GOAL MET In 6 months, Joshuas mother will demonstrate understanding and implementation of the home feeding plan, including removing TV during mealtimes and supporting proper seated positioning, with 50% accuracy as measured by therapist observation and caregiver feedback across 3 consecutive sessions, to promote safe and efficient feeding and reduce choking risk. GOAL MET

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

Feeding Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.

Feeding Short Term Goals:

Category

Goal Description

Feeding Therapy Soap Note/Visit:

Soap Note

485483

Note Date: 02-12-2026

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

Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative for the duration of the therapy session. Significant progress was noted regarding his feeding and swallowing skills. He demonstrated improved tolerance and acceptance of non-preferred foods, successfully touching them with his hands and fingers in 9 out of 10 opportunities presented. In relation to oral safety, the patient responded well to multi-sensory cues, taking appropriately sized bites and avoiding oral overstuffing in 8 out of 10 opportunities, which effectively reduces his risk of choking. Mealtime independence has also advanced, as he self-fed preferred food items with decreasing clinician support in 7-8 out of 10 opportunities. Furthermore, the patient has demonstrated mastery of foundational oral motor skills, consistently completing oral motor exercises to facilitate a rotary chew pattern in 10 out of 10 opportunities, indicating this objective has been met.

Plans: Continue with Speech Therapy,

Additional Notes:

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
3745	09-25-2025	Occupational Initial Evaluation	R62.50
Occupational Background History: Joshua is a 2.7 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother report child was born at 37 weeks gestation. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and no seasonal allergies.
Occupational Medical History: 0. Congenital Hypotonia Autism diagnosis per parent report Global developmental delay
Occupational Medications: None at this time
Occupational Behavioral Observations: Attending Skills: Alert, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Adequate, Behavior: Non-existent, Awareness of Others: Fair, Reliability of Scores: Good, Awarencess of Environmental Events: Moderately, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Attention to Task, Cooperative, Grasp, Motivated, Self-Control, Social Interaction,
Occupational Communication Weaknesses: ADL's, Balance, Body Awareness, Endurance, Eye-Hand Coordination, Manual Dexterity, Postural Stability/Trunk Support, ROM, Sensory Process/Mod, Tone, UE Strength, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary: Joshua presents with global hypotonia which decreases his ability to particpate in daily activities; BUEs overall at -2 MMT and ~10-15 degrees of AROM decreased due to weaknesses; child presents with decreased balance which decreases safety and body awareness during participation of multi-step tasks; child does demo appropriate grasping patterns with manipulation of 3D structures and with holding of writing utensil. Joshua demos difficulty with in-hand manipulation skills due to delayed finger dexterity, finger isolation and palm translation skills. Fine motor skills involved the small muscles of the body that enable such functions as writing, grasping small objects, and fastening clothing. Weaknesses in fine motor skills can affect a child's ability to eat, write legibly, use a computer, turn pages in a book, and perform personal care tasks such as dressing and grooming.
Occupational Diagnosis/Impressions: Joshua was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Joshua presents with global hypotonia which decreases his ability to particpate in daily activities; BUEs overall at -2 MMT and ~10-15 degrees of AROM decreased due to weaknesses; child presents with decreased balance which decreases safety and body awareness during participation of multi-step tasks; child does demo appropriate grasping patterns with manipulation of 3D structures and with holding of writing utensil. PDMS-2 - Per standardized assessment scores Joshua falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 16 months compared to his chronological age of 31 months), placing him atleast (-2 to -2) standard deviations behind his peers. Joshua demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Occupational Therapy Plan of Care:

Plan of Care

4843

Plan Date: 09-25-2025

Occupational Assessment Summary: Joshua was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Joshua presents with global hypotonia which decreases his ability to particpate in daily activities; BUEs overall at -2 MMT and ~10-15 degrees of AROM decreased due to weaknesses; child presents with decreased balance which decreases safety and body awareness during participation of multi-step tasks; child does demo appropriate grasping patterns with manipulation of 3D structures and with holding of writing utensil. PDMS-2 - Per standardized assessment scores Joshua falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 12 months to 16 months compared to his chronological age of 31 months), placing him atleast (-2 to -2) standard deviations behind his peers. Joshua demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Initial POC- Baseline 0%

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Self Care	In 6 months, Joshua will hold 3-inch object at midline with BUEs during selfcare tasks (supine or seated), with MOD assist, to increase bilateral use of hands and ADL participation, 4/5 trials. Baseline- MAX assist to hold objects at midline due to decreased muscle tone and postural control
Bilateral Coordination	In 6 months, Joshua will demonstrate improved BUE strength by completing a 3 minute gross motor circuit (e.g., bear walks, wall push-ups, wheelbarrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age-appropriate play and self-care tasks, 4/5 trials. Baseline-MAX compensations
Motor Planning/Praxis	In 6 months, Joshua will attend to and complete a 4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 4/5 trials. Baseline-MAX VCs to sequence multistep tasks

Occupational Short Term Goals:

Category	Goal Description
Self Care	In 3 months, Joshua will hold 3-inch object at midline with BUEs during selfcare tasks (supine or seated), with MOD assist, to increase bilateral use of hands and ADL participation, 3/4 trials. Baseline?- MAX assist to hold objects at midline due to decreased muscle tone and postural control
Bilateral Coordination	In 3 months, Joshua will demonstrate improved BUE strength by completing a 2-3 minute gross motor circuit (e.g., bear walks, wall push ups, wheel barrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age appropriate play and self-care tasks, 3/4 trials. Baseline-MAX compensations
Motor Planning/Praxis	In 3 months, Joshua will attend to and complete a 2-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline-MAX VCs to sequence multistep tasks

5403

Plan Date: 04-01-2026

Occupational Assessment Summary: Joshua was assessed via: PDMS-2 Standardized Assessment, Clinical Observations and Parental Report Joshua presents with global hypotonia which decreases his ability to participate in daily activities; BUEs overall at -2 MMT and ~10-15 degrees of AROM decreased due to weaknesses; child presents with decreased balance which decreases safety and body awareness during participation of multi-step tasks; child does demo appropriate grasping patterns with manipulation of 3D structures and with holding of writing utensil. PDMS-2 - Per standardized assessment scores Joshua falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 20 months to 21 months compared to his chronological age of 38 months, placing him at least (-2) standard deviations behind his peers. Joshua demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

Occupational Progress to Date: Joshua demonstrates consistent progress with occupational therapy services evident by meeting 100% of previous goals with at least 70% accuracy, increased standardized assessment scores, per clinical observations and per parental report. In 3 months, Joshua will hold 3inch object at midline with BUEs during self-care tasks (supine or seated), with MOD assist, to increase bilateral use of hands and ADL participation, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Joshua will demonstrate improved BUE strength by completing a 2-3 minute gross motor circuit (e.g., bear walks, wall push ups, wheel barrow walking with support) using both arms with good form and with MOD compensations, in order to participate in age appropriate play and self-care tasks, 3/4 trials. GOAL MET- 4/4 trials In 3 months, Joshua will attend to and complete a 2-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MOD VCs, to improve task sequencing and attention during daily routines, 3/4 trials. GOAL MET- 4/4 trials, to continue goal with less assist

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

Occupational Treatment Plan:

Occupational Long Term Goals:

Category	Goal Description
Motor Planning/Praxis	In 6 months, Joshua will attend to and complete a 4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MIN VCs, to improve task sequencing and attention during daily routines, 4/5 trials. Baseline- MOD VCs
Balance	In 6 months, Joshua will manage toileting clothing before and after toileting without loss of balance with MOD assist, to increase IND in dressing, in 4/5 trials. Baseline- MAX assist, decreased dynamic balance and orientation
Bilateral Coordination	In 6 months, Joshua will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 4/5 trials. Baseline- MAX assist

Occupational Short Term Goals:

Category	Goal Description
Motor Planning/Praxis	In 3 months, Joshua will attend to and complete a 2-4 step familiar task (e.g., pick up toy and put it in the bin, get a tissue and wipe nose) with no more than MIN VCs, to improve task sequencing and attention during daily routines, 3/4 trials. Baseline- MOD VCs
Balance	In 3 months, Joshua will manage toileting clothing before and after toileting without loss of balance with MOD assist, to increase IND in dressing, in 3/4 trials. Baseline- MAX assist, decreased dynamic balance and orientation
Bilateral Coordination	In 3 months, Joshua will demonstrate functional crossing of midline during self-help tasks (e.g., reaching across to pull up pants, don a shirt, or wipe face) with MOD assist or use of compensatory strategies, to increase bilateral hand use and independence in ADL participation, 3/4 trials. Baseline- MAX assist

Occupational Therapy Soap Note/Visit:

Soap Note

148250

Note Date: 03-27-2026

Subjective: Patient needed frequent reminders to return to task,

Assessment of Goals/Response to Treatment: Joshua held a 3-inch object at midline with BUEs during fine motor tasks (seated), with MIN assist, to increase bilateral use of hands and ADL participation. He also demonstrated bilateral hand use when stabilizing tracing pages with his non-dominant hand while tracing simple lines with his dominant hand with only MIN cues for assistance. Joshua was able to imitate horizontal and vertical lines with MIN cues and traced diagonal lines with MOD A to increase FM precision, bilateral coordination, and VMI skills. Joshua required MOD cues for redirection to complete a 3 step task of putting together a Mr. Potato Head toy with correct placement of body parts to increase body awareness, task sequencing and attention during daily routines. He also required MOD cues for redirection to complete a fruit stacking tower activity and MOD cues for problem solving to place the fruits to increase in-hand manipulation, problem solving, and sequencing skills. Joshua was able to match simple puzzle pieces with only MIN cues for assistance for orientation to increase FM manipulation, VMI, and problem solving skills.

Plans: Continue with current Plan of Care,

Additional Notes:

Physical Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
175	10-28-2025	Physical Initial Evaluation	R26.89
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent participated in PT evaluation to provide pertinent information for the assessment. Parent consented to physical therapy evaluation today. Patient is a 33 month old male referred to physical therapy with atypical gait and mobility. Patient with history of developmental delay since birth but recent accident where patient fell off the bed in April 2025 and fractured femur requiring 2 pins on each side and casting for 6 weeks left patient with more developmental delay and not walking independently. Patient was seen on October 28, 2025 for a scheduled physical therapy evaluation to assess current level of function. Parent participated in PT evaluation to provided pertinent information for the assessment. Patient born at 36 weeks without complications at birth. Post birth patient with low sugar and had difficulty with feeding. Birth weight was 6 lbs 5 oz and current weight is 26 lbs. Patient did not pass newborn audiological screen at hospital but passed on second attempt Parental Report/Primary Concern/Goals: Parent would like to see child walk on his own and get better
Physical Background History: Initial Evaluation with parent present throughout the evaluation. Parent participated in PT evaluation to provide pertinent information for the assessment. Parent consented to physical therapy evaluation today. Patient is a 33 month old male referred to physical therapy with atypical gait and mobility. Patient with history of developmental delay since birth but recent accident where patient fell off the bed in April 2025 and fractured femur requiring 2 pins on each side and casting for 6 weeks left patient with more developmental delay and not walking independently. Patient was seen on October 28, 2025 for a scheduled physical therapy evaluation to assess current level of function. Parent participated in PT evaluation to provided pertinent information for the assessment. Patient born at 36 weeks without complications at birth. Post birth patient with low sugar and had difficulty with feeding. Birth weight was 6 lbs 5 oz and current weight is 26 lbs. Patient did not pass newborn audiological screen at hospital but passed on second attempt Parental Report/Primary Concern/Goals: Parent would like to see child walk on his own and get better
Physical Surgical History: Fracture surgery 2 pins in femur; ear tubes, circumcision; cyst on chest found to be pimple like
Physical Medical History: 0. Low blood sugar at birth; feeding issues; concerns with cranium - referred to Dr Yates; not responding to name; got tubes in ears SEpt 2024; history of failure to thrive;
Physical Medications: Probiotics for GI due to constipation
Patient/Family Education: Discussed the finding of the examination, reviewed the POC and goals with the parent. Discussed activities/strategies available to address current concerns and how to assist patient in achieving optimal developmental milestones. Parent states understanding and agrees to provide support at home in order to progress outcomes for patient. Parent provided opportunity to ask questions and all questions were answered to the parent's satisfaction.
Physical Problem List:
Physical Therapy Assessment: Child assessed using a Standardized Assessment Clinical Observations: bilateral foot pronation, weakness, low tone, not walking IND/atypical gait, tactile aversion Parental Report: to see him walk on his own; get better Patient demonstrates deficits in gross motor skills. Patient referred to physical therapy due to not walking s/p femur fracture. Patient presents with weakness, decreased mobility, decreased balance, lacks coordination, atypical gait, decreased activity tolerance, and decreased kinesthetic sense which impairs patient’s ability to meet developmental milestones with activities of daily living, routines and for overall quality of life. The patient is a 33 months old male who scored at 10 -11 month age equivalence in Gross Motor area on the PDMS-2 assessment indicating a very poor status with simple and complex skills; thus severely impacting development. Skilled physical therapy services are required to promote optimal level of developmental function, minimize risk for permanent disability, improve overall strength throughout, improve flexibility/AROM, promote functional mobility to habilitate optimal and overall functional development to keep up with peers. Without skilled physical therapy, the patient is at risk for developing further impairments that may negatively impact the ability to perform both simple and complex daily tasks, sustain proper posture, fulfill ADLs , and limit overall quality of life. Joshua was assessed using a combination of standardized assessments, clinical observations, and parent report, specifically utilizing the Peabody Developmental Motor Scales, Second Edition (PDMS-2). His performance on the Gross Motor Core subtests revealed that he is functioning below the 1st percentile in areas of Locomotion In addition, Joshua exhibits: Generalized hypotonia Limited flexibility Weakness and poor posture Atypical gait mechanics and decreased dynamic balance Decreased activity tolerance and mobility These findings support the medical necessity for skilled physical therapy services. Without intervention, Joshua is at high risk for developing compensatory movement patterns, joint deformities, chronic pain, and potential long-term disability. Physical therapy post casting and fracture is essential to prevent further decline and promote optimal developmental outcomes. Skilled physical therapy will target: Strengthening lower extremities and core muscles Improving balance and mobility skills Addressing flexibility and alignment Assessing for possible orthotic needs Enhancing gait mechanics and posture We are requesting physical therapy services at a frequency of 2x/week to address the above concerns, which have been identified collaboratively by the evaluating therapist, Joshua’s parent, and through standardized clinical assessment. Patient would greatly benefit from skilled PT interventions in order to address delays in current level of function and facilitate progression toward functional outcomes and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Physical Therapy Recommendations: Physical Therapy: 2 time(s) a Week for 45 to 60 minute sessions

Physical Therapy Plan of Care:

Plan of Care

155

Plan Date: 10-28-2025

Physical Assessment Summary: Self Care/ADLs: Current Feeding Method: Finger feeding Types of Food: Eats white chicken chili, spaghetti, salmon Oral Aversions: Gagging and sticks hand down throat Sleep Pattern/Cycle: Wakes up to drink water Dressing/Toileting: Min assist with dressing; not potty trained Mobility & Transition: Locomotion: Scooting on bum Body control: Limited coordination Maintaining Body Position: Tone: Low tone Posture: Sacral sit Balance: Static balance Good ; Dynamic Fair - Communication: Nonverbal: Babbles with mamamama Directions/Commands: Not follow commands Integumentary: Skin: Diaper rashes Tactile Aversions: Prefers deep pressure does not like light touch Complicating/Personal Factors Affecting the Plan of Care: Mechanism of injury/ Illness: Fracture of femur in April 2025 Multiple Treatment Areas: Decreased balance, atypical gait, decreased activity tolerance, lacks coordination, weakness Patient age: 2 years old and 8 months Previous Therapy: ECI Rehab Potential: Good Time since onset of injury/illness: Since infancy Medical History Review: High Complexity: The patient has a history of present problem with a history of 3 or more factors and/or comorbidities that impact the plan of care. Assessment: Child assessed using a Standardized Assessment Clinical Observations: bilateral foot pronation, weakness, low tone, not walking IND/atypical gait, tactile aversion Parental Report: to see him walk on his own; get better Patient demonstrates deficits in gross motor skills. Patient referred to physical therapy due to not walking s/p femur fracture. Patient presents with weakness, decreased mobility, decreased balance, lacks coordination, atypical gait, decreased activity tolerance, and decreased kinesthetic sense which impairs patient’s ability to meet developmental milestones with activities of daily living, routines and for overall quality of life. The patient is a 33 months old male who scored at 10 -11 month age equivalence in Gross Motor area on the PDMS-2 assessment indicating a very poor status with simple and complex skills; thus severely impacting development. Skilled physical therapy services are required to promote optimal level of developmental function, minimize risk for permanent disability, improve overall strength throughout, improve flexibility/AROM, promote functional mobility to habilitate optimal and overall functional development to keep up with peers. Without skilled physical therapy, the patient is at risk for developing further impairments that may negatively impact the ability to perform both simple and complex daily tasks, sustain proper posture, fulfill ADLs , and limit overall quality of life. Joshua was assessed using a combination of standardized assessments, clinical observations, and parent report, specifically utilizing the Peabody Developmental Motor Scales, Second Edition (PDMS-2). His performance on the Gross Motor Core subtests revealed that he is functioning below the 1st percentile in areas of Locomotion In addition, Joshua exhibits: Generalized hypotonia Limited flexibility Weakness and poor posture Atypical gait mechanics and decreased dynamic balance Decreased activity tolerance and mobility These findings support the medical necessity for skilled physical therapy services. Without intervention, Joshua is at high risk for developing compensatory movement patterns, joint deformities, chronic pain, and potential long-term disability. Physical therapy post casting and fracture is essential to prevent further decline and promote optimal developmental outcomes. Skilled physical therapy will target: Strengthening lower extremities and core muscles Improving balance and mobility skills Addressing flexibility and alignment Assessing for possible orthotic needs Enhancing gait mechanics and posture We are requesting physical therapy services at a frequency of 2x/week to address the above concerns, which have been identified collaboratively by the evaluating therapist, Joshua’s parent, and through standardized clinical assessment. Patient would greatly benefit from skilled PT interventions in order to address delays in current level of function and facilitate progression toward functional outcomes and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to parent(s), along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the family as part of a home program (if applicable) at the end of every session. Parent(s) verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.

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

Physical Treatment Plan:

Physical Long Term Goals:

Category	Goal Description
	In 6 months patient will consistently walk throughout the house independently 7 days a week to promote safe ambulation to play with family and walk to and from the car.
	IN 6 months, patient will improve lower extremity strength to 5/5 to promote safe mobility and running to engage in recreational activity.

Physical Short Term Goals:

Category	Goal Description
	In 3 months, patient will stand with narrow base of support (4 inches apart) 3 out of 4 trials in standing to promote dynamic balance during functional play with sibling
	In 3 months, patient will improve lower extremity strength to 4/5 to promote walking independently and initiate running activity to play with family outdoors
	In 3 months, patient will walk 10 feet on his own without support, 4 out of 5 trials over 1 week period to promote independent mobility, balance, and walking around the house to get toys

Physical Therapy Soap Note/Visit:

ID	Soap Note

Completed Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
808706	97167: OT Evaluation	09-25-2025 09:00 AM	09-25-2025 10:00 AM	Bertha Solis	NB2 far east side	Completed
820812	92507: Speech & Language Visit	10-13-2025 10:45 AM	10-13-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
820851	92507: Speech & Language Visit	10-16-2025 10:45 AM	10-16-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
820813	92507: Speech & Language Visit	10-20-2025 10:45 AM	10-20-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
820852	92507: Speech & Language Visit	10-23-2025 10:45 AM	10-23-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
831029	92507: Speech & Language Visit	10-28-2025 11:30 AM	10-28-2025 12:15 PM	Valeria Holguin	NB2 far east side	Completed
813493	97163: PT Evaluation	10-28-2025 12:30 PM	10-28-2025 01:30 PM	Dolly Molina	NB2 far east side	Completed
827605	92507: Speech & Language Visit	10-30-2025 10:45 AM	10-30-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
820815	92507: Speech & Language Visit	11-03-2025 10:15 AM	11-03-2025 11:00 AM	Valeria Holguin	NB2 far east side	Completed
823590	92610: Feeding Evaluation	11-04-2025 10:15 AM	11-04-2025 11:15 AM	Andrea Rodriguez	NB2 far east side	Completed
835398	92507: Speech & Language Visit	11-05-2025 10:45 AM	11-05-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
837611	92507: Speech & Language Visit	11-07-2025 02:45 PM	11-07-2025 03:30 PM	Valeria Holguin	NB2 far east side	Completed
820816	92507: Speech & Language Visit	11-10-2025 10:45 AM	11-10-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
838630	PT-VIS: PT Visit	11-11-2025 09:00 AM	11-11-2025 10:00 AM	Daniel Valenzuela	NB1 east side	Completed
827607	92507: Speech & Language Visit	11-13-2025 10:45 AM	11-13-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
838670	PT-VIS: PT Visit	11-13-2025 12:00 PM	11-13-2025 01:00 PM	Daniel Valenzuela	NB1 east side	Completed
844020	PT-VIS: PT Visit	11-18-2025 10:00 AM	11-18-2025 11:00 AM	Dolly Molina	NB2 far east side	Completed
846054	92507: Speech & Language Visit	11-20-2025 09:30 AM	11-20-2025 10:15 AM	Valeria Holguin	NB2 far east side	Completed
848042	OT-SUP: OT Supervision	11-24-2025 04:00 PM	11-24-2025 05:00 PM	Bertha Solis	NB2 far east side	Completed
848041	OT-VIS: OT Visit	11-24-2025 04:00 PM	11-24-2025 05:00 PM	Kaitlin Marsland	NB2 far east side	Completed
845490	OT-VIS: OT Visit	11-25-2025 10:00 AM	11-25-2025 11:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847037	92507: Speech & Language Visit	12-01-2025 10:45 AM	12-01-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844158	PT-VIS: PT Visit	12-02-2025 12:30 PM	12-02-2025 01:30 PM	Dolly Molina	NB2 far east side	Completed
847118	92526: Feeding Visit	12-04-2025 09:45 AM	12-04-2025 10:15 AM	Valeria Holguin	NB2 far east side	Completed
847690	OT-VIS: OT Visit	12-05-2025 09:00 AM	12-05-2025 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847038	92507: Speech & Language Visit	12-08-2025 10:45 AM	12-08-2025 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844159	PT-VIS: PT Visit	12-09-2025 10:00 AM	12-09-2025 11:00 AM	Dolly Molina	NB2 far east side	Completed
853986	OT-VIS: OT Visit	12-11-2025 08:30 AM	12-11-2025 09:30 AM	Kaitlin Marsland	NB2 far east side	Completed
847119	92526: Feeding Visit	12-11-2025 09:45 AM	12-11-2025 10:15 AM	Valeria Holguin	NB2 far east side	Completed
847691	OT-VIS: OT Visit	12-12-2025 09:00 AM	12-12-2025 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
844160	PT-VIS: PT Visit	12-16-2025 08:00 AM	12-16-2025 09:00 AM	Dolly Molina	NB2 far east side	Completed
858183	OT-VIS: OT Visit	12-17-2025 01:00 PM	12-17-2025 02:00 PM	Kaitlin Marsland	NB2 far east side	Completed
847120	92526: Feeding Visit	12-18-2025 09:45 AM	12-18-2025 10:15 AM	Valeria Holguin	NB2 far east side	Completed
847692	OT-VIS: OT Visit	12-19-2025 09:00 AM	12-19-2025 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847042	92507: Speech & Language Visit	01-05-2026 10:45 AM	01-05-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
865178	OT-VIS: OT Visit	01-05-2026 04:00 PM	01-05-2026 05:00 PM	Kaitlin Marsland	NB2 far east side	Completed
844161	PT-VIS: PT Visit	01-06-2026 10:00 AM	01-06-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
864117	OT-VIS: OT Visit	01-06-2026 05:00 PM	01-06-2026 06:00 PM	Kaitlin Marsland	NB2 far east side	Completed
847123	92526: Feeding Visit	01-08-2026 09:45 AM	01-08-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
847695	OT-VIS: OT Visit	01-09-2026 09:00 AM	01-09-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847043	92507: Speech & Language Visit	01-12-2026 10:45 AM	01-12-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844162	PT-VIS: PT Visit	01-13-2026 10:00 AM	01-13-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
870816	OT-VIS: OT Visit	01-14-2026 03:00 PM	01-14-2026 04:00 PM	Kaitlin Marsland	NB2 far east side	Completed
847124	92526: Feeding Visit	01-15-2026 09:45 AM	01-15-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
847696	OT-VIS: OT Visit	01-16-2026 09:00 AM	01-16-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847044	92507: Speech & Language Visit	01-19-2026 10:45 AM	01-19-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844163	PT-VIS: PT Visit	01-20-2026 10:00 AM	01-20-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
875297	OT-VIS: OT Visit	01-20-2026 04:00 PM	01-20-2026 05:00 PM	Kaitlin Marsland	NB2 far east side	Completed
874661	92526: Feeding Visit	01-22-2026 10:15 AM	01-22-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
876065	OT-VIS: OT Visit	01-26-2026 09:00 AM	01-26-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
844164	PT-VIS: PT Visit	01-27-2026 10:00 AM	01-27-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
847046	92507: Speech & Language Visit	02-02-2026 10:45 AM	02-02-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
881926	OT-VIS: OT Visit	02-03-2026 04:00 PM	02-03-2026 05:00 PM	Kaitlin Marsland	NB2 far east side	Completed
883790	92526: Feeding Visit	02-04-2026 09:45 AM	02-04-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
874663	92526: Feeding Visit	02-05-2026 09:45 AM	02-05-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
876066	OT-VIS: OT Visit	02-06-2026 09:00 AM	02-06-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
844166	PT-VIS: PT Visit	02-10-2026 10:00 AM	02-10-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
889384	92507: Speech & Language Visit	02-11-2026 01:45 PM	02-11-2026 02:30 PM	Valeria Holguin	NB2 far east side	Completed
874664	92526: Feeding Visit	02-12-2026 09:45 AM	02-12-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
887488	OT-VIS: OT Visit	02-12-2026 11:00 AM	02-12-2026 12:00 PM	Kaitlin Marsland	NB2 far east side	Completed
876067	OT-VIS: OT Visit	02-13-2026 09:00 AM	02-13-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847048	92507: Speech & Language Visit	02-16-2026 10:45 AM	02-16-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844167	PT-VIS: PT Visit	02-17-2026 09:00 AM	02-17-2026 10:00 AM	Dolly Molina	NB2 far east side	Completed
876069	OT-VIS: OT Visit	02-27-2026 09:00 AM	02-27-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
847050	92507: Speech & Language Visit	03-02-2026 10:45 AM	03-02-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844169	PT-VIS: PT Visit	03-03-2026 10:00 AM	03-03-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
907045	S9152: Reevaluation	03-19-2026 10:00 AM	03-19-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed
876072	OT-VIS: OT Visit	03-20-2026 09:00 AM	03-20-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
910223	S9152: Reevaluation	03-20-2026 11:00 AM	03-20-2026 11:30 AM	Valeria Holguin	NB2 far east side	Completed
844172	PT-VIS: PT Visit	03-24-2026 10:00 AM	03-24-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
907046	92507: Speech & Language Visit	03-26-2026 09:30 AM	03-26-2026 10:15 AM	Valeria Holguin	NB2 far east side	Completed
876073	OT-VIS: OT Visit	03-27-2026 09:00 AM	03-27-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Completed
844173	PT-VIS: PT Visit	03-31-2026 10:00 AM	03-31-2026 11:00 AM	Dolly Molina	NB2 far east side	Completed
914997	97168: OT Re-Evaluation	04-01-2026 08:00 AM	04-01-2026 09:00 AM	Bertha Solis	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
820814	92507: Speech & Language Visit	10-27-2025 10:45 AM	10-27-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
827606	92507: Speech & Language Visit	11-06-2025 10:45 AM	11-06-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
820817	92507: Speech & Language Visit	11-17-2025 10:45 AM	11-17-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
850053	92507: Speech & Language Visit	12-03-2025 09:30 AM	12-03-2025 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
847039	92507: Speech & Language Visit	12-15-2025 10:45 AM	12-15-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
847040	92507: Speech & Language Visit	12-22-2025 10:45 AM	12-22-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
847121	92526: Feeding Visit	12-25-2025 09:45 AM	12-25-2025 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
847693	OT-VIS: OT Visit	12-26-2025 09:00 AM	12-26-2025 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
847041	92507: Speech & Language Visit	12-29-2025 10:45 AM	12-29-2025 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
847122	92526: Feeding Visit	01-01-2026 09:45 AM	01-01-2026 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
847694	OT-VIS: OT Visit	01-02-2026 09:00 AM	01-02-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
847697	OT-VIS: OT Visit	01-23-2026 09:00 AM	01-23-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
847045	92507: Speech & Language Visit	01-26-2026 10:45 AM	01-26-2026 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
874662	92526: Feeding Visit	01-29-2026 09:45 AM	01-29-2026 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
844165	PT-VIS: PT Visit	02-03-2026 10:00 AM	02-03-2026 11:00 AM	Dolly Molina	NB2 far east side	Canceled
847047	92507: Speech & Language Visit	02-09-2026 10:45 AM	02-09-2026 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
874665	92526: Feeding Visit	02-19-2026 09:45 AM	02-19-2026 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
876068	OT-VIS: OT Visit	02-20-2026 09:00 AM	02-20-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
847049	92507: Speech & Language Visit	02-23-2026 10:45 AM	02-23-2026 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
844168	PT-VIS: PT Visit	02-24-2026 10:00 AM	02-24-2026 11:00 AM	Dolly Molina	NB2 far east side	Canceled
874666	92526: Feeding Visit	02-26-2026 09:45 AM	02-26-2026 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
901351	92507: Speech & Language Visit	03-05-2026 09:15 AM	03-05-2026 10:00 AM	Valeria Holguin	NB2 far east side	Canceled
876070	OT-VIS: OT Visit	03-06-2026 09:00 AM	03-06-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled
847051	92507: Speech & Language Visit	03-09-2026 10:45 AM	03-09-2026 11:30 AM	Valeria Holguin	NB2 far east side	Canceled
844170	PT-VIS: PT Visit	03-10-2026 10:00 AM	03-10-2026 11:00 AM	Dolly Molina	NB2 far east side	Canceled
905530	92507: Speech & Language Visit	03-12-2026 09:30 AM	03-12-2026 10:15 AM	Valeria Holguin	NB2 far east side	Canceled
876071	OT-VIS: OT Visit	03-13-2026 09:00 AM	03-13-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
876074	OT-VIS: OT Visit	04-03-2026 09:00 AM	04-03-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
844174	97164: PT Re-Evaluation	04-07-2026 10:00 AM	04-07-2026 11:00 AM	Dolly Molina	NB2 far east side	Scheduled
907048	92507: Speech & Language Visit	04-09-2026 09:30 AM	04-09-2026 10:15 AM	Valeria Holguin	NB2 far east side	Scheduled
876075	OT-VIS: OT Visit	04-10-2026 09:00 AM	04-10-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
862519	PT-VIS: PT Visit	04-14-2026 10:00 AM	04-14-2026 11:00 AM	Dolly Molina	NB2 far east side	Scheduled
876076	OT-VIS: OT Visit	04-17-2026 09:00 AM	04-17-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
862520	PT-VIS: PT Visit	04-21-2026 10:00 AM	04-21-2026 11:00 AM	Dolly Molina	NB2 far east side	Scheduled
847698	OT-VIS: OT Visit	04-24-2026 09:00 AM	04-24-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
862521	PT-VIS: PT Visit	04-28-2026 10:00 AM	04-28-2026 11:00 AM	Dolly Molina	NB2 far east side	Scheduled
847699	OT-VIS: OT Visit	05-01-2026 09:00 AM	05-01-2026 10:00 AM	Kaitlin Marsland	NB2 far east side	Scheduled
862522	PT-VIS: PT Visit	05-05-2026 10:00 AM	05-05-2026 11:00 AM	Dolly Molina	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
11-19-2025	Asbel Guajardo	Mom called stating that she was very confused with all the text messages that were being sent to her and she was under the impression that she would be seen at both locations for speech. I explained to mom that is not the case. She was upset because she said she was told the wrong information. I did explain that they can only be seen at one location for the same service. Mom wanted to move back with Valeria since she will be doing feeding with her. Also mom does not like that she needs to be going to two different locations for the same service. We have been able to accommodate patient and parent is in agreeance.
11-19-2025	Rachael Haduck	Parent expressed significant frustration regarding recent scheduling changes and reported that she had called to cancel/modify appointments; however, pending verification of conversation with front and with who. Parent reported feeling that communication between therapists and locations has been unclear. Clinician reviewed all prior messages and provided clarification on the established plan for therapy. Parent was informed of the scheduling procedures, including the need to contact the front office directly for any appointment changes to prevent further miscommunication. See clinician communication sent to parent on 11/19/2025: "Good morning Mrs. Johnson, This is Rachael, CCC-SLP with New Beginnings. I have reviewed all the messages, and it appears there was some confusion between therapists and locations regarding Joshua’s schedule. To clarify the plan discussed with you on Monday, 11/17: Joshua will be seen back-to-back at the NB1 location—speech with me on Tuesdays at 11:45am, followed immediately by Dolly for PT. This allows him to remain at one location on the same day and supports consistency in his routine. However, if there has been a change in that since seeing Dolly yesterday, 11/18, please inform me. I also want to clarify that I did not request or authorize any cancellation of his Thursday session at the other location, NB2. As we previously discussed, if a Thursday PT appointment becomes available at the NB1 location, I will then be able to treat Joshua 2x/week at NB1—on both Tuesday and Thursday—which would allow all services to take place at the same site. Unfortunately, scheduling at each site is handled independently, and therapists cannot modify or reserve other providers’ appointments. I am in control of my own scheduling. Moving forward, the best way to prevent miscommunication is to request a phone call with the therapists involved and/or contact the front office directly at (915) - 855 - 0601. Thank you for your understanding, and I am here to support your family within my scheduling availability. Kindest, Rachael, CCC-SLP"
11-17-2025	Rachael Haduck	Spoke with parent, who confirmed Tuesday sessions with me beginning 11/25. Parent also expressed interest in adding Thursday sessions once a Thursday opening becomes available with Dolly. Front desk has been notified.
11-17-2025	Dolly Molina	11/14/25 12:36 pm PT received message from Asbel at NB2 regarding parent concern - mother requested to have Daniel removed as provider for child. Mother contacted NB2 office to inform staff mother is requesting to drop PT services. Mother has been in contact with PCP office to get new referral. Discussed situation with Asbel at NB2, PT requesting to provide mother with change in provider for Tuesdays. Asbel was going to contact mother on Monday to allow things to settle however PT did not want to provide mother an immediate solution to her concern so mother’s concern is heard. Asbel contacted mother to offer change in provider. PT reached out to Asbel at NB2 on Monday to follow up with situation. Mother in agreement to be seen by PT - Dolly. PT reached out to mother to offer 12:30 pm slot and mother in agreement. Mother would like to have Rachel ST contact her to provide PT and ST back to back. PT reached out to Rachael ST to contact mother. Next PT scheduled appt is 11/18/25 at 12:30 pm
11-17-2025	Asbel Guajardo	Mom called on 11/14 stating that she did not want to be seen by Daniel (PT) that he was too rough with patient and mom did not want to seen or contacted by Daniel. Mom also requested for camera footage to be reviewed and see if therapy was done was correct. And for the owner to contact her not anyone else in regards to her concern. I informed Steve about the parents concerns and asked for me to bring it up to Dolly who is his supervisor. I messaged Dolly and was called right away. Dolly did inform me that she would be able to move her schedule around to fit him in her schedule. I spoke to parent after and agreed with the change and also voiced that she would want to move speech to NB1 due to Daniel informing mom that Rachel did not have many patients and could be seen back to back. Dolly messaged parent about the change and is waiting respond.
11-06-2025	Shekinah Velasquez	PT auth approved starting 11/10/2025 - 05/08/2026 2x/ week = 52 visits. Therapist assigned and notified.
11-05-2025	Shekinah Velasquez	PT auth request submitted to SHP via NIA. Pending approval.
10-29-2025	Shekinah Velasquez	PT paperwork faxed to PCP for signatures. Pending response.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-13-2026	OT-VIS	Marsland, Kaitlin
03-12-2026	92507	Holguin, Valeria
03-10-2026	PT-VIS	Molina, Dolly	Mother reached out on NB text system. Patient diagnosed with Influenza B. PT canceled appt for 3/10 and will resume in 2 weeks.
03-09-2026	92507	Holguin, Valeria
03-06-2026	OT-VIS	Marsland, Kaitlin
03-05-2026	92507	Holguin, Valeria
02-26-2026	92526	Holguin, Valeria
02-24-2026	PT-VIS	Molina, Dolly	Patient with strep throat
02-23-2026	92507	Holguin, Valeria
02-20-2026	OT-VIS	Marsland, Kaitlin
02-19-2026	92526	Holguin, Valeria
02-09-2026	92507	Holguin, Valeria
02-03-2026	PT-VIS	Molina, Dolly	Patient informed PT patient has temp hold on services due to insurance.
01-29-2026	92526	Holguin, Valeria	Had meeting for pts sibling
01-26-2026	92507	Holguin, Valeria
01-23-2026	OT-VIS	Marsland, Kaitlin
01-02-2026	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
01-01-2026	92526	Holguin, Valeria
12-29-2025	92507	Holguin, Valeria
12-26-2025	OT-VIS	Marsland, Kaitlin	Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-25-2025	92526	Holguin, Valeria
12-22-2025	92507	Holguin, Valeria	Office closed due to Holiday schedule.
12-15-2025	92507	Holguin, Valeria
12-03-2025	92507	Holguin, Valeria
12-03-2025	92507	Holguin, Valeria
11-17-2025	92507	Holguin, Valeria
11-06-2025	92507	Holguin, Valeria
10-27-2025	92507	Holguin, Valeria

Paient Messages Admin:

Date	Posted By	Message
09-17-2025 11:57 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2218
09-17-2025 12:44 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
09-17-2025 12:45 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
09-23-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
09-23-2025 08:37 AM	Joshua Johnson	I thought I was put on a waitlist, I was told that there would be nothing available right now however, if there is something, I'd really appreciate it!
09-23-2025 10:39 AM	Asbel Guajardo	For which therapy?
09-24-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
09-24-2025 09:50 AM	Joshua Johnson
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-24-2025 09:51 AM	Joshua Johnson	Schedule Evaluation: Patient Joshua Johnson needs help!
09-25-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Physical Therapy Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
10-08-2025 09:13 AM	Patsy Guajardo	Johnson, Joshua has been assigned a therapist.
10-13-2025 01:46 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Feeding Evaluation. Please select a new appointment time by clicking here https://patient.newbeginnings-elp.com/ReSchedule/fdevaluation.aspx?pid=9736
10-13-2025 01:50 PM	Joshua Johnson	When I clicked on the link, it shows that it has expired
10-13-2025 03:07 PM	Asbel Guajardo	I will go ahead and get the therapist to contact and schedule.
10-14-2025 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9736
11-06-2025 01:34 PM	Patsy Guajardo	Johnson, Joshua has been assigned a therapist.
11-06-2025 01:47 PM	Joshua Johnson	What is this one for?
11-06-2025 05:10 PM	Joshua Johnson	You never told me for what therapy
11-11-2025 09:42 AM	Patsy Guajardo	Hi, Joshua as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Bertha https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=119
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-18-2025 03:00 PM	Patsy Guajardo	Hi, Joshua as been assigned a therapist for Occupaional therapy. Here's a link to learn more about Kaitlin https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=86
11-19-2025 01:59 PM	Patsy Guajardo	Hi, Joshua as been assigned a therapist for Feeding therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=138
11-19-2025 05:26 PM	Asbel Guajardo	MONDAY @ 10:45 FOR SPEECH (with Ms.Valeria) THURSDAY @ 9:45 FOR FEEDING( with Ms.Valeria) FRIDAY @ 9:00 FOR OCCUPATIONAL (with Ms.Kaitlin) TUESDAY WITH Mrs.Dolly
11-19-2025 05:27 PM	Joshua Johnson	Thank you so much!!
11-21-2025 03:57 PM	Patsy Guajardo	Hi, Joshua as been assigned a therapist for Physical therapy. Here's a link to learn more about Dolly https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=134
11-25-2025 02:52 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-02-2026 04:44 PM	Joshua Johnson	They have not told me of a change in our insurance plan. Let me go ahead and give them a call and find out the only thing I could think of is if they got the Medicaid for disabled children.
02-02-2026 05:00 PM	Patsy Guajardo	ok sounds good! we will place you on a courtesy HOLD for now, please keep me updated and Thank you!
02-02-2026 05:37 PM	Joshua Johnson	The insurance company is closed right now. I was not able to get them on the phone. Am I going to need to hold off on tomorrow's appointment? I know I have insurance. I just don't know what it is. I guess I can send you a screenshot of what I'm looking at on the Texas benefits page.
02-03-2026 07:06 AM	Joshua Johnson	Good morning Patsy ☀️ So Joshua’s Medicaid category did change to SSI-based Medicaid (for children with a disability), which may be why the system is flagging a plan change. From the paperwork I received, it’s showing his coverage starting March 1, even though his brother’s coverage began this month and they were both approved for SSI and Medicaid at the same time. Because of that, this appears to be a system or processing error rather than a true lapse in coverage. It’s possible new authorizations may be needed, but that isn’t confirmed yet, and this SSI-based coverage should actually make authorizations easier if required. The HHSC office opens at 8:00 AM, and I’ll be calling as soon as they open to have this reviewed and corrected. Please let me know if you need anything from me in the meantime. Thank you!!
02-03-2026 08:11 AM	Patsy Guajardo	Good Morning! Yes he will need a new authorization, we will continue to check until we see the change and submit to the new insurance, it might take effect in their system till March 1st. we will place him on a 30 day courtesy Hold and submit at that time. Thank you so much!
02-03-2026 08:17 AM	Joshua Johnson	Ok so no therapies this month right?
02-03-2026 08:43 AM	Patsy Guajardo	Yes! No therapy because we need a new authorization from the new insurance plan.
02-03-2026 10:19 AM	Patsy Guajardo	just Jaaziah Johnson will not have therapy for this month ok
02-03-2026 11:23 AM	Joshua Johnson	Hi Patsy, I spoke with Medicaid this morning and wanted to clarify. Jaaziah has transitioned from traditional Medicaid STAR to Medicaid STAR Kids (for children on SSI/disability). His traditional Medicaid ended January 31, STAR Kids began February 1, and although Superior will remain his plan, Superior coverage under STAR Kids will not be active until March 1 so as of now he is straight Medicaid star kids, idk if that makes a difference with authorization needs for this month. Joshua will follow the same process. He will transition from traditional Medicaid to Medicaid STAR Kids on March 1, and Superior is expected to become active for him on April 1. This appears to be the standard transition timeline rather than a loss of coverage. Please let me know if you need anything from me in the meantime. Thank you
02-03-2026 12:06 PM	Patsy Guajardo	Yes that is the normal process, just so you know it does make a difference, since under Tmhp the process of getting authorization will take a while and by that time it will be time to submit to superior.
02-03-2026 12:19 PM	Joshua Johnson	OK, so it makes more sense just to wait lol
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=9736
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 11:44 AM	Joshua Johnson	Yes I was
02-19-2026 12:13 PM	Joshua Johnson	It was great, it seems line it would be obvious, but it makes sense to always model without expectations... it's crazy that it would take 80 years to learn the aac decide if they only practice 1 a week lol I'm excited to to get it, he loves tablets and phones so I'm very optimistic about it
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9736
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
09-17-2025 12:45 PM	Jessica Ortiz	Hi, my name is Jessica, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=44
09-17-2025 12:45 PM	Joshua Johnson	Joshua SCHEDULED: 10:00AM-9/23/2025 92523: Speech Evaluation
09-17-2025 12:45 PM	Bertha Solis	Hi, my name is Bertha, with New Beginnings, and I will be performing your child's Occupational Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=119
09-17-2025 12:45 PM	Joshua Johnson	Joshua SCHEDULED: 9:00AM-9/25/2025 97167: Occupational Evaluation
09-22-2025 11:07 AM	Bertha Solis	Hello, this is Bertha! I was wondering if you’d like to come in today at 1pm for Joshua’s OT eval; it became available (: That way I can do both evals back to back and you won’t have to come back in Thursday at 9? (:
09-22-2025 11:08 AM	Joshua Johnson	Joshua (Prim) Replied: His older brother is at school so as long as we could do that eval and I could run out really quick to pick them up. He goes to. Paseo del Norte elementary school.
09-22-2025 11:09 AM	Joshua Johnson	Joshua (Prim) Replied: And actually, you know what we are barely wrapping up a two hour doctors appointment right now… We can definitely try to get an OT evaluation but he may be a little fussy
09-22-2025 11:17 AM	Bertha Solis	I have Jaaziah too for eval at 2pm? Would you be able to make that one? (: and I can leave Joshua for 9 Thursday if that worlds better?
09-22-2025 11:18 AM	Joshua Johnson	Joshua (Prim) Replied: Yes that works 🙂
09-22-2025 11:46 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Joshua’s speech evaluation. I am texting you from our patient portal, which is a secure texting-only system. I wanted to confirm our evaluation date, which is Tomorrow, September 23rd, 2025, at 10 a.m. Our address is 3551 Rich Been, Suite B, 79938. Please complete this short questionnaire, which I’ll be sending as an attachment. You can reply to the questions via text message. Thank you!
09-22-2025 11:46 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/09222025114613-NB-initial.pdf
09-22-2025 11:46 AM	Jessica Ortiz	Hi. Mrs.Johnson, when you get a chance, please let me know if you received the attachment. Thank you!
09-22-2025 04:22 PM	Joshua Johnson	Joshua (Prim) Replied: 1.Joshua Johnson 1/26/2023 2.no 3.chronic ear infections, he has ear tubes, level 2 on the spectrum, seasonal allergies 4. Crawling at 14 months, sitting up 13months, standing after 2 years, Joshua is non verbal, can't walk, not potty trained, doesn't use utensils only hands. 5. Sleeps 8 to 10 hours a night only wakes up if he has ear infections and he snores sometimes. 6. He is not in daycare or preschool at this moment. 7. he is exposed to both English and Spanish at home. 8. Not aware of hearing or vision issues. 9. concerns is the obvious nonverbal doesn't point at anything or show dislike by shaking or nodding his head.
09-22-2025 04:37 PM	Jessica Ortiz	Thank you for your response. See you tomorrow.
09-22-2025 04:47 PM	Joshua Johnson	Joshua (Prim) Replied: Liked “Thank you for your response. See you tomorrow.”
09-22-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Joshua has a Speech Evaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
09-22-2025 06:53 PM	Joshua Johnson	Joshua (Prim) Replied: Loved “Hi, this is a just a reminder that Joshua has a Speech Evaluation appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂”
09-23-2025 07:54 AM	Jessica Ortiz	Hi, this is a just a reminder that Joshua has a Speech Evaluation appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
09-23-2025 08:37 AM	Joshua Johnson	Joshua (Prim) Replied: Yes ma'am, I have my alarm set and everything lol
09-23-2025 08:51 AM	Jessica Ortiz	Good morning, Mrs. Johnson. Thank you for your confirmation. :))
09-23-2025 09:45 AM	Jessica Ortiz	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808705
09-23-2025 09:50 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-9/23/2025 92523: Artic & Language Eval
09-24-2025 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Joshua has a Occupational Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
09-25-2025 07:49 AM	Bertha Solis	Hi, this is a just a reminder that Joshua has a Occupational Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
09-25-2025 07:49 AM	Joshua Johnson	Joshua (Prim) Replied: We'll be there
09-25-2025 08:45 AM	Bertha Solis	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=808706
09-25-2025 08:53 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-9/25/2025 97167: OT Evaluation
09-25-2025 09:56 AM	Dolly Molina	Good morning , My name is Dolly Molina, and I am the physical therapist at New Beginnings. I am reaching out to schedule a Physical Therapy Evaluation appointment with you. I am available on October 28, 2025 at 12:30 pm , and I hope this time works for you. Please let me know if you are available at that time or if we need to find an alternative appointment. Thank you,  Dolly Molina PT MPT  Physical Therapist  New Beginnings
09-25-2025 10:32 AM	Joshua Johnson	Joshua (Prim) Replied: Hello!! Yes we'll take it! 🙂
09-25-2025 10:32 AM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
09-25-2025 01:14 PM	Dolly Molina	Thank you for taking the time to schedule your appointment. I have that on my schedule. Look forward to meeting you both. Please enjoy the rest of your day. Dolly
09-25-2025 01:15 PM	Joshua Johnson	Joshua (Prim) Replied: Thank you, you too!
09-25-2025 01:15 PM	Dolly Molina	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.
10-02-2025 08:57 AM	Jessica Ortiz	Good morning, Mrs. Johnson. Here is a summary of Joshua’s goals based on his performance in the assessment, clinical observations, and the information you provided. Joshua presents with a PROFOUND MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Therapy will address:responding to his name, demonstrating functional play, sustaining joint attention and attention to tasks, imitating actions/ gestures, and following routine instructions that contain common objects. As I previously mentioned, Joshua qualifies for 2x per week for 45-60 minutes. Please let me know if you have any questions.
10-08-2025 10:21 AM	Valeria Holguin	Good morning! my name is Valeria, ill be your child's speech therapist at New beginnings. I wanted to introduce myself as well as to offer Wednesdays or Thursdays at 10:00am for your child's appointments. Please let me know if any of these times/days are ok! thank you :)
10-08-2025 10:45 AM	Joshua Johnson	Joshua (Prim) Replied: Yes either works for us 😊 Did he get approved for twice a week tho?
10-08-2025 10:49 AM	Valeria Holguin	no just one:)! would you prefer Wednesday or thursday?
10-08-2025 10:49 AM	Joshua Johnson	Joshua (Prim) Replied: If we do Thursday can he start tomorrow?
10-08-2025 10:59 AM	Valeria Holguin	yes !:)
10-08-2025 11:01 AM	Joshua Johnson	Joshua (Prim) Replied: Awesome! We'll take Thursday's 😊
10-08-2025 11:02 AM	Valeria Holguin	Im trying to schedule but let me double check with admin in case his authorization lets us start tomorrow. I'll let you know in a little!
10-08-2025 12:53 PM	Valeria Holguin	so sorry! im glad I checked, so we can start until next week since his authorization starts on the 13th!
10-08-2025 01:00 PM	Joshua Johnson	Joshua (Prim) Replied: OK, that's fine 😊
10-09-2025 10:15 AM	Valeria Holguin	hi!! Im so sorry I had a typo in the original message, I have 10:45 available not 10:00am. I also do have Monday at 10:45 or Thursday at 10:45:) in case you'd. want to start sooner!
10-09-2025 10:16 AM	Valeria Holguin	actually nvm! I do have 10:00am but only on thursday, the rest are 10:45!
10-09-2025 10:36 AM	Joshua Johnson	Joshua (Prim) Replied: Can you double check with the authorizations because I know they said that they were putting a recommendation of therapy two times a week but any of those times will work
10-09-2025 10:43 AM	Valeria Holguin	yes! I just checked. that was my bad. Admin usually tells me but I should've checked first! Would you like to then keep Monday at 10:45 and Thursday at 10:45 or 10:00?
10-09-2025 10:48 AM	Joshua Johnson	Joshua (Prim) Replied: Thursday we can do 10:45 for both 🙂 thank you!!
10-09-2025 10:51 AM	Valeria Holguin	awesome! thank you so much! ill see you then next week Monday and Thursday 10:45:)
10-09-2025 10:51 AM	Joshua Johnson	Joshua (Prim) Replied: Sounds good!! See you then
10-12-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 10-13-2025 at 10:45 AM, and on 10-16-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-12-2025 04:12 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
10-12-2025 04:12 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-12-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-13-2025 07:53 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-13-2025 08:12 AM	Joshua Johnson	Joshua (Prim) Replied: We'll be there! 🙂
10-13-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820812
10-13-2025 10:32 AM	Joshua Johnson	Joshua (Prim) Replied: Will be there right on time Josiah the older brother apparently stayed up later than he should have and I've been peeling him out of bed lol
10-13-2025 10:38 AM	Valeria Holguin	ok thank you for letting me know! lol In case you are ever running late too, we have a 15 minute late policy so its ok if you were to arrive in that window :)
10-13-2025 10:46 AM	Joshua Johnson	Joshua (Prim) Replied: We're here
10-13-2025 10:46 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-10/13/2025 92507: Speech & Language Visit
10-13-2025 11:20 AM	Joshua Johnson	Joshua (Prim) Replied: We're waiting out in the waiting room 🙂
10-14-2025 08:59 AM	Jessica Ortiz	Hi, my name is Jessica, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=44
10-14-2025 08:59 AM	Joshua Johnson	Joshua SCHEDULED: 10:00AM-9/23/2025 92523: Speech Evaluation
10-14-2025 08:59 AM	Bertha Solis	Hi, my name is Bertha, with New Beginnings, and I will be performing your child's Occupational Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=119
10-14-2025 08:59 AM	Joshua Johnson	Joshua SCHEDULED: 9:00AM-9/25/2025 97167: Occupational Evaluation
10-14-2025 08:59 AM	Andrea Rodriguez Stokes	Hi, my name is Andrea, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9736&tid=127
10-14-2025 08:59 AM	Joshua Johnson	Joshua SCHEDULED: 9:30AM-10/23/2025 92610: Feeding Evaluation
10-14-2025 09:48 AM	Andrea Rodriguez Stokes	Good morning! I apologize for the inconvenience, but there was an error in the system. I do not have 10/23 available. Would you be available Tuesday, the 28th, at 10:15 am for Joshua's feeding evaluation?
10-14-2025 09:51 AM	Joshua Johnson	Joshua (Prim) Replied: Actually, Joshua has physical therapy that day and I'm thinking it's at the other location and we have to be there by 12:30
10-14-2025 09:52 AM	Andrea Rodriguez Stokes	No problem! Would Thursday, the 30th, at 9:45 am work with your schedule?
10-14-2025 09:56 AM	Joshua Johnson	Joshua (Prim) Replied: That should work when he has a 1045 with speech therapy on Thursdays I believe but it'll just be back to back right?
10-14-2025 10:02 AM	Andrea Rodriguez Stokes	Thank you for letting me know! Due to insurance purposes, we can not schedule feeding and speech visits on the same day. I also have available Monday, the 3rd, at 9:00 am or Tuesday, the 4th, at 10:15 am. Let me know which one works best with your schedule. Thank you!
10-14-2025 10:28 AM	Joshua Johnson	Joshua (Prim) Replied: So Mondays and Thursdays are when Joshua has speech and OT
10-14-2025 10:34 AM	Joshua Johnson	Joshua (Prim) Replied: I mean speech on Monday and Thursday
10-14-2025 10:43 AM	Andrea Rodriguez Stokes	Thank you for your call! He is scheduled for Tuesday, the 4th, at 10:15 am. If I have another opening sooner, I can go ahead and let you know! There are 3 documents you will need to fill out for the evaluation. Do you have access to a printer, or would you like to arrive 20 minutes earlier on the day of the evaluation to fill them out in the waiting room? :)
10-14-2025 11:04 AM	Joshua Johnson	Joshua (Prim) Replied: Can I go today and just picked up the paperwork so I can have it ready by that day?
10-14-2025 11:08 AM	Joshua Johnson	Joshua (Prim) Replied: We'll take the 4th! And that's at the regular location we go to right?
10-14-2025 11:14 AM	Andrea Rodriguez Stokes	Yes! I will leave it ready at the front desk for you to pick up today. Correct, our address is 3551 Rich Beem Blvd, Unit B.
10-14-2025 11:15 AM	Andrea Rodriguez Stokes	You can pick it up today or on Thursday when Joshua has his speech appointment :)
10-14-2025 11:24 AM	Joshua Johnson	Joshua (Prim) Replied: I will be by today to pick it up 🙂
10-14-2025 11:25 AM	Joshua Johnson	Joshua (Prim) Replied: My other son has an appointment today at 4 PM so I can get it then if that's OK?
10-14-2025 11:33 AM	Andrea Rodriguez Stokes	Of course! I left it at the front desk :)
10-14-2025 11:33 AM	Joshua Johnson	Joshua (Prim) Replied: Loved “Of course! I left it at the front desk :)”
10-15-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-15-2025 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: We'll see you tomorrow! 😊
10-16-2025 07:48 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-16-2025 08:07 AM	Joshua Johnson	Joshua (Prim) Replied: We'll see you then
10-16-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820851
10-16-2025 10:34 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-10/16/2025 92507: Speech & Language Visit
10-19-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 10-20-2025 at 10:45 AM, and on 10-23-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-19-2025 04:35 PM	Joshua Johnson	Joshua (Prim) Replied: YES
10-19-2025 04:35 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-19-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-19-2025 06:32 PM	Joshua Johnson	Joshua (Prim) Replied: See you then!! 🙂
10-19-2025 06:32 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-20-2025 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-20-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820813
10-20-2025 10:37 AM	Joshua Johnson	Joshua (Prim) Replied: I had lost my keys. I found them now, but we should be right on time.
10-20-2025 10:40 AM	Valeria Holguin	ok no worries! thank you for letting me know!
10-20-2025 10:42 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-10/20/2025 92507: Speech & Language Visit
10-20-2025 01:13 PM	Joshua Johnson	Joshua (Prim) Replied: I'm not sure why he was so fussy with you. We've been home and he hasn't been fussing... if anything he's just been crawling on me and using me as a jungle gym lol he was probably just not feeling therapy today lol
10-22-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-22-2025 06:42 PM	Joshua Johnson	Joshua (Prim) Replied: We'll see you tomorrow! 🙂
10-23-2025 07:48 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-23-2025 09:38 AM	Joshua Johnson	Joshua (Prim) Replied: See you then 🙂
10-23-2025 10:20 AM	Joshua Johnson	Joshua (Prim) Replied: Joshua seems to be a little congested, I'm thinking it's allergies but I wanted to give you a heads up
10-23-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820852
10-23-2025 10:34 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-10/23/2025 92507: Speech & Language Visit
10-25-2025 08:22 PM	Joshua Johnson	Joshua (Prim) Replied: Hello, sorry to text so late but I just found out my insurance was wrongfully canceled... since oct17 🙈 I'm hoping to have this resolved by Monday, I just don't know by what time. If there's a way to reschedule for another day,I will do my best do have resolved sometime by Monday. Jaaziah won't even be going to school Monday because I'm afraid to drive and have it towed
10-25-2025 08:22 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 10-27-2025 at 10:45 AM, and on 10-30-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 04:57 PM	Joshua Johnson	Joshua (Prim) Replied: No
10-26-2025 04:57 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-26-2025 07:21 PM	Joshua Johnson	Joshua (Prim) Replied: Oh my goodness so I was just messaging the physical therapist. I made a big mess of these therapies. My car insurance was mistakenly canceled as of 17 October now that I know I've been driving around with no insurance I'm not driving until it gets resolved. It should be resolved tomorrow so I need to cancel appointments for Monday and that's it for the both boys if rescheduling as possible I'd really appreciate it.
10-26-2025 07:21 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 09:14 PM	Valeria Holguin	hi!! oh no ok thank you for letting me know!
10-26-2025 09:16 PM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-10/27/2025 92507: Speech & Language Visit
10-27-2025 09:54 AM	Valeria Holguin	Good morning! I wanted to reach out to offer you tomorrow at 11:30! I apologize I don’t have the 1045 appointment available anymore
10-27-2025 09:55 AM	Valeria Holguin	I’m so sorry!
10-27-2025 09:56 AM	Joshua Johnson	Joshua (Prim) Replied: Just have physical therapy tomorrow, though I think there's an issue with that for billing right?
10-27-2025 09:56 AM	Joshua Johnson	Joshua (Prim) Replied: Loved “I’m so sorry!”
10-27-2025 10:34 AM	Valeria Holguin	No it’s ok! It’s only a problem if any discipline is billed twice :)
10-27-2025 10:35 AM	Valeria Holguin	For example if I was to see Josh for feeding and language (both speech) the same day
10-27-2025 10:58 AM	Joshua Johnson	Joshua (Prim) Replied: Oh ok
10-27-2025 10:58 AM	Joshua Johnson	Joshua (Prim) Replied: His PT is tomorrow at 12:30. Would I have enough time to see you and then get to the other location and I'll be late?
10-27-2025 11:02 AM	Valeria Holguin	that should be enough time! well be done at 11:25:)
10-27-2025 11:03 AM	Valeria Holguin	wait lol I got the time messed up! we should be done at 12:10 lol
10-27-2025 11:05 AM	Joshua Johnson	Joshua (Prim) Replied: As long as we'll have time to make it to physical therapy, I don't mind. I just never been to the other location.Yet maybe we'll swing by there today so I can get an idea
10-27-2025 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy Evaluation appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
10-27-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
10-27-2025 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow!! 🙂
10-27-2025 06:31 PM	Dolly Molina	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.
10-27-2025 06:33 PM	Joshua Johnson	Joshua (Prim) Replied: For sure well done in time to make it to your other location for pt at12:30 right ?
10-27-2025 06:35 PM	Dolly Molina	Take your time and drive safely. We will be there waiting
10-28-2025 07:49 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy Evaluation appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
10-28-2025 08:02 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
10-28-2025 10:22 AM	Andrea Rodriguez Stokes	Good morning! This is just a reminder to bring 3 preferred food items and 3 non-preferred food items for Joshua's feeding evaluation next Tuesday, the 4th, at 10:15 am. Thank you!
10-28-2025 10:43 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning we are actually having an extra hard time eating these last few days so much so that I took him to get checked out for possible ear infection. Turns out he's just being extra picky. I have not been able to get him to eat more than two bites tops of even some of his favorite meals. All he wants are fruits. I'm still trying to see if I could get him to eat a whole bowl of anything, but I guess we'll find out by the fourth. We may just be bringing fruits.
10-28-2025 10:50 AM	Andrea Rodriguez Stokes	Thank you for letting me know! For the evaluation, it would be great if you could also bring a few foods that he typically avoids or doesn't like. Observing how he interacts with both preferred and non-preferred foods helps me understand his comfort level, sensory responses, and oral motor skills. That way, I can create goals and recommendations that best support him. Even if he refuses all food trials with clinician support, he might tolerate them at a certain level. Portions can be small! Thank you, and I will see you next week :)
10-28-2025 10:51 AM	Valeria Holguin	Hi! im so sorry I just saw your message! it should be enough time! but if you'd like I can end the treatment session 5-10 minutes earlier to give you extra time!
10-28-2025 10:54 AM	Joshua Johnson	Joshua (Prim) Replied: Loved “Hi! im so sorry I just saw your message! it should be enough time! but if you'd like I can end the treatment session 5-10 minutes earlier to give you extra time!”
10-28-2025 10:54 AM	Joshua Johnson	Joshua (Prim) Replied: Liked “Thank you for letting me know! For the evaluation, it would be great if you could also bring a few foods that he typically avoids or doesn't like. Observing how he interacts with both preferred and non-preferred foods helps me understand his comfort level, sensory responses, and oral motor skills. That way, I can create goals and recommendations that best support him. Even if he refuses all food trials with clinician support, he might tolerate them at a certain level. Portions can be small! Thank you, and I will see you next week :)”
10-28-2025 10:55 AM	Joshua Johnson	Joshua (Prim) Replied: Now that I think about it, he may just be really constipated, so we'll go ahead and get that taken care of too... sometimes it's like a guessing game since he can't really talk yet, but we look forward to seeing you next week!
10-28-2025 10:56 AM	Andrea Rodriguez Stokes	Absolutely, that makes a lot of sense! Constipation can definitely affect appetite and feeding. I’m glad you’re getting that checked out, and we’ll take everything into account during the evaluation next week. Looking forward to meeting you both!
10-28-2025 11:15 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831029
10-28-2025 11:22 AM	Joshua Johnson	Joshua is CHECKED IN for: 11:30AM-10/28/2025 92507: Speech & Language Visit
10-28-2025 12:12 PM	Dolly Molina	PT eval will be at 1510 N Zaragoza Suite A-1 the corner office - directly behind Ernie’s Cafe Restaurant.
10-28-2025 12:15 PM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=813493
10-28-2025 12:24 PM	Joshua Johnson	Joshua (Prim) Replied: I'm in the plaza. I'm just having a little bit of a hard time finding the building.
10-28-2025 12:28 PM	Joshua Johnson	Joshua is CHECKED IN for: 12:30PM-10/28/2025 97163: PT Evaluation
10-28-2025 12:29 PM	Dolly Molina	WE ARE THE BUILDING RIGHT BEHIND THE RESTAURANT
10-28-2025 12:31 PM	Joshua Johnson	Joshua (Prim) Replied: We are in the waiting room
10-29-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
10-29-2025 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: See you then!!
10-30-2025 07:54 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
10-30-2025 07:57 AM	Joshua Johnson	Joshua (Prim) Replied: We'll see you then by the way, he has been imitating the uh-oh sound perfectly every time definitely see the confidence and he may be saying mama with a purpose ❤️
10-30-2025 09:47 AM	Joshua Johnson	Joshua (Prim) Replied: If anything earlier come open lmk
10-30-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827605
10-30-2025 10:42 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-10/30/2025 92507: Speech & Language Visit
11-02-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 11-03-2025 at 10:45 AM, and on 11-06-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-02-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-03-2025 07:48 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-03-2025 08:12 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon
11-03-2025 09:27 AM	Valeria Holguin	Good morning! I have 10:15 available in case you'd like to come in earlier:)
11-03-2025 09:28 AM	Joshua Johnson	Joshua (Prim) Replied: Perfect we'll see you at 10:15!! I appreciate it. I don't know why I'm having such a hard time with the pediatrician and this inhaler
11-03-2025 10:00 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820815
11-03-2025 10:09 AM	Joshua Johnson	Joshua is RUNNING LATE for: 10:15AM-11/3/2025 92507: Speech & Language Visit
11-03-2025 10:09 AM	Joshua Johnson	Joshua (Prim) Replied: I meant to put that I'm here on the thing we're in the parking lot right now
11-03-2025 10:29 AM	Valeria Holguin	hi! has josh been feeling sick this morning?
11-03-2025 10:32 AM	Joshua Johnson	Joshua (Prim) Replied: He hasn't showed any sense of being sick they did just spend the weekend with my other son's dog and they've both been pretty congested since
11-03-2025 10:32 AM	Joshua Johnson	Joshua (Prim) Replied: I do have some children's Zyrtec. I believe in my bag. I'll have to just start giving them his allergy medicine in the morning.
11-03-2025 10:33 AM	Joshua Johnson	Joshua (Prim) Replied: His brother was really bad this morning and to be honest the allergy medicine helped him out a lot, so I'm wondering if that's what it is... Joshua really wasn't congested though
11-03-2025 10:35 AM	Valeria Holguin	ok no worries! he kept rubbing his nose/ eyes so I also thought it might be allergies!
11-03-2025 10:56 AM	Valeria Holguin	it would be 10:45 on Wednesday:)
11-03-2025 10:57 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-11/17/2025 92507: Speech & Language Visit
11-03-2025 05:08 PM	Joshua Johnson	Joshua (Prim) Replied: So it turns out that his main issue was constipation initially his appointment was gonna be until December but they were able to squeeze him in next Tuesday at 11 so I don't know if we can play with his appointment with you that day. Let me know if we can make it up a different day or come in sooner or what we can do.
11-03-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Joshua has a Feeding Evaluation appointment scheduled tomorrow at 10:15 AM. See you soon! - New Beginnings 🙂
11-04-2025 07:50 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Joshua has a Feeding Evaluation appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
11-04-2025 07:50 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
11-04-2025 07:51 AM	Joshua Johnson	Joshua (Prim) Replied: Should I heat up all his foods before we leave the house at least the food that needed to be heated or is there a microwave there?
11-04-2025 08:00 AM	Andrea Rodriguez Stokes	Hi! We have a microwave in the clinic:)
11-04-2025 08:08 AM	Joshua Johnson	Joshua (Prim) Replied: Awesome!!! we look forward to seeing you!
11-04-2025 10:00 AM	Andrea Rodriguez Stokes	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=823590
11-04-2025 10:09 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:15AM-11/4/2025 92610: Feeding Evaluation
11-04-2025 11:03 AM	Andrea Rodriguez Stokes	Hello! Here is the link for the z-vibe: https://www.amazon.com/Stimulation-Textured-Strength-Phonation-Improvement/dp/B0DQVFXL63/ref=sr_1_8?dib=eyJ2IjoiMSJ9.iYEdTbzCDwxjRbYl34uHh0_TPP5OLmE_u0JdWzvi5fJZs4mD1ljXu9exc4Tva49eXvnEGS7anOtjrHKz85gh-TGHb3f9xjHDArwO_J-iGqdRdwKi6F4CcRLmU86Ja6y_KnpijKmDA3p8W4liIlEwRRCs7xKwn6nU4sJUkpFd5NnoVCMdyISv-ejYps7e7gEznT80I8QajxWX06nc6KQ3GOZbRABCXEPyUJ-fSUsOXVW_F9XLp32GjPmJzR4PGpZ-sLIDvknrBUg7HGj0hoeX57sdKMvmtv6xYRyOlFuC044.3fDGTMATQmkK8ns_8pxOlrU6KBw6ZiquRpYOW463lIQ&dib_tag=se&hvadid=651107839803&hvdev=c&hvexpln=0&hvlocphy=1026376&hvnetw=g&hvocijid=12049606675601891776--&hvqmt=b&hvrand=12049606675601891776&hvtargid=kwd-304619937118&hydadcr=719_1015116267&keywords=z-vibe+oral+motor+tool&mcid=39ebdec7b34133069d8c80cfe681d26a&qid=1762279346&s=hpc&sr=1-8
11-04-2025 11:04 AM	Andrea Rodriguez Stokes	Here is the information on the dietitians/nutriologists: Sun City Dietitians, Address: 6060 Surety Dr, El Paso, TX 79905, Phone: (915) 262-6192, https://suncitydietitians.com
11-04-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-05-2025 07:56 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-05-2025 08:01 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!! 🙂
11-05-2025 08:41 AM	Joshua Johnson	Joshua (Prim) Replied: Would we be able to change our appointments from 10:45 to 10:15 by any chance if not it's OK I just thought I'd ask
11-05-2025 09:22 AM	Joshua Johnson	Joshua (Prim) Replied: I found a really cute highchair at Walmart. Unfortunately it was $160 and my neighbor messaged me right around the same time and sent me a picture she has of one she's giving away and it's the same one so we'll have it this weekend!! 😁
11-05-2025 09:23 AM	Joshua Johnson	Joshua (Prim) Replied:
11-05-2025 09:27 AM	Andrea Rodriguez Stokes	That's amazing! I am currently working on Joshua's feeding report. I will be sending you the goals as soon as I complete them. Thank you!
11-05-2025 09:31 AM	Joshua Johnson	Joshua (Prim) Replied: By the way, I set him with me at the table in my lap away from the TV and not one time did I try to feed him? He fed himself his whole bowl of dinner last night. I guess his big issue really was boundaries and I want to thank you for that because I feel so much better about this and I got that vibrating pen. Will have that on Saturday.!!
11-05-2025 09:31 AM	Valeria Holguin	Good morning! I’m so sorry I just saw your message! I’m currently on the other side of town so it won’t give me time to go at 10:15, but I’ll see you at 10:45 is that ok?
11-05-2025 09:32 AM	Joshua Johnson	Joshua (Prim) Replied: Yes we'll see you then 🙂
11-05-2025 09:38 AM	Andrea Rodriguez Stokes	Those are wonderful news! I am so glad you are implementing new strategies at home. Miss Valeria will be giving you more guidance once you start feeding therapy. Just make sure to have good support on his feet when he is sitting in the high chair. He might need to use shoes or towels so his feet are not sliding down. Thank you!!
11-05-2025 09:41 AM	Joshua Johnson	Joshua (Prim) Replied: Liked “Those are wonderful news! I am so glad you are implementing new strategies at home. Miss Valeria will be giving you more guidance once you start feeding therapy. Just make sure to have good support on his feet when he is sitting in the high chair. He might need to use shoes or towels so his feet are not sliding down. Thank you!!”
11-05-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=835398
11-05-2025 10:38 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-11/5/2025 92507: Speech & Language Visit
11-05-2025 11:34 AM	Andrea Rodriguez Stokes	Hi! Here is a summary of the goals that will be targeted during Joshua's feeding therapies. Therapy should target increasing Joshua’s oral motor skills for safe and efficient feeding/swallowing of ageappropriate solids. Therapy will also focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy, as well as appropriate mealtime behaviors. Once the office has processed the report, obtained the needed signatures, and insurance approves the report, the treating clinician will reach out to you to schedule your first session. If you have any questions, please reach out. Thank you so much :)
11-05-2025 02:21 PM	Joshua Johnson	Joshua (Prim) Replied: Loved “Hi! Here is a summary of the goals that will be targeted during Joshua's feeding therapies. Therapy should target increasing Joshua’s oral motor skills for safe and efficient feeding/swallowing of ageappropriate solids. Therapy will also focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy, as well as appropriate mealtime behaviors. Once the office has processed the report, obtained the needed signatures, and insurance approves the report, the treating clinician will reach out to you to schedule your first session. If you have any questions, please reach out. Thank you so much :)”
11-05-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-05-2025 10:05 PM	Joshua Johnson	Joshua (Prim) Replied: This will be the 3rd speech this week?
11-05-2025 10:05 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-06-2025 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-06-2025 07:47 AM	Joshua Johnson	Joshua (Prim) Replied: This is the 3rd one this week
11-06-2025 08:03 AM	Joshua Johnson	Joshua (Prim) Replied: I wanna make sure Insurance doesn't deny this and I get charged for the full appointment. Let me know if I'm wrong.
11-06-2025 09:11 AM	Valeria Holguin	Good morning! Yes yesterday was the Make up for the 17th’s appointment! I’m canceling that one since I’ll be out of office that morning and moved it to yesterday!
11-06-2025 09:12 AM	Joshua Johnson	Joshua (Prim) Replied: Omg sorry!!
11-06-2025 09:12 AM	Valeria Holguin	Insurance approves a total number of sessions therefore we can make them up any other day just as long as it’s not in the same day!
11-06-2025 09:12 AM	Joshua Johnson	Joshua (Prim) Replied: Sounds good Ty!!
11-06-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827606
11-06-2025 10:53 AM	Valeria Holguin	Good morning! Are you nearby?:)
11-06-2025 10:53 AM	Joshua Johnson	Joshua (Prim) Replied: I'm sorry?
11-06-2025 10:54 AM	Joshua Johnson	Joshua (Prim) Replied: Is this for Joshua speech therapy?
11-06-2025 10:55 AM	Joshua Johnson	Joshua (Prim) Replied: I thought you said you would put yesterday's therapy in place of today's and canceled today's?
11-06-2025 10:55 AM	Valeria Holguin	Yes:)
11-06-2025 10:55 AM	Joshua Johnson	Joshua (Prim) Replied: I can't do the third speech therapy for this week. I thought we agreed to cancel it today.
11-06-2025 10:56 AM	Valeria Holguin	Nooo, the one of the 17th was canceled!
11-06-2025 10:56 AM	Joshua Johnson	Joshua (Prim) Replied: And I know insurance will cover it, but we've been doing two therapies a day between the two boys since Monday and I'm a little burnt out. I thought we agreed to cancel the speech for today since he's already had two sessions.
11-06-2025 10:56 AM	Joshua Johnson	Joshua (Prim) Replied: I was under the impression that we would do that Wednesday not have three sessions in one week. I think I misunderstood this whole thing.
11-06-2025 10:56 AM	Joshua Johnson	Joshua (Prim) Replied: I thought we were making it up the week of the 17th
11-06-2025 10:57 AM	Joshua Johnson	Joshua (Prim) Replied: I'm walking home now. I took Joshua for a walk. I'm only five minutes away from you guys. I don't wanna be marked as a note called no-show but I was under the impression that the 17th was canceled, but we would be making it up that week. Just not on that day.
11-06-2025 10:58 AM	Joshua Johnson	Joshua (Prim) Replied: I think I need to start having calendars handy when we make changes because I'm a little thrown off
11-06-2025 10:58 AM	Joshua Johnson	Joshua (Prim) Replied: My overall understanding from our messages this morning, was that today was canceled because we showed up yesterdayI'm just I didn't realize we were throwing a third speech therapy this week to make up for the 17th
11-06-2025 11:00 AM	Valeria Holguin	no worries its ok! It was just a misunderstanding!
11-06-2025 11:01 AM	Joshua Johnson	Joshua (Prim) Replied: If you want to schedule him for another time today, I could do that or if you want me to get to my car and drive right over I could do that too.. I'm like maybe five minutes away from my car and then I'm another five minutes away from you
11-06-2025 11:01 AM	Valeria Holguin	Ill go ahead and still cancel today and it'll be just as if we still need to make up (in advance) for the one I'll be out for on the 17th! We're still right on schedule so no worries
11-06-2025 11:01 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-11/6/2025 92507: Speech & Language Visit
11-06-2025 11:03 AM	Joshua Johnson	Joshua (Prim) Replied: If you have something else today, I could do that. We went to my neighbor's son's birthday party last night. We stayed out a little bit late, but I mean we're up and about now so if you have something today, I'm game to go tomorrow. We don't have any plans. Either next week is going to be busy with a parent teacher conference as well as Joshua G.I.
11-06-2025 11:03 AM	Valeria Holguin	I do have 2:30 available today! but no worries if its too much! I also have tomorrow at 2:45! If anything we can also make it up next week or in the following weeks. No rush!
11-06-2025 11:05 AM	Joshua Johnson	Joshua (Prim) Replied: I just wasn't expecting it but like I said, we're about to have a lot more therapies coming up here so it's something I'm gonna have to get used to lol we could go today at 2:30 and if we can also do 245 tomorrow because I have a parent teacher conference on the 13th like at 9:50 and then we have a G.I. next week on Tuesday at 11... so if we could take tomorrow to make up for the one we're gonna miss on Tuesday is that possible?
11-06-2025 12:21 PM	Valeria Holguin	no worries I can see him tomorrow at 2:45, thats the only make up he'll have. We dont have speech on Tuesdays:) Only Mondays and Thursdays!
11-06-2025 12:22 PM	Joshua Johnson	Joshua (Prim) Replied: Liked “no worries I can see him tomorrow at 2:45, thats the only make up he'll have. We dont have speech on Tuesdays:) Only Mondays and Thursdays!”
11-06-2025 12:22 PM	Joshua Johnson	Joshua (Prim) Replied: I am gonna go get my calendar updated now
11-06-2025 12:22 PM	Joshua Johnson	Joshua (Prim) Replied: I'll send you a picture when I'm done and if I have anything wrong, let me know?
11-06-2025 12:35 PM	Valeria Holguin	yes no worries! thank you!
11-06-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
11-07-2025 06:18 AM	Joshua Johnson	Joshua (Prim) Replied: Joshua has his G.I. appointment next week on Tuesday at 11:15. We won't be able to make the 1045 and make it to the G.I. all in one day and the G.I. doctor's next appointment won't be till December so I don't know if we could do it earlier in that day or later in that day please let me know.
11-07-2025 06:18 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 06:21 AM	Joshua Johnson	Joshua (Prim) Replied: Never mind I'm doing calendar now
11-07-2025 06:21 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 06:25 AM	Joshua Johnson	Joshua (Prim) Replied:
11-07-2025 06:25 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 07:38 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
11-07-2025 07:39 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon
11-07-2025 07:39 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 12:02 PM	Joshua Johnson	Joshua (Prim) Replied: Look what we got!!! Should we bring it today?
11-07-2025 12:02 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 12:02 PM	Joshua Johnson	Joshua (Prim) Replied:
11-07-2025 12:02 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 12:02 PM	Joshua Johnson	Joshua (Prim) Replied: He's putting it everywhere lol
11-07-2025 12:02 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 12:09 PM	Valeria Holguin	Hi!! I’m so sorry they told me yesterday that we can’t receive pictures through our system, it comes out blank!! Do you mind showing me today?
11-07-2025 12:10 PM	Joshua Johnson	Joshua (Prim) Replied: Sure!
11-07-2025 12:10 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 01:54 PM	Valeria Holguin	hi! I wanted to let you know I have a meeting I have to attend at 10:30-11:30 this next Monday, I just wanted to know if I could see Josh Tuesday at 2:45 or Wednesday at 10:00am ! I apologize so much for the change in schedule , I'll explain later today! I just wanted to ask before the session that way you can check your calendar!
11-07-2025 02:30 PM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837611
11-07-2025 02:31 PM	Joshua Johnson	Joshua is CHECKED IN for: 2:45PM-11/7/2025 92507: Speech & Language Visit
11-09-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 11-10-2025 at 10:45 AM, and on 11-13-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-09-2025 04:34 PM	Daniel Valenzuela	Hi, this is Daniel Valenzuela from New Beginnings Pediatric. I’m the Physical Therapist Assistant and I’ll be working with your child for therapy services. I’m reaching out to let you know we are ready to begin. I’m looking forward to working with you and your child. Please let me know what days/times work best for scheduling. Unfortunately however I do not have any afterschool slots available, sorry for whatever inconvenience this might cause.
11-09-2025 04:36 PM	Joshua Johnson	Joshua (Prim) Replied: This is perfect actually, I prefer mornings to be honest while my oldest is at school. I believe my Wednesdays are completely open if that works for you? And was he approved for two days or just one?
11-09-2025 04:36 PM	Daniel Valenzuela	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 05:11 PM	Daniel Valenzuela	He was actually approved for 2 times per week I have morning appointments for Monday, Tuesdays and Thursdays at this time, unfortunately no Wednesday :(
11-09-2025 05:16 PM	Joshua Johnson	Joshua (Prim) Replied: He has speech therapy at 10:45 in the morning on Mondays and Thursdays at your other location so we'll definitely take a morning appointment on Tuesday. What are your exact times and also with those speech appointments what do you have that I can make it to your location on time?
11-09-2025 05:16 PM	Daniel Valenzuela	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 05:20 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
11-09-2025 05:20 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-09-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-10-2025 07:48 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-10-2025 08:29 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!
11-10-2025 08:49 AM	Daniel Valenzuela	So for my availability, I have a 10am on mondays, a 9am and 12pm on tueday and a 12pm on thursday. would any of these times work for you?
11-10-2025 09:04 AM	Joshua Johnson	Joshua (Prim) Replied: We can do 9 AM on Tuesday and 12 PM on Thursdays
11-10-2025 09:42 AM	Daniel Valenzuela	Sounds good! I've added the visits to my schedule! I am looking forwards to working with Joshua and I'll see you guys tomorrow!!
11-10-2025 09:43 AM	Joshua Johnson	Joshua (Prim) Replied: Sounds great we look forward to it!
11-10-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820816
11-10-2025 10:33 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-11/10/2025 92507: Speech & Language Visit
11-10-2025 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-11-2025 07:57 AM	Daniel Valenzuela	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-11-2025 08:15 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon! 🙂
11-11-2025 08:45 AM	Daniel Valenzuela	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=838630
11-11-2025 08:46 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-11/11/2025 PT-VIS: PT Visit
11-12-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-12-2025 06:30 PM	Daniel Valenzuela	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-12-2025 06:56 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow! 🙂
11-12-2025 06:57 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow! 🙂
11-13-2025 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
11-13-2025 07:57 AM	Daniel Valenzuela	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-13-2025 09:23 AM	Joshua Johnson	Joshua (Prim) Replied: He took his first steps!!!
11-13-2025 09:28 AM	Dolly Molina	Oh my goodness. That is amazing.
11-13-2025 09:40 AM	Daniel Valenzuela	That’s great to hear!!
11-13-2025 09:55 AM	Joshua Johnson	Joshua (Prim) Replied: Hey my sons parent teacher confer is running a little late, is there anyway we can have todays therapy a little later?
11-13-2025 09:56 AM	Joshua Johnson	Joshua (Prim) Replied: It's for an IEP and I want to make sure it's fair and I agree to whatever plan they make
11-13-2025 09:58 AM	Valeria Holguin	hi! I can see him at 11:15, is that ok?
11-13-2025 09:59 AM	Joshua Johnson	Joshua (Prim) Replied: We aren't far so if not maybe we'll just be a couple minutes late? He has PT today at 12, do you have anything for tomorrow actually?
11-13-2025 10:28 AM	Valeria Holguin	im so sorry! I dont have anything tomorrow. I can reschedule for next week is that ok?
11-13-2025 10:28 AM	Joshua Johnson	Joshua (Prim) Replied: Should be in time
11-13-2025 10:29 AM	Valeria Holguin	for today?
11-13-2025 10:29 AM	Joshua Johnson	Joshua (Prim) Replied: Yes we should be if that's ok
11-13-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827607
11-13-2025 10:34 AM	Joshua Johnson	Joshua (Prim) Replied: Just running out of the meeting now are we OK to still head over? You're about maybe five minutes away from me.
11-13-2025 10:38 AM	Joshua Johnson	Joshua (Prim) Replied: OK we're just gonna head over there in case it's still OK
11-13-2025 10:41 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-11/13/2025 92507: Speech & Language Visit
11-13-2025 11:45 AM	Daniel Valenzuela	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=838670
11-13-2025 11:47 AM	Joshua Johnson	Joshua is CHECKED IN for: 12:00PM-11/13/2025 PT-VIS: PT Visit
11-13-2025 11:47 AM	Joshua Johnson	Joshua (Prim) Replied: I'm waking around the building while we wait, lmk if you're ready before 12 🙂
11-16-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 11-20-2025 at 10:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-16-2025 04:03 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
11-16-2025 04:03 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-17-2025 08:27 AM	Dolly Molina	Good morning Mrs Johnson, This is Dolly the Physical Therapist. I am reaching out to schedule an appointment with you for tomorrow. I am available at 12:30 pm. I am working to get you a morning slot however at this time, this the time that is available. I appreciate your patience. I hope this appt for 11/18/25 at 12:30 pm works for you. Please let me know, if not we can reschedule for next week. Warm regards Dolly
11-17-2025 08:34 AM	Joshua Johnson	Joshua (Prim) Replied: Yes, that works perfectly! We'll see you tomorrow. Also, would Rachel and Speech Therapy be able to reach out to me as well? I was hoping that I could get physical therapy and Speech Therapy back to back at your location
11-17-2025 08:34 AM	Dolly Molina	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.
11-17-2025 08:37 AM	Dolly Molina	Great thank you, I am not sure on Rachel but she should see this message in her feed. I will also reach out to her on my end to see if she can coordinate that for you as well - that would make it so much easier for you. It is our please to be able to assist you.
11-17-2025 08:45 AM	Joshua Johnson	Joshua (Prim) Replied: Thank you so much! 😊
11-17-2025 08:45 AM	Dolly Molina	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.
11-17-2025 08:52 AM	Dolly Molina	My pleasure
11-17-2025 01:33 PM	Rachael Haduck	Dear family of Joshua Johnson, This is Rachael, CCC-SLP with New Beginnings Pediatrics reaching out to schedule Joshua for speech services. I am able to offer an 11:15am appointment time, followed immediately by his PT session. This schedule would begin on 11/25, as I currently have make-up sessions booked tomorrow at 11:00am; otherwise, he would have been able to start then. Kindest, Rachael, CCC-SLP
11-17-2025 01:38 PM	Joshua Johnson	Joshua (Prim) Replied: OK, that sounds great. Also, he is approved for Speech Therapy twice a week. Are we able to do one session with you over there so it falls in line with physical therapy and then do his regular Thursdays at the other location? once Dolly is available to have two physical therapy sessions a week then he could do both Speech therapies at your location.
11-17-2025 01:41 PM	Rachael Haduck	Yes. I do have my late mornings and early Thursday afternoons open. Once Dolly is able to confirm a second slot, he will be able to be seen by me 2x/week.
11-17-2025 01:42 PM	Joshua Johnson	Joshua (Prim) Replied: OK, so just to be clear right now he'll do Tuesdays with you and then he could do Thursdays over at the other location with Valeria until Dolly is able to do another physical therapy and hopefully you could jive with your schedule
11-17-2025 01:43 PM	Rachael Haduck	Apologies, I meant 11:45am-12:30pm! Not 11:15am. This will be a 45-minute speech session.
11-17-2025 01:43 PM	Rachael Haduck	Yes, correct.
11-17-2025 01:44 PM	Joshua Johnson	Joshua (Prim) Replied: I thought those times seemed a little bit off lol I'm glad you caught it because I doubt I would've lol that sounds great thank you so much. We look forward to seeing you next week.
11-17-2025 01:45 PM	Rachael Haduck	Same to you! :)
11-17-2025 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
11-18-2025 08:01 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
11-18-2025 08:06 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
11-18-2025 08:15 AM	Dolly Molina	Yes ma’am
11-18-2025 08:15 AM	Dolly Molina	My 10:00 am appt canceled if you would like to come in earlier. If not I will see you at 12:30 pm
11-18-2025 08:22 AM	Joshua Johnson	Joshua (Prim) Replied: Sure we'll take the 10am today
11-18-2025 08:36 AM	Dolly Molina	Great
11-18-2025 09:57 AM	Joshua Johnson	Joshua (Prim) Replied: We're in the waiting room 🙂
11-18-2025 06:10 PM	Joshua Johnson	Joshua (Prim) Replied: Hey, I didn't reach out to you yesterday because I know you were out but I've been kind of playing with Joshua's Speech Therapy. I was thinking about doing one session right before physical therapy at the other location however we're gonna be getting occupational as well now so if we're able to coordinate with you and occupational, maybe we'll stay at your location. I'm making such a mess at things. I'm so sorry. I just kind of wanted to let you know what was going on, but I am very nervous about him seeing anybody else for Speech because he's been doing so good with you when you get a moment maybe after you speak to Kaitlin if you could call me I'm really horrible at text messages
11-19-2025 08:47 AM	Joshua Johnson	Joshua (Prim) Replied: Would it be too late to just leave Joshua schedule with you the way it is unless you and Kaitlin are able to coordinate with each other? And Josh was doing really well with you and I'm getting a lot of anxiety about changing him any kind of therapist that he's already used to.
11-19-2025 09:13 AM	Valeria Holguin	Good morning!! I’m so sorry I don’t have the spots available anymore, the only one I still have is the Monday one but not the Thursday time 😭
11-19-2025 09:14 AM	Joshua Johnson	Joshua (Prim) Replied: She was never supposed to take Thursday off. She had said Tuesday did she remove them from Thursday?!
11-19-2025 09:15 AM	Joshua Johnson	Joshua (Prim) Replied: She told me he was gonna do Speech Therapy at her location and keep Speech Therapy at your location on Thursdays
11-19-2025 09:15 AM	Joshua Johnson	Joshua (Prim) Replied:
11-19-2025 09:16 AM	Joshua Johnson	Joshua (Prim) Replied: I'm getting very discouraged about how the scheduling goes because I'm trying really hard to coordinate and everything gets mixed up with text messages and this is very unfortunate for Joshua
11-19-2025 09:17 AM	Joshua Johnson	Joshua (Prim) Replied: Maybe this is way too many therapies for him and I just need a kind of consolidate all of this because it's getting to be way too much way too much confusion and this really isn't fair to Joshua or to me. I know accidents happen but text messaging really sucks because all kinds of stuff happens. He has physical therapy on Tuesdays, which was why she said she'll see him Tuesdays right before physical therapy Thursday with you should've never been touched according to what she said.
11-19-2025 09:20 AM	Joshua Johnson	Joshua (Prim) Replied: I didn't want to have him go to two different locations in the same day because it gets very stressful with him and he's not able to actually get through the therapies if we can't have our Thursdays with you then maybe we just don't need to have any of them because I don't wanna do two locations in one day this is very unfortunate and I'm extremely upset. I don't understand why they can't be a scheduler so I'm not trying to play middleman with everybody. I know it's not your fault but for a parent of a child that has so many needs like Joshua this is extremely inconvenient and very stressful.
11-19-2025 10:12 AM	Rachael Haduck	Good morning Mrs. Johnson, This is Rachael, CCC-SLP with New Beginnings. I have reviewed all the messages, and it appears there was some confusion between therapists and locations regarding Joshua’s schedule. To clarify the plan discussed with you on Monday, 11/17: Joshua will be seen back-to-back at the NB1 location—speech with me on Tuesdays at 11:45am, followed immediately by Dolly for PT. This allows him to remain at one location on the same day and supports consistency in his routine. However, if there has been a change in that since seeing Dolly yesterday, 11/18, please inform me. I also want to clarify that I did not request or authorize any cancellation of his Thursday session at the other location, NB2. As we previously discussed, if a Thursday PT appointment becomes available at the NB1 location, I will then be able to treat Joshua 2x/week at NB1—on both Tuesday and Thursday—which would allow all services to take place at the same site. Unfortunately, scheduling at each site is handled independently, and therapists cannot modify or reserve other providers’ appointments. I am in control of my own scheduling. Moving forward, the best way to prevent miscommunication is to request a phone call with the therapists involved and/or contact the front office directly at (915) - 855 - 0601. Thank you for your understanding, and I am here to support your family within my scheduling availability. Kindest, Rachael, CCC-SLP
11-19-2025 10:16 AM	Joshua Johnson	Joshua (Prim) Replied: To be honest, I already called and spoke to somebody in the front office and I requested. I don't want to speak about any more scheduling matters through text messages. I'm very upset because things got canceled that should not have gotten canceled and I do not want to have any more text message conversations about scheduling she said that when she figures out coordination, she will reach out to me and let me know what the schedule is but I no longer want to discuss it in a text message because everything got flipped to my understanding. So I'm gonna continue to wait for the phone call that I was promised from whoever's in the front office at the other location.
11-19-2025 04:41 PM	Valeria Holguin	hi! they told me about the agreed schedule for Speech on Mondays at 10:45 and Feeding at 9:45! ill see you tomorrow is that ok?
11-19-2025 05:18 PM	Joshua Johnson	Joshua (Prim) Replied: Yes! I'm just happy we were able to work something out thank you guys for your patience and flexibility
11-19-2025 05:35 PM	Valeria Holguin	of course!! so I just double checked, I can see Joshua tomorrow at 9:30am instead of a speech therapy session since his feeding authorization starts until the 24th! I will be out of town next week, but I just wanted to make sure to offer at least a speech session before I leave!
11-19-2025 05:36 PM	Joshua Johnson	Joshua (Prim) Replied: Sounds good we'll see you tomorrow 🙂
11-20-2025 08:00 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
11-20-2025 08:09 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
11-20-2025 09:06 AM	Joshua Johnson	Joshua (Prim) Replied: Joshua hasn't been able to poop in a couple days and I'm trying to avoid giving him a suppository. He did get a laxative yesterday but I still haven't seen any results. He's not fussing just stopped eating solids
11-20-2025 09:15 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=846054
11-20-2025 09:17 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:30AM-11/20/2025 92507: Speech & Language Visit
11-23-2025 04:00 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 11-25-2025 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-23-2025 04:02 PM	Joshua Johnson	Joshua (Prim) Replied: YES
11-23-2025 04:02 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-24-2025 05:06 PM	Kaitlin Marsland	I can see the boys tomorrow at 10:00am and 11:00am :)
11-24-2025 05:07 PM	Joshua Johnson	Joshua (Prim) Replied: Perfect!! We'll see you then!! 😀
11-24-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
11-25-2025 07:55 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
11-25-2025 09:07 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon
11-25-2025 09:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=845490
11-25-2025 09:46 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-11/25/2025 OT-VIS: OT Visit
11-30-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 12-05-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 12-02-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 12-01-2025 at 10:45 AM, and on 12-04-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
11-30-2025 06:45 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow!! 😊
11-30-2025 06:45 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-30-2025 07:11 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
11-30-2025 07:11 PM	Dolly Molina	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.
12-01-2025 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
12-01-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847037
12-01-2025 10:33 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-12/1/2025 92507: Speech & Language Visit
12-01-2025 11:52 AM	Valeria Holguin	hi!! I just checked his schedule, I only have friday at the same time available or we can do Wednesday at 9:30 instead, let me know whichever one is better, Thank you so much for always attending and understanding!
12-01-2025 12:11 PM	Joshua Johnson	Joshua (Prim) Replied: Wednesday would be better 🙂
12-01-2025 12:32 PM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-12/15/2025 92507: Speech & Language Visit
12-01-2025 02:31 PM	Joshua Johnson	Joshua (Prim) Replied: And this is for Wednesday this week or next week?
12-01-2025 02:32 PM	Valeria Holguin	this week!:)
12-01-2025 02:42 PM	Joshua Johnson	Joshua (Prim) Replied: Ok perfect lol thank you!!
12-01-2025 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
12-01-2025 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow!!
12-01-2025 06:31 PM	Dolly Molina	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.
12-01-2025 07:54 PM	Dolly Molina	Yes ma’am. Looking forward to seeing you both
12-02-2025 07:56 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
12-02-2025 12:15 PM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844158
12-02-2025 12:18 PM	Joshua Johnson	Joshua is CHECKED IN for: 12:30PM-12/2/2025 PT-VIS: PT Visit
12-02-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
12-02-2025 06:38 PM	Joshua Johnson	Joshua (Prim) Replied: Omg 😳 is there anything later? Joshua brother is having constipation issues and I booked the first appointment available which was 930 on the west side
12-02-2025 10:46 PM	Valeria Holguin	Valeria Holguin CANCELLED: 9:30AM-12/3/2025 92507: Speech & Language Visit
12-02-2025 10:46 PM	Valeria Holguin	Valeria Holguin CANCELLED: 9:30AM-12/3/2025 92507: Speech & Language Visit
12-03-2025 08:32 AM	Valeria Holguin	No worries it’s canceled! Since it’s a makeup she can make it up another time! See you tomorrow for his feeding session!
12-03-2025 08:34 AM	Joshua Johnson	Joshua (Prim) Replied: Absolutely we'll see you then. I'm so sorry about today. We're actually getting ready to go to the doctors office now.
12-03-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-04-2025 07:33 AM	Joshua Johnson	Joshua (Prim) Replied: Hey, I should've asked since before today and this may be silly question but do I need to bring food items for these appointments?
12-04-2025 07:44 AM	Valeria Holguin	Good mornin! Yes please do! We can start with something he prefers today and an item we can work on
12-04-2025 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-04-2025 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847118
12-04-2025 09:36 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-12/4/2025 92526: Feeding Visit
12-04-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 06:34 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow!! 🙂
12-05-2025 07:36 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-05-2025 07:39 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon 🙂
12-05-2025 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847690
12-05-2025 08:55 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-12/5/2025 OT-VIS: OT Visit
12-07-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 12-12-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:01 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
12-07-2025 04:01 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 12-09-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 12-08-2025 at 10:45 AM, and on 12-11-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:03 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
12-07-2025 04:03 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 04:03 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
12-07-2025 04:03 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-07-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:17 AM	Valeria Holguin	Good morning! Im missing signature from last visit please:)
12-08-2025 07:49 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
12-08-2025 07:50 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, we'll see you at 10:45 unless something sooner comes open 😁🙃
12-08-2025 08:59 AM	Kaitlin Marsland	Good morning, this is Kaitlin. If you'd like I can schedule Joshua on Thursday at 8:30am before his speech therapy?
12-08-2025 09:00 AM	Joshua Johnson	Joshua (Prim) Replied: Sure! I'll update this week's calendar!! Thank you!! 😊
12-08-2025 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847038
12-08-2025 10:35 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-12/8/2025 92507: Speech & Language Visit
12-08-2025 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
12-08-2025 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: See you tomorrow!! 😊
12-08-2025 06:31 PM	Dolly Molina	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 07:52 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
12-09-2025 08:01 AM	Joshua Johnson	Joshua (Prim) Replied: If anything earlier comes open, please let me know. If not, we'll see you at 12:30!! 😊
12-09-2025 08:13 AM	Dolly Molina	Good morning, I have a 10:00 am available if you would like to take that visit.
12-09-2025 08:14 AM	Joshua Johnson	Joshua (Prim) Replied: We'll take it!! 🙂
12-09-2025 08:15 AM	Dolly Molina	Great see you at 10:00 am. Thank you
12-09-2025 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844159
12-09-2025 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-12/9/2025 PT-VIS: PT Visit
12-10-2025 09:57 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-12/22/2025 92507: Speech & Language Visit
12-10-2025 11:06 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:45AM-12/25/2025 92526: Feeding Visit
12-10-2025 11:12 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-12/29/2025 92507: Speech & Language Visit
12-10-2025 11:52 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:45AM-1/1/2026 92526: Feeding Visit
12-10-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-10-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings 🙂
12-11-2025 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-11-2025 07:59 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 08:30 AM. See you soon! - New Beginnings 🙂
12-11-2025 08:15 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853986
12-11-2025 08:27 AM	Joshua Johnson	Joshua (Prim) Replied: Sorry, I had forgotten Joshua's food for feeding therapy after seeing you so we had to run back and grab it but we're heading your way now. We should be there in about five minutes from now.
12-11-2025 08:29 AM	Kaitlin Marsland	No worries thank you for letting me know :)
12-11-2025 08:33 AM	Joshua Johnson	Joshua is CHECKED IN for: 8:30AM-12/11/2025 OT-VIS: OT Visit
12-11-2025 08:33 AM	Joshua Johnson	Joshua (Prim) Replied: We're here
12-11-2025 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847119
12-11-2025 09:30 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-12/11/2025 92526: Feeding Visit
12-11-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-12-2025 07:35 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-12-2025 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847691
12-12-2025 08:56 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-12/12/2025 OT-VIS: OT Visit
12-14-2025 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 12-19-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 12-16-2025 at 12:30 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Feeding Therapy appointment on 12-18-2025 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:11 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
12-14-2025 04:11 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-14-2025 06:06 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
12-14-2025 06:06 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 09:54 AM	Kaitlin Marsland	Marsland, Kaitlin: Hello families, this will be the last week of therapy for the year as the office will be closed from December 22nd until January 2nd. OT sessions will resume on January 5th. Thank you for your understanding and I hope everyone has a wonderful and restful holiday!
12-15-2025 11:59 AM	Joshua Johnson	Joshua (Prim) Replied: If you get any cancellations for an earlier time, please let me know 🙂
12-15-2025 11:59 AM	Dolly Molina	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 11:59 AM	Joshua Johnson	Joshua (Prim) Replied: Otherwise, we'll be there at 12:30
12-15-2025 11:59 AM	Dolly Molina	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 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
12-15-2025 07:32 PM	Dolly Molina	Yes ma’am. I will keep you posted. As of right now I might have an opening at 11;00 but I will keep you posted. Thank you
12-15-2025 07:34 PM	Joshua Johnson	Joshua (Prim) Replied: Sounds good thank you 🤞🏼
12-15-2025 07:34 PM	Dolly Molina	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.
12-16-2025 07:43 AM	Dolly Molina	Good morning, My 8:00 cancelled if you would like that appt
12-16-2025 07:44 AM	Joshua Johnson	Joshua (Prim) Replied: Yes!! I'll head over now!! 😁
12-16-2025 07:48 AM	Joshua Johnson	Joshua (Prim) Replied: GPS says that we will be there at 8:01
12-16-2025 07:48 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
12-16-2025 07:50 AM	Dolly Molina	No worries I will be here waiting
12-16-2025 10:40 AM	Dolly Molina	Beginning in January I will be able to see you at 10:00 am instead of the 12:30 pm appointment. Will that work for you?
12-16-2025 10:56 AM	Joshua Johnson	Joshua (Prim) Replied: Yes please!! 😁
12-16-2025 11:06 AM	Dolly Molina	Perfect. Beginning 1/6/26 I will see you at 10:00 am. Thank you Have a wonderful Christmas and safe New Year. Dolly
12-16-2025 11:08 AM	Joshua Johnson	Joshua (Prim) Replied: Thank you, you too!!
12-16-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 08:03 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 12:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=858183
12-17-2025 12:46 PM	Joshua Johnson	Joshua is CHECKED IN for: 1:00PM-12/17/2025 OT-VIS: OT Visit
12-17-2025 04:58 PM	Joshua Johnson	Joshua (Prim) Replied: Should I bring a non preferred food item like pancakes?
12-17-2025 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
12-18-2025 07:49 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
12-18-2025 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847120
12-18-2025 09:32 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-12/18/2025 92526: Feeding Visit
12-18-2025 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-19-2025 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-19-2025 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847692
12-19-2025 08:52 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-12/19/2025 OT-VIS: OT Visit
01-04-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 01-09-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:01 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-04-2026 04:01 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 01-06-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 01-05-2026 at 10:45 AM, and on 01-08-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:03 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-04-2026 04:03 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:34 PM	Kaitlin Marsland	Hi! I have an opening tomorrow at 2:00pm or Tuesday at 5:00pm I could see Joshua for an additional OT session?
01-04-2026 04:36 PM	Joshua Johnson	Joshua (Prim) Replied: Let's do Tuesday at 5 🙂 The boys have a dentist appointment at 1:30 tomorrow
01-04-2026 04:36 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:37 PM	Kaitlin Marsland	Ok sounds good, will Jaaziah still make the 3:00pm appointment tomorrow?
01-04-2026 04:41 PM	Joshua Johnson	Joshua (Prim) Replied: Yes the 3 will still work for Jaaziah 🙂
01-04-2026 04:41 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 04:41 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-04-2026 04:41 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-04-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:43 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-05-2026 07:48 AM	Joshua Johnson	Joshua (Prim) Replied: We'll see you soon!!
01-05-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847042
01-05-2026 10:36 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-1/5/2026 92507: Speech & Language Visit
01-05-2026 03:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=865178
01-05-2026 03:48 PM	Joshua Johnson	Joshua is CHECKED IN for: 4:00PM-1/5/2026 OT-VIS: OT Visit
01-05-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-05-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
01-05-2026 08:17 PM	Joshua Johnson	Joshua (Prim) Replied: I thought we do fridays at 9am
01-05-2026 08:17 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 08:24 PM	Joshua Johnson	Joshua (Prim) Replied: It's OK we could just keep the 5 p.m. tomorrow, I do favor the Friday at 9 AM but if we're already on the schedule for 5 PM tomorrow that's fine
01-05-2026 08:24 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-06-2026 07:47 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-06-2026 08:03 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
01-06-2026 08:07 AM	Kaitlin Marsland	Good morning, yes Joshua will still have his Friday at 9:00am appointment. I had the opening today after Jaaziah as an additional OT session for Joshua I had mentioned to you on Sunday. So he will still have his Friday appointment this week this is just an extra
01-06-2026 08:11 AM	Joshua Johnson	Joshua (Prim) Replied: OK, so he'll get three OT sessions this week?
01-06-2026 08:12 AM	Joshua Johnson	Joshua (Prim) Replied: You know what I remember Valeria telling me that you get approved for so many sessions in total not necessarily every week right so Joshua has a lot of sessions that he hasn't used that he's been approved for?
01-06-2026 08:13 AM	Joshua Johnson	Joshua (Prim) Replied: If he's doing three sessions this week then that's perfect. We'll go with that. I was just confused, I thought you canceled the Friday one to do today, but if this is just an extra one, then we'll take them all 😂
01-06-2026 08:14 AM	Kaitlin Marsland	That’s correct he will have a total of 3 this week for OT and yes that’s right we get a total number of sessions over the 6 month authorization so since we had the 2 week break we do have some extra we can catch up on. I don’t always have openings that work out well with your schedule so I wanted to take advantage this week since I had an opening after Jaaziah :)
01-06-2026 08:14 AM	Joshua Johnson	Joshua (Prim) Replied: Loved “That’s correct he will have a total of 3 this week for OT and yes that’s right we get a total number of sessions over the 6 month authorization so since we had the 2 week break we do have some extra we can catch up on. I don’t always have openings that work out well with your schedule so I wanted to take advantage this week since I had an opening after Jaaziah :)”
01-06-2026 08:15 AM	Joshua Johnson	Joshua (Prim) Replied: I'm still catching up on how you guys do scheduling lol but that's perfect. I really appreciate you thinking of us. We'll see you later today. 🙂
01-06-2026 08:16 AM	Kaitlin Marsland	I do my best to either coordinate with his other services or to offer sessions before/after Jaaziah since you both are already there anyways to try and reduce trips to the clinic :) and of course, my pleasure :) see you later
01-06-2026 08:26 AM	Joshua Johnson	Joshua (Prim) Replied: Whatever you get available, I will happily take lol
01-06-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844161
01-06-2026 09:50 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-1/6/2026 PT-VIS: PT Visit
01-06-2026 10:04 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-1/6/2026 PT-VIS: PT Visit
01-06-2026 10:06 AM	Joshua Johnson	Joshua (Prim) Replied: Are you running late?
01-06-2026 02:44 PM	Joshua Johnson	Joshua (Prim) Replied: Can we do Joshua before Jaaziah? I feel like if Jaaziah goes first, Joshua was gonna fall asleep and you won't get a good side of him lol
01-06-2026 02:56 PM	Kaitlin Marsland	Yes for sure :)
01-06-2026 03:56 PM	Joshua Johnson	Joshua (Prim) Replied: I forgot to ask you... will the braces be sent over to the insurance by you or do I need to request it by my pediatrician?
01-06-2026 03:59 PM	Dolly Molina	Need to ask your pediatrician
01-06-2026 03:59 PM	Joshua Johnson	Joshua (Prim) Replied: Can you tell me the name of that brace again, please so I know what to request
01-06-2026 04:06 PM	Dolly Molina	I am requesting an SMO to provide ankle support and improve his walking
01-06-2026 04:08 PM	Joshua Johnson	Joshua (Prim) Replied: Perfect thank you so much. We're having his appointment tomorrow for that. 🙂
01-06-2026 04:13 PM	Dolly Molina	Great news
01-06-2026 04:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864117
01-06-2026 04:51 PM	Joshua Johnson	Joshua is CHECKED IN for: 5:00PM-1/6/2026 OT-VIS: OT Visit
01-07-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-08-2026 07:47 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-08-2026 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847123
01-08-2026 09:42 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-1/8/2026 92526: Feeding Visit
01-08-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-09-2026 07:28 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!! ☀️
01-09-2026 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-09-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847695
01-09-2026 08:52 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-1/9/2026 OT-VIS: OT Visit
01-11-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 01-16-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 01-13-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 01-12-2026 at 10:45 AM, and on 01-15-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:28 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-11-2026 04:28 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 04:28 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-11-2026 04:28 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-11-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-12-2026 07:43 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-12-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847043
01-12-2026 10:41 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-1/12/2026 92507: Speech & Language Visit
01-12-2026 10:49 AM	Joshua Johnson	Joshua (Prim) Replied: Hey, I'm going to run home and pick up a package that just got dropped off at my door. Nobody's there. I will come straight back. I just don't want it to get taken.
01-12-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 07:48 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-13-2026 08:40 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
01-13-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844162
01-13-2026 09:53 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-1/13/2026 PT-VIS: PT Visit
01-13-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 08:03 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 02:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=870816
01-14-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:45 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-15-2026 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847124
01-15-2026 09:38 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-1/15/2026 92526: Feeding Visit
01-15-2026 10:16 AM	Valeria Holguin	I left the Zvibe on my table!! im so sorry! Ill leave it in my office to return it to you on tuesday!!
01-15-2026 10:16 AM	Joshua Johnson	Joshua (Prim) Replied: Perfect!! Thank you 😊
01-15-2026 10:26 AM	Kaitlin Marsland	Hello, for next week I have a 2:00pm slot open on Monday before Jaaziah that I could see Joshua for OT. Would that work for you?
01-15-2026 10:28 AM	Joshua Johnson	Joshua (Prim) Replied: Sure! Thank you!! I am really sorry about yesterday. I know it was really short after Jaaziah appointment, I was really tired. My stomach was hurting. The stress from finding out all the school issues over the weekend to finally getting him in the new classroom on Tuesday. I think just took a toll on me.
01-15-2026 11:55 AM	Kaitlin Marsland	Yes no worries at all I understand :) So for Monday, I have a patient that needs the 2:00pm. Would it be ok if I remove Joshua and I can try and see if I have something else? I hate to change appointments on my parents but it's the only day/time this other patient can come. I will see what else I can move around for Joshua
01-15-2026 11:56 AM	Joshua Johnson	Joshua (Prim) Replied: Yes that's fine!! I appreciate yesterdays accommodation, and I'm happy to compromise as well 🙂
01-15-2026 12:18 PM	Kaitlin Marsland	Thank you so much I appreciate your flexibility! I will work on it and let you know what I can offer Joshua :)
01-15-2026 12:19 PM	Joshua Johnson	Joshua (Prim) Replied: Loved “Thank you so much I appreciate your flexibility! I will work on it and let you know what I can offer Joshua :)”
01-15-2026 12:30 PM	Joshua Johnson	Joshua (Prim) Replied: Hey, so Jaaziah is allowed to have a free dress days on Fridays if he hasn't had to be picked up early Monday through Thursday… By any chance do you have anything on Fridays? It's not a great reason to change it, but I mean if there's anything that you have figured I'd check. lol
01-15-2026 01:42 PM	Kaitlin Marsland	I don't have anything on Fridays that would work with his school schedule unfortunately
01-15-2026 01:58 PM	Joshua Johnson	Joshua (Prim) Replied: It's ok, i'm sure I could argue them, not holding it against him since it's an appointment (technically somewhat of an accommodation for his disability) lol thanks for checking though🙂
01-15-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-16-2026 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-16-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847696
01-16-2026 09:04 AM	Kaitlin Marsland	Hello is Joshua on the way? :)
01-18-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 01-23-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 01-20-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 01-19-2026 at 10:45 AM, and on 01-22-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-18-2026 07:20 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-18-2026 07:20 PM	Dolly Molina	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 07:42 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-19-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847044
01-19-2026 10:40 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-1/19/2026 92507: Speech & Language Visit
01-19-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
01-20-2026 07:45 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-20-2026 07:51 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
01-20-2026 08:08 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
01-20-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844163
01-20-2026 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-1/20/2026 PT-VIS: PT Visit
01-20-2026 11:28 AM	Dolly Molina	Thank you for sharing the information from the hospital -injury. It was very helpful
01-20-2026 11:29 AM	Joshua Johnson	Joshua (Prim) Replied: Np
01-20-2026 03:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875297
01-20-2026 03:45 PM	Joshua Johnson	Joshua is CHECKED IN for: 4:00PM-1/20/2026 OT-VIS: OT Visit
01-20-2026 04:00 PM	Kaitlin Marsland	He’s doing good now :)
01-20-2026 04:01 PM	Joshua Johnson	Joshua (Prim) Replied: I figured he would😊 at home. I will sit down with him and just sit down with him and his toys and he'll be fine it's harder out here so I didn't want him to hurt himself with the tile
01-21-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-22-2026 07:06 AM	Valeria Holguin	Good morning! I just wanted to ask if I could see Joshua at 10:15 for today’s appointment, no worries if you can’t switch times!:)
01-22-2026 07:14 AM	Joshua Johnson	Joshua (Prim) Replied: Yea that's fine 🙂
01-22-2026 07:44 AM	Valeria Holguin	Awesome thank you!
01-22-2026 07:51 AM	Joshua Johnson	Joshua (Prim) Replied: No problem!!
01-22-2026 07:59 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 10:15 AM. See you soon! - New Beginnings 🙂
01-22-2026 10:00 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874661
01-22-2026 10:12 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:15AM-1/22/2026 92526: Feeding Visit
01-22-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-23-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-23-2026 07:59 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning!! By any chance do you have anything a little later available today? Joshua had a really rough night (went to bed around 10:30ish, woke up around 2:30am and just fell back asleep around 7:30) idk that he'll be up by 9 today and he may not be pleasant if I wake him up 😬
01-23-2026 08:03 AM	Kaitlin Marsland	Unfortunately I don’t have anything but it’s ok I can cancel the session so he can rest
01-23-2026 08:11 AM	Joshua Johnson	Joshua (Prim) Replied: If nobody ends up taking that appointment and he wakes up decent, can we still go?
01-23-2026 08:13 AM	Kaitlin Marsland	I would need you to let me know within the next 10 minutes because he is my first appointment and I would need time to get to the clinic
01-23-2026 08:13 AM	Joshua Johnson	Joshua (Prim) Replied: Oh ok, we'll just go ahead and cancel it just to be safe if you get any extra appointments next week, let me know so we can make it up... he's pretty knocked out right now so I doubt he would be waking up anyway
01-23-2026 08:15 AM	Kaitlin Marsland	Yes no worries :) sleep is important and I know you are very good about making appointments so I don't mind. I appreciate you letting me know in advance.
01-23-2026 08:15 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 9:00AM-1/23/2026 OT-VIS: OT Visit
01-23-2026 08:17 AM	Joshua Johnson	Joshua (Prim) Replied: Thank you!!
01-23-2026 08:29 AM	Joshua Johnson	Joshua (Prim) Replied: I also needed to mention that Jaaziah was accepted to that charter school (harmony) he is very excited about leaving his school and anxious to leave as soon as possible so I think it's a good sign to start something new even though it's in the middle of the year but I have to take him on Tuesday for a school tour.. do you have anything else on Tuesday or a different day that Jaaziah can you since Tuesday we'll have to go to the tour at 4 PM?
01-23-2026 09:51 AM	Kaitlin Marsland	I only have Wednesday at 4:00pm next week, would that work? Also I wanted to ask you, next Friday I have an appointment so I won't be able to see Joshua for OT. Could I see him Monday at 9:00am? I wasn't able to get anything to line up with his speech or feeding therapy :(
01-23-2026 10:09 AM	Joshua Johnson	Joshua (Prim) Replied: Yes, both of those times work for them. Thank you so much for always working with us. I really appreciate it!! 🙂
01-25-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 01-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 01-27-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 01-26-2026 at 10:45 AM, and on 01-29-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 05:36 PM	Joshua Johnson	Joshua (Prim) Replied: Good evening just wanted to let you know that with the weather conditions the school district is having a delayed start tomorrow so school won't start until 930. I will definitely get Joshua there on time. I just have to run out to drop Jaaziah off at school at 9:15 and then I'll head right back to you guys. The school is only about five minutes away so it won't take me long but just wanted to give you a heads up.
01-25-2026 05:36 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:09 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
01-25-2026 06:09 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
01-25-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:40 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
01-26-2026 07:41 AM	Joshua Johnson	Joshua (Prim) Replied: See you soon!!
01-26-2026 07:54 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-26-2026 08:30 AM	Valeria Holguin	Hi! I wanted to let you know that I’m feeling unwell today. Would it be possible to reschedule our session to this Friday instead? Thank you so much for your understanding.
01-26-2026 08:35 AM	Joshua Johnson	Joshua (Prim) Replied: Sure!! on Friday. He does have OT at nine A.M. but let me know what time works for you. I hope you feel better!!
01-26-2026 08:35 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-1/26/2026 92507: Speech & Language Visit
01-26-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876065
01-26-2026 08:53 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-1/26/2026 OT-VIS: OT Visit
01-26-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 07:44 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-27-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844164
01-27-2026 09:46 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-1/27/2026 PT-VIS: PT Visit
01-28-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
01-29-2026 07:19 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning is there a time next week that we can make today's appointment up on? This is just been a hectic week with my other son's enrollment to a new school and I have to do his IEP meeting before I withdraw him. He will be enrolled in the new school by next week on Tuesday and I shouldn't have any more interruptions
01-29-2026 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
01-29-2026 07:53 AM	Joshua Johnson	Joshua (Prim) Replied: Have you received my previous message?
01-29-2026 08:09 AM	Valeria Holguin	Hi! Yes let me check my schedule! I’ll cancel today’s appointment then:)
01-29-2026 08:10 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:45AM-1/29/2026 92526: Feeding Visit
01-29-2026 08:13 AM	Joshua Johnson	Joshua (Prim) Replied: I am so sorry I've been a complete mess this week and the main ones affected by it have been you and OT and I really apologize and I appreciate your guises understanding. We should be back on track next week. ❤️
01-29-2026 10:09 AM	Valeria Holguin	its ok! i completely understand, thank you for always communicating with us!
01-29-2026 10:09 AM	Valeria Holguin	I was checking my schedule. I do have next wednesday at 9:45 available to make up for his feeding therapy today. Would that be ok?
01-29-2026 10:11 AM	Joshua Johnson	Joshua (Prim) Replied: Next Wednesday, I have to take Joshua to the elementary school to be evaluated for 3K next year and they're going to be doing an eye exam and hearing test at 9:30... they did have a couple of other times available. Let me reach out to them and see if I could change that appointment.
01-29-2026 10:13 AM	Valeria Holguin	no worries if you cant! we can for sure wait, thank you!
01-30-2026 11:10 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning sorry for the late response. I just went to the school for Joshua's hearing test and stuff that they needed and we are all done. He's actually not even going to be able to take the test because he doesn't know how to respond but I took care of everything today if you still have that appointment at 9:45 on Wednesday, we will gladly take it.
01-30-2026 11:10 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 02-03-2026 at 4:00 PM, and on 02-06-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:01 PM	Dolly Molina	Good afternoon, Just wanted to let you know We have moved and PT sessions will be at 1510 N Zaragosa Suite B 1. You will not turn in the first pathway as before - those are building A. Instead you turn off of Zaragosa into a drive way path adjacent to Ernie’s Cafe Restaurant. Continue down the drive way with trees you will see the first address board that says 1510 N Zaragosa Suites A, pass this entrance, pass the alley then at the next entrance (same entrance as main office but you will turn to opposite side) is 1510 N Zaragosa Building B - make a right and continue all the way down to the end and it will be Suite B- 1 . There is signage that says OT for Tots but the door is marked New Beginnings. If you have any questions please feel free to message me.
02-01-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 02-03-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 02-02-2026 at 10:45 AM, and on 02-05-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:34 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
02-01-2026 04:34 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 04:34 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
02-01-2026 04:34 PM	Dolly Molina	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 04:35 PM	Joshua Johnson	Joshua (Prim) Replied: Yes
02-01-2026 04:35 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:39 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:45 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, so Joshua had a fall off the bed a couple days ago and to be honest he's just been extremely whiny and a little lethargic the day after he's been fine but now that I think about it the last couple days he's not his self. I am heading out to the emergency room now because he had a full night rest and he's back asleep and it just dawned on me so I will let you know if this begins to take a long time
02-02-2026 08:58 AM	Joshua Johnson	Joshua (Prim) Replied: We should be done here soon just waiting on the CT scan results..
02-02-2026 09:13 AM	Valeria Holguin	hi! Im so sorry im barely catching up to messages this morning. Im so sorry to hear that! i hope everything is ok, let me know if anything changes!
02-02-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847046
02-02-2026 10:31 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-2/2/2026 92507: Speech & Language Visit
02-02-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-02-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
02-03-2026 07:44 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-03-2026 08:04 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
02-03-2026 09:43 AM	Joshua Johnson	Joshua (Prim) Replied: Hey Dolly, so Patsy reached out to me and told me she's putting Joshua on a courtesy hold for 30 days. I've been trying to get some communication with the insurance company and my call keeps on getting disconnected
02-03-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844165
02-03-2026 09:47 AM	Joshua Johnson	Joshua (Prim) Replied: I was told all therapies would be on hold
02-03-2026 10:11 AM	Dolly Molina	I understand. No worries. I will follow up on this end as well. thank you
02-03-2026 11:00 AM	Dolly Molina	Dolly Molina CANCELLED: 10:00AM-2/3/2026 PT-VIS: PT Visit
02-03-2026 11:04 AM	Joshua Johnson	Joshua (Prim) Replied: Jesus I guess it Jaaziah that is being put on hold not Joshua.Jaaziah New Insurance went into effect February 1 but his plan won't go into effect until March 1 but we will have the same problem with Joshua because the same thing is gonna repeat itself. I'm sorry for the confusion. Joshua is still good for this month it's next month he'll have an issue
02-03-2026 02:43 PM	Dolly Molina	Got it. Thank you
02-03-2026 03:45 PM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881926
02-03-2026 03:47 PM	Joshua Johnson	Joshua is CHECKED IN for: 4:00PM-2/3/2026 OT-VIS: OT Visit
02-03-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
02-04-2026 08:01 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
02-04-2026 08:23 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning!! See you soon!!
02-04-2026 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883790
02-04-2026 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-2/4/2026 92526: Feeding Visit
02-04-2026 05:48 PM	Joshua Johnson	Joshua (Prim) Replied: Hey Kaitlin, I was wondering if by any chance once Jaaziah Insurance get sorted out would you have anything earlier on Fridays at this new school? He will be getting out at 12 every Friday and it only takes us about 20 minutes to get home, so I was just wondering if you had anything earlier on Fridays that we could take
02-04-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
02-05-2026 07:52 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
02-05-2026 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874663
02-05-2026 09:37 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-2/5/2026 92526: Feeding Visit
02-05-2026 04:20 PM	Kaitlin Marsland	Hello sorry for the delayed response, unfortunately I don’t have any openings on Friday a part from 10:00am, sorry about that.
02-05-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 07:35 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-06-2026 08:11 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning we have a WIC appointment today at 8:30. I'm on my way now. I don't imagine it'll take too long. I already did the class that they want me to do it to my understanding is just to re-reload my card because it ends today if I don't follow through with my appointment so at worse, we might be like five minutes later so.
02-06-2026 08:15 AM	Kaitlin Marsland	Ok thanks for the heads up
02-06-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876066
02-06-2026 08:59 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-2/6/2026 OT-VIS: OT Visit
02-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 02-13-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 02-10-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 02-09-2026 at 10:45 AM, and on 02-12-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 05:46 PM	Kaitlin Marsland	Hello, I got an opening on Thursday at 11:00am I could see Joshua for a second OT session. Let me know if it works for you :)
02-08-2026 05:49 PM	Joshua Johnson	Joshua (Prim) Replied: Sure, we will take it. I'll get it on the calendar now thank you so much!
02-08-2026 05:49 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 06:16 PM	Kaitlin Marsland	Perfect :) he is scheduled
02-08-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-09-2026 07:40 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-09-2026 08:29 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning so sorry to lay this on you with such a short notice, but I had a really rough morning with my oldest, Jaaziah... so much so that he was unable to go to school and I had to make him a psychiatry appointment for today. Unfortunately, I will not be able to bring Joshua in this morning. If there's any other time this week that you would have available, please let me know. Tuesday he has an appointment with physical therapy at your other location at 10 AM Wednesday Joshua has a psychiatry appointment for EOS at 8 AM and then I see psychiatry right after at nine Thursday, he has feeding therapy at 9:45 and then occupational therapy at 11 AM Friday, he has occupational therapy at 9 AM. Just letting you know what the next week looks like if you have any availability around those times, please let me know so sorry for the late cancellation!!
02-09-2026 09:39 AM	Valeria Holguin	I’m so sorry to hear that! And yes no worries we can absolutely look into rescheduling, let me check my schedule and I’ll let you know, thank you!!
02-09-2026 09:39 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-2/9/2026 92507: Speech & Language Visit
02-09-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-10-2026 07:44 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-10-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844166
02-10-2026 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-2/10/2026 PT-VIS: PT Visit
02-10-2026 03:02 PM	Valeria Holguin	hi!! I wanted to let you know I have tomorrow available at 1:45! would that work for Josh's speech make up?:)
02-10-2026 03:04 PM	Joshua Johnson	Joshua (Prim) Replied: I just scheduled Jaaziah an appointment for his asthma at 1 PM. I feel like we would be done in time. I can't see it taking too long. I mean we're already established. I think we could do it at 1:45.
02-10-2026 03:07 PM	Valeria Holguin	ok no worries! let me know if anything changes :)
02-10-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 01:45 PM. See you soon! - New Beginnings 🙂
02-10-2026 06:57 PM	Dolly Molina	Theta Binaural beats and Isochronic tone
02-11-2026 08:03 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 01:45 PM. See you soon! - New Beginnings 🙂
02-11-2026 10:16 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, so Joshua's neurologist after evaluating him really wants him to be seen by an ophthalmologist because his sutures on his head from when he was born closed up prematurely they believe there could be some pressure on some nerve behind his eye that could be causing some issues unfortunately the first available one that they have is gonna be on the 19th which is next Thursday at 8 AM and it's gonna be about 2 1/2 hour appointment. Is there anyway we can reschedule that later in the day or somewhere else in the week?
02-11-2026 12:52 PM	Valeria Holguin	hi!! yes let me see what we can do! thank you for letting me know!
02-11-2026 01:30 PM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=889384
02-11-2026 01:37 PM	Joshua Johnson	Joshua (Prim) Replied: We are just leaving the pediatrician so we might be a couple minutes late, but we're heading to you now
02-11-2026 01:38 PM	Joshua Johnson	Joshua is RUNNING LATE for: 1:45PM-2/11/2026 92507: Speech & Language Visit
02-11-2026 01:41 PM	Valeria Holguin	ok no worries!!
02-11-2026 01:49 PM	Joshua Johnson	Joshua (Prim) Replied: We are about three minutes away
02-11-2026 01:51 PM	Joshua Johnson	Joshua (Prim) Replied: We are pulling in now
02-11-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
02-11-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:49 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Feeding Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
02-12-2026 08:00 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 09:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874664
02-12-2026 09:36 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:45AM-2/12/2026 92526: Feeding Visit
02-12-2026 09:42 AM	Joshua Johnson	Joshua (Prim) Replied: I packed him a light breakfast, he has been having diarrhea... no other symptoms. He'll eat anything without an issue but he's getting a diaper rash and that's what I'm mainly concerned with
02-12-2026 09:43 AM	Joshua Johnson	Joshua (Prim) Replied: He's been eating allot of grapes with seeds, I'm thinking that may be the cause so I picked the seeds out for this therapy
02-12-2026 10:34 AM	Kaitlin Marsland	I can be ready for Joshua at 10:45am if that works for you?
02-12-2026 10:35 AM	Joshua Johnson	Joshua (Prim) Replied: Yes it does we'll head over
02-12-2026 10:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887488
02-12-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-13-2026 07:18 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning ☀️ I am a little concerned about Joshua. Right now. He went to sleep on my way home from picking his brother up from school yesterday and he stayed asleep until about three in the morning. Stayed up for maybe an hour hour and a half and now he is fast asleep again. We may be coming down with something. We're headed home now. And I'm gonna see what he's like when it's time to wake up.
02-13-2026 07:21 AM	Kaitlin Marsland	Ok, I will need to know by 8:15 if he is able to attend OT today please just so I can be ready. Thank you
02-13-2026 07:22 AM	Joshua Johnson	Joshua (Prim) Replied: OK sounds good 🙂
02-13-2026 07:32 AM	Joshua Johnson	Joshua (Prim) Replied: We just pulled in and he's smiling. I think we're gonna be good. We'll see you at 9 😊
02-13-2026 07:33 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-13-2026 07:38 AM	Kaitlin Marsland	Glad to hear it :) see you soon
02-13-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876067
02-13-2026 08:56 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-2/13/2026 OT-VIS: OT Visit
02-13-2026 09:11 AM	Joshua Johnson	Joshua (Prim) Replied: Hello, I wanted to bring something to your attention regarding Joshua. Lately, he has been having more frequent episodes of frustration, during which he may hit, claw at my face and pull my hair. I’m wondering if this could be related to difficulty communicating his needs. He has been in speech therapy for about two years now, including services in North Dakota and here, and while he has made some progress (such as imitating sounds), he is still not at a point where he can effectively communicate his needs. Before we left North Dakota, we had discussed beginning the authorization process for an AAC device. I wanted to ask if this is something we could revisit and potentially start introducing, as I’m noticing an increase in his impatience and frustration. I’d really appreciate your thoughts ❤️
02-13-2026 09:11 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 02-20-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 02-17-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 02-16-2026 at 10:45 AM, and on 02-19-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-16-2026 07:37 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-16-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847048
02-16-2026 10:33 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-2/16/2026 92507: Speech & Language Visit
02-16-2026 10:33 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-2/16/2026 92507: Speech & Language Visit
02-16-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-17-2026 05:51 AM	Dolly Molina	Good morning, I apologize for the early morning text. I just wanted to let you know I had a 9:00 am cancelation - if you would like to come in earlier. If not I will see you at 10:00 am. Thank you in advance Dolly
02-17-2026 05:56 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning it's no problem at all. Let me go ahead and feel Joshua out this morning. He had a really rough night last night.
02-17-2026 05:56 AM	Dolly Molina	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.
02-17-2026 05:58 AM	Dolly Molina	Oh goodness poor guy. Ok. No problem. Either way works for me.
02-17-2026 06:52 AM	Joshua Johnson	Joshua (Prim) Replied: He's actually doing really good is still open. We could take that.🙂
02-17-2026 06:52 AM	Dolly Molina	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.
02-17-2026 06:58 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning I wanted to reach out to you because I was thinking about Joshua's insurance. It's gonna be put on hold next month cause it's gonna change from traditional Medicaid to Medicaid star kids and then he'll have superior health that won't kick in until April. Right now Joshua's brother is on a courtesy hold because of the insurance change and I don't know if they need to redo authorizations.
02-17-2026 06:58 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 07:31 AM	Dolly Molina	I am available at 9:00 Thank you
02-17-2026 07:32 AM	Joshua Johnson	Joshua (Prim) Replied: Perfect see you soon!
02-17-2026 07:33 AM	Dolly Molina	Yes ma’am
02-17-2026 07:42 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-17-2026 08:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844167
02-17-2026 08:55 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-2/17/2026 PT-VIS: PT Visit
02-17-2026 02:39 PM	Joshua Johnson	Joshua (Prim) Replied: I had signed up for that class for tomorrow for the ACC device. The only thing is I won't have anybody to watch the boys and I just realized it says that you can't take your kids with you so I need to work something out with that. Could you let me know when the next class will be?
02-17-2026 05:06 PM	Valeria Holguin	hi! I sent out an email with some information needed for the AAC device let me know if you have any questions please!
02-18-2026 10:04 AM	Joshua Johnson	Joshua (Prim) Replied: Hey, I just wanted to let you know that I've done the caregiver form twice. Let me know if there's an issue with you receiving it. And also, I wanted to remind you that tomorrow Joshua has that eye appointment in the morning so we will not be able to make feeding.
02-18-2026 10:12 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:45AM-2/19/2026 92526: Feeding Visit
02-19-2026 07:02 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning I want to reach out because yesterday Joshua was throwing up and the wee hours of this morning. He started running a fever. He did have an eye appointment today, but I went ahead and canceled it so that he has some time to rest, but I don't know if it would be a good idea for him to also take tomorrow off?
02-19-2026 07:13 AM	Kaitlin Marsland	Good morning, it is up to you. If he has been fever free for 24 hours I am able to see him but it’s up to you if you feel he is up to it. Thank you for the update, and you can let me know by 8:00 tomorrow what you’d like to do :)
02-19-2026 07:14 AM	Joshua Johnson	Joshua (Prim) Replied: Perfect ❤️ as of right this second he's fever free so I'll keep our fingers crossed that he stays that way 😊
02-19-2026 08:49 AM	Kaitlin Marsland	Sounds good! :)
02-19-2026 10:56 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, so just wanted to touch base with you Joshua ended up getting sick last night throwing up and having a fever so I was not able to make his eye appointment today and the next available one will be next Thursday at 8 AM and it's a two hour appointment 🙈
02-19-2026 12:18 PM	Joshua Johnson	Joshua (Prim) Replied: He's running a fever again ☹️
02-19-2026 12:47 PM	Kaitlin Marsland	Oh no :( no worries I can cancel the session tomorrow and if you'd like I can try and offer an additional session next week to make-up :)
02-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 06:32 PM	Joshua Johnson	Joshua (Prim) Replied: We've been fighting his fever all day, we won't be able to come tomorrow
02-20-2026 05:04 AM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 9:00AM-2/20/2026 OT-VIS: OT Visit
02-20-2026 11:49 AM	Joshua Johnson	Joshua (Prim) Replied: Hey I got I form that I'm supposed to sign but the form states that we have already received the device and have fitted it to Joshua's needs. I just wanted to check in with you and make sure that you did receive it before I sign it?
02-20-2026 11:49 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-20-2026 12:55 PM	Joshua Johnson	Joshua (Prim) Replied: He's got strep throat 🙈 they said he'll be a ok to resume therapies on Monday
02-20-2026 02:38 PM	Kaitlin Marsland	Oh no :( poor guy, well I hope he has a restful weekend and feels better! I will see him next Friday at 9:00am :) I do also have an opening on Thursday at 11:00am if you're interested, let me know
02-20-2026 03:10 PM	Joshua Johnson	Joshua (Prim) Replied: He has a 2 hour eye appointment on Thursday 😬
02-20-2026 03:40 PM	Kaitlin Marsland	ah ok no worries, see you Friday :)
02-20-2026 03:41 PM	Valeria Holguin	hi! we received his device! we can go over it on his next appointment!:)
02-20-2026 03:42 PM	Joshua Johnson	Joshua (Prim) Replied: OK, I'll go ahead and sign everything. It turns out he got strep throat but the doctor said he'd be OK to resume his regular activities as of Monday so I guess that's where all the throwing up in the fevers was a result of.
02-20-2026 03:42 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 02-27-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 02-24-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 02-23-2026 at 10:45 AM, and on 02-26-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:05 PM	Joshua Johnson	Joshua (Prim) Replied: YES
02-22-2026 04:05 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 04:05 PM	Joshua Johnson	Joshua (Prim) Replied: YES
02-22-2026 04:05 PM	Dolly Molina	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 04:05 PM	Joshua Johnson	Joshua (Prim) Replied: YES
02-22-2026 04:05 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-22-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-23-2026 07:37 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-23-2026 08:35 AM	Valeria Holguin	Good morning! I wanted to ask if it was ok to move Josh’s appointment to 1:00pm, no worries if you can’t!:)
02-23-2026 09:07 AM	Valeria Holguin	Also! We can go over the AAC device and evaluation today:)
02-23-2026 09:22 AM	Joshua Johnson	Joshua (Prim) Replied: We have another appointment at 2 unfortunately 😬 Will he be able to bring the device home today?
02-23-2026 09:46 AM	Valeria Holguin	No unfortunately we’ll just go over the evaluation for today and what are the next steps
02-23-2026 09:46 AM	Joshua Johnson	Joshua (Prim) Replied: Ok, that kinda sucks because he is going to be out on a hold next month 😕
02-23-2026 10:25 AM	Joshua Johnson	Joshua (Prim) Replied: We were just about to head out the door, and Joshua seems to be broken out in hives... I'm going to get him over to his pediatrician, but I don't know what these hives could be or if he's contagious 😬
02-23-2026 10:27 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, so Joshua ended up with strep throat last week. He got diagnosed on Friday. He's been taking antibiotics and he should've been good resume normal activities as of today however he has broken out in hives so I'm thinking I should just go ahead and cancel his appointments for this week. He's not doing too well.
02-23-2026 10:27 AM	Dolly Molina	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.
02-23-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847049
02-23-2026 10:30 AM	Joshua Johnson	Joshua (Prim) Replied: Are you still comfortable with him in?
02-23-2026 10:30 AM	Joshua Johnson	Joshua (Prim) Replied: With him coming in?
02-23-2026 10:52 AM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-2/23/2026 92507: Speech & Language Visit
02-23-2026 10:54 AM	Dolly Molina	Got your message and I will cancel your appt. Hope he feels well. I will put you down for next week tentatively
02-23-2026 10:55 AM	Dolly Molina	Dolly Molina CANCELLED: 10:00AM-2/24/2026 PT-VIS: PT Visit
02-23-2026 10:55 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:45AM-2/26/2026 92526: Feeding Visit
02-23-2026 10:55 AM	Joshua Johnson	Joshua (Prim) Replied: Liked “Got your message and I will cancel your appt. Hope he feels well. I will put you down for next week tentatively”
02-23-2026 10:55 AM	Dolly Molina	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.
02-24-2026 10:12 AM	Joshua Johnson	Joshua (Prim) Replied: Hey so Joshua broke out in what looks like hives yesterday and he was checked out by the Dr but they said it was a viral rash... he's been very lethargic throughout the day...we have already canceled all other appointments and I'm thinking we may have to cancel OT as well 🙈
02-26-2026 01:09 PM	Kaitlin Marsland	Hello, so sorry for the late response. How’s Joshua doing??
02-26-2026 01:19 PM	Joshua Johnson	Joshua (Prim) Replied: You know what he is way better we found out the hard way that the hives was an allergic reaction to amoxicillin 🙈 he's on another anabiotic now, but he's a lot better we should be good to see you tomorrow. He's been fever free for a few days, and his rash went away today 🙂 we even just had a two hour eye doctor appointment and he did fabulous lol
02-26-2026 01:19 PM	Kaitlin Marsland	Aww well I’m glad everything worked out and he’s doing better! :)
02-26-2026 03:33 PM	Joshua Johnson	Joshua (Prim) Replied: So Jaaziah just asked me when he's going to therapy again... he said "I really miss Kaitlin" ❤️
02-26-2026 03:42 PM	Kaitlin Marsland	Aww how sweet! I miss him too!! I actually just asked the front office and they told me they will check eligibility on Monday so I will check back in Monday. He will also be due for re-eval soon so hopefully he can come back next week
02-26-2026 05:19 PM	Joshua Johnson	Joshua (Prim) Replied: Loved “Aww how sweet! I miss him too!! I actually just asked the front office and they told me they will check eligibility on Monday so I will check back in Monday. He will also be due for re-eval soon so hopefully he can come back next week”
02-26-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-27-2026 07:34 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-27-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876069
02-27-2026 08:51 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-2/27/2026 OT-VIS: OT Visit
03-01-2026 12:38 PM	Joshua Johnson	Joshua (Prim) Replied: The boys new cards came in and it's looking like Joshua is not gonna need that courtesy hold!! I'm so excited we should be able to see you guys this week!!
03-01-2026 12:38 PM	Kaitlin Marsland	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 03-06-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 03-03-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech/Feeding Therapy appointment on 03-02-2026 at 10:45 AM, and on 03-05-2026 at 9:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:37 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
03-02-2026 10:30 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=847050
03-02-2026 10:44 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:45AM-3/2/2026 92507: Speech & Language Visit
03-02-2026 11:12 AM	Valeria Holguin	hi!! im so sorry! i totally misread the the instructions, since we are using another app thats not the one downloaded, please create a new apple ID before the next session!
03-02-2026 11:13 AM	Joshua Johnson	Joshua (Prim) Replied: Ok sounds good 🙂
03-02-2026 11:14 AM	Valeria Holguin	I just made an appointment with the funding rep. and will need the device back for the meeting just so i can download the new program! Go ahead and just make the new apple ID and whenever you get a chance leave it in the front office that way i can give it back to you before thursday:) so sorry for this whole thing, Im learning as we go
03-02-2026 11:33 AM	Joshua Johnson	Joshua (Prim) Replied: Ok no worries I'll go ahead and work on it now 🙂
03-02-2026 11:38 AM	Joshua Johnson	Joshua (Prim) Replied: The new Apple ID that I make is going to be as an adult, right? That kind of sounds silly, but I just wanna make sure. 😂
03-02-2026 11:47 AM	Valeria Holguin	yes! i think its just like a normal account but just for to be new!
03-02-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:40 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-03-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844169
03-03-2026 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-3/3/2026 PT-VIS: PT Visit
03-03-2026 01:06 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 9:00AM-3/6/2026 OT-VIS: OT Visit
03-03-2026 01:06 PM	Kaitlin Marsland	Hello, I was notified by the front office I am not able to see the boys until we are able to obtain a new authorization for them. I have cancelled the visit for now but if anything changes I will let you know
03-03-2026 01:07 PM	Joshua Johnson	Joshua (Prim) Replied: Ok, thank you!
03-04-2026 01:21 PM	Valeria Holguin	hi!! I was notified from the front office that we'll have to cancel Joshua's appointment, i will let you know once we recieve the new authorization!!
03-04-2026 01:21 PM	Valeria Holguin	That way i can also find out how that affects the AAC application!
03-04-2026 01:22 PM	Valeria Holguin	Valeria Holguin CANCELLED: 9:15AM-3/5/2026 92507: Speech & Language Visit
03-04-2026 02:50 PM	Dolly Molina	Schedule Update for Dolly - 2 weeks from now I hope you are having a good day. Please be advised that I will be out of the office on March 17, 2026. I will resume regularly scheduled appointments on March 24, 2026. All appointment times will remain the same upon my return. I wanted to provide advance notice to allow families time to plan accordingly. If you have any questions or concerns, please feel free to contact me through the New Beginnings text system. Thank you in advance for your understanding. Sincerely, Dolly
03-08-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 03-13-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 03-10-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 03-09-2026 at 10:45 AM, and on 03-12-2026 at 9:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:36 PM	Joshua Johnson	Joshua (Prim) Replied: Did the new authorizations already come in?
03-08-2026 04:36 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
03-08-2026 06:31 PM	Joshua Johnson	Joshua (Prim) Replied: I thought we were going to do earlier because Joshua naps at 11 and is not decent? If not we can just keep Thursday until sundering earlier comes
03-08-2026 06:31 PM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-08-2026 08:11 PM	Valeria Holguin	I believe the authorization hasnt come in, ill cancel tomorrow and will keep you posted!
03-08-2026 08:12 PM	Valeria Holguin	Valeria Holguin CANCELLED: 10:45AM-3/9/2026 92507: Speech & Language Visit
03-09-2026 02:51 PM	Valeria Holguin	hi!! we received Josh's new authorization! Will it be ok to schedule then for thursday at 9:30?:) Im just waiting for the extra spot to open up for the second visit, but i will keep you posted:)
03-09-2026 03:08 PM	Joshua Johnson	Joshua (Prim) Replied: OK, yeah that works and we just found out that Joshua has the flu today. He has influenza B. He already started his medicine and it's a five day course so I'm thinking he should be fine by Thursday. What do you think?
03-09-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 06:47 PM	Joshua Johnson	Joshua (Prim) Replied: We just found out today that he has influenza B 🙈 he just started his medicine this evening
03-09-2026 06:47 PM	Dolly Molina	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 07:09 PM	Dolly Molina	Poor guy. Ok I will cancel your appt. We will resume therapy in 2 weeks. I will be out next week.
03-09-2026 07:10 PM	Dolly Molina	Dolly Molina CANCELLED: 10:00AM-3/10/2026 PT-VIS: PT Visit
03-10-2026 08:32 AM	Joshua Johnson	Joshua (Prim) Replied: Ok sounds good 🙂
03-10-2026 09:30 AM	Valeria Holguin	Hi! Oh no poor Josh:(! we can cancel this week's then. That way he can rest up and finish his medication:)
03-10-2026 03:53 PM	Kaitlin Marsland	Kaitlin Marsland CANCELLED: 9:00AM-3/13/2026 OT-VIS: OT Visit
03-11-2026 09:20 AM	Valeria Holguin	Valeria Holguin CANCELLED: 9:30AM-3/12/2026 92507: Speech & Language Visit
03-15-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 03-20-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 03-19-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-18-2026 03:24 PM	Valeria Holguin	Hi! I was looking over Josh's report and he is due for his re evaluation. Would it be ok if I schedule it for tomorrow? It would be same time:)
03-18-2026 03:39 PM	Joshua Johnson	Joshua (Prim) Replied: Sure 🙂
03-18-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:54 PM	Valeria Holguin	Hi! I wanted to ask if we can by any chance move Josh appointment to 10:00 tomorrow morning? No worries if you can’t!:)
03-19-2026 06:26 AM	Joshua Johnson	Joshua (Prim) Replied: Good morning, yes that works!! 🙂
03-19-2026 06:26 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-19-2026 07:32 AM	Valeria Holguin	Awesome! See you at 10, thank you!:)
03-19-2026 07:58 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 09:45 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907045
03-19-2026 09:57 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-3/19/2026 92507: Speech & Language Visit
03-19-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-20-2026 07:32 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-20-2026 07:37 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech/Feeding Reevaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-20-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876072
03-20-2026 08:57 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-3/20/2026 OT-VIS: OT Visit
03-20-2026 10:16 AM	Valeria Holguin	Hi Im currently on the meeting for Josh's device, what is the password for the apple ID on this device please:)
03-20-2026 10:22 AM	Valeria Holguin	Also they sent you an email with the gift card please that way I can access it
03-20-2026 10:39 AM	Joshua Johnson	Joshua (Prim) Replied: Are you available right now? I can get him in the car and hopefully he be asleep by then
03-20-2026 10:39 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 10:39 AM	Joshua Johnson	Joshua (Prim) Replied: We should be able to do it outside right?
03-20-2026 10:39 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 10:43 AM	Valeria Holguin	yes no worries ill still set up the device, I just need to be close enough for the wifi
03-20-2026 10:44 AM	Valeria Holguin	If you can bring him inside would be great but if he falls asleep then no worries! Ill go out
03-20-2026 10:45 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910223
03-20-2026 10:47 AM	Joshua Johnson	Joshua is CHECKED IN for: 11:00AM-3/20/2026 S9152: Reevaluation
03-20-2026 10:48 AM	Joshua Johnson	Joshua (Prim) Replied: Joshua is sleeping lol I'll wait outside 🙂
03-20-2026 10:48 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-20-2026 10:55 AM	Joshua Johnson	Joshua (Prim) Replied: Josh23ua89@icloud.com Jaazua23$
03-20-2026 10:55 AM	Valeria Holguin	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-22-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 03-27-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 03-24-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 03-26-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:39 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844172
03-24-2026 09:47 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-3/24/2026 PT-VIS: PT Visit
03-25-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:54 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 09:15 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907046
03-26-2026 09:26 AM	Joshua Johnson	Joshua (Prim) Replied: We are heading over there now running just a little bit late. I had a gas leak where my stove is and we had the fire department come and check it out and the gas company but we're coming.
03-26-2026 09:29 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:30AM-3/26/2026 92507: Speech & Language Visit
03-26-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 07:32 AM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-27-2026 08:45 AM	Kaitlin Marsland	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=876073
03-27-2026 08:57 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:00AM-3/27/2026 OT-VIS: OT Visit
03-27-2026 06:34 PM	Bertha Solis	Good evening, this is Bertha Solis the OT; would Wednesday the 1st at 8 am work for you? for OT re-evaluation for Joshua?
03-27-2026 06:41 PM	Bertha Solis	Sorry for another message, but I also have monday at 10:00 am (:
03-27-2026 06:53 PM	Joshua Johnson	Joshua (Prim) Replied: 8am would be perfect! Thank you 😊
03-27-2026 06:56 PM	Bertha Solis	Perfect I will see you all Wednesday the 1st at 8 am (:
03-29-2026 04:01 PM	Kaitlin Marsland	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 04-03-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:02 PM	Bertha Solis	Hi, this is a just a reminder that Johnson, Joshua has a Occupational Therapy appointment on 04-01-2026 at 8:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:03 PM	Dolly Molina	Hi, this is a just a reminder that Johnson, Joshua has a Physical Therapy appointment on 03-31-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 04:03 PM	Valeria Holguin	Hi, this is a just a reminder that Johnson, Joshua has a Speech Therapy appointment on 04-02-2026 at 9:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-30-2026 06:30 PM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-31-2026 07:38 AM	Dolly Molina	Hi, this is a just a reminder that Joshua has a Physical Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-31-2026 09:45 AM	Dolly Molina	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=844173
03-31-2026 09:45 AM	Joshua Johnson	Joshua is CHECKED IN for: 10:00AM-3/31/2026 PT-VIS: PT Visit
03-31-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Joshua has a Occupational Reevaluation appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
04-01-2026 07:45 AM	Bertha Solis	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=914997
04-01-2026 07:55 AM	Bertha Solis	Hi, this is a just a reminder that Joshua has a Occupational Reevaluation appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
04-01-2026 07:55 AM	Joshua Johnson	Joshua is CHECKED IN for: 8:00AM-4/1/2026 97168: OT Re-Evaluation
04-01-2026 07:58 AM	Joshua Johnson	Joshua is CHECKED IN for: 8:00AM-4/1/2026 97168: OT Re-Evaluation
04-01-2026 08:16 AM	Joshua Johnson	Joshua (Prim) Replied: I'm out front in my car 🙂
04-01-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
04-02-2026 07:53 AM	Valeria Holguin	Hi, this is a just a reminder that Joshua has a Speech Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
04-02-2026 09:15 AM	Valeria Holguin	Joshua Johnson : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907047
04-02-2026 09:23 AM	Joshua Johnson	Joshua is CHECKED IN for: 9:30AM-4/2/2026 92507: Speech & Language Visit
04-02-2026 04:38 PM	Valeria Holguin	Hello! I wanted to let you know that I will be out of town from April 28th to May 5th. I will be reaching out over the next couple of weeks to offer make-up appointments. Thank you for your understanding!
04-02-2026 06:30 PM	Kaitlin Marsland	Hi, this is a just a reminder that Joshua has a Occupational Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂