New Beginnings | NB1-Office

Patient Name: Lily

Patient Information:

Patient ID: 9782

Patient First Name: Lily

Patient Date of Birth: 07-07-2022

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Bernadette, Rosenberg

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Ortiz, Jessica

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22350	Active	10-09-2025	03-31-2026	Tricare Prime	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25679	10-13-2025	Speech Initial Evaluation	F80.2
Speech Background History: Lily is a 3 year old and 3 month old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Akiki accompanied her and served as the primary informant. Mrs. Akiki expressed concerns that Lily mostly communicates using short phrases, especially when compared to peers her age. During the evaluation, Lily’s expressive language was characterized primarily by the use of single words to label and 1-2 word phrases to express her needs and wants. According to developmental norms, a typically developing child of Lily’s age should have an expressive vocabulary of approximately 1000 words and produce utterances of 3-4 words in length. Lily was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Dual Language Assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Lily’s mother reported that she is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, Lily was noted to communicate in English and used some Spanish words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed.
Speech Medical History: Mrs. Akiki stated that she had COVID-19 during her third month of pregnancy.
Speech Medications: Over-the-counter medication
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Appropriate use of eye contact, Interactive,
Speech Communication Weaknesses: Difficult to understand, Problems with organization and relevance,
Speech Background Summary: Lily's mother accompanied her to the evaluation, which took place in the clinic room. Throughout the evaluation, Lily displayed signs of distractibility, as evidenced by her difficulty in remaining seated and her need for FREQUENT and NUMEROUS prompts to participate in the evaluation process.
Speech Diagnosis/Impressions: Lily is a 3 year old and 3 month old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Akiki accompanied her and served as the primary informant. Mrs. Akiki expressed concerns that Lily communicates primarily in short phrases compared to peers her age. During the evaluation, Lily’s expressive language was characterized primarily by the use of single words to label and 1-2 word phrases to express her needs and wants. According to developmental norms, a typically developing child of Lily’s age should have an expressive vocabulary of approximately 1000 words and produce utterances of 3-4 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Lily’s mother reported that she is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, Lily was noted to communicate in English and use some Spanish words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. Throughout the evaluation, Lily displayed signs of distractibility, as evidenced by her difficulty in remaining seated and her need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. Lily was evaluated using the Preschool Language Scales Fifth (PLS-5) Dual language edition. Lily received the following Standard Scores on the PLS-5: Auditory Comprehension 61 (raw score: 27, percentile: 1, age equivalent:1 year 11 months), Expressive Communication 73 (raw score: 26, percentile: 4, age equivalent: 2 year 3 months, and Total Language Score 65 (percentile: 1, age equivalent: 2 year 0 months). According to the Standard Scores that Lily received, she presents with MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Lily’s MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. Lily would greatly benefit from speech therapy that targets the following ageappropriate concepts: using different word combinations, imitating 2-3 word phrases, using verbs/action words, demonstrating understanding of pronouns (mio, tuyo, me, your), identifying actions in pictures, and following step instructions with and without gestures. Speech therapy is highly recommended at this time as Lily’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Lily’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Lily’s mother will be responsible for her Home Management Intervention Program (HMIP).
Speech Diagnosis/Impressions: Lily is a 3 year old and 3 month old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Akiki accompanied her and served as the primary informant. Mrs. Akiki expressed concerns that Lily communicates primarily in short phrases compared to peers her age. During the evaluation, Lily’s expressive language was characterized primarily by the use of single words to label and 1-2 word phrases to express her needs and wants. According to developmental norms, a typically developing child of Lily’s age should have an expressive vocabulary of approximately 1000 words and produce utterances of 3-4 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Lily’s mother reported that she is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, Lily was noted to communicate in English and use some Spanish words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. Throughout the evaluation, Lily displayed signs of distractibility, as evidenced by her difficulty in remaining seated and her need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. Lily was evaluated using the Preschool Language Scales Fifth (PLS-5) Dual language edition. Lily received the following Standard Scores on the PLS-5: Auditory Comprehension 61 (raw score: 27, percentile: 1, age equivalent:1 year 11 months), Expressive Communication 73 (raw score: 26, percentile: 4, age equivalent: 2 year 3 months, and Total Language Score 65 (percentile: 1, age equivalent: 2 year 0 months). According to the Standard Scores that Lily received, she presents with MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Lily’s MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. Lily would greatly benefit from speech therapy that targets the following ageappropriate concepts: using different word combinations, imitating 2-3 word phrases, using verbs/action words, demonstrating understanding of pronouns (mio, tuyo, me, your), identifying actions in pictures, and following step instructions with and without gestures. Speech therapy is highly recommended at this time as Lily’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Lily’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Lily’s mother will be responsible for her Home Management Intervention Program (HMIP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

56952

Plan Date: 10-13-2025

Speech Assessment Summary: Lily is a 3 year old and 3 month old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Akiki accompanied her and served as the primary informant. Mrs. Akiki expressed concerns that Lily communicates primarily in short phrases compared to peers her age. During the evaluation, Lily’s expressive language was characterized primarily by the use of single words to label and 1-2 word phrases to express her needs and wants. According to developmental norms, a typically developing child of Lily’s age should have an expressive vocabulary of approximately 1000 words and produce utterances of 3-4 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Lily’s mother reported that she is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: During the evaluation, Lily was noted to communicate in English and use some Spanish words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. Throughout the evaluation, Lily displayed signs of distractibility, as evidenced by her difficulty in remaining seated and her need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. Lily was evaluated using the Preschool Language Scales Fifth (PLS-5) Dual language edition. Lily received the following Standard Scores on the PLS-5: Auditory Comprehension 61 (raw score: 27, percentile: 1, age equivalent:1 year 11 months), Expressive Communication 73 (raw score: 26, percentile: 4, age equivalent: 2 year 3 months, and Total Language Score 65 (percentile: 1, age equivalent: 2 year 0 months). According to the Standard Scores that Lily received, she presents with MODERATE TO SEVERE MIXED EXPRESSIVE- RECEPTIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Lily’s MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. Lily would greatly benefit from speech therapy that targets the following ageappropriate concepts: using different word combinations, imitating 2-3 word phrases, using verbs/action words, demonstrating understanding of pronouns (mio, tuyo, me, your), identifying actions in pictures, and following step instructions with and without gestures. Speech therapy is highly recommended at this time as Lily’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Lily’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Lily’s mother will be responsible for her Home Management Intervention Program (HMIP).

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	In 12 months, Lily will improve her receptive language skills with 50% accuracy across 5 consecutive sessions in order to improve her auditory comprehension to effectively understand information in her day to day situations.
Expressive Language	In 12 months, Lily will improve her expressive language skills with 50% accuracy across 5 consecutive sessions in order to improve her verbal output to effectively communicate pain (i.e. tell her mom if stomach hurts) and safety issues (i.e. express when someone hits or bites her at school) with familiar listeners in familiar settings.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, Lily will imitate 2-3 word phrases modeled by clinician by clinician by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Expressive Language	n 6 moths, Lily will use words 2-3 word combination to express a variety of pragmatic functions (e.g., requesting help, asking for repetition, commenting, greeting, and answering questions) in structured and unstructured settings in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Expressive Language	In 6 moths, Lily will use verbs/action words (running, eating, sleeping) in structured and unstructured settings in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Receptive Language	In 6 months, Lily will demostrate understanding of pronouns (my, mine and yours) during play-based tasks/ structured activities with decreasing multisensory cues, demonstrating 30% accuracy in 4 out of 5 consecutive sessions, in order to promote independence in following instructions that include possessive pronouns.
Receptive Language	In 6 months, Lily will identify actions in pictures in 3 out of 10 opportunities across 3 consecutive sessions, thereby improving her receptive language for functional communication.
Receptive Language	In 6 months, Lily will follow directions with/without gestural cues during play based tasks/structured activities in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her receptive language for functional communication.

58725

Plan Date: 03-05-2026

Speech Assessment Summary: Lily is a 3-year-old and 7-month-old female who is due for a re-evaluation of language development for the last six months of speech therapy services. Lily’s expressive language is characterized primarily by the use of single words to label items, jargon, and by 2-3-word phrases to express her needs and wants. According to developmental norms, a typically developing child of Lily’s age should have an expressive vocabulary of approximately 1000 words and produce utterances of 3-4 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Lily’s mother reported that she is exposed to English and Spanish within her home environment. LANGUAGE OUTPUT: Lily is noted to communicate in English and use some Spanish words. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English with Spanish support as needed. Lily continues to exhibit signs of distractibility, as evidenced by her need for FREQUENT and NUMEROUS prompts to participate in tasks presented by the clinician. Lily has also demonstrated difficulty tolerating being asked to "wait" or being told "no." When presented with these situations, she may respond by crying or dropping to the floor. Lily was re-evaluated using the Preschool Language Scales Fifth (PLS-5) Dual language edition. Lily received the following Standard Scores on the PLS-5: Auditory Comprehension 68 (raw score: 33, percentile: 2, age equivalent:2 year 6 months), Expressive Communication 78 (raw score: 28, percentile: 7, age equivalent: 2 year 6 months, and Total Language Score 71 (percentile: 3, age equivalent: 2 year 6 months). According to the Standard Scores that Lily received, she presents with MODERATE TO SEVERE MIXED EXPRESSIVE- RECEPTIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Lily’s MODERATE TO SEVERE MIXED EXPRESSIVE-RECEPTIVE LANGUAGE DISORDER. Lily would greatly benefit from speech therapy that targets the following ageappropriate concepts: using different word combinations, imitating 2-3 word phrases, using verbs/action words, demonstrating understanding of pronouns (mio, tuyo, me, your), identifying actions in pictures, and following step instructions with and without gestures. Speech therapy is highly recommended at this time as Lily’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Lily’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Lily’s mother will be responsible for her Home Management Intervention Program (HMIP).

Speech Progress to Date: The following are Lily’s short-term goals and progress for each: 1. Lily will imitate 2-3 word phrases modeled by clinician by clinician by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication. *BASELINE: 0/10 opp PROGRESS: 5/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY* 2. Lily will use words 2-3 word combination to express a variety of pragmatic functions (e.g., requesting help, asking for repetition, commenting, greeting, and answering questions) in structured and unstructured settings in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication. *BASELINE: 0/10 opp PROGRESS: 4/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY* 3. Lily will use verbs/action words (running, eating, sleeping) in structured and unstructured settings in 3 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication. *BASELINE: 0/10 opp PROGRESS: 3/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY* 4. Lily will demonstrate understanding of pronouns (my, mine, and yours) during play-based tasks/ structured activities with decreasing multisensory cues, demonstrating 30% accuracy in 4 out of 5 consecutive sessions, in order to promote independence in following instructions that include possessive pronouns. *BASELINE: 0% acc PROGRESS: 40%acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY* with MAX prompting 5. Lily will identify actions in pictures in 3 out of 10 opportunities across 3 consecutive sessions, thereby improving her receptive language for functional communication. *BASELINE: 0/10 opp PROGRESS: 8/10 opp -GOAL MET- DISCONTINUE* 6. Lily will follow directions with/without gestural cues during play based tasks/structured activities in 3 out of 10 opportunities across 3 consecutive sessions in order to improve her receptive language for functional communication. *BASELINE: 0/10 opp PROGRESS: 3/10 opp -GOAL MET- CONTINUE WITH ADJUSTED MASTERY*

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	In 12 months, Lily will improve her receptive language skills with 60% accuracy across 5 consecutive sessions in order to improve her auditory comprehension to effectively understand information in her day to day situations.
Expressive Language	In 12 months, Lily will improve her expressive language skills with 60% accuracy across 5 consecutive sessions in order to improve her verbal output to effectively communicate pain (i.e. tell her mom if stomach hurts) and safety issues (i.e. express when someone hits or bites her at school) with familiar listeners in familiar settings.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, Lily will imitate 2-3 word phrases modeled by clinician by clinician by clinician in 7 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Expressive Language	In 6 months, Lily will use words 2-3 word combination to express a variety of pragmatic functions (e.g., requesting help, asking for repetition, commenting, greeting, and answering questions) in structured and unstructured settings in 5 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Expressive Language	In 6 months, Lily will use verbs/action words (running, eating, sleeping) in structured and unstructured settings in 5 out of 10 opportunities across 3 consecutive sessions in order to improve adequate sentence structure of her functional communication.
Receptive Language	In 6 months, Lily will demonstrate understanding of pronouns (my, mine and yours) during play-based tasks/ structured activities with decreasing multisensory cues, demonstrating 50% accuracy in 4 out of 5 consecutive sessions, in order to promote independence in following instructions that include possessive pronouns.
Receptive Language	In 6 months, Lily will demonstrate understanding of function of objects (e.i. show me what you use to drink water) during play-based tasks/ structured activities with decreasing multisensory cues, demonstrating 30% accuracy in 4 out of 5 consecutive sessions, in order to promote independence in following instructions.
Receptive Language	In 6 months, Lily will follow directions with/without gestural cues during play based tasks/structured activities in 5 out of 10 opportunities across 3 consecutive sessions in order to improve her receptive language for functional communication.

Speech and Language Soap Note/Visit:

Soap Note

489437

Note Date: 03-11-2026

Subjective: Patient needed frequent reminders to return to task,Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Lily imitated 2-3 word phrases modeled by clinician by clinician by clinician in 8 out of 10 opportunities. Lily used words 2-3 word combination to express a variety of pragmatic functions in 5/10 opp. Lily demostrated understanding of pronouns (my, mine and yours) with 40% accuracy.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
820102	92523: Artic & Language Eval	10-13-2025 01:30 PM	10-13-2025 02:30 PM	Jessica Ortiz	NB2 far east side	Completed
827909	92507: Speech & Language Visit	10-22-2025 01:00 PM	10-22-2025 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
830375	92507: Speech & Language Visit	10-30-2025 02:45 PM	10-30-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
833965	92507: Speech & Language Visit	11-06-2025 02:45 PM	11-06-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
833966	92507: Speech & Language Visit	11-13-2025 02:45 PM	11-13-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
833969	92507: Speech & Language Visit	12-04-2025 02:45 PM	12-04-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
853281	92507: Speech & Language Visit	12-10-2025 01:00 PM	12-10-2025 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
833970	92507: Speech & Language Visit	12-11-2025 02:45 PM	12-11-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
853729	92507: Speech & Language Visit	12-17-2025 01:00 PM	12-17-2025 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
833971	92507: Speech & Language Visit	12-18-2025 02:45 PM	12-18-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Completed
861351	92507: Speech & Language Visit	12-22-2025 02:00 PM	12-22-2025 03:00 PM	Jessica Ortiz	NB2 far east side	Completed
863353	92507: Speech & Language Visit	01-14-2026 01:00 PM	01-14-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
863354	92507: Speech & Language Visit	01-21-2026 01:00 PM	01-21-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
873483	92507: Speech & Language Visit	01-22-2026 01:00 PM	01-22-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
873130	92507: Speech & Language Visit	01-28-2026 01:00 PM	01-28-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
873131	92507: Speech & Language Visit	02-04-2026 01:00 PM	02-04-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
873132	92507: Speech & Language Visit	02-11-2026 01:00 PM	02-11-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
887454	92507: Speech & Language Visit	02-12-2026 03:00 PM	02-12-2026 04:00 PM	Jessica Ortiz	NB2 far east side	Completed
873133	92507: Speech & Language Visit	02-18-2026 01:00 PM	02-18-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
873135	92507: Speech & Language Visit	03-04-2026 01:00 PM	03-04-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
898669	S9152: Reevaluation	03-05-2026 01:00 PM	03-05-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed
897621	92507: Speech & Language Visit	03-11-2026 01:00 PM	03-11-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
833967	92507: Speech & Language Visit	11-20-2025 02:45 PM	11-20-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Canceled
833968	92507: Speech & Language Visit	11-27-2025 02:45 PM	11-27-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Canceled
833972	92507: Speech & Language Visit	12-25-2025 02:45 PM	12-25-2025 03:30 PM	Jessica Ortiz	NB2 far east side	Canceled
833973	92507: Speech & Language Visit	01-01-2026 02:45 PM	01-01-2026 03:30 PM	Jessica Ortiz	NB2 far east side	Canceled
873134	S9152: Reevaluation	02-25-2026 01:00 PM	02-25-2026 02:00 PM	Jessica Ortiz	NB2 far east side	Canceled

Paient Notes:

Date	Posted By	Description
10-09-2025	Asbel Guajardo	Patient goes to school from 7:30-12:00

Paient Missed Visit Notes:

Date	Service	Therapist	Description
02-25-2026	S9152	Ortiz, Jessica
01-01-2026	92507	Ortiz, Jessica	Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-25-2025	92507	Ortiz, Jessica	Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
11-27-2025	92507	Ortiz, Jessica	Hola, este es un recordatorio de que no estaré en la oficina la semana del Día de Gracias, 24-28 de Noviembre, Gracias :) Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-20-2025	92507	Ortiz, Jessica	Hola, este es un recordatorio de que el día 20 de noviembre no estaré en la oficina. Gracias :) Hello, this is a friendly reminder that I will not be in the office on November 20th. Thank you :)

Paient Messages Admin:

Date	Posted By	Message
10-08-2025 01:14 PM	Asbel Guajardo	Hello, this is Asbel from New Beginnings Pediatric Speech Therapy Services. We received a referral for your child and wanted to check if you’re interested in starting services with us. If you have any questions, feel free to reply to this message or call us at 915-303-5177. Thank you!
10-08-2025 01:18 PM	Lily Akiki	Yes, please contact my wife Clara 915-252-4805. I'm currently overseas.
10-08-2025 01:21 PM	Asbel Guajardo	Thank you very much! Will do!
10-08-2025 01:22 PM	Asbel Guajardo	Hello, this is Asbel from New Beginnings Pediatric Speech Therapy Services. We received a referral for your child and wanted to check if you’re interested in starting services with us. If you have any questions, feel free to reply to this message or call us at 915-303-5177. Thank you!
10-08-2025 02:25 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2281
10-08-2025 02:36 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2281
10-08-2025 02:37 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2281
10-21-2025 11:43 AM	Patsy Guajardo	Akiki, Lily has been assigned a therapist.
11-11-2025 10:40 AM	Stephen Tullius	Happy Veterans Day! Today we pause to honor and thank all those who have served our country with courage, dedication, and sacrifice. Your bravery and commitment protect the freedoms we cherish every day. From all of us at New Beginnings, we extend our deepest gratitude to veterans and their families for the strength, resilience, and love you have shown in service to our nation.
11-13-2025 12:45 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-25-2025 02:51 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
12-23-2025 02:04 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:09 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:50 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 05:26 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=9782
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9782
03-11-2026 10:02 AM	Patsy Guajardo	Good Morning, this is Patsy from front office, we submitted request for continuation for speech therapy, they are advising us that you need to request a new referral from your PCP. If you would please see your pediatrician and request a new referral please!
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
10-08-2025 02:51 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=9782&tid=44
10-08-2025 02:51 PM	Lily Akiki	Lily SCHEDULED: 1:30PM-10/13/2025 92523: Speech Evaluation
10-12-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Evaluation appointment scheduled tomorrow at 01:30 PM. See you soon! - New Beginnings 🙂
10-13-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Evaluation appointment scheduled today at 01:30 PM. See you soon! - New Beginnings 🙂
10-13-2025 09:39 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Lily’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 today at 1:30 pm. 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!
10-13-2025 09:39 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/10132025093953-NB-initial.pdf
10-13-2025 09:40 AM	Jessica Ortiz	Hi. Mrs. Akiki, when you have a chance, please let me know if you received the attachment. Thank you!
10-13-2025 09:55 AM	Lily Akiki	Lily (Prim) Replied: Hello, good morning. I received the attachment. Thank you.
10-13-2025 11:52 AM	Jessica Ortiz	Perfect! Thank you :)
10-13-2025 01:15 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=820102
10-13-2025 01:26 PM	Lily Akiki	Lily is CHECKED IN for: 1:30PM-10/13/2025 92523: Artic & Language Eval
10-21-2025 01:35 PM	Jessica Ortiz	Hola Mrs. Akiki! Le manda un mensaje Jessica solo para dejarle saber que ya tenemos autorización para Lily. Si está disponible, podemos comenzar el día de manana, Solo que el unico horario que tengo disponible es la una de la tarde. Le funcionaría ese horario?
10-21-2025 01:47 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes.
10-21-2025 01:47 PM	Lily Akiki	Lily (Prim) Replied: Si el dia de mañana estaría perfecto. Gracias.
10-21-2025 01:51 PM	Jessica Ortiz	Super! nos vemos manana a las 1 pm:)
10-21-2025 01:55 PM	Lily Akiki	Lily (Prim) Replied: Claro que si. Excelente tarde.
10-21-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
10-22-2025 07:58 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
10-22-2025 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=827909
10-22-2025 12:56 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-10/22/2025 92507: Speech & Language Visit
10-22-2025 01:04 PM	Jessica Ortiz	Hola! Terminaremos aproximadamente unos 5 minutos antes para explicarle las metas :)
10-22-2025 01:05 PM	Lily Akiki	Lily (Prim) Replied: Okay.
10-22-2025 02:11 PM	Jessica Ortiz	Hi Mrs. Akiki! Se me olvidó decirle que le mande un link para que lo firme. Ese link es como nuestra asistencia de cada sesión y normalmente lo mando al inicio de la sesión para que no se nos olvide firmarlo. Si me haría el favor de firmarlo cuando tenga oportunidad. Gracias :)
10-22-2025 02:11 PM	Lily Akiki	Lily (Prim) Replied: Lo acabo de firmar.
10-22-2025 02:12 PM	Jessica Ortiz	Super! Gracias :)
10-22-2025 02:12 PM	Lily Akiki	Lily (Prim) Replied: De nada.excelente tarde.
10-26-2025 09:43 AM	Jessica Ortiz	Buenos días, Mrs. Akiki! Le quería preguntar si esta semana puedo ver a Lily el jueves a las 2:45 pm Desafortunadamente, no me fue posible dejar a Lily los jueves a la 1 pm. ¿Le funcionaría este horario?
10-26-2025 03:34 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes. Si funciona a las 2:45pm.
10-26-2025 03:34 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-26-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 10-30-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
10-26-2025 05:48 PM	Lily Akiki	Lily (Prim) Replied: Yes
10-26-2025 05:48 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
10-29-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
10-30-2025 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
10-30-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830375
10-30-2025 02:41 PM	Lily Akiki	Lily is CHECKED IN for: 2:45PM-10/30/2025 92507: Speech & Language Visit
11-02-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 11-06-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-05-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
11-06-2025 07:53 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
11-06-2025 01:16 PM	Lily Akiki	Lily (Prim) Replied: Yes
11-06-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833965
11-06-2025 02:40 PM	Lily Akiki	Lily is CHECKED IN for: 2:45PM-11/6/2025 92507: Speech & Language Visit
11-06-2025 03:05 PM	Jessica Ortiz	Hola Mrs. Akiki, me parece que Lily necesita ir al bano
11-09-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 11-13-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-11-2025 03:12 PM	Jessica Ortiz	Ortiz, Jessica: Hola, este es un recordatorio de que el día 20 de noviembre no estaré en la oficina. Gracias :) Hello, this is a friendly reminder that I will not be in the office on November 20th. Thank you :)
11-11-2025 03:17 PM	Jessica Ortiz	Ortiz, Jessica: Hola, este es un recordatorio de que no estaré en la oficina la semana del Día de Gracias, 24-28 de Noviembre, Gracias :) Hello, this is a friendly reminder that I will not be in the office the week of Thanksgiving, November 24th-28th. Thank you :)
11-12-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
11-13-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
11-13-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833966
11-13-2025 02:44 PM	Lily Akiki	Lily is CHECKED IN for: 2:45PM-11/13/2025 92507: Speech & Language Visit
11-30-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 12-04-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 06:43 PM	Lily Akiki	Lily (Prim) Replied: Yes
11-30-2025 06:43 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-01-2025 03:06 PM	Jessica Ortiz	Hola Mrs. ¡Akiki! Le quería comentar que manana estaré disponible a las 12 pm por si le gustaría venir para hacer un sesión de makeup. :)
12-01-2025 03:14 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes. Mañana Lily tiene doctor appointment saliendo de la escuela.
12-01-2025 03:14 PM	Lily Akiki	Lily (Prim) Replied: Puedo miércoles, jueves y viernes
12-01-2025 03:15 PM	Jessica Ortiz	No se apure! Si se me desocupa algo durante la semana le dejo saber :)
12-01-2025 03:16 PM	Lily Akiki	Lily (Prim) Replied: Gracias. Excelente tarde.
12-01-2025 05:14 PM	Jessica Ortiz	Gracias a usted :)
12-03-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
12-04-2025 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
12-04-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833969
12-04-2025 02:45 PM	Lily Akiki	Lily is CHECKED IN for: 2:45PM-12/4/2025 92507: Speech & Language Visit
12-07-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 12-10-2025 at 1:00 PM, and on 12-11-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:11 PM	Lily Akiki	Lily (Prim) Replied: Yes
12-07-2025 04:11 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-09-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 08:00 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-10-2025 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853281
12-10-2025 12:58 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-12/10/2025 92507: Speech & Language Visit
12-10-2025 01:42 PM	Jessica Ortiz	Hola, me parece que Lily necesita ir al bano.
12-10-2025 01:43 PM	Jessica Ortiz	la vemos en el lobby
12-10-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
12-11-2025 07:45 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
12-11-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833970
12-11-2025 02:43 PM	Lily Akiki	Lily is CHECKED IN for: 2:45PM-12/11/2025 92507: Speech & Language Visit
12-14-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 12-17-2025 at 1:00 PM, and on 12-18-2025 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:19 PM	Lily Akiki	Lily (Prim) Replied: Yes
12-14-2025 04:19 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-16-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
12-17-2025 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=853729
12-17-2025 12:58 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-12/17/2025 92507: Speech & Language Visit
12-17-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
12-18-2025 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
12-18-2025 02:30 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833971
12-18-2025 04:15 PM	Jessica Ortiz	Hola Mrs. Akiki! ¿Le funcionaría venir el lunes 22 a las 2 pm?
12-18-2025 04:29 PM	Lily Akiki	Lily (Prim) Replied: Buenas tardes. Si me funciona.
12-18-2025 04:30 PM	Lily Akiki	Lily (Prim) Replied: Gracias.
12-18-2025 04:37 PM	Jessica Ortiz	Super!! Gracias a usted :)
12-21-2025 02:29 PM	Jessica Ortiz	Ortiz, Jessica: Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-21-2025 02:29 PM	Jessica Ortiz	Ortiz, Jessica: Hola! Solo para recordarles que la clínica permanecerá cerrada hasta el día 5 de enero. Felices Fiestas :) Hello! Just a reminder that the clinic will remain closed until January 5th. Happy Holidays :)
12-21-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 12-22-2025 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-21-2025 04:39 PM	Lily Akiki	Lily (Prim) Replied: Yes
12-21-2025 04:39 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-21-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
12-22-2025 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
12-22-2025 01:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=861351
12-22-2025 02:02 PM	Lily Akiki	Lily is CHECKED IN for: 2:00PM-12/22/2025 92507: Speech & Language Visit
01-04-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 01-07-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-05-2026 04:29 PM	Lily Akiki	Lily (Prim) Replied: No, reschedule. I'm available after January 11th
01-05-2026 04:58 PM	Jessica Ortiz	Hola Mrs. Akiki! I accidentally sent you the signature link instead of clicking on the cancel button. Please disregard the link :)
01-11-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 01-14-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-12-2026 08:25 AM	Lily Akiki	Lily (Prim) Replied: Yes
01-13-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-14-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863353
01-14-2026 12:55 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-1/14/2026 92507: Speech & Language Visit
01-18-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 01-21-2026 at 1:00 PM, and on 01-22-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:00 PM	Lily Akiki	Lily (Prim) Replied: Yes
01-18-2026 04:00 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-20-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863354
01-21-2026 12:56 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-1/21/2026 92507: Speech & Language Visit
01-21-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-22-2026 07:58 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-22-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873483
01-22-2026 12:53 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-1/22/2026 92507: Speech & Language Visit
01-25-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 01-28-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:01 PM	Lily Akiki	Lily (Prim) Replied: Yes
01-25-2026 04:01 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-27-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 07:57 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-28-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873130
01-28-2026 12:50 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-1/28/2026 92507: Speech & Language Visit
02-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 02-04-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 06:59 PM	Lily Akiki	Lily (Prim) Replied: Yes
02-01-2026 06:59 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-03-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 07:54 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-04-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873131
02-04-2026 12:54 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-2/4/2026 92507: Speech & Language Visit
02-08-2026 12:22 PM	Jessica Ortiz	Hola Mrs. ¡Akiki! Le quería preguntar si esta semana puedo ver a Lily el día viernes a la 1 pm para una make-up session.
02-08-2026 12:27 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes. El viernes ya tengo agendada una cita con el mecanico en Juarez
02-08-2026 12:27 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 12:32 PM	Jessica Ortiz	no se preocupe, déjeme ver qué tengo disponible :)
02-08-2026 12:51 PM	Jessica Ortiz	le funcionaria Jueves a las 3?
02-08-2026 12:54 PM	Lily Akiki	Lily (Prim) Replied: Si el jueves me funciona
02-08-2026 12:54 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-08-2026 01:04 PM	Jessica Ortiz	super! entonces las veo el Miercoles y el jueves :)
02-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 02-11-2026 at 1:00 PM, and on 02-12-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-10-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 07:50 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-11-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873132
02-11-2026 12:53 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-2/11/2026 92507: Speech & Language Visit
02-11-2026 12:55 PM	Jessica Ortiz	en un momento estoy con ustedes:)
02-11-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 08:00 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-12-2026 02:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887454
02-12-2026 02:54 PM	Lily Akiki	Lily is CHECKED IN for: 3:00PM-2/12/2026 92507: Speech & Language Visit
02-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 02-18-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 05:10 PM	Lily Akiki	Lily (Prim) Replied: Yes
02-15-2026 05:10 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-17-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-18-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873133
02-18-2026 12:55 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-2/18/2026 92507: Speech & Language Visit
02-18-2026 02:08 PM	Jessica Ortiz	Hola! La re evaluacion de Lily es el proximo Miercoles a nuestro horario habitual :)
02-18-2026 02:11 PM	Lily Akiki	Lily (Prim) Replied: Okay. Ahí estaremos.
02-18-2026 03:53 PM	Jessica Ortiz	Gracias :)
02-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 02-25-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:10 PM	Lily Akiki	Lily (Prim) Replied: Yes
02-22-2026 04:10 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-24-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-24-2026 06:36 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes, desde el dia ayer Lily a tenido una gripa severa con mucha temperatura, no asistió hoy a la escuela ni tampoco el dia de mañana. Si me puede reagendar la cita porfavor, Para la proxima semana, una disculpa por no comunicarle antes.
02-24-2026 08:05 PM	Jessica Ortiz	Jessica Ortiz CANCELLED: 1:00PM-2/25/2026 S9152: Reevaluation
02-24-2026 08:05 PM	Jessica Ortiz	Hola! Gracias por avisarme, espero que Lily mejor pronto:)
03-01-2026 03:48 PM	Jessica Ortiz	Hola Mrs. Akiki, le quería preguntar si sería posible que viera a Lily el día miércoles en nuestra cita regular y el día viernes a la 1 pm para la reevaluación?
03-01-2026 03:51 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes, Claro que si.
03-01-2026 03:51 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 03:54 PM	Jessica Ortiz	Super! muchas gracias :)
03-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 03-04-2026 at 1:00 PM, and on 03-06-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:26 PM	Lily Akiki	Lily (Prim) Replied: Yes
03-01-2026 04:26 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-03-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873135
03-04-2026 12:57 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-3/4/2026 92507: Speech & Language Visit
03-04-2026 04:15 PM	Jessica Ortiz	Hola Mrs. Akiki! le queria preguntar si seria posible que viera a Lily manana a la 1 pm en vez de el viernes.
03-04-2026 04:15 PM	Lily Akiki	Lily (Prim) Replied: Si, claro.
03-04-2026 04:22 PM	Jessica Ortiz	Muchas gracias :)
03-04-2026 04:22 PM	Lily Akiki	Lily (Prim) Replied: Entonces nos vemos mañana, excelente tarde.
03-04-2026 04:25 PM	Jessica Ortiz	Muchas gracias, Hasta manana:)
03-04-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-05-2026 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech/Feeding Reevaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-05-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898669
03-05-2026 12:51 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-3/5/2026 S9152: Reevaluation
03-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Akiki, Lily has a Speech Therapy appointment on 03-11-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Lily Akiki	Lily (Prim) Replied: Yes
03-08-2026 04:01 PM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-10-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Lily has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 12:45 PM	Jessica Ortiz	Lily Akiki : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=897621
03-11-2026 12:56 PM	Lily Akiki	Lily is CHECKED IN for: 1:00PM-3/11/2026 92507: Speech & Language Visit
03-17-2026 03:28 PM	Lily Akiki	Lily (Prim) Replied: Hola buenas tardes, para comentarle que ya nos dieron cita para ver al doctor primario de Lily y la cita mas cercana es el martes 24 de este mes.
03-17-2026 03:31 PM	Lily Akiki	Lily (Prim) Replied: Tambien, para confirmar que mañana no podré llevar a Lily, ya que tengo cita con el doctor de mi parte y es en Juarez.
03-17-2026 05:27 PM	Jessica Ortiz	Hola ! Gracias por avisarme. No se preocupe, yo las veo la proxima semana, que esten muy bien:)
03-24-2026 09:12 AM	Lily Akiki	Lily (Prim) Replied: Hola buenos dias, para confirmar que hoy Lily tuvo la cita con su doctor primario y si nos autorizaron las terapias.
03-24-2026 09:50 AM	Jessica Ortiz	Hola Mrs. Akiki! Me da mucho gusto. En cuanto las chicas de la oficina me dejen saber que ya recibieron el referido, le aviso. De cualquier manera, si puede ver el miércoles. :)
03-24-2026 09:51 AM	Lily Akiki	Lily (Prim) Replied: El miercoles esta perfecto, nos vemos mañana a la 1pm.
03-25-2026 12:56 PM	Lily Akiki	Lily (Prim) Replied: Buenas tardes, para confirmar que ya estamos aqui.
03-25-2026 12:59 PM	Jessica Ortiz	Súper!! En unos minutitos estoy con ustedes:)