New Beginnings | NB1-Office

Patient Name: Natalia

Patient Information:

Patient ID: 9799

Patient First Name: Natalia

Patient Date of Birth: 12-07-2022

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Jessica, Guerrero

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
22509	Active	01-01-2026	04-23-2026	Blue Cross Blue Shield	17	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25728	10-23-2025	Speech Initial Evaluation	F80.1, H53.9
Speech Background History: Natalia is a 2 year-old and 10 month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Natalia's mother and grandmother accompanied her and served as the primary informants for the evaluation. Mrs. Miranda, Natalia's mother, reported that in 2024, Natalia was bitten by a dog near her right eye, an incident that placed her vision at significant risk and led to astigmatism in the affected eye. Natalia currently wears corrective glasses and has recently completed her medical treatment. Mrs. Miranda expressed concern that this traumatic event may have negatively affected Natalia’s language development. The mother mentioned that Natalia primarily communicates in single words and inconsistently uses simple phrases. During the evaluation, Natalia’s expressive language was characterized primarily by single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Natalia’s age should have an expressive vocabulary of approximately 200-300 words and produce utterances of 2-3 words in length. Natalia was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. LANGUAGE BACKGROUND: LANGUAGE INPUT: Natalia’s parents reported that she is exposed to both Spanish and English within her home environment.LANGUAGE OUTPUT: During the evaluation, Natalia was observed using a combination of Spanish and English words to communicate. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish with English support as needed.
Speech Medical History: Per parent report, medical history is not remarkable. According to the parent report, Natalia was born without any complications before, during, or after delivery. It was reported that Natalia sustained a dog bite injury near her right eye, which posed a significant threat to her vision and resulted in astigmatism in the affected eye. She currently wears corrective lenses and has recently completed her medical care.
Speech Medications: None at this time
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: Passive, Cooperation: Passive, 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: Shy,
Speech Communication Strengths: Follows verbal command with cues,
Speech Communication Weaknesses: Diminished vocabulary, Unable to participate in a conversation, Unable to take turns,
Speech Background Summary: Natalia was accompanied by her mother and grandmother for the evaluation, which was conducted in the clinic room. She required FREQUENT AND NUMEROUS prompting to engage in certain evaluation tasks. She appeared SHY and consistently stayed close to her mother for comfort. Natalia exhibited LIMITED social-communication skills, which may be contributing to a reduced vocabulary and impacting the overall pragmatic language abilities.
Speech Diagnosis/Impressions: Natalia is a 2 year-old and 10 month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Natalia's mother and grandmother accompanied her and served as the primary informants for the evaluation. Mrs. Miranda, Natalia's mother, reported that in 2024, Natalia was bitten by a dog near her right eye, an incident that placed her vision at significant risk and led to astigmatism in the affected eye. Natalia currently wears corrective glasses and has recently completed her medical treatment. Mrs. Miranda expressed concern that this traumatic event may have negatively affected Natalia’s language development. The mother mentioned that Natalia primarily communicates in single words and inconsistently uses simple phrases. During the evaluation, Natalia’s expressive language was characterized primarily by single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Natalia’s age should have an expressive vocabulary of approximately 200-300 words and produce utterances of 2-3 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Natalia’s parents reported that she is exposed to both Spanish and English within her home environment.LANGUAGE OUTPUT: During the evaluation, Natalia was observed using a combination of Spanish and English words to communicate. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish with English support as needed. During the evaluation, Natalia required FREQUENT AND NUMEROUS prompting to engage in certain evaluation tasks. She appeared SHY and consistently stayed close to her mother for comfort. Natalia exhibited LIMITED social-communication skills, which may be contributing to a reduced vocabulary and impacting the overall pragmatic language abilities. Natalia was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. Natalia received the following Standard Scores on the PLS-5: Auditory Comprehension 93 (raw score: 33, percentile: 32, age equivalent: 2 years 6months), Expressive Communication 73 (raw score: 22, percentile: 4, age equivalent: 1 year 7 months, and Total Language Score 83 (percentile: 13, age equivalent: 2 years 2 months). According to the Standard Scores that Natalia received, she presents with a MODERATE EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Natalia’s MODERATE EXPRESSIVE LANGUAGE DISORDER. She would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, naming common objects, using words in a variety of pragmatic functions, using the gerundio form of verbs (corriendo, comiendo, etc), and imitating 2-3 word phrases modeled by the clinician. Speech therapy is highly recommended at this time as Natalia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Natalia’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. Natalia’s mother will be responsible for her Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Natalia is a 2 year-old and 10 month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Natalia's mother and grandmother accompanied her and served as the primary informants for the evaluation. Mrs. Miranda, Natalia's mother, reported that in 2024, Natalia was bitten by a dog near her right eye, an incident that placed her vision at significant risk and led to astigmatism in the affected eye. Natalia currently wears corrective glasses and has recently completed her medical treatment. Mrs. Miranda expressed concern that this traumatic event may have negatively affected Natalia’s language development. The mother mentioned that Natalia primarily communicates in single words and inconsistently uses simple phrases. During the evaluation, Natalia’s expressive language was characterized primarily by single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Natalia’s age should have an expressive vocabulary of approximately 200-300 words and produce utterances of 2-3 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Natalia’s parents reported that she is exposed to both Spanish and English within her home environment.LANGUAGE OUTPUT: During the evaluation, Natalia was observed using a combination of Spanish and English words to communicate. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish with English support as needed. During the evaluation, Natalia required FREQUENT AND NUMEROUS prompting to engage in certain evaluation tasks. She appeared SHY and consistently stayed close to her mother for comfort. Natalia exhibited LIMITED social-communication skills, which may be contributing to a reduced vocabulary and impacting the overall pragmatic language abilities. Natalia was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. Natalia received the following Standard Scores on the PLS-5: Auditory Comprehension 93 (raw score: 33, percentile: 32, age equivalent: 2 years 6months), Expressive Communication 73 (raw score: 22, percentile: 4, age equivalent: 1 year 7 months, and Total Language Score 83 (percentile: 13, age equivalent: 2 years 2 months). According to the Standard Scores that Natalia received, she presents with a MODERATE EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Natalia’s MODERATE EXPRESSIVE LANGUAGE DISORDER. She would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, naming common objects, using words in a variety of pragmatic functions, using the gerundio form of verbs (corriendo, comiendo, etc), and imitating 2-3 word phrases modeled by the clinician. Speech therapy is highly recommended at this time as Natalia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Natalia’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. Natalia’s mother will be responsible for her Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

57052

Plan Date: 10-23-2025

Speech Assessment Summary: Natalia is a 2 year-old and 10 month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Natalia's mother and grandmother accompanied her and served as the primary informants for the evaluation. Mrs. Miranda, Natalia's mother, reported that in 2024, Natalia was bitten by a dog near her right eye, an incident that placed her vision at significant risk and led to astigmatism in the affected eye. Natalia currently wears corrective glasses and has recently completed her medical treatment. Mrs. Miranda expressed concern that this traumatic event may have negatively affected Natalia’s language development. The mother mentioned that Natalia primarily communicates in single words and inconsistently uses simple phrases. During the evaluation, Natalia’s expressive language was characterized primarily by single words and symbolic gestures (pointing). According to developmental norms, a typically developing child of Natalia’s age should have an expressive vocabulary of approximately 200-300 words and produce utterances of 2-3 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Natalia’s parents reported that she is exposed to both Spanish and English within her home environment.LANGUAGE OUTPUT: During the evaluation, Natalia was observed using a combination of Spanish and English words to communicate. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in Spanish with English support as needed. During the evaluation, Natalia required FREQUENT AND NUMEROUS prompting to engage in certain evaluation tasks. She appeared SHY and consistently stayed close to her mother for comfort. Natalia exhibited LIMITED social-communication skills, which may be contributing to a reduced vocabulary and impacting the overall pragmatic language abilities. Natalia was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish/Dual Language Assessment. Natalia received the following Standard Scores on the PLS-5: Auditory Comprehension 93 (raw score: 33, percentile: 32, age equivalent: 2 years 6months), Expressive Communication 73 (raw score: 22, percentile: 4, age equivalent: 1 year 7 months, and Total Language Score 83 (percentile: 13, age equivalent: 2 years 2 months). According to the Standard Scores that Natalia received, she presents with a MODERATE EXPRESSIVE LANGUAGE DISORDER. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Natalia’s MODERATE EXPRESSIVE LANGUAGE DISORDER. She would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, naming common objects, using words in a variety of pragmatic functions, using the gerundio form of verbs (corriendo, comiendo, etc), and imitating 2-3 word phrases modeled by the clinician. Speech therapy is highly recommended at this time as Natalia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Natalia’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. Natalia’s mother will be responsible for her Home Exercise Program (HEP).

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Expressive Language	In 12 months, Natalia 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, Natalia 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	In 6 moths, Natalia will use words 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, Natalia will use verbs/action words (corriend, comiendo, durimiendo) 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, Natalia will name common objects 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.
Play/Socialization	In 6 months, Natalia will complete functional/relational play based tasks from beginning to end (i.e., completing a puzzle, stacking blocks, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.
Play/Socialization	In 6 months, Natalia will sustain attention to therapy tasks with the clinician for at least 1 minute per task in 3 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

489528

Note Date: 03-12-2026

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. Natalia imitated 2-3 word phrases modeled by clinician by clinician by clinician in 9 out of 10 opportunities. Natalia used words to express a variety of pragmatic functions in 5/10 opp. Natalia used verbs/action words (corriendo, comiendo, durimiendo) in structured and unstructured settings in 4 out of 10 opportunities.

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
824635	92523: Artic & Language Eval	10-23-2025 04:00 PM	10-23-2025 05:00 PM	Jessica Ortiz	NB2 far east side	Completed
831578	92507: Speech & Language Visit	10-31-2025 12:45 PM	10-31-2025 01:30 PM	Jessica Ortiz	NB2 far east side	Completed
833914	92507: Speech & Language Visit	11-06-2025 09:00 AM	11-06-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
833915	92507: Speech & Language Visit	11-13-2025 09:00 AM	11-13-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
837459	92507: Speech & Language Visit	11-14-2025 12:00 PM	11-14-2025 01:00 PM	Jessica Ortiz	NB2 far east side	Completed
833918	92507: Speech & Language Visit	12-04-2025 09:00 AM	12-04-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
833919	92507: Speech & Language Visit	12-11-2025 09:00 AM	12-11-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
833920	92507: Speech & Language Visit	12-18-2025 09:00 AM	12-18-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
863335	92507: Speech & Language Visit	01-08-2026 09:00 AM	01-08-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
863336	92507: Speech & Language Visit	01-15-2026 09:00 AM	01-15-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
875709	92507: Speech & Language Visit	01-21-2026 03:00 PM	01-21-2026 04:00 PM	Jessica Ortiz	NB2 far east side	Completed
863337	92507: Speech & Language Visit	01-22-2026 09:00 AM	01-22-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
863339	92507: Speech & Language Visit	02-05-2026 09:00 AM	02-05-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
881467	92507: Speech & Language Visit	02-12-2026 09:00 AM	02-12-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
881451	92507: Speech & Language Visit	02-19-2026 09:00 AM	02-19-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
881452	92507: Speech & Language Visit	02-26-2026 09:00 AM	02-26-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
881453	92507: Speech & Language Visit	03-05-2026 09:00 AM	03-05-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
881454	92507: Speech & Language Visit	03-12-2026 09:00 AM	03-12-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
833916	92507: Speech & Language Visit	11-20-2025 09:00 AM	11-20-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled
833917	92507: Speech & Language Visit	11-27-2025 09:00 AM	11-27-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled
833921	92507: Speech & Language Visit	12-25-2025 09:00 AM	12-25-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled
863338	92507: Speech & Language Visit	01-29-2026 09:00 AM	01-29-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled
881455	S9152: Reevaluation	03-19-2026 09:00 AM	03-19-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
881457	92507: Speech & Language Visit	04-02-2026 09:00 AM	04-02-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Scheduled
881458	92507: Speech & Language Visit	04-09-2026 09:00 AM	04-09-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Scheduled
881459	92507: Speech & Language Visit	04-16-2026 09:00 AM	04-16-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Scheduled
881460	92507: Speech & Language Visit	04-23-2026 09:00 AM	04-23-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
10/23/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	35.00	-35.00
10/24/25	Patient Payment Received (Stripe)	35.00	35.00	0.00
10/31/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	35.00	70.00	-35.00
11/1/25	Patient Payment Received (Stripe)	70.00	70.00	0.00
11/6/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	70.00	105.00	-35.00
11/6/25	Patient Payment Received (Stripe)	105.00	105.00	0.00
11/13/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	105.00	140.00	-35.00
11/13/25	Patient Payment Received (Stripe)	140.00	140.00	0.00
11/14/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	140.00	175.00	-35.00
11/14/25	Patient Payment Received (Stripe)	175.00	175.00	0.00
12/4/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	175.00	210.00	-35.00
12/4/25	Patient Payment Received (Stripe)	210.00	210.00	0.00
12/11/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	210.00	245.00	-35.00
12/11/25	Patient Payment Received (Stripe)	245.00	245.00	0.00
12/18/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	245.00	280.00	-35.00
12/18/25	Patient Payment Received (Stripe)	280.00	280.00	0.00
1/8/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	280.00	315.00	-35.00
1/15/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	280.00	350.00	-70.00
1/15/26	Patient Payment Received (Stripe)	315.00	350.00	-35.00
1/21/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	315.00	385.00	-70.00
1/21/26	Patient Payment Received (Stripe)	350.00	385.00	-35.00
1/22/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	350.00	420.00	-70.00
1/22/26	Patient Payment Received (Stripe)	385.00	420.00	-35.00
2/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	385.00	455.00	-70.00
2/5/26	Patient Payment Received (Stripe)	420.00	455.00	-35.00
2/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	420.00	490.00	-70.00
2/12/26	Patient Payment Received (Stripe)	455.00	490.00	-35.00
2/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	455.00	525.00	-70.00
2/19/26	Patient Payment Received (Stripe)	490.00	525.00	-35.00
2/26/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	490.00	560.00	-70.00
2/26/26	Patient Payment Received (Stripe)	525.00	560.00	-35.00
3/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	525.00	595.00	-70.00
3/5/26	Patient Payment Received (Stripe)	560.00	595.00	-35.00
3/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	560.00	630.00	-70.00
3/12/26	Patient Payment Received (Stripe)	595.00	630.00	-35.00
3/19/26	Patient Payment Received (Stripe)	630.00	630.00	0.00
3/26/26	Patient visit charged - Reevaluation: Reevaluation	630.00	665.00	-35.00
3/26/26	Patient Payment Received (Stripe)	665.00	665.00	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
10/23/25	92523: Artic & Language Eval	1	345.00	Billed and Paid
10/31/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/6/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/13/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
11/14/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/4/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/11/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
12/18/25	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/8/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/15/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/21/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
1/22/26	92507: Speech & Language Visit	1	140.00	Billed and Paid
2/5/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/12/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/19/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/26/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/5/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/12/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
10-27-2025	Patsy Guajardo	50 visits per year shared among ST, OT and PT

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-19-2026	S9152	Ortiz, Jessica	Paternal grandmother did not bring Natalia to her speech therapy re-evaluation.
01-29-2026	92507	Ortiz, Jessica	Hola, solo es un recordatorio de que no tendremos terapia el día jueves 29 de enero. Gracias :) Hello, this is just a reminder that we will not have therapy on Thursday, January 29th. Thank you:)
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
10-14-2025 03:42 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2309
10-15-2025 01:31 PM	Monica Contreras-Tullius	Thank you for signing up to receive text messages from New Beginnings. To send a message to your child's therapist just reply here. To stop receiving messages from us, reply STOP at any time.
10-15-2025 03:43 PM	Asbel Guajardo	Hi, it looks like we need to reschedule your Speech Evaluation. We will get back to you soon with an update or to schedule a new appointment. If you have any questions, please let us know. Thanks! 😊
10-16-2025 04:25 PM	Asbel Guajardo	Hello sorry to bother you I need the front of your ID card.
10-16-2025 04:34 PM	Asbel Guajardo	Also too as of right now we do not have any availability in the afternoon for appointments after the evaluation.
10-16-2025 04:35 PM	Natalia De Haro	When do you guys have availability?
10-17-2025 03:35 PM	Asbel Guajardo	Hello we only have morning and during the day. Possibly from 9AM to about 2PM
10-17-2025 03:35 PM	Natalia De Haro	On the 23?
10-17-2025 03:50 PM	Asbel Guajardo	No ma'am for the regular visits.
10-17-2025 04:15 PM	Natalia De Haro	I'm confused. So the appointment I had for the 23 of oct at 4 pm is no longer available?
10-20-2025 11:21 AM	Asbel Guajardo	The initial evaluation is on October 23rd @ 4pm After the initial evaluation the therapist will usually let you know that if the patient will either need one or two times a week. Those are the regular visit and those are the one that we do not have afternoon visits only morning and day.
10-20-2025 11:22 AM	Natalia De Haro	Ok
10-23-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36982. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
10-24-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Natalia De Haro from therapy on 10-23-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=36982. Thank you for allowing us to serve your child! 🙂
10-27-2025 02:38 PM	Patsy Guajardo	De Haro, Natalia has been assigned a therapist.
10-31-2025 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37151. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-01-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Natalia De Haro from therapy on 10-31-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37151. Thank you for allowing us to serve your child! 🙂
11-06-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37258. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
11-13-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37395. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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
11-14-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37424. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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.
12-04-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37765. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-11-2025 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37935. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-18-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38062. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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
01-08-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38254. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-15-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38453. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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! 💙
01-21-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38599. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-22-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38638. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:51 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-05-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39039. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-12-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39254. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-16-2026 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9799
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
02-19-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39437. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-26-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39609. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-05-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39780. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9799
03-11-2026 05:39 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/
03-12-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40108. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-19-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40420. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-26-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Natalia De Haro. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40617. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
10-15-2025 10:02 AM	Annette Barron	Hi, my name is Annette, with New Beginnings, and I will be performing your child's Speech Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9799&tid=46
10-15-2025 10:02 AM	Natalia De Haro	Natalia SCHEDULED: 9:00AM-10/21/2025 92523: Speech Evaluation
10-15-2025 10:47 AM	Annette Barron	Good morning. My name is Annette from New Beginnings, and I will be completing Natalia's speech evaluation. I am messaging you via our patient portal which is a secure texting only system.
10-15-2025 10:48 AM	Annette Barron	What are your concerns? Is Natalia not using enough words, and/or difficult to understand?
10-15-2025 10:53 AM	Natalia De Haro	Natalia (Prim) Replied: Natalia is learning english and spanish at home but at almost 3 she cannot complete a full phrase just words
10-15-2025 10:55 AM	Natalia De Haro	Natalia (Prim) Replied: She has a tramatic event at 1 and a half years old where she was bitten by a dog in the face and dont know if that accident might have something to do with her learning phase
10-15-2025 10:57 AM	Annette Barron	Oh my goodness, yes that is traumatic. Sorry to hear that about Natalia. I am next going to send you a series of 9 medical history questions. Due to the large size of the message, if you do not receive the 9 questions, please let me know and I will send them out in smaller messages.
10-15-2025 10:57 AM	Annette Barron	Speech History Questionnaire for Natalia: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)? 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? 5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils? 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? 7.) Which language(s) is the child exposed to regularly? 8.) Vision or hearing issues? 9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
10-15-2025 12:20 PM	Natalia De Haro	Natalia (Prim) Replied: 1.) Natalia De Haro 12/07/2022 2.)No 3.)No 4.) About around a year old 5.) Patient sleeps 8 hours Snores Sleeps with mouth open and closed and still wakes up 3 to 4 times at night because she still takes the bottle 6.)Attends daycare with no past theraphy 7.)Spanish but all tv shows are in english and she speaks in both languages 8.) She wears glasses 9.) Our concern is that she might be having trouble speaking so thats why we would like an evaluation to
10-15-2025 12:54 PM	Annette Barron	It seems as though she is bilingual. Which is not a problem, however, which is her dominant language, Spanish or English?
10-15-2025 01:12 PM	Natalia De Haro	Natalia (Prim) Replied: I would say spanish since we use it more at home
10-15-2025 01:13 PM	Annette Barron	Thank you for letting me know. If that is the case, I am going to recommend to the front office that a bilingual therapist evaluate Natalia. The front office will message you with the soon. Thank you.
10-15-2025 01:14 PM	Natalia De Haro	Natalia (Prim) Replied: Thank you
10-22-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
10-23-2025 07:51 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
10-23-2025 10:19 AM	Jessica Ortiz	Hola Mrs. Miranda, mi nombre es Jessica, solo para confirmar nuestra cita a las 4 pm para la evaluación de habla y lenguaje. Gracias
10-23-2025 10:20 AM	Natalia De Haro	Natalia (Prim) Replied: Hola Jessica, si está bien ahí nos vemos. Me podría mandar nomás la dirección por favor
10-23-2025 10:21 AM	Natalia De Haro	Natalia (Sec) Replied: Muchas gracias
10-23-2025 10:21 AM	Jessica Ortiz	Si claro, 3551 Rich Been, Suite B, 79938.
10-23-2025 10:26 AM	Jessica Ortiz	Una última pregunta, ¿podría proporcionarme esta información de cuándo Natalia comenzó a hacer estas acciones: Gatear, sentarse, levantarse, caminar, alimentarse sola, vestirse sola, aprender a ir al baño, primeras palabras, combinación de palabras? Muchas gracias, las veo a las 4 :)
10-23-2025 10:33 AM	Natalia De Haro	Natalia (Sec) Replied: Empezo a sentarse sola como a los 6 meses gateo muy poco a los 6 al ano empezo a caminar todavia no se viste sola no Va al bano todavia sus primeras palabras fueron mama papa teta y apenas empieza hacer un poco combination de palabras
10-23-2025 10:40 AM	Jessica Ortiz	Perfecto! Muchas gracias.
10-23-2025 03:45 PM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=824635
10-23-2025 03:49 PM	Natalia De Haro	Natalia is CHECKED IN for: 4:00PM-10/23/2025 92523: Artic & Language Eval
10-23-2025 03:52 PM	Jessica Ortiz	En unos minutos estoy con ustedes:)
10-23-2025 03:56 PM	Natalia De Haro	Natalia (Prim) Replied: Está bien
10-23-2025 05:44 PM	Jessica Ortiz	En unos minutos estoy con ustedes:)
10-27-2025 02:44 PM	Jessica Ortiz	¡Hola, buenas tardes! Le manda mensaje Jessica, solo para comunicarle que ya tenemos autorización para Natalia. Yo seré su terapeuta. Le quería comentar que me gustaría ver a Natalia cada jueves a las 9 am, solo que esta semana ya tengo una cita a esa hora, ¿le parece si comenzamos el viernes a las 12:45?
10-27-2025 02:47 PM	Natalia De Haro	Natalia (Sec) Replied: Hola buenas tardes cual viernes sera rate
10-27-2025 02:50 PM	Jessica Ortiz	Este viernes 31 de octubre a las 12:45, y ya la siguiente semana, puedo ver a Natalia el jueves 6 de noviembre a las 9 am.
10-27-2025 02:50 PM	Jessica Ortiz	¿Le funcionaría este horario?
10-27-2025 02:52 PM	Natalia De Haro	Natalia (Sec) Replied: Si eata ese Horacio este viernes y se me hace mejor los jueves a las 9 x q asi la puedo llevar a la guarderia salisndo de ahi
10-27-2025 03:16 PM	Jessica Ortiz	¡Perfecto! Entonces solo sería este viernes y la próxima semana comenzamos a las 9 los jueves. Gracias:)
10-27-2025 03:17 PM	Natalia De Haro	Natalia (Sec) Replied: Si muchas gracias
10-30-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 12:45 PM. See you soon! - New Beginnings 🙂
10-31-2025 07:34 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 12:45 PM. See you soon! - New Beginnings 🙂
10-31-2025 12:30 PM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=831578
10-31-2025 12:37 PM	Natalia De Haro	Natalia is CHECKED IN for: 12:45PM-10/31/2025 92507: Speech & Language Visit
11-02-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 11-06-2025 at 9:00 AM. 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 Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-06-2025 07:53 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-06-2025 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833914
11-06-2025 08:52 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-11/6/2025 92507: Speech & Language Visit
11-09-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 11-13-2025 at 9:00 AM, and on 11-14-2025 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-11-2025 03:11 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 Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
11-13-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
11-13-2025 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833915
11-13-2025 08:59 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-11/13/2025 92507: Speech & Language Visit
11-13-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
11-14-2025 07:34 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
11-14-2025 11:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=837459
11-14-2025 11:48 AM	Natalia De Haro	Natalia is CHECKED IN for: 12:00PM-11/14/2025 92507: Speech & Language Visit
11-14-2025 11:56 AM	Jessica Ortiz	Hola!! En un momento estoy con ustedes:)
11-14-2025 11:57 AM	Natalia De Haro	Natalia (Prim) Replied: Gracias 😄
11-16-2025 09:22 AM	Jessica Ortiz	¡Hola, buenos días! ¿Me haría el favor de firmar el link del viernes? Por alguna razón, no me aparece su firma. Gracias y saludos a Natalia :D
11-16-2025 09:30 AM	Natalia De Haro	Natalia (Prim) Replied: Listo
11-16-2025 09:30 AM	Jessica Ortiz	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-16-2025 09:30 AM	Jessica Ortiz	Muchas gracias:)
11-30-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 12-04-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-03-2025 08:02 AM	Natalia De Haro	Natalia (Prim) Replied: Yes
12-03-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833918
12-04-2025 08:45 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-12/4/2025 92507: Speech & Language Visit
12-07-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 12-11-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-10-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-11-2025 07:45 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-11-2025 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833919
12-11-2025 08:55 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-12/11/2025 92507: Speech & Language Visit
12-11-2025 08:55 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-12/11/2025 92507: Speech & Language Visit
12-14-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 12-18-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-17-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=833920
12-18-2025 08:49 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-12/18/2025 92507: Speech & Language Visit
12-18-2025 08:57 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-12/18/2025 92507: Speech & Language Visit
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 02:35 PM	Natalia De Haro	Natalia (Sec) Replied: Gracias felices fiestas
12-21-2025 02:35 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.
01-04-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 01-08-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-07-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 07:58 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863335
01-08-2026 08:56 AM	Jessica Ortiz	Hola!! en un momentito le marco para reagendar:)
01-08-2026 08:57 AM	Natalia De Haro	Natalia (Prim) Replied: Gracias
01-08-2026 08:57 AM	Jessica Ortiz	Jessica Ortiz CANCELLED: 9:00AM-1/8/2026 92507: Speech & Language Visit
01-11-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 01-15-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:08 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
01-11-2026 04:08 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.
01-14-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:53 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863336
01-15-2026 08:47 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-1/15/2026 92507: Speech & Language Visit
01-18-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 01-22-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-19-2026 09:59 AM	Jessica Ortiz	Hola buen dia! Solo para preguntarles si sería posible que viera a Natalia el día de manana a las 9 am, como les comenté, es posible que no esté en la oficina el día 29 de enero. Por favor me deja saber si les funciona ese horario. Gracias :)
01-19-2026 10:02 AM	Natalia De Haro	Natalia (Sec) Replied: Hola buenos Dias Natalia esta con su papa Dejeme le pregunto a el y yo le aviso en cuanto sepa algo le hago saber
01-19-2026 10:05 AM	Jessica Ortiz	Claro que si. Usted me deja saber. Gracias
01-19-2026 03:17 PM	Natalia De Haro	Natalia (Sec) Replied: Hola buenas tardes cuando me podria dar la cita de Natalia de haro x q el papa no puede llevarla
01-19-2026 05:09 PM	Jessica Ortiz	No se preocupe, esta semana veré a Natalia como de costumbre, pero podemos agregar una visita extra de make up por el día 29 de este mes, que no estaré en la oficina el día miércoles a las 3 pm o el viernes a la 1 pm. Le funciona alguno de esos días?
01-19-2026 05:17 PM	Natalia De Haro	Natalia (Sec) Replied: El miercoles esta bien a las 3
01-20-2026 08:05 AM	Jessica Ortiz	Perfecto!! Ya está agendada Natalia para el Miércoles a las 3 pm :)
01-20-2026 08:07 AM	Natalia De Haro	Natalia (Sec) Replied: Hola buenos Dias es para el proximo miercoles verdad
01-20-2026 09:16 AM	Jessica Ortiz	Si les funciona esta semana, está super bien, si no les es posible para la próxima semana, le parece mejor a las 2:45 el miércoles?
01-20-2026 09:34 AM	Natalia De Haro	Natalia (Sec) Replied: Seria manana?
01-20-2026 10:03 AM	Jessica Ortiz	Si le funciona mañana a las 3 está súper bien, y si no les es posible, la próxima semana puedo ver a Natalia el Miércoles a las 2:45
01-20-2026 10:04 AM	Natalia De Haro	Natalia (Sec) Replied: Si eata bien manana a las 3
01-20-2026 10:18 AM	Jessica Ortiz	Super!! Gracias :)
01-20-2026 10:19 AM	Natalia De Haro	Natalia (Sec) Replied: Q pase buen dia
01-20-2026 12:12 PM	Natalia De Haro	Natalia (Sec) Replied: Muchas gracias ☺️
01-20-2026 12:12 PM		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 Natalia has a Speech Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 08:03 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 02:45 PM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875709
01-21-2026 02:45 PM	Natalia De Haro	Natalia is CHECKED IN for: 3:00PM-1/21/2026 92507: Speech & Language Visit
01-21-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 07:51 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863337
01-25-2026 09:01 AM	Jessica Ortiz	Ortiz, Jessica: Hola, solo es un recordatorio de que no tendremos terapia el día jueves 29 de enero. Gracias :) Hello, this is just a reminder that we will not have therapy on Thursday, January 29th. Thank you:)
02-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 02-05-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-04-2026 03:06 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
02-04-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=863339
02-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 02-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 08:22 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
02-08-2026 08:22 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.
02-11-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:53 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881467
02-12-2026 08:53 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-2/12/2026 92507: Speech & Language Visit
02-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 02-19-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:06 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
02-15-2026 06:06 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.
02-18-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 07:51 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881451
02-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 02-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:27 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
02-22-2026 04:27 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.
02-25-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:50 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881452
03-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 03-05-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-04-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:49 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881453
03-05-2026 08:49 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-3/5/2026 92507: Speech & Language Visit
03-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 03-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:00 PM	Natalia De Haro	Natalia (Prim) Replied: Yes
03-08-2026 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.
03-11-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:46 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881454
03-12-2026 08:54 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-3/12/2026 92507: Speech & Language Visit
03-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 03-19-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-18-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:45 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech/Feeding Reevaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881455
03-19-2026 09:50 AM	Jessica Ortiz	Jessica Ortiz CANCELLED: 9:00AM-3/19/2026 S9152: Reevaluation
03-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that De Haro, Natalia has a Speech Therapy appointment on 03-26-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-25-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:44 AM	Jessica Ortiz	Hi, this is a just a reminder that Natalia has a Speech/Feeding Reevaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-26-2026 08:45 AM	Jessica Ortiz	Natalia De Haro : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=881456
03-26-2026 08:45 AM	Natalia De Haro	Natalia is CHECKED IN for: 9:00AM-3/26/2026 S9152: Reevaluation