New Beginnings | NB1-Office

Patient Name: Gunnar

Patient Information:

Patient ID: 9809

Patient First Name: Gunnar

Patient Date of Birth: 08-15-2023

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Paulina, Hernandez

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
23596	Active	04-16-2026	09-14-2026	Tricare Select	26	0	0	0
22552	Active	10-30-2025	04-15-2026	Tricare Select	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25822	10-31-2025	Speech Initial Evaluation	F80.2
Speech Background History: Gunnar is a 2-year-old and 2-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Both parents accompanied him and served as the primary informants for the evaluation. Mrs. Williams reported that Gunnar’s pediatrician briefly noted possible signs of ADHD during his 18-month and 2-year well-child visits; however, a formal assessment could not be completed until he turns 3 years of age. Mrs. Williams expressed concerns that Gunnar has only one word in his expressive vocabulary (/ma ma/) and primarily guides or pushes his parents toward a preferred item. During the evaluation, Gunnar’s expressive language was characterized primarily by the use to vocalizations. According to developmental norms, a typically developing child of Gunnar’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 2 words in length. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Gunnar’s parents reported that he is exposed to English and Hawaiian language within his home environment. During the evaluation, Gunnar did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English.
Speech Medical History: Mrs. Williams reported that she had to be induced at 37 weeks and 5 days of gestation due to gestational hypertension.
Speech Medications: None. Gunner occasionally uses Tylenol as needed.
Speech Behavioral Observations: Attending Skills: Distractible, Response Rate: Moderate delays, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths:
Speech Communication Weaknesses: Inappropriate Behaviors, Poor use of eye contact, Unable to answer questions, Unable to follow commands, Use of jargon,
Speech Background Summary: Gunnar's parents accompanied him to the evaluation, which took place in the clinic room. Throughout the evaluation, Gunnar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. The mother reported that Gunnar exhibits behaviors such as throwing himself to the ground or kicking during tantrums. Both parents indicated that the duration of these episodes is variable, ranging from approximately 30 seconds to one hour.
Speech Diagnosis/Impressions: Gunnar is a 2-year-old and 2-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Both parents accompanied him and served as the primary informants for the evaluation. Mrs. Williams reported that Gunnar’s pediatrician briefly noted possible signs of ADHD during his 18-month and 2-year well-child visits; however, a formal assessment could not be completed until he turns 3 years of age. Mrs. Williams expressed concerns that Gunnar has only one word in his expressive vocabulary (/ma ma/) and primarily guides or pushes his parents toward a preferred item. During the evaluation, Gunnar’s expressive language was characterized primarily by the use to vocalizations. According to developmental norms, a typically developing child of Gunnar’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 2 words in length. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Gunnar’s parents reported that he is exposed to English and Hawaiian language within his home environment. During the evaluation, Gunnar did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. Throughout the evaluation, Gunnar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. The mother reported that Gunnar exhibits behaviors such as throwing himself to the ground or kicking during tantrums. Both parents indicated that the duration of these episodes is variable, ranging from approximately 30 seconds to one hour. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Gunnar received the following Standard Scores on the PLS-5: Auditory Comprehension 63 (raw score: 18, percentile: 1, age equivalent:1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 1, age equivalent: 11 months, and Total Language Score 59 (percentile: 1, age equivalent: 1 year 0 months). According to the Standard Scores that Gunnar received, he presents with a SEVERE MIXED RECEPTIVE-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 Gunnar’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Gunnar would greatly benefit from speech therapy that target the following ageappropriate concepts:joint attention/sustaining attention to tasks, turn-taking, imitating gestures/actions, nonspeech sounds/environmental sounds, following everyday instructions, responding appropriately to "no/wait", and demonstrating functional play. Speech therapy is highly recommended at this time as Gunnar’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Gunnar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gunnar’s mother will be responsible for his Home Management Intervention Program (HMIP).
Speech Diagnosis/Impressions: Gunnar is a 2-year-old and 2-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Both parents accompanied him and served as the primary informants for the evaluation. Mrs. Williams reported that Gunnar’s pediatrician briefly noted possible signs of ADHD during his 18-month and 2-year well-child visits; however, a formal assessment could not be completed until he turns 3 years of age. Mrs. Williams expressed concerns that Gunnar has only one word in his expressive vocabulary (/ma ma/) and primarily guides or pushes his parents toward a preferred item. During the evaluation, Gunnar’s expressive language was characterized primarily by the use to vocalizations. According to developmental norms, a typically developing child of Gunnar’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 2 words in length. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Gunnar’s parents reported that he is exposed to English and Hawaiian language within his home environment. During the evaluation, Gunnar did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. Throughout the evaluation, Gunnar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. The mother reported that Gunnar exhibits behaviors such as throwing himself to the ground or kicking during tantrums. Both parents indicated that the duration of these episodes is variable, ranging from approximately 30 seconds to one hour. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Gunnar received the following Standard Scores on the PLS-5: Auditory Comprehension 63 (raw score: 18, percentile: 1, age equivalent:1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 1, age equivalent: 11 months, and Total Language Score 59 (percentile: 1, age equivalent: 1 year 0 months). According to the Standard Scores that Gunnar received, he presents with a SEVERE MIXED RECEPTIVE-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 Gunnar’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Gunnar would greatly benefit from speech therapy that target the following ageappropriate concepts:joint attention/sustaining attention to tasks, turn-taking, imitating gestures/actions, nonspeech sounds/environmental sounds, following everyday instructions, responding appropriately to "no/wait", and demonstrating functional play. Speech therapy is highly recommended at this time as Gunnar’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Gunnar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gunnar’s mother will be responsible for his 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

57208

Plan Date: 10-31-2025

Speech Assessment Summary: Gunnar is a 2-year-old and 2-month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Both parents accompanied him and served as the primary informants for the evaluation. Mrs. Williams reported that Gunnar’s pediatrician briefly noted possible signs of ADHD during his 18-month and 2-year well-child visits; however, a formal assessment could not be completed until he turns 3 years of age. Mrs. Williams expressed concerns that Gunnar has only one word in his expressive vocabulary (/ma ma/) and primarily guides or pushes his parents toward a preferred item. During the evaluation, Gunnar’s expressive language was characterized primarily by the use to vocalizations. According to developmental norms, a typically developing child of Gunnar’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 2 words in length. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Gunnar’s parents reported that he is exposed to English and Hawaiian language within his home environment. During the evaluation, Gunnar did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. Throughout the evaluation, Gunnar displayed signs of distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate in the evaluation process. The mother reported that Gunnar exhibits behaviors such as throwing himself to the ground or kicking during tantrums. Both parents indicated that the duration of these episodes is variable, ranging from approximately 30 seconds to one hour. Gunnar was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Gunnar received the following Standard Scores on the PLS-5: Auditory Comprehension 63 (raw score: 18, percentile: 1, age equivalent: 1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 1, age equivalent: 11 months, and Total Language Score 59 (percentile: 1, age equivalent: 1 year 0 months). According to the Standard Scores that Gunnar received, he presents with a SEVERE MIXED RECEPTIVE-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 Gunnar’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Gunnar would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, turn-taking, imitating gestures/actions, nonspeech sounds/environmental sounds, following everyday instructions, responding appropriately to "no/wait", and demonstrating functional play. Speech therapy is highly recommended at this time as Gunnar’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Gunnar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gunnar’s mother will be responsible for his Home Management Intervention Program (HMIP).

Speech Rehabilitation Potential: Good. Gunner will be discharged when he achieves a standard score above 1.5 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the Mild to average range and that he will have met all long-term therapy goals.

Speech and Language Long Term Goals:

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

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Gunnar will respond appropriately to "no/wait" with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Gunnar can cease an action or activity that is dangerous.
Play/Socialization	Within 6 months, using play-based therapy techniques, Gunnar will demonstrate functional play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers.
Play/Socialization	Within 6 months, using play-based therapy techniques, Gunnar will demonstrate turn-taking skills during play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers.
Expressive Language	Within 6 months, using play-based therapy techniques, Gunnar will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar can begin to imitate age-appropriate phonemes and eventually core vocabulary.
Expressive Language	Within 6 months, using play-based therapy techniques, Gunnar will imitate gestures/actions that represent verbal concepts with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Gunnar can begin to express himself using total communication.
Receptive Language	In 6 months, Gunnar will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 30% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions

58811

Plan Date: 03-12-2026

Speech Assessment Summary: Gunnar is a 2-year-old and 6-month-old male who is due for a reevaluation of language development for the last six months of speech therapy services. Mrs. Williams, Gunnar's mother, reported that Gunnar’s pediatrician briefly noted possible signs of ADHD during his 18-month and 2-year well-child visits; however, a formal assessment could not be completed until he turns 3 years of age. Gunnar’s expressive vocabulary is primarily characterized by jargon. He has recently begun producing some short phrases, such as “where’s baby,” and is able to count up to 10. According to developmental norms, a typically developing child of Gunnar’s age should have an expressive vocabulary of approximately 300 words and produce utterances of 2 words in length. . LANGUAGE BACKGROUND: LANGUAGE INPUT: Gunnar’s parents reported that he is exposed to English and Hawaiian language within his home environment. During the evaluation, Gunnar did not produce any verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. Throughout the re-evaluation, Gunnar displayed distractibility, as evidenced by his difficulty remaining seated and his need for FREQUENT and NUMEROUS prompts to participate. The mother reported that Gunnar continues to exhibit behaviors such as throwing himself to the ground or kicking during tantrums. She indicated that the duration of these episodes is variable, ranging from approximately 30 seconds to one hour. Gunnar was re-evaluated using the Preschool Language Scales Fifth Edition (PLS-5), Gunnar received the following Standard Scores on the PLS-5: Auditory Comprehension 54 (raw score: 18, percentile: 1, age equivalent: 1 year 2 months), Expressive Communication 65 (raw score: 20, percentile: 1, age equivalent: 1 year 3 months and Total Language Score 56 (percentile: 1, age equivalent: 1 year 2 months). According to the Standard Scores that Gunnar received, he presents with a SEVERE-PROFOUND MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Although Gunnar’s standard scores have shown a slight increase, she has demonstrated progress toward her short-term goals, indicating continued improvement. RECOMMENDATIONS: At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Gunnar’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Gunnar would greatly benefit from speech therapy that target the following ageappropriate concepts: joint attention/sustaining attention to tasks, turn-taking, imitating gestures/actions, nonspeech sounds/environmental sounds, following everyday instructions, responding appropriately to "no/wait", and demonstrating functional play. Speech therapy is highly recommended at this time as Gunnar’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Gunnar’s safety risk is high since he will not likely be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Gunnar’s mother will be responsible for his Home Management Intervention Program (HMIP).

Speech Progress to Date: The following are Gunnar’s short-term goals and progress for each: 1. Using play-based therapy techniques, Gunnar will respond appropriately to "no/wait" with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Gunnar can cease an action or activity that is dangerous. BASELINE: 0% acc PROGRESS: 30% acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 2. Within 6 months, using play-based therapy techniques, Gunnar will demonstrate functional play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers. BASELINE: 0% acc PROGRESS: 30% acc -GOAL MET- CONTINUE WITH ADJUSTED MASTERY 3. Within 6 months, using play-based therapy techniques, Gunnar will demonstrate turn-taking skills during play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers.BASELINE: 0% acc PROGRESS: 20% acc -NOT MET- 4. Within 6 months, using play-based therapy techniques, Gunnar will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar can begin to imitate age-appropriate phonemes and eventually core vocabulary.BASELINE: 0% acc PROGRESS: 20% acc -NOT MET- 5. Within 6 months, using play-based therapy techniques, Gunnar will imitate gestures/actions that represent verbal concepts with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Gunnar can begin to express himself using total communication. BASELINE: 0% acc PROGRESS: 30% acc GOAL MET- CONTINUE WITH ADJUSTED MASTERY 6. In 6 months, Gunnar will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 30% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions. BASELINE: 0% acc PROGRESS: 30% acc -GOAL MET- *WITH PROMPTING* 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.
Expressive Language	Within 1 year, Gunnar will utilize age-appropriate expressive language skills in order to communicate effectively with family and peers with 50% accuracy.
Receptive Language	Within 1 year, Gunnar will utilize age-appropriate receptive language skills in order to communicate effectively with family and peers with 50% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, using play-based therapy techniques, Gunnar will respond appropriately to "no/wait" with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Gunnar can cease an action or activity that is dangerous.
Play/Socialization	Within 6 months, using play-based therapy techniques, Gunnar will demonstrate functional play with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers.
Play/Socialization	Within 6 months, using play-based therapy techniques, Gunnar will demonstrate turn-taking skills during play with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar demonstrates age-appropriate play with peers.
Expressive Language	Within 6 months, using play-based therapy techniques, Gunnar will imitate non-speech/environmental sounds with decreasing multisensory cues with 30% accuracy across 3 out of 5 consecutive sessions in order to promote independence so that Gunnar can begin to imitate age-appropriate phonemes and eventually core vocabulary.
Expressive Language	Within 6 months, using play-based therapy techniques, Gunnar will imitate gestures/actions that represent verbal concepts with decreasing multisensory cues with 50% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Gunnar can begin to express himself using total communication.
Receptive Language	In 6 months, Gunnar will follow everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 50% accuracy given fading cues across 3 consecutive sessions in order to promote safety when following safety instructions

Speech and Language Soap Note/Visit:

Soap Note

490562

Note Date: 03-19-2026

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. Gunnar responded appropriately to "no/wait" with 20% acc. Gunnar demonstrated functional play with decreasing multisensory cues with 30% accuracy. Gunnar imitated gestures/actions that represent verbal concepts with decreasing multisensory cues with 10% accuracy (WITH MAX VERBAL PROMPTS). Gunnar followed everyday functional directions (e.g., sit down, give me, come here, throw the ball) with 20% accuracy. *DIRT CUP*

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
830141	92523: Artic & Language Eval	10-31-2025 11:30 AM	10-31-2025 12:30 PM	Jessica Ortiz	NB2 far east side	Completed
840919	92507: Speech & Language Visit	12-04-2025 11:00 AM	12-04-2025 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
851539	92507: Speech & Language Visit	12-11-2025 11:00 AM	12-11-2025 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852218	92507: Speech & Language Visit	12-18-2025 11:00 AM	12-18-2025 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
859898	92507: Speech & Language Visit	12-22-2025 09:00 AM	12-22-2025 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
852221	92507: Speech & Language Visit	01-08-2026 11:00 AM	01-08-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852222	92507: Speech & Language Visit	01-15-2026 11:00 AM	01-15-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
875050	92507: Speech & Language Visit	01-20-2026 11:00 AM	01-20-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852223	92507: Speech & Language Visit	01-22-2026 11:00 AM	01-22-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852225	92507: Speech & Language Visit	02-05-2026 11:00 AM	02-05-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852226	92507: Speech & Language Visit	02-12-2026 11:00 AM	02-12-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852227	92507: Speech & Language Visit	02-19-2026 11:00 AM	02-19-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852228	92507: Speech & Language Visit	02-26-2026 11:00 AM	02-26-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852229	92507: Speech & Language Visit	03-05-2026 11:00 AM	03-05-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852230	S9152: Reevaluation	03-12-2026 11:00 AM	03-12-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed
852231	92507: Speech & Language Visit	03-19-2026 11:00 AM	03-19-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
852219	92507: Speech & Language Visit	12-25-2025 11:00 AM	12-25-2025 12:00 PM	Jessica Ortiz	NB2 far east side	Canceled
852220	92507: Speech & Language Visit	01-01-2026 11:00 AM	01-01-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Canceled
852224	92507: Speech & Language Visit	01-29-2026 11:00 AM	01-29-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
852233	92507: Speech & Language Visit	04-02-2026 11:00 AM	04-02-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Scheduled
852234	92507: Speech & Language Visit	04-09-2026 11:00 AM	04-09-2026 12:00 PM	Jessica Ortiz	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
10/31/25	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	38.00	-38.00
10/31/25	Tricare applied deductible to DOS	0.00	188.00	-188.00
10/31/25	Patient Payment Received (PayPal)	38.00	188.00	-150.00
12/4/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	38.00	226.00	-188.00
12/4/25	Patient Payment Received (PayPal)	76.00	226.00	-150.00
12/11/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	76.00	264.00	-188.00
12/11/25	Patient Payment Received (PayPal)	114.00	264.00	-150.00
12/11/25	Patient Payment Received (PayPal)	264.00	264.00	0.00
12/18/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	264.00	302.00	-38.00
12/18/25	Patient Payment Received (PayPal)	302.00	302.00	0.00
12/22/25	Patient visit charged - Speech & Language Visit: Speech & Language Visit	302.00	340.00	-38.00
12/22/25	Patient Payment Received (PayPal)	340.00	340.00	0.00
1/8/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	340.00	378.00	-38.00
1/8/26	Deductible	340.00	413.21	-73.21
1/8/26	Patient Payment Received (PayPal)	378.00	413.21	-35.21
1/15/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	378.00	452.21	-74.21
1/15/26	Deductible	378.00	486.42	-108.42
1/15/26	Patient Payment Received (PayPal)	417.00	486.42	-69.42
1/20/26	Deductible	417.00	490.00	-73.00
1/20/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	417.00	529.00	-112.00
1/20/26	Patient Payment Received (PayPal)	456.00	529.00	-73.00
1/22/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	456.00	568.00	-112.00
1/22/26	Patient Payment Received (PayPal)	495.00	568.00	-73.00
2/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	495.00	607.00	-112.00
2/5/26	Patient Payment Received (PayPal)	534.00	607.00	-73.00
2/12/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	534.00	646.00	-112.00
2/12/26	Patient Payment Received (PayPal)	573.00	646.00	-73.00
2/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	573.00	685.00	-112.00
2/19/26	Patient Payment Received (PayPal)	612.00	685.00	-73.00
2/26/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	612.00	724.00	-112.00
2/26/26	Patient Payment Received (PayPal)	651.00	724.00	-73.00
3/5/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	651.00	763.00	-112.00
3/5/26	Patient Payment Received (PayPal)	690.00	763.00	-73.00
3/12/26	Patient visit charged - Reevaluation: Reevaluation	690.00	802.00	-112.00
3/12/26	Patient Payment Received (PayPal)	729.00	802.00	-73.00
3/13/26	Patient Payment Received (PayPal)	802.00	802.00	0.00
3/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	802.00	841.00	-39.00
3/19/26	Patient Payment Received (PayPal)	841.00	841.00	0.00
3/26/26	Patient Payment Received (PayPal)	880.00	841.00	39.00

Billing History:

Date	Service Description	Units	$Amount	$Status
10/31/25	92523: Artic & Language Eval	1	345.00	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
12/22/25	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
1/20/26	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	S9152: Reevaluation	1	240.00	Unbilled
3/19/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
03-13-2026	Monica Padilla	Added a debit adjustment for DOS 01/08/26, 01/15/26, and 01/20/26 per EOP dated 02/17/26 claim# M040X006Z0000. DOS 01/08/26 Tricare pd. 0.00 (applied 73.21 to pt. deductible); pt. pd. 38.00; adjustment 35.21 DOS 01/15/26 Tricare pd. 0.00 (applied 73.21 to pt. deductible); pt. pd. 39.00 adjustment 34.21 DOS 01/20/26 Tricare pd. 30.63 (applied 3.58 to pt. deductible); pt. pd. 39.00 adjustment 3.58

Paient Missed Visit Notes:

Date	Service	Therapist	Description
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:)
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 :)

Paient Messages Admin:

Date	Posted By	Message
10-23-2025 04:10 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings Pediatric Speech Therapy Far East and I am messaging you because we received a referral from Tricare/Primary care doctor and wanted to know if you'd like to move forward with the services. If you have any questions please call us at 915-303-5177. Thank you!
10-23-2025 04:35 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2328
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.
11-12-2025 11:10 AM	Patsy Guajardo	Hi, Gunnar as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Jessica https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9809&tid=44
11-13-2025 12:48 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 02:54 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 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37782. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-10-2025 03:22 PM	Monica Padilla	Good afternoon Ms. Williams, This is New Beginnings contacting you to let you know that Tricare applied your deductible to visit on 10/31/25 leaving an outstanding balance of $150.00. Payment link has been sent. Please call the office at 915-759-4186 if you have any questions or need to make payment arrangements. Thank you for allowing us to serve your child.
12-11-2025 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=37953. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-18-2025 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38079. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-22-2025 07:30 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38095. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-23-2025 02:06 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-08-2026 07:37 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38279. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-15-2026 07:36 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38480. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-20-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38582. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
01-20-2026 12:12 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! 💙
01-22-2026 07:37 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38671. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:53 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-05-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39065. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-12-2026 07:36 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39281. 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=9809
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 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39458. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-26-2026 07:36 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39637. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-05-2026 07:36 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39806. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9809
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/
03-12-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40132. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-13-2026 04:10 PM	Monica Padilla	Good afternoon Ms. Williams, This is New Beginnings reaching out to let you know that Tricare applied your deductible to visits on 01/08/26, 01/15/26, and 01/20/26 leaving an outstanding balance of $73.00. Payment link has been sent. Please call the office if you have any questions. Thank you for allowing us to serve your child.
03-19-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40437. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-26-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Gunnar Williams. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40641. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
10-23-2025 05:21 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=9809&tid=44
10-23-2025 05:21 PM	Gunnar Williams	Gunnar SCHEDULED: 11:30AM-10/31/2025 92523: Speech Evaluation
10-26-2025 09:57 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Gunnar’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: 10/31/25 at 11:30. 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!
10-26-2025 09:57 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/10262025095750-NB-initial.pdf
10-26-2025 09:58 AM	Jessica Ortiz	Hi. Mrs.Williams, when you get a chance, please let me know if you received the attachment. Thank you!
10-26-2025 11:40 AM	Gunnar Williams	Gunnar (Prim) Replied: Hello! Yes I received the attachment, I'll fill it out asap. And yes to confirm our evaluation date. We are excited to meet you on Friday! 😊
10-26-2025 11:40 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.
10-26-2025 11:51 AM	Jessica Ortiz	Awesome! Thank you Mrs. Williams, see you on Friday :)
10-26-2025 01:34 PM	Gunnar Williams	Gunnar (Prim) Replied: 1. Gunnar Williams. DOB 15 August 2023 2. Mom induced at 37w5d for gestational hypertension 3. No major accidents. Pediatrician briefly mentioned adhd at our 18mos and 2yr check up, but we did not receive an official diagnosis. We recently took him to the dentist and our Ped. dentist said that he is currently teething his back molars, and that could be why he has been more fussy than usual. We give him children’s Tylenol occasionally as needed for it 4. Crawling - 6mos Sitting - 6mos Standing - 8mos (also includes hanging onto and walking along furniture) Walking unassisted - 1week before 12mos Feeding self - 8mos Dressing self - does not dress himself. Parents assist him (we think he can, but that he just doesn't want to. He can undress himself fine) Potty training - not potty trained. Still in diapers First word - mama (a week before 11mos) Word combination - has not had a word combination yet 5. Sleeps 8-10 hours a night (rarely wakes up, if he does its because of the wind/thunder that night). No sleeping/breathing issues that have come up. Sleeps with closed mouth. Pediatrician has not mentioned enlarged tonsils. 6. Currently does not attend school or daycare. Will be registering for preschool starting August 2026 7. Mom and mom’s family uses Hawaiian language mixed with English when speaking to Gunnar 8. Have not been made aware of hearing or vision issues. Last hearing screening was the newborn screening and he passed. Hearing was brought up by parents at his 18mos check up if he might have a hearing problem. Pediatrician was not concerned with hearing
10-26-2025 01:34 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 01:43 PM	Jessica Ortiz	Thank you for your quick response Mrs. Williams:)
10-30-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Evaluation appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
10-31-2025 07:33 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Evaluation appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
10-31-2025 11:15 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=830141
11-12-2025 10:53 AM	Jessica Ortiz	Good morning, Mrs. Williams! This is Jessica. We still haven't received approval to start therapy, but I wanted to ask if a 2 pm appointment would work for you?
11-12-2025 10:58 AM	Gunnar Williams	Gunnar (Prim) Replied: Hi Jessica! Do you have any openings closer to 9-11am? Anything before 12 would be better! 😊
11-12-2025 11:12 AM	Jessica Ortiz	No problem, how about Thursday at 11 am?
11-12-2025 11:21 AM	Gunnar Williams	Gunnar (Prim) Replied: Yes that sounds good! Just to confirm, it's the Thursday tomorrow 11/13?
11-12-2025 11:28 AM	Jessica Ortiz	Great! I wanted to ask if we could start therapy on December 4th. I already have sessions scheduled for tomorrow (11/13) and next week (11/20), and the clinic will be closed on Thanksgiving Day.
11-12-2025 11:29 AM	Jessica Ortiz	My 12 pm on Thursday patient has not confirmed the appointment. I can let you know tomorrow morning if you would like to come.
11-12-2025 11:35 AM	Gunnar Williams	Gunnar (Prim) Replied: Oh no December 4th would be a great start date!
11-12-2025 11:36 AM	Gunnar Williams	Gunnar (Prim) Replied: We can definitely be in on December 4th
11-30-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 12-04-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
11-30-2025 04:04 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes
11-30-2025 04:04 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.
12-03-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-03-2025 07:10 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes we will be there! Thank you!
12-04-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-04-2025 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840919
12-04-2025 10:52 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-12/4/2025 92507: Speech & Language Visit
12-04-2025 12:09 PM	Gunnar Williams	Gunnar (Prim) Replied: Hi Jessica, I forgot to ask when we were there, but is Thursday @11am our designated speech appointment time? Or will it change weekly?
12-04-2025 12:14 PM	Jessica Ortiz	Hello Mrs. Williams. Our speech therapy sessions are scheduled for every Thursday at 11 am. If you need to reschedule because of an appointment, Gunner being sick, or anything similar, just let me know. I'm happy to accommodate. Thanks so much for asking!
12-04-2025 01:18 PM	Gunnar Williams	Gunnar (Prim) Replied: Okay thank you so much! 😊
12-04-2025 01:54 PM	Jessica Ortiz	Thank you:))
12-07-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 12-11-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-07-2025 04:02 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
12-07-2025 04:02 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.
12-10-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-10-2025 06:33 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes we will be there! Thank you!
12-11-2025 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-11-2025 08:23 AM	Gunnar Williams	Gunnar (Prim) Replied: Yes we will be there! Thank you!
12-11-2025 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=851539
12-11-2025 10:46 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-12/11/2025 92507: Speech & Language Visit
12-14-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 12-18-2025 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:58 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes
12-14-2025 04:59 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.
12-17-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 07:52 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852218
12-18-2025 10:45 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-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 02:29 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 02:46 PM	Gunnar Williams	Gunnar (Prim) Replied: Hi Jessica! Just checking that Gunnar still has a speech session with you on Monday, December 22 at 9am?
12-21-2025 02:46 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 02:53 PM	Jessica Ortiz	Yes ma'am!! I will see you tomorrow at 9 am:)
12-21-2025 02:54 PM	Jessica Ortiz	Thank you for checking:)
12-21-2025 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 12-22-2025 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-21-2025 04:10 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes
12-21-2025 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.
12-21-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
12-22-2025 07:42 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
12-22-2025 08:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859898
12-22-2025 08:46 AM	Gunnar Williams	Gunnar is CHECKED IN for: 9:00AM-12/22/2025 92507: Speech & Language Visit
01-04-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 01-08-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 06:05 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
01-04-2026 06:05 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.
01-07-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 07:49 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-08-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852221
01-08-2026 10:45 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-1/8/2026 92507: Speech & Language Visit
01-11-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 01-15-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:03 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
01-11-2026 04:03 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 Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:47 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852222
01-15-2026 10:45 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-1/15/2026 92507: Speech & Language Visit
01-18-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 01-22-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:29 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
01-18-2026 04:29 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.
01-19-2026 09:38 AM	Jessica Ortiz	Hi Mrs. Williams! I forgot to mention that I might not be in the office on Jan 29th. I was wondering if I could see Gunnar tomorrow at 11 am for a make up session.
01-19-2026 09:42 AM	Gunnar Williams	Gunnar (Prim) Replied: Yes we can come in! Just to confirm it's Tuesday, Jan 20 at 11am?
01-19-2026 09:57 AM	Jessica Ortiz	Yes ma'am, I will see you tomorrow at 11 am. Thank you for your flexibility :)
01-19-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-20-2026 08:08 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-20-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875050
01-20-2026 10:46 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-1/20/2026 92507: Speech & Language Visit
01-21-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 07:46 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852223
01-22-2026 10:45 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-1/22/2026 92507: Speech & Language Visit
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 Williams, Gunnar has a Speech Therapy appointment on 02-05-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 05:31 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
02-01-2026 05:31 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.
02-04-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852225
02-05-2026 10:48 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-2/5/2026 92507: Speech & Language Visit
02-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 02-12-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 04:30 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
02-08-2026 04:30 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 Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:43 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-12-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852226
02-12-2026 10:50 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-2/12/2026 92507: Speech & Language Visit
02-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 02-19-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:13 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
02-15-2026 04:13 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 Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 07:41 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-19-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852227
02-19-2026 10:50 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-2/19/2026 92507: Speech & Language Visit
02-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 02-26-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 05:24 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
02-22-2026 05:24 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 04:50 PM	Jessica Ortiz	https://www.healthychildren.org/English/ages-stages/gradeschool/school/Pages/7-Myths-Facts-Bilingual-Children-Learning-Language.aspx
02-25-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 07:42 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
02-26-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852228
02-26-2026 10:50 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-2/26/2026 92507: Speech & Language Visit
03-01-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 03-05-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 05:40 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
03-01-2026 05:40 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.
03-04-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 07:41 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-05-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852229
03-05-2026 10:49 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-3/5/2026 92507: Speech & Language Visit
03-08-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 03-12-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:58 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
03-08-2026 06:58 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 Gunnar has a Speech/Feeding Reevaluation appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:39 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech/Feeding Reevaluation appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-12-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852230
03-12-2026 10:50 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-3/12/2026 S9152: Reevaluation
03-15-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 03-19-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:22 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
03-15-2026 04:22 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.
03-18-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:39 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 10:45 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852231
03-19-2026 10:53 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:00AM-3/19/2026 92507: Speech & Language Visit
03-22-2026 04:00 PM	Jessica Ortiz	Hi, this is a just a reminder that Williams, Gunnar has a Speech Therapy appointment on 03-26-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:38 PM	Gunnar Williams	Gunnar (Prim) Replied: YES
03-22-2026 04:38 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.
03-23-2026 05:42 PM	Jessica Ortiz	Hi Mrs. Williams, I was wondering if I could see Gunnar on Thursday at 11:15 instead of 11 am.
03-23-2026 05:51 PM	Gunnar Williams	Gunnar (Prim) Replied: Yes we can do that!
03-24-2026 01:08 PM	Jessica Ortiz	Thank you:)
03-25-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled tomorrow at 11:15 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:39 AM	Jessica Ortiz	Hi, this is a just a reminder that Gunnar has a Speech Therapy appointment scheduled today at 11:15 AM. See you soon! - New Beginnings 🙂
03-26-2026 11:00 AM	Jessica Ortiz	Gunnar Williams : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852232
03-26-2026 11:12 AM	Gunnar Williams	Gunnar is CHECKED IN for: 11:15AM-3/26/2026 92507: Speech & Language Visit