Patient Name: Renata

Patient Information:

Patient ID: 9825
Patient First Name: Renata
Patient Date of Birth: 02-19-2024
Gender: Female
Assigned Office: NB2 far east side
Primary Care Physician: Jorge, Sainz
Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:
FD - Feeding Therapy: Rodriguez, Andrea
OT - Occupational Therapy:
PT - Physical Therapy:

Patient Primary Authorizations:

Auth. IDStatusStart DateEnd DateInsuranceST-UnitsFD-UnitsOT-UnitsPT-Units
22880Active12-15-202506-10-2026Superior Health Plan02600

Speech and Language Soap Note/Visit:

IDSoap Note

Feeding Therapy Evaluation:

IDDateTypeEvaluation Diagnosis
2589911-24-2025Feeding Initial EvaluationR63.32, R13.12
Feeding Background History: Renata is a 1 year 9 month old female who was referred by her pediatrician for concerns regarding feeding difficulties. Renata’s mother served as the informant for this evaluation. Renata is exclusively G-tube dependent for all nutritional and fluid intake. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Renata’s feeding/swallowing skills.
Feeding Medical History: Renata has a medical history significant for Hypoxic Ischemic Encephalopathy (HIE) secondary to placenta previa-related hypoxia at birth. She required an NG tube from birth to 2 months of age, followed by placement of a G-tube on 4/20/2024, which remains her primary source of nutrition to date. Due to persistent issues with saliva management, the patient underwent tracheostomy placement on 08/2024. Diagnosed with dysphagia and reflux. MBSS performed on 05/01/2025 reported absence of a swallowing reflex.
Feeding Medications: Famotidine BID 0.6 mL for reflux, Glycopirrolate 1.25 mL BID for drooling, Multivitamin BID 0.5 mL via G-tube, Budesonide BID, Albuterol every 4 hours, Pulmozyme once a day, 1 Pratropium dual once a day, 3% Chloride Sodium PRN, Acetilycyst PRN via nebulizer.
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Renata's pragmatic skills were not formally assessed, as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Renata is a 1 year 9 month old female who was referred by her pediatrician for concerns regarding feeding difficulties. Renata’s mother served as the informant for this evaluation. Renata is exclusively G-tube dependent for all nutritional and fluid intake. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Renata’s feeding/swallowing skills. Renata has a medical history significant for Hypoxic Ischemic Encephalopathy (HIE) secondary to placenta previa-related hypoxia at birth. She required an NG tube from birth to 2 months of age, followed by placement of a G-tube on 4/20/2024, which remains her primary source of nutrition to date. Due to persistent issues with saliva management, the patient underwent tracheostomy placement on 08/2024. Diagnosed with dysphagia and reflux. MBSS performed on 05/01/2025 reported absence of a swallowing reflex. Famotidine BID 0.6 mL for reflux, Glycopirrolate 1.25 mL BID for drooling, Multivitamin BID 0.5 mL via G-tube, Budesonide BID, Albuterol every 4 hours, Pulmozyme once a day, 1 Pratropium dual once a day, 3% Chloride Sodium PRN, Acetilycyst PRN via nebulizer. A formal oral mechanism examination could not be completed due to Renata’s difficulty with following direct instructions. Structurally, Renata appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, given her history of HIE, the function of her oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, decreased tongue movement, and persistent drooling. Due to limited participation, it was not possible to fully assess for the presence of tethered oral tissues; continued monitoring and further evaluation are recommended. A bedside swallow evaluation revealed that Renata presents with PROFOUND OROPHARYNGEAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER as characterized by impaired oral intake that is not age-appropriate and may be attributed to medical diagnosis (HIE), feeding skills (G­-tube fed), nutritional status, and psychosocial dysfunction. Renata is exclusively G-tube dependent for all nutritional and fluid intake. An MBSS was performed on 05/01/2025 in El Paso Children's Hospital revealed an absence of a swallowing reflex. It is important to note that Renata is not ordered to be NPO by primary physician, and is allowed oral consumption of solids/liquids. According to the mother, Renata has been exposed to different fruits and pureed textures, but given the lack of a swallow reflex, the bolus pools in the oral cavity and is eventually expelled. MEAL TIME FEEDING OBSERVATION: Patient was positioned in her transportation chair, achieving a stable upright position for the duration of the evaluation. She remained alert, with signs of distress observed only during the final portion of the session. SWALLOW/ORAL MOTOR EVALUATION: No trials of food or liquid were provided during the evaluation. Cold lemon swabs and vibratory oral-motor stimulation were used in the oral cavity, specifically on laterals, posterior, anterior tongue, buccal cheeks, and palate, to observe swallowing responses. No swallow response was noted, and there was minimal to no tongue lateralization. Decreased to limited jaw movements, lip function, cheek tone, and oral reflexes were noted. Patient tolerated cold lemon swabs and oral-motor tool to tongue, lips, cheeks, and face for prolonged duration without adverse reaction. Saliva management is currently handled via the patient's tracheostomy and ventilator, as she is not able to manage secretions orally. No signs of choking or gagging with saliva were noted in the evaluation. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 to 45 minutes to address Renata’s CHRONIC PFD and PROFOUND OROPHARYNGEAL DYSPHAGIA. Renata is at risk for compromised health and development due to a significantly limited food inventory and decreased oral motor skills for safe chewing/swallowing. At her age, a child is typically expected to accept 8 or more foods across various food groups as well as consume 2 to 3 meals a day. Moreover, a child this age should be able to safely chew and swallow soft table foods and demonstrate emerging rotary chewing and full tongue lateralization. Therapy will target stimulation of the swallow reflex, oropharyngeal development, and oral awareness. Without therapy, Renata is at risk for nutritional deficiencies, restricted growth, and aspiration. Mrs. Reyes will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

IDPlan of Care
57481
Plan Date: 11-24-2025
Feeding Assessment Summary: PATIENT HX: Renata is a 1 year 9 month old female who was referred by her pediatrician for concerns regarding feeding difficulties. Renata’s mother served as the informant for this evaluation. Renata is exclusively G-tube dependent for all nutritional and fluid intake. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Renata’s feeding/swallowing skills. MEDICAL HX: Renata has a medical history significant for Hypoxic Ischemic Encephalopathy (HIE) secondary to placenta previa-related hypoxia at birth. She required an NG tube from birth to 2 months of age, followed by placement of a G-tube on 4/20/2024, which remains her primary source of nutrition to date. Due to persistent issues with saliva management, the patient underwent tracheostomy placement on 08/2024. Diagnosed with dysphagia and reflux. MBSS performed on 05/01/2025 reported absence of a swallowing reflex. Famotidine BID 0.6 mL for reflux, Glycopirrolate 1.25 mL BID for drooling, Multivitamin BID 0.5 mL via G-tube, Budesonide BID, Albuterol every 4 hours, Pulmozyme once a day, 1 Pratropium dual once a day, 3% Chloride Sodium PRN, Acetilycyst PRN via nebulizer. ORAL MECH EXAM: A formal oral mechanism examination could not be completed due to Renata’s difficulty with following direct instructions. Structurally, Renata appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, given her history of HIE, the function of her oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, decreased tongue movement, and persistent drooling. Due to limited participation, it was not possible to fully assess for the presence of tethered oral tissues; continued monitoring and further evaluation are recommended. FEEDING/SWALLOWING: A bedside swallow evaluation revealed that Renata presents with PROFOUND OROPHARYNGEAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER as characterized by impaired oral intake that is not age-appropriate and may be attributed to medical diagnosis (HIE), feeding skills (G­-tube fed), nutritional status, and psychosocial dysfunction. Renata is exclusively G-tube dependent for all nutritional and fluid intake. An MBSS was performed on 05/01/2025 in El Paso Children's Hospital revealed an absence of a swallowing reflex. It is important to note that Renata is not ordered to be NPO by primary physician, and is allowed oral consumption of solids/liquids. According to the mother, Renata has been exposed to different fruits and pureed textures, but given the lack of a swallow reflex, the bolus pools in the oral cavity and is eventually expelled. MEAL TIME FEEDING OBSERVATION: Patient was positioned in her transportation chair, achieving a stable upright position for the duration of the evaluation. She remained alert, with signs of distress observed only during the final portion of the session. SWALLOW/ORAL MOTOR EVALUATION: No trials of food or liquid were provided during the evaluation. Cold lemon swabs and vibratory oral-motor stimulation were used in the oral cavity, specifically on laterals, posterior, anterior tongue, buccal cheeks, and palate, to observe swallowing responses. No swallow response was noted, and there was minimal to no tongue lateralization. Decreased to limited jaw movements, lip function, cheek tone, and oral reflexes were noted. Patient tolerated cold lemon swabs and oral-motor tool to tongue, lips, cheeks, and face for prolonged duration without adverse reaction. Saliva management is currently handled via the patient's tracheostomy and ventilator, as she is not able to manage secretions orally. No signs of choking or gagging with saliva were noted in the evaluation. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 to 45 minutes to address Renata’s CHRONIC PFD and PROFOUND OROPHARYNGEAL DYSPHAGIA. Renata is at risk for compromised health and development due to a significantly limited food inventory and decreased oral motor skills for safe chewing/swallowing. At her age, a child is typically expected to accept 8 or more foods across various food groups as well as consume 2 to 3 meals a day. Moreover, a child this age should be able to safely chew and swallow soft table foods and demonstrate emerging rotary chewing and full tongue lateralization. Therapy will target stimulation of the swallow reflex, oropharyngeal development, and oral awareness. Without therapy, Renata is at risk for nutritional deficiencies, restricted growth, and aspiration. Mrs. Reyes will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Renata will be discharged when her feeding inventory is clinically deemed adequate for her age, nutritional needs, and safety.
Feeding Long Term Goals:
CategoryGoal Description
Home Management Intervention ProgramWhen counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Feeding/SwallowingIn 12 months, Renata will improve her feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.
Feeding Short Term Goals:
CategoryGoal Description
Feeding/SwallowingIn 6 months, Renata will complete oral motor exercises for tongue lateralization and/or elevation in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/SwallowingIn 6 months, Renata will tolerate oral sensory stimulation (cold/sour swabs, Z-vibe, etc.,) to oral cavity and face for increasing duration up to 5 minutes in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/SwallowingIn 6 months, Renata will demonstrated at least a minimal reflexive swallow in response to oral sensory stimulation in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/SwallowingIn 6 months, Renata will demonstrate improved oral sensory awareness of saliva and increased attempts to manage secretions orally in 3 out of 10 opportunities with support as needed from tracheostomy/vent system across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/SwallowingIn 6 months, Renata's mother will independently implement recommended oral-motor and sensory stimulation exercises at home with 50% accuracy as measured by therapist observation and caregiver feedback across 3 consecutive sessions, to promote safe and efficient feeding.

Feeding Therapy Soap Note/Visit:

IDSoap Note
491227
Note Date: 03-24-2026
Subjective: 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.   Renata completed oral motor exercises for tongue lateralization and/or elevation in 1 out of 10 opportunities with MAX cues in order to improve oral motor skills for adequate feeding/swallowing. Renata tolerated oral sensory stimulation (cold/sour swabs, Z-vibe, etc.,) to oral cavity and face for increasing duration up to 5 minutes in 1 out of 10 opportunities with MAX cues in order to improve oral motor skills for adequate feeding/swallowing. Renata demonstrated at least a minimal reflexive swallow in response to oral sensory stimulation in 1 out of 10 opportunities with MAX cues in order to improve oral motor skills for adequate feeding/swallowing. Renata demonstrated improved oral sensory awareness of saliva and increased attempts to manage secretions orally in 1 out of 10 opportunities with support as needed from tracheostomy/vent system with MAX cues in order to improve oral motor skills for adequate feeding/swallowing. Renata's mother independently implemented recommended oral-motor and sensory stimulation exercises at home with 10% accuracy as measured by therapist observation and caregiver feedback with MAX cues , to promote safe and efficient feeding. *Ampcare ESP treatment provided. Two electrodes placed at sensory level 8 submentally for 30 minutes per protocol to improve oral motor function. Two electrodes placed at motor level 8 on cheeks for 30 minutes per protocol to improve oral motor function.
Plans: Continue with Speech Therapy,
Additional Notes:

Completed Appointments:

IDPlan of Care
Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
84044192610: Feeding Evaluation11-24-2025 02:30 PM11-24-2025 03:15 PMAndrea RodriguezNB2 far east sideCompleted
85640092526: Feeding Visit12-17-2025 12:15 PM12-17-2025 01:00 PMAndrea RodriguezNB2 far east sideCompleted
86411492526: Feeding Visit01-07-2026 11:30 AM01-07-2026 12:15 PMAndrea RodriguezNB2 far east sideCompleted
86728692526: Feeding Visit01-08-2026 12:30 PM01-08-2026 01:15 PMAndrea RodriguezNB2 far east sideCompleted
86947892526: Feeding Visit01-12-2026 11:00 AM01-12-2026 11:45 AMAndrea RodriguezNB2 far east sideCompleted
85949692526: Feeding Visit01-13-2026 12:00 PM01-13-2026 12:45 PMAndrea RodriguezNB2 far east sideCompleted
87401092526: Feeding Visit01-20-2026 11:45 AM01-20-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87257392526: Feeding Visit01-22-2026 02:00 PM01-22-2026 02:45 PMAndrea RodriguezNB2 far east sideCompleted
87925392526: Feeding Visit01-27-2026 11:45 AM01-27-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87401292526: Feeding Visit02-03-2026 11:45 AM02-03-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87401392526: Feeding Visit02-10-2026 11:45 AM02-10-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
88998192526: Feeding Visit02-11-2026 11:30 AM02-11-2026 12:15 PMAndrea RodriguezNB2 far east sideCompleted
87401592526: Feeding Visit02-24-2026 11:45 AM02-24-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
89823292526: Feeding Visit03-02-2026 09:30 AM03-02-2026 10:15 AMAndrea RodriguezNB2 far east sideCompleted
87401692526: Feeding Visit03-03-2026 11:45 AM03-03-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87401792526: Feeding Visit03-10-2026 11:45 AM03-10-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87401892526: Feeding Visit03-17-2026 11:45 AM03-17-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted
87401992526: Feeding Visit03-24-2026 11:45 AM03-24-2026 12:30 PMAndrea RodriguezNB2 far east sideCompleted

Canceled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
83815392610: Feeding Evaluation11-10-2025 10:30 AM11-10-2025 11:30 AMJordan OrozcoNB2 far east sideCanceled
85949592526: Feeding Visit01-06-2026 12:00 PM01-06-2026 12:45 PMAndrea RodriguezNB2 far east sideCanceled
87401192526: Feeding Visit01-27-2026 11:45 AM01-27-2026 12:30 PMAndrea RodriguezNB2 far east sideCanceled
87401492526: Feeding Visit02-17-2026 11:45 AM02-17-2026 12:30 PMAndrea RodriguezNB2 far east sideCanceled
85950192526: Feeding Visit02-17-2026 12:00 PM02-17-2026 12:45 PMAndrea RodriguezNB2 far east sideCanceled

Scheduled Appointments:

Appt-IDServiceStart-DateEnd-DateTherapistLocationStatus
87402092526: Feeding Visit03-31-2026 01:15 PM03-31-2026 02:00 PMAndrea RodriguezNB2 far east sideScheduled
87402192526: Feeding Visit04-07-2026 11:45 AM04-07-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402392526: Feeding Visit04-21-2026 11:45 AM04-21-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402492526: Feeding Visit04-28-2026 11:45 AM04-28-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402592526: Feeding Visit05-05-2026 11:45 AM05-05-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402692526: Feeding Visit05-12-2026 11:45 AM05-12-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402792526: Feeding Visit05-19-2026 11:45 AM05-19-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402892526: Feeding Visit05-26-2026 11:45 AM05-26-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled
87402992526: Feeding Visit06-02-2026 11:45 AM06-02-2026 12:30 PMAndrea RodriguezNB2 far east sideScheduled

Paient Notes:

DatePosted ByDescription
11-07-2025Asbel GuajardoESTIM feeding Parent will stop services at ECI and did explain to me mom that speech and feeding can not be done on the same day. Sent parent the change of provider since she is currently receiving feeding at ECI

Paient Missed Visit Notes:

DateServiceTherapistDescription
02-17-202692526Rodriguez, Andrea
02-17-202692526Rodriguez, AndreaGood morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
01-27-202692526Rodriguez, Andrea
01-27-202692526Rodriguez, Andrea
01-06-202692526Rodriguez, Andrea
11-10-202592610Orozco, Jordan
11-10-202592610Orozco, Jordan

Paient Messages Admin:

DatePosted ByMessage
11-03-2025 04:44 PMAsbel GuajardoPlease fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2363
11-03-2025 05:12 PMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-03-2025 05:12 PMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-03-2025 05:12 PMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-04-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-04-2025 10:44 AMAsbel GuajardoThank you
11-05-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-05-2025 08:41 AMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-05-2025 08:41 AMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-05-2025 08:41 AMRenata ReyesSchedule Evaluation: Patient Renata Reyes needs help!
11-05-2025 11:17 AMAsbel GuajardoHello a therapist will be reaching out to schedule the evaluation
11-05-2025 11:17 AMRenata ReyesThank you 😊
11-06-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-07-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-07-2025 02:57 PMAsbel GuajardoHello this is Asbel from New Beginnings and after reviewing all the information we need the referral before the evaluation. If you have a copy please email it to me aguajardo@newbeginnings-elp.com. Thank you
11-09-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-10-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-11-2025 08:36 AMPatsy GuajardoSchedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9825
11-13-2025 12:47 PMMonica TulliusHello, this is a general broadcast message. Please do not respond to this message.

Holiday Turkey Giveaway!

We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season.
If you or someone you know could use a little extra support this year, you’re invited to pick one up:

Sunday, November 16th
8:00 a.m.
5411 N. Mesa St, Suite 27, El Paso, TX 79912

If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com.

Wishing you and your family a warm and joyful holiday season!

Team New Beginnings
11-25-2025 02:53 PMCeleste ColletteDear 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.
12-10-2025 07:58 AMPatsy GuajardoHi, Renata as been assigned a therapist for Feeding therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9825&tid=127
12-23-2025 02:06 PMStephen TulliusDear Families,

As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do.

We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours.

From all of us, we wish you a joyful holiday season and a bright, healthy New Year!

With warmest regards,

Stephen Tullius
New Beginnings Pediatric Therapy Services
01-20-2026 12:11 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids!

📅 Feb 2nd, 2026
⏰ 10:00 AM
📍 Esperanza Acosta Moreno Public Library

We’d love to see you there! 💙

_________________________________

🌟 ¡Están invitados! 🌟
Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento.

📅 2 de febrero de 2026
⏰ 10:00 a.m.
📍 Biblioteca Pública Esperanza Acosta Moreno

¡Esperamos verlos! 💙
02-03-2026 03:53 PMCaleb Tullius🌟 You’re Invited! 🌟
Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us.
📅 February 7th, 2026
⏰ 4:30 PM
📍 Esperanza Acosta Moreno Public Library
We’d love to see you there! 💙


🌟 ¡Están invitados! 🌟
Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros.
📅 7 de febrero de 2026
⏰ 4:30 p.m.
📍 Biblioteca Pública Esperanza Acosta Moreno
¡Esperamos verlos! 💙
02-16-2026 05:27 PMCaleb TulliusJoin us this Wednesday!
02-16-2026 05:49 PMStephen TulliusPlease 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=9825
02-17-2026 06:30 PMCaleb TulliusHi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled tomorrow at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
02-18-2026 07:30 AMCaleb TulliusHi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled today at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
02-18-2026 04:16 PMStephen TulliusFor those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :)

Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PMStephen TulliusPlease 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=9825
03-11-2026 05:40 PMStephen TulliusHello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

DatePosted ByMessage
11-07-2025 02:05 PMJordan OrozcoHi, this is Jordan from New Beginnings. I will be completing Renata’s feeding evaluation on Monday at 10:30AM at our far east location - 3551 Rich Beem Blvd Unit B. There is some feeding intake paperwork that will need to be printed and brought completed to the evaluation. Do you have access to a printer?
11-07-2025 02:06 PMRenata ReyesRenata (Prim) Replied: Hello. Thank you. No I don't have a printer but I'll go to a place close by where I can print
11-07-2025 02:06 PMJordan OrozcoHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 03:01 PMJordan OrozcoAre you sure? I’m sorry to have to make you do that. Or would you prefer to show up 30 min early to the clinic to complete the paperwork?
11-07-2025 03:02 PMRenata ReyesRenata (Prim) Replied: Ah ok yeah I can be there earlier just in case I don't have a chance to get to the place. Thank you 😊
11-07-2025 03:02 PMJordan OrozcoHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 03:04 PMJordan OrozcoGreat, yes just be sure to show 30 min early to complete it as it can take time some time. Can you also briefly describe your concerns with Renata’s feeding/swallowing so that I can ensure I have the appropriate paperwork ready for you and so I can let you know what items to bring with you.
11-07-2025 03:08 PMRenata ReyesRenata (Prim) Replied: Yes, we will be arrived earlier thank you 😊 She has development problems due to HIE at born. I would like to see if she is candidate to Estim therapy (I was told your clinic have it) she is currently receiving feeding stimulation through ECI but I would like to try something else if possible. Thank you
11-07-2025 03:08 PMJordan OrozcoHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 03:09 PMRenata ReyesRenata (Prim) Replied: **arriving 😣
11-07-2025 03:09 PMJordan OrozcoHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
11-07-2025 03:17 PMJordan OrozcoThank you for that information! Okay, our front office is going to contact you in just a moment. Unfortunately we won’t be able to complete her evaluation on Monday, but we can get her rescheduled soon with Ms Andrea. :)
11-07-2025 03:21 PMRenata ReyesRenata (Prim) Replied: Ok thank you
11-07-2025 03:21 PMJordan OrozcoHi, 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.
11-08-2025 01:32 PMJordan OrozcoJordan Orozco CANCELLED:
10:30AM-11/10/2025
92610: Feeding Evaluation
11-08-2025 01:33 PMJordan OrozcoJordan Orozco CANCELLED:
10:30AM-11/10/2025
92610: Feeding Evaluation
11-11-2025 01:50 PMAndrea Rodriguez StokesHi, this is Andrea from New Beginnings. I will be completing Renata’s feeding evaluation. Would you be available Thursday, the 20th, at 9:30 am?
11-11-2025 01:53 PMRenata ReyesRenata (Prim) Replied: Hello. Thank You Andrea. I have another appointment that I have to wait 6mo to get (optometrist) 🥺 I can't reschedule soon. Would you have any other time or day? Please
11-11-2025 02:00 PMAndrea Rodriguez StokesNo worries! I also have Tuesday, the 25th, at 9:00 am or Thursday, the 4th, at 9:30 am.
11-11-2025 02:01 PMRenata ReyesRenata (Prim) Replied: Tuesday 25th @9 works perfect. Thank you 😊
11-11-2025 02:12 PMAndrea Rodriguez StokesGreat! She is scheduled for Tuesday, the 25th, at 9:00 am. There is some feeding intake paperwork that will need to be printed and brought completed to the evaluation. Do you have access to a printer, or would you prefer arriving 25 minutes earlier to fill it out in the waiting room? :)
11-11-2025 02:16 PMRenata ReyesRenata (Prim) Replied: You can send them to my email please nayabar11@gmail.com
11-11-2025 02:26 PMAndrea Rodriguez StokesLet me know if you received all 3 forms. Thank you!
11-11-2025 02:27 PMRenata ReyesRenata (Prim) Replied: Yes got them. Thank you
11-11-2025 02:30 PMAndrea Rodriguez StokesFor the day of the evaluation, could you please bring 3 non-preferred food items and 3 preferred food items? Portions can be small. As well as cups and utensils you typically use at home. Thank you!
11-11-2025 02:42 PMRenata ReyesRenata (Prim) Replied: Ok. She is Gtube baby. No feeding thru mouth yet. We have given her fruit for taste but no bite or swallowing yet
11-11-2025 02:44 PMRenata ReyesRenata (Prim) Replied: Let me know if you would still need me to take the listed items. That would be no problem.
11-11-2025 02:46 PMRenata ReyesRenata (Prim) Replied: She has development problems due to HIE at born. I would like to see if she is candidate to Estim therapy (I was told your clinic have it) she is currently fed with just formula thru the GTube.
11-11-2025 03:25 PMAndrea Rodriguez StokesThank you for letting me know! We will not be needing any food items. I'll be focusing on observing how Renata uses her mouth muscles and responds to different oral-motor activities first. Thank you!
11-11-2025 03:55 PMRenata ReyesRenata (Prim) Replied: Great ty
11-24-2025 10:04 AMAndrea Rodriguez StokesGood morning! I will see Renata tomorrow at 9:00 am for her feeding initial. I also have an opening today at 2:30 pm in case it works best with your schedule. Let me know. Since you will be filling out the paperwork at home, you do not need to arrive 20-30 minutes earlier. See you soon! :)
11-24-2025 10:05 AMRenata ReyesRenata (Prim) Replied: Hi good morning. Yes today at 2:30 works great for us. We'll be there later today thank you 😊
11-24-2025 10:07 AMAndrea Rodriguez StokesPerfect! See you soon :)
11-24-2025 02:15 PMAndrea Rodriguez StokesRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=840441
11-24-2025 02:15 PMRenata ReyesRenata is CHECKED IN for:
2:30PM-11/24/2025
92610: Feeding Evaluation
11-25-2025 12:01 PMAndrea Rodriguez StokesBuenos días Ms. Ayabar! Tengo una pregunta, el pediatra le recomendó que Renata esté NPO (nada por boca) o está autorizada para consumir alimentos y líquidos por boca en caso de que surga su reflejo de deglución?
11-25-2025 12:27 PMRenata ReyesRenata (Prim) Replied: Buen día
11-25-2025 12:28 PMRenata ReyesRenata (Prim) Replied: No no tiene restricciones
11-25-2025 12:30 PMAndrea Rodriguez StokesMuy bien! Gracias
11-25-2025 01:41 PMAndrea Rodriguez StokesA continuación le enviaré las metas que se trabajaran con Renata:

1. Fuerza y coordinación de la lengua:
Renata trabajará para mover mejor la lengua hacia los lados y hacia arriba durante las actividades de terapia.
2. Reflejo de la deglución:
Renata intentará tragar de manera refleja cuando se estimule su boca con herramientas o sabores como limón o frío.
3. Tolerancia sensorial oral:
Renata aprenderá a tolerar la estimulación en la boca, incluyendo lengua, labios y mejillas, por períodos más largos sin molestarse.
4. Manejo de saliva:
Renata practicará notar y manejar mejor su saliva durante la terapia, aunque todavía use el traqueostomía y ventilador para ayudar.
5. Participación de los cuidadores:
Los cuidadores aprenderán a hacer los ejercicios de estimulación en casa varias veces a la semana y registrar cómo responde Renata.
11-25-2025 01:43 PMAndrea Rodriguez StokesHemos enviado el reporte al doctor primario y al seguro. En cuanto nos tengan respuesta, le envío un mensaje para coordinar las terapias de Renata. Seria una por semana por 30-45 min. Si tiene cualquier duda, hágamelo saber. Muchas gracias!
11-25-2025 01:43 PMAndrea Rodriguez StokesDigame si recibió las metas que se trabajaran los próximos 4-5 meses. Gracias!
11-25-2025 02:17 PMRenata ReyesRenata (Prim) Replied: Loved “Hemos enviado el reporte al doctor primario y al seguro. En cuanto nos tengan respuesta, le envío un mensaje para coordinar las terapias de Renata. Seria una por semana por 30-45 min. Si tiene cualquier duda, hágamelo saber. Muchas gracias!”
11-25-2025 02:17 PMRenata ReyesRenata (Prim) Replied: Como me mandó las metas? Por correo electrónico?
11-25-2025 02:18 PMAndrea Rodriguez StokesA continuación le enviaré las metas que se trabajaran con Renata:

1. Fuerza y coordinación de la lengua:
Renata trabajará para mover mejor la lengua hacia los lados y hacia arriba durante las actividades de terapia.
2. Reflejo de la deglución:
Renata intentará tragar de manera refleja cuando se estimule su boca con herramientas o sabores como limón o frío.
11-25-2025 02:18 PMAndrea Rodriguez Stokes3. Tolerancia sensorial oral:
Renata aprenderá a tolerar la estimulación en la boca, incluyendo lengua, labios y mejillas, por períodos más largos sin molestarse.
4. Manejo de saliva:
Renata practicará notar y manejar mejor su saliva durante la terapia, aunque todavía use el traqueostomía y ventilador para ayudar.
11-25-2025 02:18 PMAndrea Rodriguez Stokes5. Participación de los cuidadores:
Los cuidadores aprenderán a hacer los ejercicios de estimulación en casa varias veces a la semana y registrar cómo responde Renata.
11-25-2025 02:19 PMRenata ReyesRenata (Prim) Replied: Muy bien. Gracias 😊
12-10-2025 09:48 AMAndrea Rodriguez StokesBuenos días! Hemos recibido la autorización de Renata para comenzar sus sesiones de alimentación. La próxima semana tengo disponibilidad el día martes a las 12:00 pm o 12:30 pm o el día miércoles a las 12:15 pm. Dígame qué día funciona mejor con su horario. Estaremos cerrados del 22 de diciembre al 2 de enero. Volvería a ver a Renata la semana del 5 de enero. Empezando en enero, tengo los siguientes disponibles: martes a las 12:00 pm, martes a las 12:30 pm, martes a la 1:15 pm, miércoles a las 11:30 am, jueves a las 2:00 pm. Si me podría indicar qué día funciona mejor con ustedes para agendarla el mismo día y la misma hora todas las semanas. Gracias!!
12-10-2025 10:13 AMRenata ReyesRenata (Prim) Replied: Gracias. La siguiente semana el Mier a las 12:15 pm está muy bien. Ahorita reviso Enero pero lo más probable es k el martes trabaje mejor
12-10-2025 10:17 AMAndrea Rodriguez StokesMuy bien! Nos vemos el proximo Miercoles :)
12-10-2025 11:13 AMRenata ReyesRenata (Prim) Replied: Si muchas gracias 😊
12-14-2025 04:01 PMAndrea Rodriguez StokesHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 12-17-2025 at 12:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-14-2025 04:36 PMRenata ReyesRenata (Prim) Replied: Yes
12-14-2025 04:36 PMAndrea Rodriguez StokesHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-16-2025 06:30 PMAndrea Rodriguez StokesHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
12-17-2025 08:00 AMAndrea Rodriguez StokesHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
12-17-2025 08:04 AMRenata ReyesRenata (Prim) Replied: Good morning. Yes we will be there thank you 😊
12-17-2025 12:00 PMAndrea Rodriguez StokesRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=856400
12-17-2025 12:01 PMRenata ReyesRenata is RUNNING LATE for:
12:15PM-12/17/2025
92526: Feeding Visit
12-17-2025 12:13 PMRenata ReyesRenata is CHECKED IN for:
12:15PM-12/17/2025
92526: Feeding Visit
12-17-2025 01:17 PMAndrea Rodriguez StokesHere is the link for Z-vibe: https://www.amazon.com/dp/B09HZ2SRGQ/?_encoding=UTF8&pd_rd_i=B09HZ2SRGQ&ref_=sbx_be_s_sparkle_ssd_img&qid=1766002620&pd_rd_w=BFAwB&content-id=amzn1.sym.9f2b2b9e-47e9-4764-a4dc-2be2f6fca36d%3Aamzn1.sym.9f2b2b9e-47e9-4764-a4dc-2be2f6fca36d&pf_rd_p=9f2b2b9e-47e9-4764-a4dc-2be2f6fca36d&pf_rd_r=R50H0Y2CT89YB4HSCGQF&pd_rd_wg=HMTj7&pd_rd_r=7ec70c04-c7eb-47e3-acc0-bd5941d3917a&pd_rd_plhdr=t
12-17-2025 01:18 PMAndrea Rodriguez StokesNo tiene que ser esa! Hay más opciones en Amazon y todas tienen el mismo propósito. Nos vemos el 6 de enero. Felices fiestas. Gracias :)
12-17-2025 01:51 PMAndrea Rodriguez StokesTambién se me olvidó comentarle que después de cada sesión recibirá un link. Es solo para firmar y cuenta como asistencia. Gracias!
12-17-2025 01:56 PMRenata ReyesRenata (Prim) Replied: Ok firmado. Muchas gracias 😊
01-04-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 01-06-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PMRenata ReyesRenata (Prim) Replied: Yes
01-04-2026 04:02 PMAndrea RodriguezHi, 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 04:14 PMAndrea RodriguezBuenas tardes! Esta semana le queria ofrecer a Renata una sesión extra. Tengo disponibilidad Miercoles a las 11:00 am o Jueves a las 2:00 pm en caso de que cualquier dia funcione con su horario. De no ser asi, nos vemos solo el Martes. Gracias!!
01-04-2026 04:15 PMAndrea RodriguezPerdon, miercoles a las 11:30 am o jueves a las 2:00 pm.
01-04-2026 04:16 PMRenata ReyesRenata (Prim) Replied: Loved “Buenas tardes! Esta semana le queria ofrecer a Renata una sesión extra. Tengo disponibilidad Miercoles a las 11:00 am o Jueves a las 2:00 pm en caso de que cualquier dia funcione con su horario. De no ser asi, nos vemos solo el Martes. Gracias!!”
01-04-2026 04:16 PMAndrea RodriguezHi, 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 04:16 PMRenata ReyesRenata (Prim) Replied: Gracias 😊 el Mier a las 11:30 funciona
01-04-2026 04:16 PMAndrea RodriguezHi, 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 04:18 PMAndrea RodriguezMuy bien! Nos vemos el Martes a las 12:00 pm y el Miercoles a las 11:30 am. Que tengan buen día!
01-04-2026 04:20 PMRenata ReyesRenata (Prim) Replied: Muchas gracias 😊
01-04-2026 04:20 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 12:39 PMRenata ReyesRenata (Prim) Replied: Hi Ms. Andrea I'm sorry for the last minute but I need to move tomorrow an appointment. I'm at the hospital since Saturday and I don't think I will get discharged today
01-05-2026 01:08 PMAndrea RodriguezAndrea Rodriguez CANCELLED:
12:00PM-1/6/2026
92526: Feeding Visit
01-05-2026 01:09 PMAndrea RodriguezHi! No worries at all, I hope everything is fine. I went ahead and canceled tomorrow's appointment. Let me know if you can make it on Wednesday at 11:30 am. If not, please do not worry. We can always do make-up sessions.
01-05-2026 01:16 PMRenata ReyesRenata (Prim) Replied: Ok I'll let you know. Thank you so much
01-06-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
01-06-2026 06:36 PMRenata ReyesRenata (Prim) Replied: Hello. Yes we should be there. Thank you
01-07-2026 08:00 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
01-07-2026 09:46 AMAndrea RodriguezGood morning! I will see you today at 11:30 am. I also have an extra opening tomorrow, Thursday at 12:30 pm, in case it works with your schedule. If not, no worries :)
01-07-2026 09:50 AMRenata ReyesRenata (Prim) Replied: Good morning. Yes see you later 👋 and tomorrow works too. Thank you 😊
01-07-2026 11:15 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=864114
01-07-2026 11:16 AMRenata ReyesRenata is CHECKED IN for:
11:30AM-1/7/2026
92526: Feeding Visit
01-07-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 12:30 PM. See you soon! - New Beginnings 🙂
01-08-2026 08:02 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 12:30 PM. See you soon! - New Beginnings 🙂
01-08-2026 08:56 AMRenata ReyesRenata (Prim) Replied: Good morning. Yes we should be there. Thank you
01-08-2026 12:15 PMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=867286
01-08-2026 12:29 PMRenata ReyesRenata is CHECKED IN for:
12:30PM-1/8/2026
92526: Feeding Visit
01-08-2026 04:23 PMAndrea RodriguezHola! La siguiente semana tengo disponible el día lunes a las 11:00 am para una sesión extra en caso de que funcione con su horario. De no ser así, no se preocupe, nos vemos el martes. Gracias :)
01-08-2026 04:24 PMRenata ReyesRenata (Prim) Replied: Hola. Si funciona bien 👍🏻 gracias
01-08-2026 05:00 PMAndrea RodriguezGracias!
01-11-2026 04:01 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 01-12-2026 at 11:00 AM, and on 01-13-2026 at 12:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
01-11-2026 07:05 PMRenata ReyesRenata (Prim) Replied: Yes thank you
01-11-2026 07:05 PMAndrea RodriguezHi, 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.
01-12-2026 07:58 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
01-12-2026 10:45 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=869478
01-12-2026 11:03 AMRenata ReyesRenata is CHECKED IN for:
11:00AM-1/12/2026
92526: Feeding Visit
01-12-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 07:56 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 08:07 AMRenata ReyesRenata (Prim) Replied: Yes thank you
01-13-2026 11:45 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=859496
01-13-2026 12:00 PMRenata ReyesRenata is CHECKED IN for:
12:00PM-1/13/2026
92526: Feeding Visit
01-13-2026 12:54 PMAndrea RodriguezHola! No estaré en la clínica el día 17 de febrero. Cancelaré esa cita y la podemos usar este lunes 19 a las 11:00 am en caso de que funcione con su horario. De esa manera, también la próxima semana vería a Renata dos días. Si no, no se preocupe, podemos agendar ese makeup después :)
01-13-2026 12:55 PMAndrea RodriguezAndrea Rodriguez CANCELLED:
12:00PM-2/17/2026
92526: Feeding Visit
01-13-2026 12:57 PMRenata ReyesRenata (Prim) Replied: Hola. El lunes 19 viene Magda speech
01-13-2026 02:47 PMAndrea RodriguezTengo disponible también miércoles a las 11:30 am o jueves a las 2:00 pm en caso de que alguno de esos dos funcione. Si no, no se preocupe, nos vemos el martes!
01-13-2026 02:48 PMRenata ReyesRenata (Prim) Replied: Jueves 22 a las 2 trabaja mejor. Gracias 😊
01-13-2026 02:50 PMRenata ReyesRenata (Prim) Replied: Estoy confundida lo siento. Estamos hablando de Febrero ? 😬 sorry estaba mirando Enero
01-13-2026 02:56 PMAndrea RodriguezNo se preocupe! De Enero :)
La cita que cancelé ya que no estaré aquí es la del día 17 de febrero. Ese día no podré ver a Renata ya que estaré fuera de la ciudad tomando un curso. Quería utilizar esa visita perdida y usarla en estas próximas semanas. Tengo disponible enero 21 a las 11:30 am y enero 22 a las 2:00 pm. Si alguna de esas fechas funciona con su horario, la puedo agendar. Si no, no se preocupe, nos vemos solo en la cita semanal de Renata del martes :)
01-13-2026 02:57 PMRenata ReyesRenata (Prim) Replied: Ahhhhh ya entiendo 😬 ok si ener 22 2 pm funciona
01-13-2026 02:57 PMRenata ReyesRenata (Prim) Replied: Gracias 😊
01-13-2026 03:04 PMAndrea RodriguezPerfecto! Nos vemos el próximo martes y jueves :)
01-13-2026 03:05 PMRenata ReyesRenata (Prim) Replied: 🙌🏻 ok gracias
01-15-2026 04:18 PMAndrea RodriguezHola! Queria preguntarle si a partir de la próxima semana puedo ver a Renata los martes a las 11:45 en vez de las 12:00 pm. Digame si esto funciona con su horario. Gracias!! :)
01-15-2026 06:18 PMRenata ReyesRenata (Prim) Replied: Hola. Si claro está bien 👍🏻 gracias
01-15-2026 07:18 PMAndrea RodriguezGracias!!
01-18-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 01-20-2026 at 11:45 AM, and on 01-22-2026 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 04:16 PMRenata ReyesRenata (Prim) Replied: Yes thank you 😊
01-18-2026 04:16 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-19-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
01-19-2026 07:39 PMRenata ReyesRenata (Prim) Replied: Yes thank you 🙏
01-19-2026 07:39 PMAndrea RodriguezHi, 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 08:06 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
01-20-2026 08:39 AMRenata ReyesRenata (Prim) Replied: Good morning. Yes will be there. Ty
01-20-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874010
01-20-2026 11:42 AMRenata ReyesRenata is RUNNING LATE for:
11:45AM-1/20/2026
92526: Feeding Visit
01-21-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
01-21-2026 06:45 PMRenata ReyesRenata (Prim) Replied: Yes Thank you
01-22-2026 07:57 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
01-22-2026 01:39 PMRenata ReyesRenata (Prim) Replied: I'm here already if you are ready
01-22-2026 01:45 PMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=872573
01-22-2026 01:45 PMRenata ReyesRenata is CHECKED IN for:
2:00PM-1/22/2026
92526: Feeding Visit
01-25-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 01-27-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 05:20 PMRenata ReyesRenata (Prim) Replied: No
01-25-2026 05:20 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 05:20 PMRenata ReyesRenata (Prim) Replied: I'm sorry I need to reschedule please
01-25-2026 05:20 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 05:30 PMAndrea RodriguezAndrea Rodriguez CANCELLED:
11:45AM-1/27/2026
92526: Feeding Visit
01-25-2026 05:31 PMAndrea RodriguezAndrea Rodriguez CANCELLED:
11:45AM-1/27/2026
92526: Feeding Visit
01-25-2026 05:32 PMAndrea RodriguezHi! No worries! Let me know if Thursday at 9:45 am works for you. If not, no worries we can do a makeup in the following weeks :)
01-25-2026 05:43 PMRenata ReyesRenata (Prim) Replied: I'm so sorry Andrea I thought tomorrow was the 27th
01-25-2026 05:43 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 05:44 PMRenata ReyesRenata (Prim) Replied: I can make it on Tuesday the 27th at 11:45 if you don't mind to put me back 😵
01-25-2026 05:44 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-25-2026 05:45 PMAndrea RodriguezOf course! See you Tuesday :)
01-25-2026 05:45 PMRenata ReyesRenata (Prim) Replied: Thank you 😊
01-25-2026 05:45 PMAndrea RodriguezHi, 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.
01-26-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
01-26-2026 06:38 PMRenata ReyesRenata (Prim) Replied: Yes thank you
01-27-2026 08:05 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
01-27-2026 09:21 AMRenata ReyesRenata (Prim) Replied: Yes thank you 😊
01-27-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879253
01-27-2026 11:44 AMRenata ReyesRenata is CHECKED IN for:
11:45AM-1/27/2026
92526: Feeding Visit
02-01-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 02-03-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 04:10 PMRenata ReyesRenata (Prim) Replied: Yes
02-01-2026 04:10 PMAndrea RodriguezHi, 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.
02-02-2026 10:30 AMAndrea RodriguezRodriguez, Andrea: Good morning, families! I will not be at the clinic from February, the 16th to 20th. I will be offering make-up sessions in the following weeks once I come back. Thank you so much! :)
02-02-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:15 PMRenata ReyesRenata (Prim) Replied: Yes thank you
02-03-2026 07:58 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
02-03-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874012
02-03-2026 01:25 PMAndrea RodriguezLa próxima semana tengo disponible el Miércoles a las 11:30 am para una sesión extra en caso de que funcione con su horario. Gracias!
02-03-2026 01:30 PMRenata ReyesRenata (Prim) Replied: Hola si el Mier 11:30 funciona. Gracias
02-03-2026 01:30 PMAndrea RodriguezGracias!!
02-08-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 02-10-2026 at 11:45 AM, and on 02-11-2026 at 11:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-09-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
02-09-2026 06:49 PMRenata ReyesRenata (Prim) Replied: Yes
02-09-2026 06:49 PMRenata ReyesRenata (Prim) Replied: Thank you ☺️
02-10-2026 07:57 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
02-10-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874013
02-10-2026 11:44 AMRenata ReyesRenata is CHECKED IN for:
11:45AM-2/10/2026
92526: Feeding Visit
02-11-2026 10:20 AMRenata ReyesRenata (Prim) Replied: Andrea aún tengo tiempo de ir hoy?
02-11-2026 10:20 AMRenata ReyesRenata (Prim) Replied: Ya salí de mi cita si aún la tiene disponible me avisa gracias
02-11-2026 10:56 AMAndrea RodriguezSi!
02-11-2026 10:56 AMAndrea RodriguezPerdoneme apenas vi su mensaje
02-11-2026 10:56 AMAndrea RodriguezSi alcanza a llegar aqui la veo, si no, no se preocupe:)
02-11-2026 10:58 AMRenata ReyesRenata (Prim) Replied: Si ahí vamos gracias 😊
02-11-2026 11:00 AMAndrea RodriguezAqui nos vemos a las 11:30 :)
02-11-2026 11:15 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=889981
02-14-2026 10:22 AMRenata ReyesRenata (Prim) Replied: Happy Valentine's Day a mi terapista menos preferida (no no es cierto) nos encanta tu terapia. Gracias por tu dedicación y cariño. Bonito día
02-14-2026 10:22 AMAndrea RodriguezHi, 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.
02-14-2026 11:40 AMAndrea RodriguezMuchisimas gracias por el mensaje! Estoy muy feliz de poder formar parte de las terapias de Renata. Que tengan muy bonito día y que lo disfruten mucho!! Nos vemos el 17 :)
02-22-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 02-24-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-23-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
02-23-2026 07:30 PMRenata ReyesRenata (Prim) Replied: Yes thank you 😊
02-23-2026 07:30 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-24-2026 07:49 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
02-24-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874015
02-24-2026 11:51 AMRenata ReyesRenata (Prim) Replied: Hello Andrea we're still 10pm away is that okay?
02-24-2026 11:51 AMAndrea RodriguezYes! That should be okay :)
02-24-2026 11:52 AMAndrea RodriguezAs long as we have 30 minutes, we can do the therapy
03-01-2026 04:01 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 03-02-2026 at 9:30 AM, and on 03-03-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:08 PMRenata ReyesRenata (Prim) Replied: Yes
03-01-2026 04:08 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-01-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:56 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
03-02-2026 07:57 AMRenata ReyesRenata (Prim) Replied: Yes thank you 😊
03-02-2026 09:15 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=898232
03-02-2026 09:24 AMRenata ReyesRenata is CHECKED IN for:
9:30AM-3/2/2026
92526: Feeding Visit
03-02-2026 09:42 AMRenata ReyesRenata (Prim) Replied: Sorry almost tgeee
03-02-2026 09:43 AMAndrea RodriguezNo worries!!
03-02-2026 11:07 AMAndrea RodriguezNo worries!!
03-02-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:49 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:50 AMRenata ReyesRenata (Prim) Replied: Yes, thank you
03-03-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874016
03-03-2026 11:43 AMRenata ReyesRenata is CHECKED IN for:
11:45AM-3/3/2026
92526: Feeding Visit
03-03-2026 12:30 PMAndrea RodriguezHola! Marzo 31 puedo ver a Renata 1:15 pm, funciona con su horario?
03-03-2026 12:56 PMRenata ReyesRenata (Prim) Replied: Si gracias
03-08-2026 04:01 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 03-10-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:12 PMRenata ReyesRenata (Prim) Replied: Yes
03-08-2026 04:12 PMAndrea RodriguezHi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-09-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:46 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
03-10-2026 07:58 AMRenata ReyesRenata (Prim) Replied: Yes thank you
03-10-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874017
03-10-2026 11:42 AMRenata ReyesRenata is CHECKED IN for:
11:45AM-3/10/2026
92526: Feeding Visit
03-15-2026 04:01 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 03-17-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:04 PMRenata ReyesRenata (Prim) Replied: Yes
03-15-2026 04:04 PMAndrea RodriguezHi, 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.
03-16-2026 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:45 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
03-17-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874018
03-17-2026 11:41 AMRenata ReyesRenata is CHECKED IN for:
11:45AM-3/17/2026
92526: Feeding Visit
03-22-2026 04:02 PMAndrea RodriguezHi, this is a just a reminder that Reyes, Renata has a Feeding Therapy appointment on 03-24-2026 at 11:45 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:21 PMRenata ReyesRenata (Prim) Replied: Yes
03-22-2026 04:21 PMAndrea RodriguezHi, 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 06:30 PMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled tomorrow at 11:45 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:47 AMAndrea RodriguezHi, this is a just a reminder that Renata has a Feeding Therapy appointment scheduled today at 11:45 AM. See you soon! - New Beginnings 🙂
03-24-2026 11:30 AMAndrea RodriguezRenata Reyes : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=874019
03-24-2026 11:47 AMRenata ReyesRenata is RUNNING LATE for:
11:45AM-3/24/2026
92526: Feeding Visit