New Beginnings | NB1-Office

Patient Name: Ezekiel

Patient Information:

Patient ID: 9837

Patient First Name: Ezekiel

Patient Date of Birth: 12-29-2023

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Hassan, Salloum

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Bustillos, Natalia

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
23205	Active	01-28-2026	07-25-2027	Superior Health Plan	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25987	12-12-2025	Speech Initial Evaluation	F80.2
Speech Background History: Ezekiel is a 1 year-old and 11 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Higgins accompanied him and served as the primary informant for the evaluation. According to parent report, Ezekiel’s communication is characterized by limited verbal output with increased reliance on pointing. During the evaluation, Ezekiel’s expressive language was characterized primarily by symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ezkiel’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 1 -2 words in length. Ezkiel was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). LANGUAGE BACKGROUND: LANGUAGE INPUT: Ezekiel’s mother reported that he is exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Ezkiel did not produce verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English.
Speech Medical History: According to the mother's report, Ezekiel was premature, and complications were experienced during pregnancy.
Speech Medications: None
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: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths:
Speech Communication Weaknesses: Poor use of eye contact, Unable to follow commands,
Speech Background Summary: Ezekiel was accompanied by his mother to the evaluation, which was conducted in the clinic room. During the evaluation, Ezekiel exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process.
Speech Diagnosis/Impressions: Ezekiel is a 1 year-old and 11 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Higgins accompanied him and served as the primary informant for the evaluation. According to the parent report, Ezekiel’s communication is characterized by limited verbal output with increased reliance on pointing. During the evaluation, Ezekiel’s expressive language was characterized primarily by symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ezkiel’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 1 -2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ezekiel’s mother reported that he is exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Ezkiel did not produce verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Ezekiel exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. Ezkiel was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Ezekiel received the following Standard Scores on the PLS-5: Auditory Comprehension 66 (raw score: 15, percentile, age equivalent:11 months), Expressive Communication 69 (raw score: 16, percentile: 2, age equivalent: 11 months, and Total Language Score 65 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Ezekiel 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 Ezekiel’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ezekiel would greatly benefit from speech therapy that targets the following age-appropriate concepts: joint attention/sustaining attention to tasks, following everyday instructions, imitating environmental sounds, imitating functional signs and gestures, demonstrating functional play, and using the total communication approach. Speech therapy is highly recommended at this time, as Ezekiel’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ezekiel’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. Ezekiel’s mother will be responsible for his Home Exercise Program (HEP).
Speech Diagnosis/Impressions: Ezekiel is a 1 year-old and 11 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Higgins accompanied him and served as the primary informant for the evaluation. According to the parent report, Ezekiel’s communication is characterized by limited verbal output with increased reliance on pointing. During the evaluation, Ezekiel’s expressive language was characterized primarily by symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ezkiel’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 1 -2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ezekiel’s mother reported that he is exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Ezkiel did not produce verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Ezekiel exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. Ezkiel was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Ezekiel received the following Standard Scores on the PLS-5: Auditory Comprehension 66 (raw score: 15, percentile, age equivalent:11 months), Expressive Communication 69 (raw score: 16, percentile: 2, age equivalent: 11 months, and Total Language Score 65 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Ezekiel 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 Ezekiel’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ezekiel would greatly benefit from speech therapy that targets the following age-appropriate concepts: joint attention/sustaining attention to tasks, following everyday instructions, imitating environmental sounds, imitating functional signs and gestures, demonstrating functional play, and using the total communication approach. Speech therapy is highly recommended at this time, as Ezekiel’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ezekiel’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. Ezekiel’s mother will be responsible for his Home Exercise Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

57768

Plan Date: 12-12-2025

Speech Assessment Summary: Ezekiel is a 1 year-old and 11 month-old male who was referred for a speech and language evaluation by his pediatrician due to language delay. Mrs. Higgins accompanied him and served as the primary informant for the evaluation. According to the parent report, Ezekiel’s communication is characterized by limited verbal output with increased reliance on pointing. During the evaluation, Ezekiel’s expressive language was characterized primarily by symbolic gestures (e.g., pointing). According to developmental norms, a typically developing child of Ezkiel’s age should have an expressive vocabulary of approximately 50-200 words and produce utterances of 1 -2 words in length. LANGUAGE BACKGROUND: LANGUAGE INPUT: Ezekiel’s mother reported that he is exposed to English within his home environment. LANGUAGE OUTPUT: During the evaluation, Ezkiel did not produce verbal output. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted primarily in English. During the evaluation, Ezekiel exhibited distractibility, had difficulty remaining seated, demonstrated limited and inconsistent eye contact, and required FREQUENT AND NUMEROUS prompts to engage in the evaluation process. Ezkiel was evaluated using the Preschool Language Scales Fifth Edition (PLS-5). Ezekiel received the following Standard Scores on the PLS-5: Auditory Comprehension 66 (raw score: 15, percentile, age equivalent:11 months), Expressive Communication 69 (raw score: 16, percentile: 2, age equivalent: 11 months, and Total Language Score 65 (percentile: 1, age equivalent: 11 months). According to the Standard Scores that Ezekiel 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 Ezekiel’s SEVERE MIXED RECEPTIVE/EXPRESSIVE LANGUAGE DISORDER. Ezekiel would greatly benefit from speech therapy that targets the following age-appropriate concepts: joint attention/sustaining attention to tasks, following everyday instructions, imitating environmental sounds, imitating functional signs and gestures, demonstrating functional play, and using the total communication approach. Speech therapy is highly recommended at this time, as Ezekiel’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age. Without speech therapy, Ezekiel’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. Ezekiel’s mother will be responsible for his Home Exercise Program (HEP).

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

Speech and Language Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Receptive Language	Within 1 year, Ezekiel will improve her receptive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate understanding of language for daily use.
Expressive Language	Within 1 year, Ezekiel will improve her expressive language skills with 50% accuracy across 5 consecutive sessions in order to facilitate use of functional language for daily use.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, Ezekiel will follow everyday instructions (e.i. sit down, come here, etc) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve comprehension of instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Play/Socialization	Within 6 months, Ezekiel will demosntrate joint attention with 30% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that @ will receptively increase her language and eventually expressively.
Play/Socialization	Within 6 months, Ezekiel will demonstrate functional play (i.e., stacking blocks, driving cars, feeding animals food, etc.) for at least 60 seconds using appropriate eye-contact in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.
Expressive Language	Within 6 months, Ezekiel will imitate environmental sounds and/or speech sounds modeled by clinician during play-based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive Language	Within 6 months, Ezekiel will imitate functional gestures (i.e., open, close, all done, more, again, please, sorry, want, help, milk, etc.) modeled by clinician during play?based tasks in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional gestures to communicate wants/needs with caregivers.
Expressive Language	Within 6 months, Ezekiel will use total communication (eye contact, purposeful vocalizations, pointing, gestures, etc.) WITHOUT ADVERSE BEHAVIORS in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).

Speech and Language Soap Note/Visit:

Soap Note

490652

Note Date: 03-21-2026

Subjective: Patient needed frequent reminders to return to task,Patient was distractible and inattentive,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents incorporated the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training optimized patients functional communication tasks in the home. Ezekiel followed everyday instructions (e.i. sit down, come here, etc) in 1 out of 10 opportunities with maximum verbal and gestural cues. Ezekiel demosntrated joint attention with 10% accuracy with maximum verbal cues. Ezekiel imitated functional gestures (i.e., open, close, all done, more, again, please, sorry, want, help, milk, etc.) modeled by clinician during play?based tasks in 1 out of 10 opportunities with maximum verbal cues. Patient observed to be distracted as evidenced by climbing on chairs and table. Maximum redirection required to increase engagement and attention throughout time of intervention. Patient observed to word approximate the word 'open' in 1 trial.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
854054	92523: Artic & Language Eval	12-12-2025 02:00 PM	12-12-2025 03:00 PM	Jessica Ortiz	NB2 far east side	Completed
887492	92507: Speech & Language Visit	02-12-2026 03:15 PM	02-12-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Completed
887493	92507: Speech & Language Visit	02-19-2026 03:15 PM	02-19-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Completed
887494	92507: Speech & Language Visit	02-26-2026 03:15 PM	02-26-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Completed
906943	92507: Speech & Language Visit	03-18-2026 02:15 PM	03-18-2026 03:00 PM	Natalia Bustillos	NB2 far east side	Completed
887497	92507: Speech & Language Visit	03-19-2026 03:15 PM	03-19-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
843253	92523: Artic & Language Eval	12-02-2025 05:00 PM	12-02-2025 06:00 PM	Jessica Ortiz	NB2 far east side	Canceled
887495	92507: Speech & Language Visit	03-05-2026 03:15 PM	03-05-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Canceled
887496	92507: Speech & Language Visit	03-12-2026 03:15 PM	03-12-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Canceled
887498	92507: Speech & Language Visit	03-26-2026 03:15 PM	03-26-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
887499	92507: Speech & Language Visit	04-02-2026 03:15 PM	04-02-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
910340	92507: Speech & Language Visit	04-07-2026 01:00 PM	04-07-2026 01:45 PM	Natalia Bustillos	NB2 far east side	Scheduled
887500	92507: Speech & Language Visit	04-09-2026 03:15 PM	04-09-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887501	92507: Speech & Language Visit	04-16-2026 03:15 PM	04-16-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887502	92507: Speech & Language Visit	04-23-2026 03:15 PM	04-23-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887503	92507: Speech & Language Visit	04-30-2026 03:15 PM	04-30-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887504	92507: Speech & Language Visit	05-07-2026 03:15 PM	05-07-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887505	92507: Speech & Language Visit	05-14-2026 03:15 PM	05-14-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887506	92507: Speech & Language Visit	05-21-2026 03:15 PM	05-21-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887507	92507: Speech & Language Visit	05-28-2026 03:15 PM	05-28-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887508	92507: Speech & Language Visit	06-04-2026 03:15 PM	06-04-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887509	92507: Speech & Language Visit	06-11-2026 03:15 PM	06-11-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887510	92507: Speech & Language Visit	06-18-2026 03:15 PM	06-18-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887511	92507: Speech & Language Visit	06-25-2026 03:15 PM	06-25-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887512	92507: Speech & Language Visit	07-02-2026 03:15 PM	07-02-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887513	92507: Speech & Language Visit	07-09-2026 03:15 PM	07-09-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887514	92507: Speech & Language Visit	07-16-2026 03:15 PM	07-16-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887515	92507: Speech & Language Visit	07-23-2026 03:15 PM	07-23-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887516	92507: Speech & Language Visit	07-30-2026 03:15 PM	07-30-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled
887517	92507: Speech & Language Visit	08-06-2026 03:15 PM	08-06-2026 04:00 PM	Natalia Bustillos	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-26-2026	92507	Bustillos, Natalia
03-12-2026	92507	Bustillos, Natalia
03-05-2026	92507	Bustillos, Natalia
12-02-2025	92523	Ortiz, Jessica

Paient Messages Admin:

Date	Posted By	Message
08-20-2025 02:13 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/register/default.aspx?sid=2077
09-03-2025 01:59 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I would like to know if you are still interested in moving forward with the services. If so please complete the intake paperwork as well as uploading id and insurance id. If you have any questions please call us 915-303-5177 Thank you
09-12-2025 05:25 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2077
11-11-2025 11:18 AM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am messaging you if you could please have the primary care doctor fax us new referrals for both to 915-303-5381 Thank you
11-13-2025 12:46 PM	Monica Tullius	Hello, this is a general broadcast message. Please do not respond to this message. Holiday Turkey Giveaway! We’re happy to share that Hope Across the Border is giving away free turkeys for the holiday season. If you or someone you know could use a little extra support this year, you’re invited to pick one up: Sunday, November 16th 8:00 a.m. 5411 N. Mesa St, Suite 27, El Paso, TX 79912 If you or someone you know would like a turkey, please email: hopeacrossstheborder@gmail.com. Wishing you and your family a warm and joyful holiday season! Team New Beginnings
11-13-2025 04:13 PM	Asbel Guajardo	REMOVED: Higgins, Ezekiel 5:00PM-12/2/2025 92523: Speech Evaluation
11-13-2025 04:13 PM	Asbel Guajardo	RESCHEDULED: Higgins, Ezekiel 5:00PM-12/2/2025 92523: Speech Evaluation
11-25-2025 02:52 PM	Celeste Collette	Dear Parents, We are deeply grateful for the love, trust, and partnership of our amazing families. Thank you for allowing us to be part of your child’s journey! From all of us at New Beginnings, we wish you a very Happy Thanksgiving filled with comfort, joy, and meaningful moments with the ones you cherish.
11-28-2025 03:48 PM	Ezekiel Higgins	Is there an earlier time for 12/2/2025
12-23-2025 02:05 PM	Stephen Tullius	Dear Families, As the holiday season approaches, we want to take a moment to express our heartfelt gratitude to you. It has been a true privilege to be part of your child’s journey this year. Every milestone reached, every effort made, and every smile shared, reminds us why we do what we do. We hope this season brings your family moments of joy, rest, and togetherness. May the coming year be filled with continued progress and many reasons to celebrate. We’d like to remind you at this time that our offices will be closed from December 24th thru January 4th. We will reopen Monday, January 5th, regular hours. From all of us, we wish you a joyful holiday season and a bright, healthy New Year! With warmest regards, Stephen Tullius New Beginnings Pediatric Therapy Services
01-20-2026 12:10 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:46 PM	Patsy Guajardo	Hi, Ezekiel as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Natalia https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9837&tid=142
02-03-2026 03:52 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:48 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9837
02-18-2026 04:15 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:22 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9837
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
11-10-2025 07:56 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=9837&tid=44
11-10-2025 07:56 PM	Ezekiel Higgins	Ezekiel SCHEDULED: 1:00PM-11/20/2025 92523: Speech Evaluation
11-11-2025 03:06 PM	Jessica Ortiz	Hi Mrs. Higgins, this is Jessica. I wanted to ask if it would be possible to reschedule Ezekiel’s initial evaluation. The system mistakenly opened my availability on Thursday, November 20th at 1 PM, but I already have a session scheduled at that time. Some alternative options would be Friday, November 14th, at 2 PM or Tuesday, December 2nd, at 5 PM. Also, the front office informed me that a new referral will be required to proceed with the evaluation. Please let me know which option works best for you. Thank you!
11-11-2025 03:07 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: December 2
11-11-2025 03:09 PM	Jessica Ortiz	Great! I will reschedule Ezekiel's initial evaluation to December 2nd at 5 p.m. Thank you for your flexibility.
11-11-2025 03:21 PM	Jessica Ortiz	Hi, your Speech Evaluation on MM-dd-yyyy HH:mm has been removed. If you have any questions or need to reschedule, please message us. Thank you!
12-01-2025 09:52 AM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be completing Ezekiel’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: tomorrow, December 2, 2025, at 5 PM. Our address is 3551 Rich Been, Suite B, 79938. Please complete this short questionnaire, which I’ll be sending as an attachment. Please reply to the questions via text message. Thank you!
12-01-2025 09:52 AM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/12012025095234-NB-initial.pdf
12-01-2025 09:56 AM	Jessica Ortiz	Hello, Mrs. Higgins. Could you please confirm that you received the attachment and also confirm the appointment by no later than 4 pm? Thank you.
12-01-2025 09:58 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes
12-01-2025 10:04 AM	Jessica Ortiz	When you have a moment, please complete the questionnaire. Thank you.
12-01-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Ezekiel has a Speech Evaluation appointment scheduled tomorrow at 05:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 07:56 AM	Jessica Ortiz	Hi, this is a just a reminder that Ezekiel has a Speech Evaluation appointment scheduled today at 05:00 PM. See you soon! - New Beginnings 🙂
12-02-2025 04:04 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: Hello I wanted to see if we can reschedule his evaluation his still in the hospital I thought he was going to get discharged today
12-02-2025 04:45 PM	Jessica Ortiz	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=843253
12-02-2025 04:56 PM	Jessica Ortiz	Jessica Ortiz CANCELLED: 5:00PM-12/2/2025 92523: Artic & Language Eval
12-02-2025 05:18 PM	Jessica Ortiz	Hi, I just wanted to let you know that our clinic has a policy regarding multiple missed or canceled appointments. If several visits are missed, the patient may be discharged. We wanted to give you a friendly reminder to help avoid that and make sure your child gets the evaluation he needs. This will be our final opportunity to provide you. This week, I have Friday at 12 pm or next week on Tuesday at 5 pm. Do any of these times work for you?
12-02-2025 05:19 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: Next week on Tuesday
12-02-2025 05:21 PM	Jessica Ortiz	Alright, I will reschedule Ezekiel's appointment for next Tuesday at 5 pm. Thank you.
12-03-2025 11:57 AM	Jessica Ortiz	Hi Mrs. Higgins, this is Jessica. I was informed by the front office that your other child has not been tested yet. Since Mrs. Christine is now on maternity leave, she will not be able to complete that evaluation. If you would like me to assess both of them, I can do that, but I won’t be able to complete two initial evaluations on Tuesday at 5 pm. I do have availability on Friday, December 12, at 1 pm and 2 pm to evaluate them. This is the only time I currently have open. Please let me know if this works for you so we can reschedule the appointments.
12-03-2025 12:00 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: 1 pm
12-03-2025 12:57 PM	Jessica Ortiz	I will schedule the two initial evaluations for Friday, December 12, at 1:00 PM and 2:00 PM. When you have a moment, could you please fill out the questionnaire I sent for both Ezekiel and Sarah?
12-11-2025 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Ezekiel has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
12-12-2025 07:37 AM	Jessica Ortiz	Hi, this is a just a reminder that Ezekiel has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
12-12-2025 11:35 AM	Jessica Ortiz	Hi Mrs. Higgins, I just wanted to confirm our two initial evaluations at 1 and 2 pm.
12-12-2025 11:37 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes ma'am
12-12-2025 11:42 AM	Jessica Ortiz	Awesome, See you soon.
12-12-2025 12:48 PM	Jessica Ortiz	Hi Mrs. Higgins, I'll be with you shortly :)
12-12-2025 01:45 PM	Jessica Ortiz	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=854054
02-03-2026 04:28 PM	Natalia Bustillos	Good afternoon, This is Natalia Bustillos from New Beginnings. I will be Ezekiel's speech therapist. I am reaching out to introduce myself as well as to schedule therapy. What does your availability look like?
02-09-2026 09:04 AM	Natalia Bustillos	Good morning, This is Natalia Bustillos from New Beginnings. I will be Ezekiel's speech therapist. I am reaching out to introduce myself as well as to schedule therapy. What does your availability look like?
02-09-2026 09:23 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Open availability
02-09-2026 09:26 AM	Natalia Bustillos	I know Ms. Anettte has sibling at Thursday at 3:15. Would the same time work for Ezekiel?
02-09-2026 09:32 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes ma'am
02-09-2026 09:33 AM	Natalia Bustillos	Perfect! I went ahead and scheduled for that time. I'm looking forward to working with Ezequiel (:
02-11-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
02-11-2026 06:51 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes ma'am
02-12-2026 08:00 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
02-12-2026 03:00 PM	Natalia Bustillos	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887492
02-12-2026 04:06 PM	Natalia Bustillos	https://st-pros.com/newbeginnings/documents/02122026160600-01192026103951-ParentEducationJointAttention-1.pdf
02-12-2026 04:06 PM	Natalia Bustillos	https://st-pros.com/newbeginnings/documents/02122026160625-01302026160327-Screen-Shot-2026-01-29-at-11.56.12-AM.pdf
02-12-2026 04:07 PM	Natalia Bustillos	Good afternoon, Here are the worksheets I had mentioned during session. If you have any questions do not hesitate to reach out. Thank you so much (:
02-15-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Higgins, Ezekiel has a Speech Therapy appointment on 02-19-2026 at 3:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 04:44 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes
02-15-2026 04:44 PM	Natalia Bustillos	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	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
02-19-2026 07:54 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
02-19-2026 03:00 PM	Natalia Bustillos	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887493
02-19-2026 03:03 PM	Ezekiel Higgins	Ezekiel is CHECKED IN for: 3:15PM-2/19/2026 92507: Speech & Language Visit
02-22-2026 04:03 PM	Natalia Bustillos	Hi, this is a just a reminder that Higgins, Ezekiel has a Speech Therapy appointment on 02-26-2026 at 3:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 10:01 PM	Natalia Bustillos	Good evening, Hope all is well. I am reaching out because I am missing a signature from last weeks visit. I have resent the link, if you could please sign at your earliest convenience. Thank you (:
02-25-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
02-26-2026 07:52 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
02-26-2026 03:00 PM	Natalia Bustillos	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887494
02-26-2026 03:01 PM	Ezekiel Higgins	Ezekiel is CHECKED IN for: 3:15PM-2/26/2026 92507: Speech & Language Visit
03-01-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Higgins, Ezekiel has a Speech Therapy appointment on 03-05-2026 at 3:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-02-2026 09:20 AM	Natalia Bustillos	Good morning, I have sent over a link for a signature from last week’s visit. If you could please sign it at your earliest convenience. Thank you (:
03-04-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
03-05-2026 07:51 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
03-05-2026 01:39 PM	Ezekiel Higgins	Ezekiel (Prim) Replied: Family emergency came up can I reschedule
03-05-2026 01:42 PM	Natalia Bustillos	Oh no, hope everything is okay! Yes we can definitely reschedule. I have Tuesday at 4:00 PM for a makeup or Monday at 1:00 PM for a makeup (:
03-05-2026 01:43 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 3:15PM-3/5/2026 92507: Speech & Language Visit
03-06-2026 06:05 PM	Natalia Bustillos	Good evening, hope all is well. Reaching out to inform you that I will be out of office from March 25-March 30 for a training. I will be reaching out to you in the upcoming weeks in regards to makeup sessions for the missed visits. Thank you so much! (:
03-06-2026 06:10 PM	Natalia Bustillos	Good evening, there was a mix up with the dates and I will be out of office for a training from March 25-March 31. I will be reaching out to you all individually to coordinate makeup visits for those days! Thank you all(:
03-08-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Higgins, Ezekiel has a Speech Therapy appointment on 03-12-2026 at 3:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-11-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
03-12-2026 07:48 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
03-12-2026 11:57 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Good afternoon I wanted to see if I could reschedule they appointment today we are still out of town and we won't make it back until tomorrow
03-12-2026 12:31 PM	Natalia Bustillos	Natalia Bustillos CANCELLED: 3:15PM-3/12/2026 92507: Speech & Language Visit
03-12-2026 12:33 PM	Natalia Bustillos	Good afternoon! No worries at all, safe travels😊
03-15-2026 04:02 PM	Natalia Bustillos	Hi, this is a just a reminder that Higgins, Ezekiel has a Speech Therapy appointment on 03-18-2026 at 2:15 PM, and on 03-19-2026 at 3:15 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 11:19 AM	Natalia Bustillos	Good morning families, Hope all is well! this is just a friendly reminder that I will be out of office from March 25-March 31st for a training. You will be receiving notifications of cancelled appointments which will be for the dates that I am out. I will message each one of you individually to coordinate a makeup. Thank you so much for your understanding.
03-16-2026 11:23 AM	Natalia Bustillos	Natalia Bustillos CANCELLED: 3:15PM-3/26/2026 92507: Speech & Language Visit
03-17-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 02:15 PM. See you soon! - New Beginnings 🙂
03-18-2026 07:59 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 02:15 PM. See you soon! - New Beginnings 🙂
03-18-2026 02:00 PM	Natalia Bustillos	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=906943
03-18-2026 02:04 PM	Ezekiel Higgins	Ezekiel is CHECKED IN for: 2:15PM-3/18/2026 92507: Speech & Language Visit
03-18-2026 04:33 PM	Natalia Bustillos	Good afternoon, I had mentioned after session that I will be out of office from March 25-March 31. I wanted to see April 7th at 1PM would be good for a makeup? I spoke with ms. anette and she said she would be able to also see ezekiels sibling at the same time for a makeup (:
03-18-2026 06:30 PM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
03-19-2026 07:46 AM	Natalia Bustillos	Hi, this is a just a reminder that Ezekiel has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
03-19-2026 10:36 AM	Ezekiel Higgins	Ezekiel (Prim) Replied: Yes ma'am April 7th at 1pm sounds good
03-19-2026 01:28 PM	Natalia Bustillos	Perfect! I’ll go ahead and schedule the makeup! I already informed Ms. Annette(: thank you so much (:
03-19-2026 03:00 PM	Natalia Bustillos	Ezekiel Higgins : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887497
03-19-2026 03:05 PM	Ezekiel Higgins	Ezekiel is CHECKED IN for: 3:15PM-3/19/2026 92507: Speech & Language Visit