New Beginnings | NB1-Office

Patient Name: Calloway

Patient Information:

Patient ID: 9869

Patient First Name: Calloway

Patient Date of Birth: 01-21-2025

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Marcella, Frausto

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. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
22876	Active	12-09-2025	06-07-2026	Tricare Select	0	27	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
25951	12-11-2025	Feeding Initial Evaluation	R63.32, R13.11
Feeding Background History: Calloway is a 10-month-old male who was referred by his pediatrician for concerns regarding feeding difficulties. Calloway’s mother and father served as the informants for this evaluation. Mrs Jones reported that Calloway's feeding difficulties began at 1 month old. Calloway had difficulty with latching and had severe reflux as an infant. Mother reported his current diet consists of only formula, purees, and meltables. Mr. Jones reported that Calloway will often gag during mealtimes and, on two occasions, choked while eating meltables. Calloway's primary source of nutrition is formula. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Calloway’s feeding/swallowing skills.
Feeding Medical History: Per parent report, medical history is not remarkable. Calloway was born at 39 weeks via C-section. Calloway was diagnosed with laryngomalacia at 1 month old. Mother reported Calloway had difficulty latching and experienced severe reflux during breastfeeding. He later transitioned to bottle feeding, where reflux persisted but was significantly reduced. Calloway has undergone two MBSS evaluations- one in Chicago at 3 months of age and another in El Paso at 9 months. Both studies yielded appropriate/within-normal-limit results with no signs of aspiration.
Feeding Medications: None
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Calloway’s pragmatic skills were not formally assessed, as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Calloway is a 10-month-old male who was referred by his pediatrician for concerns regarding feeding difficulties. Calloway’s mother and father served as the informants for this evaluation. Mrs Jones reported that Calloway's feeding difficulties began at 1 month old. Calloway had difficulty with latching and had severe reflux as an infant. Mother reported his current diet consists of only formula, purees, and meltables. Mr. Jones reported that Calloway will often gag during mealtimes and, on two occasions, choked while eating meltables. Calloway's primary source of nutrition is formula. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Calloway’s feeding/swallowing skills. Calloway was born at 39 weeks via C-section. Calloway was diagnosed with laryngomalacia at 1 month old. Mother reported Calloway had difficulty latching and experienced severe reflux during breastfeeding. He later transitioned to bottle feeding, where reflux persisted but was significantly reduced. Calloway has undergone two MBSS evaluations- one in Chicago at 3 months of age and another in El Paso at 9 months. Both studies yielded appropriate/within-normal-limit results with no signs of aspiration. A bedside swallow evaluation and skilled meal feeding observation revealed that Calloway presents with ORAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER as characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (history of reflux, possible TOTs), nutritional status (limited oral intake of solid foods), feeding skill (poor oral motor skills for eating, physiological difficulties with foods), and/or psychosocial dysfunction (selective/restrictive eating). FOOD INVENTORY: Calloway’s mother also completed a food inventory checklist in which she reported he currently accepts 25-30 solids and 2 liquids. It is important to note that Calloway will only consume the following food items in a pureed or mashed form. The following are Calloway’s accepted food items: PROTEINS Salmon, ground beef, ground turkey, peanut butter. STARCHES crackers, vegetable chips, rice, mashed potatoes, oatmeal. FRUITS Apple, blueberries, pear, watermelon, strawberries, banana, pumpkin. VEGETABLES Squash, zucchini, carrots, sugar snap peas, peas, kale, broccoli, corn LIQUIDS Milk and water. His mother would like him to soft table foods and higher consistencies. CRITERION REFERENCED ASSESSMENT: Mrs. Jones completed the Pediatric Eating Assessment Tool (PediEAT), which is a questionnaire used to subjectively assess Calloway’s feeding behavior. Calloway received an overall rating of "High Concern". Calloway received "High Concern" ratings for physiologic symptoms and selective/restrictive eating. Calloway's ratings on the PediEAT are consistent with parent reports and with his performance in the evaluation and diagnosis. MEALTIME FEEDING OBSERVATION: Calloway was seated in a high chair with appropriate 90?-90?-90 positioning and was fed by his mother using a spoon and by hand. Calloway accepted all food trials. Calloway was observed to gag with purees. Calloway self-fed meltables and purees using his fingers. SWALLOW/ORAL MOTOR EVALUATION: The consistencies trialed included veggie puree and meltables. Calloway demonstrated significantly decreased oral motor skills, including a phaisc bite pattern, open?mouth chewing, minimal tongue lateralization, and oral residue. Mrs. Jones does not report unexplained fevers or history of aspiration pneumonia. Calloway’s pharyngeal/esophageal swallow function were evaluated at 3 and 9 months old where studies yielded appropriate/within-normal-limit results with no signs of aspiration. However, pharyngeal/esophageal function should continued to be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed munching pattern and management of thicker purees and soft solids. Gag reflex should be active but should be less sensitive. Calloway’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: Feeding therapy is highly recommended at this time at the time of once per week for 30 minutes, and should target increasing Calloway’s tolerance to non-preferred foods via steps to the eating hierarchy and desensitization methods. At this age, Calloway should be able to consume solids of various consistencies to include purées, soft mechanicals, and hard munchables. Calloway should also consume foods from all nutrition food groups and have at least 10 foods per nutrition food group (proteins, starches, fruits, and vegetables) in his food inventory. Feeding therapy should also target improving Calloway’s oral motor skills for safe and effective feeding/swallowing. Parent education and mealtime behavior will also be targeted to support feeding development. Without feeding therapy, safety risks include but are not limited to lack of appropriate nutrition due to restricted diet characterized by foods of inappropriate nutritional value and food jagging on limited foods in food repertoire. Parents will be responsible for the Home Education Program (HEP).
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

57647

Plan Date: 12-11-2025

Feeding Assessment Summary: PATIENT HX: Calloway is a 10-month-old male who was referred by his pediatrician for concerns regarding feeding difficulties. Calloway’s mother and father served as the informants for this evaluation. Mrs Jones reported that Calloway's feeding difficulties began at 1 month old. Calloway had difficulty with latching and had severe reflux as an infant. Mother reported his current diet consists of only formula, purees, and meltables. Mr. Jones reported that Calloway will often gag during mealtimes and, on two occasions, choked while eating meltables. Calloway's primary source of nutrition is formula. A bedside feeding evaluation and skilled meal feeding observation were utilized to assess Calloway’s feeding/swallowing skills. MEDICAL HX: Calloway was born at 39 weeks via C-section. Calloway was diagnosed with laryngomalacia at 1 month old. Mother reported Calloway had difficulty latching and experienced severe reflux during breastfeeding. He later transitioned to bottle feeding, where reflux persisted but was significantly reduced. Calloway has undergone two MBSS evaluations- one in Chicago at 3 months of age and another in El Paso at 9 months. Both studies yielded appropriate/within-normal-limit results with no signs of aspiration. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal feeding observation revealed that Calloway presents with ORAL DYSPHAGIA and a CHRONIC PEDIATRIC FEEDING DISORDER as characterized by impaired oral intake that is not age appropriate and is associated with medical diagnosis (history of reflux, possible TOTs), nutritional status (limited oral intake of solid foods), feeding skill (poor oral motor skills for eating, physiological difficulties with foods), and/or psychosocial dysfunction (selective/restrictive eating). FOOD INVENTORY: Calloway’s mother also completed a food inventory checklist in which she reported he currently accepts 25-30 solids and 2 liquids. It is important to note that Calloway will only consume the following food items in a pureed or mashed form. The following are Calloway’s accepted food items: PROTEINS Salmon, ground beef, ground turkey, peanut butter. STARCHES crackers, vegetable chips, rice, mashed potatoes, oatmeal. FRUITS Apple, blueberries, pear, watermelon, strawberries, banana, pumpkin. VEGETABLES Squash, zucchini, carrots, sugar snap peas, peas, kale, broccoli, corn LIQUIDS Milk and water. His mother would like him to soft table foods and higher consistencies. CRITERION REFERENCED ASSESSMENT: Mrs. Jones completed the Pediatric Eating Assessment Tool (PediEAT), which is a questionnaire used to subjectively assess Calloway’s feeding behavior. Calloway received an overall rating of "High Concern". Calloway received "High Concern" ratings for physiologic symptoms and selective/restrictive eating. Calloway's ratings on the PediEAT are consistent with parent reports and with his performance in the evaluation and diagnosis. MEALTIME FEEDING OBSERVATION: Calloway was seated in a high chair with appropriate 90 90 90 positioning and was fed by his mother using a spoon and by hand. Calloway accepted all food trials. Calloway was observed to gag with purees. Calloway self-fed meltables and purees using his fingers. SWALLOW/ORAL MOTOR EVALUATION: The consistencies trialed included veggie puree and meltables. Calloway demonstrated significantly decreased oral motor skills, including a phasic bite pattern, open mouth chewing, minimal tongue lateralization, and oral residue. Mrs. Jones does not report unexplained fevers or a history of aspiration pneumonia. Calloway’s pharyngeal/esophageal swallow function was evaluated at 3 and 9 months old, where studies yielded appropriate/within-normal-limit results with no signs of aspiration. However, pharyngeal/esophageal function should continue to be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed munching pattern and management of thicker purees and soft solids. Gag reflex should be active but should be less sensitive. Calloway’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: Feeding therapy is highly recommended at this time at the time of once per week for 30 minutes, and should target increasing Calloway’s tolerance to non-preferred foods via steps to the eating hierarchy and desensitization methods. At this age, Calloway should be able to consume solids of various consistencies to include purées, soft mechanicals, and hard munchables. Calloway should also consume foods from all nutrition food groups and have at least 10 foods per nutrition food group (proteins, starches, fruits, and vegetables) in his food inventory. Feeding therapy should also target improving Calloway’s oral motor skills for safe and effective feeding/swallowing. Parent education and mealtime behavior will also be targeted to support feeding development. Without feeding therapy, safety risks include but are not limited to lack of appropriate nutrition due to restricted diet characterized by foods of inappropriate nutritional value and food jagging on limited foods in food repertoire. Parents will be responsible for the Home Education Program (HEP).

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. Calloway will be discharged when his feeding inventory is clinically deemed adequate for his age, nutritional needs, and safety.

Feeding 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.
Feeding/Swallowing	In 12 months, Calloway will improve his 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:

Category	Goal Description
Feeding/Swallowing	In 6 months, Calloway will tolerate and engage in sensory based oral motor play activities (e.g., vibration, chewy tube) in 3 out of 10 opportunities across 3 consecutive sessions in order to promote improved oral sensory awareness for feeding/swallowing.
Feeding/Swallowing	In 6 months, Calloway will complete oral motor exercises for tongue lateralization in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/Swallowing	In 6 months, Calloway will complete oral motor exercises for munching/rotary chew in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing
Feeding/Swallowing	In 6 months, Calloway will self feed with preferred food items given decreasing clinician/parental cues/support in 3 out of 10 opportunities across 3 consecutive sessions in order to improve mealtime behaviors.
Feeding/Swallowing	In 6 months, Calloway will consume meltables and/or soft cubes without clinical s/s of aspiration/penetration in 3 out of 10 opportunities across 3 consecutive sessions in order to promote consumption of age appropriate solids for adequate nutrition.

Feeding Therapy Soap Note/Visit:

Soap Note

484281

Note Date: 02-05-2026

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. Calloway tolerated and engaged in sensory based oral motor play activities (e.g., vibration, chewy tube) in 8 out of 10 opportunities with MIN cues in order to promote improved oral sensory awareness for feeding/swallowing. Calloway completed oral motor exercises for tongue lateralization in 7 out of 10 opportunities with MIN cues in order to improve oral motor skills for adequate feeding/swallowing. Calloway completed oral motor exercises for munching/rotary chew in 7 out of 10 opportunities with MIN cues in order to improve oral motor skills for adequate feeding/swallowing Calloway self-fed with preferred food items given decreasing clinician/parental cues/support in 9 out of 10 opportunities with MIN cues in order to improve mealtime behaviors. Calloway consumed meltables and/or soft cubes without clinical s/s of aspiration/penetration in 8 out of 10 opportunities with MIN cues in order to promote consumption of age appropriate solids for adequate nutrition.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
852069	92610: Feeding Evaluation	12-11-2025 09:30 AM	12-11-2025 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
857250	92526: Feeding Visit	12-18-2025 10:00 AM	12-18-2025 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
857254	92526: Feeding Visit	01-15-2026 10:00 AM	01-15-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
857255	92526: Feeding Visit	01-22-2026 10:00 AM	01-22-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
857257	92526: Feeding Visit	02-05-2026 10:00 AM	02-05-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
857251	92526: Feeding Visit	12-25-2025 10:00 AM	12-25-2025 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
857252	92526: Feeding Visit	01-01-2026 10:00 AM	01-01-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled
857253	92526: Feeding Visit	01-08-2026 10:00 AM	01-08-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Canceled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
12/11/25	Patient visit charged - Feeding Evaluation: Feeding Evaluation	0.00	32.00	-32.00
12/18/25	Patient visit charged - Feeding Visit: Feeding Visit	0.00	64.00	-64.00
1/15/26	Patient visit charged - Feeding Visit: Feeding Visit	0.00	97.00	-97.00
1/15/26	Deductible	0.00	144.63	-144.63
1/15/26	Patient Payment Received (Stripe)	97.00	144.63	-47.63
1/22/26	Deductible	97.00	192.26	-95.26
1/22/26	Patient visit charged - Feeding Visit: Feeding Visit	97.00	225.26	-128.26
1/22/26	Patient Payment Received (Stripe)	130.00	225.26	-95.26
2/5/26	Patient visit charged - Feeding Visit: Feeding Visit	130.00	258.26	-128.26
2/5/26	Patient Payment Received (Stripe)	163.00	258.26	-95.26

Billing History:

Date	Service Description	Units	$Amount	$Status
12/11/25	92610: Feeding Evaluation	1	220.00	Billed and Paid
12/18/25	92526: Feeding Visit	1	140.00	Billed and Paid
1/15/26	92526: Feeding Visit	1	140.00	Billed and Paid
1/22/26	92526: Feeding Visit	1	140.00	Billed and Paid
2/5/26	92526: Feeding Visit	1	140.00	EDI Submited

Paient Notes:

Date	Posted By	Description
03-13-2026	Monica Padilla	Added debit adjustment to DOS 01/15/26 and 01/22/26 per EOP dated 02/17/26 claim# M04X006P0000. Tricare pd. 0.00 (applied 80.63 to pt. deductible); pt. pd. 33.00; adjustment 47.63 per DOS.

Paient Missed Visit Notes:

Date	Service	Therapist	Description
01-08-2026	92526	Rodriguez, Andrea
01-01-2026	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-25-2025	92526	Rodriguez, Andrea	Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!

Paient Messages Admin:

Date	Posted By	Message
12-02-2025 01:07 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2452
12-02-2025 01:16 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2452
12-03-2025 11:36 AM	Asbel Guajardo	REMOVED: Jones, Calloway 9:30AM-12/11/2025 92610: Feeding Evaluation
12-03-2025 11:36 AM	Asbel Guajardo	RESCHEDULED: Jones, Calloway 9:30AM-12/11/2025 92610: Feeding Evaluation
12-11-2025 02:11 PM	Patsy Guajardo	Hi, Calloway 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=9869&tid=127
12-18-2025 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Calloway Jones. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38065. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
12-19-2025 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Calloway Jones from therapy on 12-18-2025. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38065. Thank you for allowing us to serve your child! 🙂
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
01-15-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Calloway Jones. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38461. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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! 💙
01-22-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Calloway Jones. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38648. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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! 💙
02-05-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Calloway Jones. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39045. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9869
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/
03-13-2026 01:53 PM	Monica Padilla	Good afternoon Ms. Jones, This is New Beginnings reaching out to let you know that Tricare applied your deductible to visits on 01/15/26 and 01/22/26 leaving a outstanding balance of $ 95.26. Payment link has been sent. Please call the office if you have any questions. Thank you for allowing us to serve your child.
03-18-2026 09:48 AM	Patsy Guajardo	Good Morning, there is an outstanding balance of 95.26, we send you a link with the outstanding balance. Please pay as soon as possible to be able to continue with therapy and not be placed on HOLD. Thank you!

Paient Messages Therapist:

Date	Posted By	Message
12-02-2025 01:24 PM	Andrea Rodriguez Stokes	Hi, my name is Andrea, with New Beginnings, and I will be performing your child's Feeding 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=9869&tid=127
12-02-2025 01:24 PM	Calloway Jones	Calloway SCHEDULED: 9:30AM-12/18/2025 92610: Feeding Evaluation
12-02-2025 01:56 PM	Andrea Rodriguez Stokes	Good afternoon, this is Andrea from New Beginnings. I will be completing Calloway’s feeding evaluation. I do have some feeding intake paperwork to send you to complete prior to the evaluation. Do you have access to a printer, or would you prefer to arrive 20 to 25 minutes early on the day of the evaluation to fill out the documents in the lobby?
12-02-2025 02:30 PM	Calloway Jones	Calloway (Prim) Replied: I do have access to printer and can work on it prior!
12-02-2025 02:31 PM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12022025143147-Feeding-Patient-Background---English.pdf
12-02-2025 02:32 PM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12022025143200-Food-Chaining-Intake-Form---English.pdf
12-02-2025 02:32 PM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12022025143216-PediEAT_Full_English_2019-7-31.pdf
12-02-2025 02:32 PM	Andrea Rodriguez Stokes	Please let me know if you received the 3 forms. For the pediEat, please disregard the scoring portion.
12-02-2025 02:33 PM	Andrea Rodriguez Stokes	Also, in a few words, can you please describe your feeding concerns with Calloway? Thank you!
12-02-2025 02:40 PM	Calloway Jones	Calloway (Prim) Replied: Okay! I will complete those today. Got the three forms
12-02-2025 02:43 PM	Calloway Jones	Calloway (Prim) Replied: He was diagnosed with laryngomalacia at 1 month old we noticed with noisy breathing and difficulty eating/ latching. We have been trying to give him chunkier purées as recommended after 6 months old and the dissolvable crackers etc... he has continuously choked or gags to the point of projectile vomiting .. he got his swallow test done came back normal so now trying to see if it is a texture issue? Or chewing possibly?
12-02-2025 02:44 PM	Calloway Jones	Calloway (Prim) Replied: So as of now he is 10 months old only can have purrees at a smoothie consistency and can SOMETIMES do the dissolvable crackers but i was advised to stop due to risk of aspiration until we get him evaluated by you all
12-02-2025 02:48 PM	Andrea Rodriguez Stokes	Thank you for letting me know! Has he been screened for tethered oral tissues (lip tie/tongue tie)?
12-02-2025 02:48 PM	Calloway Jones	Calloway (Prim) Replied: He has not
12-02-2025 02:51 PM	Andrea Rodriguez Stokes	No worries, I can assess him on his evaluation. For that day, can you please bring a preferred puree that he is currently consuming, as well as the meltables/crackers that you were giving him at home? Do you know the test that they did on him to assess his swallowing? Was it an MBSS?
12-02-2025 02:53 PM	Andrea Rodriguez Stokes	I have an opening next Thursday, the 11th at 9:30 am in case it works best with your schedule. If it does not, I will see you on the 18th at 9:30 am :)
12-02-2025 03:09 PM	Calloway Jones	Calloway (Prim) Replied: The 11th works for us!
12-02-2025 03:12 PM	Calloway Jones	Calloway (Prim) Replied: I will bring it all and it was the barium swallow test he had done last month. He has also had a video swallow test done in chicago that one was also normal at 3 months old . Just showed reflux .
12-02-2025 07:03 PM	Andrea Rodriguez Stokes	Okay! I will see you next week. If you have the MBSS report you can also bring it in to review it. Please don’t forget to bring the forms completed. Thank you so much!
12-10-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Calloway has a Feeding Evaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
12-11-2025 07:56 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Calloway has a Feeding Evaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
12-11-2025 08:30 AM	Calloway Jones	Calloway (Prim) Replied: Thank you!!
12-11-2025 09:15 AM	Andrea Rodriguez Stokes	Calloway Jones : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=852069
12-11-2025 09:27 AM	Calloway Jones	Calloway is CHECKED IN for: 9:30AM-12/11/2025 92610: Feeding Evaluation
12-11-2025 10:04 AM	Andrea Rodriguez Stokes	Thank you so much for coming in today! I should be sending you information and goals today. Have a good day! :)
12-11-2025 10:06 AM	Andrea Rodriguez Stokes	E.P. Dentistry 4 Kids: 1502 N. Zaragoza Rd. El Paso, Texas 79936 (915) 855-4442
12-11-2025 01:40 PM	Andrea Rodriguez Stokes	Good afternoon! The bedside swallow evaluation and skilled meal feeding observation revealed that Calloway presents with oral dysphagia ( difficulty swallowing that starts in the mouth, involving problems with lips, tongue, jaw, or saliva, making it hard to form and move food (bolus) to the throat).
12-11-2025 01:40 PM	Andrea Rodriguez Stokes	We will be targeting the following goals in the next months: Calloway will tolerate and engage in sensory-based oral motor play activities (e.g., vibration, chewy tube), complete oral motor exercises for tongue lateralization, complete oral motor exercises for munching/rotary chew, self feed with preferred food items, and consume meltables and/or soft cubes without clinical s/s of aspiration/penetration.
12-11-2025 01:40 PM	Andrea Rodriguez Stokes	Once the office has processed the report, obtained the needed signatures, and insurance approves the report, I will reach out to you to schedule your first session.
12-11-2025 01:42 PM	Calloway Jones	Calloway (Prim) Replied: Okay! Perfect thank you so much
12-11-2025 01:47 PM	Andrea Rodriguez Stokes	In the meantime, you can begin targeting his tongue lateralization and rotary chew at home using the yellow chewy tube that I gave you. You can also start offering him hard munchables during his snack/mealtimes. A hard munchable is a food that Calloway can hold independently, and when inserted into his mouth, it will not break apart and is long enough that a portion of the food remains outside of the mouth. I will be sending you a document with more information and examples.
12-11-2025 01:47 PM	Andrea Rodriguez Stokes	https://st-pros.com/newbeginnings/documents/12112025134732-Hard-munchables-2025.pdf
12-11-2025 01:47 PM	Andrea Rodriguez Stokes	Let me know if you are able to open it :)
12-11-2025 02:14 PM	Andrea Rodriguez Stokes	We have also received authorization to begin his feeding session! Let me know if Thursdays at 10:00 am would work for you. If yes, we can start next week if it works with your schedule. If it doesn't, I can offer more spots :)
12-11-2025 05:03 PM	Calloway Jones	Calloway (Prim) Replied: Thank you!! I was able to open it
12-11-2025 05:03 PM	Calloway Jones	Calloway (Prim) Replied: Do you have anything earlier than 10 am?
12-11-2025 05:12 PM	Andrea Rodriguez Stokes	At this moment, I do not have anything earlier, but I can definitely prioritize Calloway for when I do! Does this time and day interfere with your schedule or his sleeping schedule? Please let me know :)
12-11-2025 05:23 PM	Calloway Jones	Calloway (Prim) Replied: It should be okay than with his sleeping schedule i was just worried but just remembered its only 30 minutes so all should be good!
12-11-2025 05:59 PM	Andrea Rodriguez Stokes	Perfect! I will see you next Thuraday at 10:00 am. Could you please bring a puree, raw carrots and avocado cubes. Thank you!
12-11-2025 08:53 PM	Calloway Jones	Calloway (Prim) Replied: You got it!
12-11-2025 08:53 PM	Andrea Rodriguez Stokes	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
12-14-2025 04:02 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Jones, Calloway has a Feeding Therapy appointment on 12-18-2025 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-15-2025 12:13 PM	Andrea Rodriguez Stokes	Rodriguez Stokes, Andrea: Hi families! Just a reminder, this will be the last week of therapy for this year. New Beginnings will be closed from December 22nd to January 2nd. Thank you so much and happy holidays!
12-17-2025 12:44 PM	Calloway Jones	Calloway (Prim) Replied: Yes
12-17-2025 06:30 PM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 07:57 AM	Andrea Rodriguez Stokes	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
12-18-2025 09:45 AM	Andrea Rodriguez Stokes	Calloway Jones : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857250
12-18-2025 09:57 AM	Calloway Jones	Calloway is CHECKED IN for: 10:00AM-12/18/2025 92526: Feeding Visit
12-18-2025 10:33 AM	Andrea Rodriguez Stokes	Hi! Thank you for coming in today. At home just continue to model and exaggerate mouth movements while eating. Keep working with purees, meltables and soft cubes. Work with the chewy tuve and hard munchables to target his rotary chewing. He is being very receptive! Happy holidays! :)
12-18-2025 11:51 AM	Calloway Jones	Calloway (Prim) Replied: Yes we will thank you!!! happy holidays!!
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Jones, Calloway has a Feeding Therapy appointment on 01-08-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-04-2026 04:02 PM	Calloway Jones	Calloway (Prim) Replied: Yes
01-04-2026 04:02 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-05-2026 12:09 PM	Andrea Rodriguez	Hi! For this week, can you please bring a puree, cheese cubes, avocado cubes, and carrot sticks? Thank you!
01-05-2026 01:11 PM	Calloway Jones	Calloway (Prim) Replied: Hi! Yes i will thank you!
01-07-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-07-2026 06:34 PM	Calloway Jones	Calloway (Prim) Replied: Hi! I will call the office in the morning but Calloway seems to have caught a cold he just started coughing a few hours ago we should hold off to next week I wouldn't want to get anyone sick . Im sorry for any inconvenience
01-07-2026 08:55 PM	Andrea Rodriguez	Hi! I am so sorry to hear that. I hope he feels better soon! No worries in calling the office I can go ahead and cancel tomorrow’s session. I will see you next week :)
01-07-2026 09:00 PM	Andrea Rodriguez	Andrea Rodriguez CANCELLED: 10:00AM-1/8/2026 92526: Feeding Visit
01-11-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Jones, Calloway has a Feeding Therapy appointment on 01-15-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-11-2026 04:02 PM	Calloway Jones	Calloway (Prim) Replied: Yes
01-11-2026 04:02 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-14-2026 04:43 PM	Calloway Jones	Calloway (Prim) Replied: Hi! By cheese cubes do you mean these and cut up smaller or something like cottage cheese
01-14-2026 04:45 PM	Andrea Rodriguez	Hi! The system does not process pictures so I am not able to see them but bring any kind of cheese you have at home and we can cut it into smaller pieces:)
01-14-2026 04:46 PM	Calloway Jones	Calloway (Prim) Replied: Okay perfect!
01-14-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 07:49 AM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-15-2026 09:45 AM	Andrea Rodriguez	Calloway Jones : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857254
01-15-2026 09:55 AM	Calloway Jones	Calloway is CHECKED IN for: 10:00AM-1/15/2026 92526: Feeding Visit
01-15-2026 11:11 AM	Andrea Rodriguez	Start introducing chewy food like chips, pretzels, freeze-dried fruit and also hard mechanicals like steak, chicken cubes, fish skin. Mix textures together. Keep modeling mouth movements. Work on desensitizing his lips to reduce tongue protrusion reflex.
01-15-2026 11:14 AM	Andrea Rodriguez	Exercises to reduce tongue protrusion reflex: 1. Avoid placing the spoon straight onto the tongue. Instead place the spoon downward onto the middle of the tongue, then apply gentle downward pressure before moving. 2. Touch the upper lip with spoon or food and wait for lip closure then place the spoon in. 3. Keep introducing the chewy tube for jaw stability 4. Let's start reducing thin purees and instead use thicker purees and/or mashed food. Heavier bolus gives better input. 5. Avoid stimulating tongue tip which can trigger protrusion.
01-15-2026 11:14 AM	Andrea Rodriguez	See you next week :)
01-15-2026 11:28 AM	Calloway Jones	Calloway (Prim) Replied: Perfect thank you so much! Will do
01-18-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Jones, Calloway has a Feeding Therapy appointment on 01-22-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-21-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
01-21-2026 08:28 PM	Calloway Jones	Calloway (Prim) Replied: Hi! Sorry for the late text I cant find the text with the foods you wanted me to bring tomorrow if you could send it again thank you!
01-21-2026 08:28 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
01-21-2026 08:32 PM	Andrea Rodriguez	Hi! We will be working on the tongue protrusion reflex so please pack avocado cubes, banana cubes and apple slices. If you don’t have an item at home, you can replace it with something similar in consistency. Thank you!!
01-22-2026 07:47 AM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
01-22-2026 09:45 AM	Andrea Rodriguez	Calloway Jones : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857255
01-22-2026 09:51 AM	Calloway Jones	Calloway is CHECKED IN for: 10:00AM-1/22/2026 92526: Feeding Visit
02-01-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Jones, Calloway has a Feeding Therapy appointment on 02-05-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-02-2026 10:24 AM	Andrea Rodriguez	Good morning! I wanted to ask how Calloway is doing. For this week's appointment, can you please bring: egg strips (omelette strips), a puree, a banana, a carrot, and either chicken or meat. I want to assess his oral motor skills with different consistencies. Thank you!
02-02-2026 10:38 AM	Calloway Jones	Calloway (Prim) Replied: Hes actually doing amazing! We weren't expecting he'd be up to eating much after his lip tie procedure but he is eating well!
02-02-2026 10:38 AM	Calloway Jones	Calloway (Prim) Replied: Will do thank you!
02-04-2026 04:25 PM	Andrea Rodriguez	Hi! I am just barely receiving your message. I don't know why the system didn't process it. That's amazing news! I look forward to seeing him tomorrow. Thank you and have a good day :)
02-04-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 07:44 AM	Andrea Rodriguez	Hi, this is a just a reminder that Calloway has a Feeding Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-05-2026 09:45 AM	Andrea Rodriguez	Calloway Jones : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=857257
02-05-2026 10:01 AM	Calloway Jones	Calloway is CHECKED IN for: 10:00AM-2/5/2026 92526: Feeding Visit
02-05-2026 10:07 AM	Calloway Jones	Calloway is CHECKED IN for: 10:00AM-2/5/2026 92526: Feeding Visit
02-05-2026 11:18 AM	Andrea Rodriguez	Hi! For now, just continue to work on that tongue reflex. I am so happy he id doing amazing! Let me know what dentist says. Thank you so much!
02-23-2026 10:26 AM	Andrea Rodriguez	Hi! I wanted to ask how Calloway is doing. How is he handling the different consistencies? Has he had any chocking or gagging?
02-24-2026 01:59 PM	Andrea Rodriguez	Hi! I wanted to ask how Calloway is doing. How is he handling the different consistencies? Has he had any chocking or gagging?
02-24-2026 02:30 PM	Calloway Jones	Calloway (Prim) Replied: Hi!! Hes been doing great no choking or gagging!!
02-24-2026 02:31 PM	Andrea Rodriguez	Wonderful news! If there are no further concerns, we can move forward with his discharge :)
02-24-2026 02:31 PM	Andrea Rodriguez	Let me know your decision
02-24-2026 02:47 PM	Calloway Jones	Calloway (Prim) Replied: Sounds good to me to start the discharge thanks!
02-24-2026 03:27 PM	Andrea Rodriguez	Perfect! Thank you so much! It was my absolute pleasure to have worked with Calloway. If in the future you need further services, we will be more than happy to accommodate Calloway at New Beginnings. Thank you for everything :)