New Beginnings | NB1-Office

Patient Name: Noah

Patient Information:

Patient ID: 9887

Patient First Name: Noah

Patient Date of Birth: 02-22-2025

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Henry K, Rance

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barron, Annette

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
22985	Active	01-07-2026	06-07-2026	Tricare Prime	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
25999	01-13-2026	Speech Initial Evaluation	F80.1
Speech Background History: Noah is a 0 year 10 month old male who was referred for a speech and language evaluation by his pediatrician. Noah was accompanied by his mother, Sara Ramos, who served as the informant for the evaluation. According to mother, Noah was born 3 weeks early and was found to have jaundice, but either factor did not call for treatment nor a prolonged hospital stay. Mother stated that Noah is quiet and does not “babble as much.” However, mother does not feel that his hearing is an issue as he passed his newborn hearing screener and reacts to all soft and loud noises. Mother did state that Noah does not care for loud noises, and will cover his ears if something is too loud. Mother claims that Noah is “usually very calm” and will whine to communicate his wants/needs. Noah said his first word “mama” on December 31st, and inconsistently repeated “mama.” Based on clinical observations, Noah did not verbalize words, but he whined once to get mother’s attention. Noah mouthed select items as he explored the therapy materials. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Based on Noah’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable. According to mother, Noah has never had a fever or ear infection.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Mild delays, Level of Activity: Passive, Cooperation: Passive, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Appropriate use of eye contact, Auditory and visually alert and attentive,
Speech Communication Weaknesses: Diminished vocabulary, Poor vocabulary, Unable to answer questions,
Speech Background Summary: The evaluation took place on the therapy room floor as Noah does not walk and had difficulty transitioning from the sitting up position to standing while holding on to something. Noah required numerous prompts to engage with the tasks. Overall, Noah’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Noah is a 0 year 10 month old male who was referred for a speech and language evaluation by his pediatrician. Noah was accompanied by his mother, Sara Ramos, who served as the informant for the evaluation. According to mother, Noah was born 3 weeks early and was found to have jaundice, but either factor did not call for treatment nor a prolonged hospital stay. Mother stated that Noah is quiet and does not “babble as much.” However, mother does not feel that his hearing is an issue as he passed his newborn hearing screener and reacts to all soft and loud noises. Mother did state that Noah does not care for loud noises, and will cover his ears if something is too loud. Mother claims that Noah is “usually very calm” and will whine to communicate his wants/needs. Noah said his first word “mama” on December 31st, and inconsistently repeated “mama.” Based on clinical observations, Noah did not verbalize words, but he whined once to get mother’s attention. Noah mouthed select items as he explored the therapy materials. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, MILD DELAY response rate, PASSIVE level of activity, ADEQUATE awareness of others/environment, and need for NUMEROUS prompts to cooperate. A formal oral mechanism exam could not be completed due to Noah’s difficulty following instruction. It is recommended that Noah’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah received the following standard scores on the PLS-5: Auditory Comprehension 90 (raw score: 13, percentile: 25, age-equivalent: 0 years 9 months), Expressive Communication 57 (raw score: 6, percentile: 1, age-equivalent: 0 years 2 months), and Total Language Score 72 (raw score: 19, percentile: 1, age-equivalent: 0 years 5 months). According to the standard scores on the PLS-5, Noah presented with PROFOUND EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) is more severe than his total language (MODERATE) score. Noah would benefit from speech therapy services targeting the following age-appropriate concepts: vocalizing when talked to, moving arms and legs during vocalizations, imitation of facial expressions, vocalizing different vowel sounds, combining sound (vowel-vowel, consonant-vowel, or vowel-consonant), and taking multiple turns vocalizing. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and/or for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Diagnosis/Impressions: Noah is a 0 year 10 month old male who was referred for a speech and language evaluation by his pediatrician. Noah was accompanied by his mother, Sara Ramos, who served as the informant for the evaluation. According to mother, Noah was born 3 weeks early and was found to have jaundice, but either factor did not call for treatment nor a prolonged hospital stay. Mother stated that Noah is quiet and does not “babble as much.” However, mother does not feel that his hearing is an issue as he passed his newborn hearing screener and reacts to all soft and loud noises. Mother did state that Noah does not care for loud noises, and will cover his ears if something is too loud. Mother claims that Noah is “usually very calm” and will whine to communicate his wants/needs. Noah said his first word “mama” on December 31st, and inconsistently repeated “mama.” Based on clinical observations, Noah did not verbalize words, but he whined once to get mother’s attention. Noah mouthed select items as he explored the therapy materials. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, MILD DELAY response rate, PASSIVE level of activity, ADEQUATE awareness of others/environment, and need for NUMEROUS prompts to cooperate. A formal oral mechanism exam could not be completed due to Noah’s difficulty following instruction. It is recommended that Noah’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah received the following standard scores on the PLS-5: Auditory Comprehension 90 (raw score: 13, percentile: 25, age-equivalent: 0 years 9 months), Expressive Communication 57 (raw score: 6, percentile: 1, age-equivalent: 0 years 2 months), and Total Language Score 72 (raw score: 19, percentile: 1, age-equivalent: 0 years 5 months). According to the standard scores on the PLS-5, Noah presented with PROFOUND EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) is more severe than his total language (MODERATE) score. Noah would benefit from speech therapy services targeting the following age-appropriate concepts: vocalizing when talked to, moving arms and legs during vocalizations, imitation of facial expressions, vocalizing different vowel sounds, combining sound (vowel-vowel, consonant-vowel, or vowel-consonant), and taking multiple turns vocalizing. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and/or for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

57884

Plan Date: 01-13-2026

Speech Assessment Summary: Noah is a 0 year 10 month old male who was referred for a speech and language evaluation by his pediatrician. Noah was accompanied by his mother, Sara Ramos, who served as the informant for the evaluation. According to mother, Noah was born 3 weeks early and was found to have jaundice, but either factor did not call for treatment nor a prolonged hospital stay. Mother stated that Noah is quiet and does not “babble as much.” However, mother does not feel that his hearing is an issue as he passed his newborn hearing screener and reacts to all soft and loud noises. Mother did state that Noah does not care for loud noises, and will cover his ears if something is too loud. Mother claims that Noah is “usually very calm” and will whine to communicate his wants/needs. Noah said his first word “mama” on December 31st, and inconsistently repeated “mama.” Based on clinical observations, Noah did not verbalize words, but he whined once to get mother’s attention. Noah mouthed select items as he explored the therapy materials. The following behavioral observations were also noted: ADEQUATE attending skills, INTENT to communicate, SHY social interaction, MILD DELAY response rate, PASSIVE level of activity, ADEQUATE awareness of others/environment, and need for NUMEROUS prompts to cooperate. A formal oral mechanism exam could not be completed due to Noah’s difficulty following instruction. It is recommended that Noah’s treating clinician continue to monitor his oral cavity during treatment and perform an oral mech exam when patient permits. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Noah’s receptive and expressive language skills. Noah received the following standard scores on the PLS-5: Auditory Comprehension 90 (raw score: 13, percentile: 25, age-equivalent: 0 years 9 months), Expressive Communication 57 (raw score: 6, percentile: 1, age-equivalent: 0 years 2 months), and Total Language Score 72 (raw score: 19, percentile: 1, age-equivalent: 0 years 5 months). According to the standard scores on the PLS-5, Noah presented with PROFOUND EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) is more severe than his total language (MODERATE) score. Noah would benefit from speech therapy services targeting the following age-appropriate concepts: vocalizing when talked to, moving arms and legs during vocalizations, imitation of facial expressions, vocalizing different vowel sounds, combining sound (vowel-vowel, consonant-vowel, or vowel-consonant), and taking multiple turns vocalizing. Speech therapy is highly recommended at this time as Noah’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and/or for safety. Without speech therapy, Noah’s safety risk is high since he will likely not be understood if he needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Noah’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Noah’s reported language background and language input/output, the language of intervention will be English. ***Assigned treatment therapist should follow-up with all recommendations to facilitate patient's therapeutic success and continued development.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement in the area of Noah’s impairments is good with consistent speech therapy. Noah 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.
Expressive Language	In 12 months, Noah will improve his expressive language skills in order to effectively communicate pain (i.e., tell his mom if stomach hurts) and safety issues (i.e., express when someone hits or bites him at school) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Play/Socialization	In 6 months, Noah will engage in relational/functional (i.e., stacking blocks, driving cars, giving animals food, etc.) play-based tasks with clinician in 3 out of 10 opportunities with decreasing multisensory cues across 3 consecutive sessions in order to promote independence so that Noah can acquire age-appropriate pragmatic and play skills.
Expressive Language	In 6 months, during play-based activities, Noah will imitate environmental/non¬speech sounds with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can express his needs and wants.
Expressive Language	In 6 months, Noah will imitate functional actions, gestures, AND/OR words modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Noah will point to desired objects when presented two object options by clinician WITHOUT adverse behavior (crying, taking object from clinician, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Noah will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) WITHOUT adverse behavior (crying/whining, hurting self/others, pulling clinician, etc.) to communicate wants/needs in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional words to communicate wants/needs with caregivers.
Expressive Language	In 6 months, Noah will use a variety of consonant + vowel (CV), VC, CVCV combination in play-based tasks with clinician with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to improve meaningful vocabulary 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

491197

Note Date: 03-24-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

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. In 6 months, Noah will engage in relational/functional (i.e., stacking blocks, driving cars, giving animals food, etc.) play-based tasks with clinician in 3 out of 10 opportunities with decreasing multisensory cues across 3 consecutive sessions in order to promote independence so that Noah can acquire age-appropriate pragmatic and play skills. **Noah engaged in relational/functional (i.e., stacking blocks, driving cars, giving animals food, etc.) play-based tasks with clinician in 3 out of 10 opportunities when given maximum verbal and visual cues, and modeling. In 6 months, during play-based activities, Noah will imitate environmental/non¬speech sounds with 20% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Noah can express his needs and wants. **Noah imitated environmental/non¬speech sounds with 10% accuracy when given maximum verbal, visual, and gestural cues, modeling, and repetitions. In 6 months, Noah will imitate functional actions, gestures, AND/OR words modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). **Noah imitated functional actions, gestures, AND/OR words modeled by clinician in 1 out of 10 opportunities when given maximum verbal, gestural, and hand-over-hand cues/prompts, and multiple repetitions. In 6 months, Noah will point to desired objects when presented two object options by clinician WITHOUT adverse behavior (crying, taking object from clinician, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). **Noah pointed to desired objects when presented two object options by clinician WITHOUT adverse behavior (crying, taking object from clinician, etc.) in 1 out of 10 opportunities when given maximum verbal, gestural, and hand-over-hand cues/prompts, and multiple repetitions. In 6 months, Noah will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) WITHOUT adverse behavior (crying/whining, hurting self/others, pulling clinician, etc.) to communicate wants/needs in 3 out of 10 opportunities across 3 consecutive sessions in order to promote the use of functional words to communicate wants/needs with caregivers. **Noah used total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) WITHOUT adverse behavior (crying/whining, hurting self/others, pulling clinician, etc.) to communicate wants/needs in 1 out of 10 opportunities and was provided maximum verbal, visual, gestural, and hand-over-hand cues/prompts, and multiple repetitions.

Plans: Continue with current Plan of Care,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
868493	92523: Artic & Language Eval	01-13-2026 01:00 PM	01-13-2026 02:00 PM	Annette Barron	NB2 far east side	Completed
875343	92507: Speech & Language Visit	01-26-2026 01:00 PM	01-26-2026 01:45 PM	Annette Barron	NB2 far east side	Completed
879787	92507: Speech & Language Visit	02-02-2026 01:00 PM	02-02-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879788	92507: Speech & Language Visit	02-09-2026 01:00 PM	02-09-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879789	92507: Speech & Language Visit	02-16-2026 01:00 PM	02-16-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879790	92507: Speech & Language Visit	02-23-2026 01:00 PM	02-23-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879791	92507: Speech & Language Visit	03-02-2026 01:00 PM	03-02-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879792	92507: Speech & Language Visit	03-09-2026 01:00 PM	03-09-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879793	92507: Speech & Language Visit	03-16-2026 01:00 PM	03-16-2026 01:30 PM	Annette Barron	NB2 far east side	Completed
879794	92507: Speech & Language Visit	03-23-2026 01:00 PM	03-23-2026 01:30 PM	Annette Barron	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
873889	92507: Speech & Language Visit	01-19-2026 02:00 PM	01-19-2026 02:30 PM	Annette Barron	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
879795	92507: Speech & Language Visit	03-30-2026 01:00 PM	03-30-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879796	92507: Speech & Language Visit	04-06-2026 01:00 PM	04-06-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879797	92507: Speech & Language Visit	04-13-2026 01:00 PM	04-13-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879798	92507: Speech & Language Visit	04-20-2026 01:00 PM	04-20-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879799	92507: Speech & Language Visit	04-27-2026 01:00 PM	04-27-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879800	92507: Speech & Language Visit	05-04-2026 01:00 PM	05-04-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879801	S9152: Reevaluation	05-11-2026 01:00 PM	05-11-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879802	92507: Speech & Language Visit	05-18-2026 01:00 PM	05-18-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879803	92507: Speech & Language Visit	05-25-2026 01:00 PM	05-25-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled
879804	92507: Speech & Language Visit	06-01-2026 01:00 PM	06-01-2026 01:30 PM	Annette Barron	NB2 far east side	Scheduled

Paient Notes:

Date	Posted By	Description
01-19-2026	Asbel Guajardo	Dad requested for mom to be added 9152761365

Paient Missed Visit Notes:

Date	Service	Therapist	Description
01-19-2026	92507	Barron, Annette	Patient did not show for his initial speech appointment.

Paient Messages Admin:

Date	Posted By	Message
12-23-2025 02:30 PM	Asbel Guajardo	Hello, this is Asbel from New Beginnings Pediatric Speech Therapy Services. We received a referral for your child and wanted to check if you are interested in starting services with us. If you have any questions or would like to move forward, please feel free to reply to this message or call us at 915-303-5177. Thank you, Asbel New Beginnings Pediatric Speech Therapy Services
12-23-2025 02:37 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2497
12-23-2025 02:44 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=2497
12-23-2025 08:22 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=2497
12-24-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-25-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-26-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-27-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-28-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-29-2025 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2497
12-29-2025 10:00 AM	Patsy Guajardo	Noah has been added to our Speech & Language Therapy wait list. To send us a message at any time, just respond here. To check the status of the wait list, click this link https://patient.newbeginnings-elp.com/Schedule/waitlist_status.aspx?pid=9887&type=1&wid=447
12-29-2025 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
12-30-2025 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
12-31-2025 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-01-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-02-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-03-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-04-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-06-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Noah's placement has changed on our Speech & Language Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9887&type=1&wid=447
01-15-2026 02:38 PM	Patsy Guajardo	Hi, Noah as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Annette https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9887&tid=46
01-20-2026 12:12 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-03-2026 03:54 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 05:28 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Introduction to AAC (Augmentative and Alternative Communication). This session introduces AAC in a simple, supportive way on why it's used and how it helps children communicate. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=19&pid=9887
02-18-2026 04:16 PM	Stephen Tullius	For those of you that would like to attend our parent training: Introduction to AAC, but are not able to attend in person, we are setting up a webinar. This will be our first attempt at a webinar so I hope it goes well :) Here is the link: https://webinar.getresponse.com/JvvC9/introduction-to-aac/
03-09-2026 07:23 PM	Stephen Tullius	Please join us for the next New Beginnings free Parent Training: Sensory Play. In this session learn how to create safe, engaging sensory experiences that help hypersensitive children regulate their responses to touch, sound, and movement. Register here: https://patient.newbeginnings-elp.com/trainings/default.aspx?id=20&pid=9887
03-11-2026 05:41 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-07-2026 04:59 PM	Annette Barron	Good afternoon. My name is Annette from New Beginnings, and I will be completing Noah's speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Noah be available to come in on Jan. 13th at 1 PM? We are located at 3551 Rich Beem Blvd, Suite B, 79938. Please let me know if you would like to confirm the appointment. Thank you.
01-07-2026 05:16 PM	Noah Wiseman	Noah (Prim) Replied: Indeed
01-07-2026 05:17 PM	Noah Wiseman	Noah (Prim) Replied: I'd be fine with the time
01-07-2026 05:19 PM	Annette Barron	Great. Noah is scheduled for a speech evaluation on Tuesday, Jan. 13th at 1 PM at our Far East location (3551 Rich Beem Blvd, suite B). What are your concerns? Is Noah not using enough words, and/or difficult to understand?
01-07-2026 05:32 PM	Noah Wiseman	Noah (Prim) Replied: Not not using enough words
01-08-2026 08:50 AM	Annette Barron	Good morning. I will be sending a series of 9 medical history questions to be filled out and sent back via this messaging system. If you do not receive the entire message, please let me know as soon as you can so I can send the questions in smaller messages.
01-08-2026 08:51 AM	Annette Barron	Please complete when you have a moment. Thank you. Speech History Questionnaire for Noah W: 1.) Name and DOB 2.) Any complications with pregnancy or birth? 3.) Any major illnesses (i.e., ear infections) or accidents since last check up? Any medical diagnoses (i.e., Autism, ADHD, Down syndrome, etc.) or allergies (i.e., medications, foods, seasonal, etc.)? 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? 5.) Sleeping or breathing issues? Does patient get 8-10 hrs of sleep? Wake up several times a night? Snoring? Sleeps with mouth open or closed? Enlarged tonsils? 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? 7.) Which language(s) is the child exposed to regularly? 8.) Vision or hearing issues? 9.) In a few words write your parental concerns with patient’s speech and/or language, and how you would like it to improve within a year.
01-08-2026 02:03 PM	Annette Barron	If you did not receive the 9 medical history questions from the previously sent message, please let me know as soon as you can. Thank you.
01-09-2026 09:51 AM	Annette Barron	Good morning. Please do not forget to fill out the medical history questionnaire I sent out yesterday before our evaluation next week. The information will help me determine which assessment(s) I will need to complete the evaluation in a timely manner. Thank you.
01-09-2026 12:10 PM	Noah Wiseman	Noah (Prim) Replied: 1) Noah Wiseman, February 22nd, 2025 2) He was 3 weeks early he was slightly jaundice. 3) No medical diagnosis's 4) Crawl around 5 months old standing with support around 9 months, First word is mama around December 31st 5) Sleeps throughout the night and sometimes wakes up once a night at about 4am but rarely. Sleeps from 6-7pm till 6-8am 6) No education history, just reading to him 7) English and Spanish 8) None that we are aware of 9) The army sent us here with a referral, I guess we would like to see his vocabulary include more words
01-09-2026 01:20 PM	Annette Barron	Thank you so much for the information. Did Noah pass his newborn hearing screening?
01-09-2026 01:32 PM	Noah Wiseman	Noah (Prim) Replied: Yes
01-09-2026 01:44 PM	Annette Barron	Thank you. I look forward to meeting you all next Tuesday.
01-12-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 08:05 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Evaluation appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-13-2026 08:24 AM	Noah Wiseman	Noah (Prim) Replied: Thank you! It will be my wife there today, I put her on the list Sarah Ramos
01-13-2026 08:39 AM	Annette Barron	Good morning. Thank you for letting me know.
01-13-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=868493
01-13-2026 12:53 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-1/13/2026 92523: Artic & Language Eval
01-14-2026 04:59 PM	Annette Barron	Good afternoon. Here is a brief summary from yesterday’s speech evaluation. Noah has been diagnosed with a profound expressive delay. He would greatly benefit from speech therapy services targeting the following age-appropriate concepts: vocalizing when talked to, moving arms and legs during vocalizations, imitation of facial expressions, vocalizing different vowel sounds, combining sound (vowel-vowel, consonant-vowel, or vowel-consonant), and taking multiple turns vocalizing. Once the office obtains all the necessary signatures, and the insurance approves the paperwork, the treating therapist will reach out to you to begin services. If you have any questions, please let me know. Thank you.
01-15-2026 02:55 PM	Annette Barron	Good afternoon. Noah's speech evaluation has been processed, and I have been assigned to work with Noah. We can begin treatment next week. I have an opening Monday at 3 PM if you all are available. Please let me know if you would like to confirm for this appointment. Thank you.
01-16-2026 08:55 AM	Annette Barron	Good morning. I messaged yesterday stating Noah had been approved to begin speech therapy. I have placed him for my opening on Monday at 3 PM. Please let me know before the end of the business day (6 PM) if you would like to confirm for this initial visit. Thank you.
01-16-2026 06:21 PM	Noah Wiseman	Noah (Prim) Replied: Yes he can go Monday
01-16-2026 06:21 PM	Noah Wiseman	Noah (Prim) Replied: Sorry I've been in the field
01-17-2026 10:50 AM	Noah Wiseman	Noah (Prim) Replied: Is there any chance he can still be scheduled?
01-17-2026 10:50 AM	Annette Barron	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.
01-17-2026 11:34 AM	Annette Barron	Good morning. I can no longer see Noah at 3 PM but I do have 2 PM on Monday or 2 PM on Thursday.
01-17-2026 11:34 AM	Noah Wiseman	Noah (Prim) Replied: The 2PM on Monday please
01-17-2026 11:34 AM	Annette Barron	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.
01-17-2026 11:35 AM	Annette Barron	Great. See you then.
01-18-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 01-19-2026 at 2:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-18-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
01-19-2026 07:58 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
01-19-2026 01:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=873889
01-19-2026 02:06 PM	Annette Barron	Hi. We have 2 min left in the grace period before I the session is canceled by the system. Are you near by?
01-19-2026 02:12 PM	Annette Barron	Annette Barron CANCELLED: 2:00PM-1/19/2026 92507: Speech & Language Visit
01-19-2026 02:14 PM	Annette Barron	Noah did not show for his initial speech appointment. I am sorry to have missed him.
01-19-2026 02:16 PM	Annette Barron	If you all are available, I have an opening next Monday at 1 PM. Please let me know if you would like to confirm for this appointment as soon as possible. Thank you.
01-19-2026 02:16 PM	Noah Wiseman	Noah (Prim) Replied: Confirm it please
01-19-2026 02:17 PM	Annette Barron	OK, thank you.
01-19-2026 02:17 PM	Noah Wiseman	Noah (Prim) Replied: I apologize, if you can as well message 915-276-1365 for these updates, it's my wife Sarah and I'm currently in the field with barley ant service
01-19-2026 02:19 PM	Annette Barron	OK, I will add her information to the system.
01-19-2026 02:24 PM	Annette Barron	The front office just added Sarah's phone number to the messaging system. She will receive the messages regarding Noah's therapy schedule. I hope to see Noah next Monday at 1 PM. Thank you.
01-19-2026 02:29 PM	Noah Wiseman	Noah (Prim) Replied: Just to clarify he doesn't have an appointment at 3 today ?
01-19-2026 02:30 PM	Annette Barron	No, it was at 2 PM today.
01-19-2026 02:30 PM	Noah Wiseman	Noah (Prim) Replied: okay thank you
01-25-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 01-26-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
01-25-2026 04:36 PM	Noah Wiseman	Noah (Prim) Replied: Yes
01-25-2026 04:36 PM	Annette Barron	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.
01-25-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
01-26-2026 07:54 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
01-26-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=875343
01-26-2026 12:56 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-1/26/2026 92507: Speech & Language Visit
02-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 02-02-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-01-2026 05:52 PM	Noah Wiseman	Noah (Prim) Replied: Yes
02-01-2026 05:52 PM	Annette Barron	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.
02-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-02-2026 07:53 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-02-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879787
02-02-2026 12:45 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-2/2/2026 92507: Speech & Language Visit
02-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 02-09-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 06:07 AM	Noah Wiseman	Noah (Prim) Replied: Liked “Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂”
02-09-2026 06:08 AM	Annette Barron	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.
02-09-2026 07:53 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-09-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879788
02-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 02-16-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-15-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-15-2026 06:31 PM	Noah Wiseman	Noah (Prim) Replied: Liked “Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂”
02-15-2026 06:31 PM	Annette Barron	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.
02-16-2026 07:46 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-16-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879789
02-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 02-23-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
02-23-2026 07:47 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
02-23-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879790
03-01-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 03-02-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 07:45 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-02-2026 12:25 PM	Annette Barron	Hello. I just needed to let you know that I am running a little bit late because I had to drop off lunch for my kids at school.
03-02-2026 12:25 PM	Noah Wiseman	Noah (Sec) Replied: Alright!
03-02-2026 12:27 PM	Noah Wiseman	Noah (Prim) Replied: No worries
03-02-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879791
03-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 03-09-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 07:43 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-09-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879792
03-09-2026 12:53 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-3/9/2026 92507: Speech & Language Visit
03-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 03-16-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 07:42 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-16-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879793
03-16-2026 12:54 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-3/16/2026 92507: Speech & Language Visit
03-16-2026 12:58 PM	Noah Wiseman	Noah (Sec) Replied: Okay, I'm here, I think my wife marked it early
03-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 03-23-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 07:44 AM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled today at 01:00 PM. See you soon! - New Beginnings 🙂
03-23-2026 12:45 PM	Annette Barron	Noah Wiseman : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879794
03-23-2026 12:45 PM	Noah Wiseman	Noah is CHECKED IN for: 1:00PM-3/23/2026 92507: Speech & Language Visit
03-24-2026 01:31 PM	Noah Wiseman	Noah (Sec) Replied: Hell, I just wanted to see is it possible for us to change Noah's speech therapy to 4pm?
03-24-2026 01:35 PM	Annette Barron	Hello. All my afternoon appointments are currently book with other established patient. I should also inform you that all afternoon appointments (3-6 PM) are reserved for patient who attend school during the day. Is the 1 PM time no longer working for your schedule?
03-24-2026 01:35 PM	Noah Wiseman	Noah (Sec) Replied: I was curious if I was able to change it due to some things going on at work, but if there are no vacancies I'll keep the same time
03-24-2026 01:39 PM	Annette Barron	I do not have anything later openings.
03-24-2026 01:40 PM	Noah Wiseman	Noah (Sec) Replied: Alright, thank you!
03-24-2026 02:33 PM	Noah Wiseman	Noah (Prim) Replied: Okay thank you
03-24-2026 02:33 PM	Noah Wiseman	Noah (Prim) Replied: We will keep 1
03-29-2026 04:01 PM	Annette Barron	Hi, this is a just a reminder that Wiseman, Noah has a Speech Therapy appointment on 03-30-2026 at 1:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-29-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Noah has a Speech Therapy appointment scheduled tomorrow at 01:00 PM. See you soon! - New Beginnings 🙂