New Beginnings | NB1-Office

Patient Name: Andrew

Patient Information:

Patient ID: 9894

Patient First Name: Andrew

Patient Date of Birth: 04-22-2024

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Raj, Patel

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
23506	Active	03-09-2026	09-04-2026	Superior Health Plan	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26177	02-02-2026	Speech Initial Evaluation	F80.2
Speech Background History: Andrew is a 1 year 9 month old male who was referred for a speech and language evaluation by his pediatrician for concerns regarding speech delay. Andrew was accompanied to the evaluation by his mother, who served as the informant. Mother stated that due to complications during the pregnancy, Andrew was born at 35 weeks and with low birth weight. According to mother, Andrew failed the first two hearing screenings at the hospital, and passed the third time. Although mother has stated that Andrew has never had an ear infection, she has felt that Andrew suffers from allergies. It was recommended mother seek a hearing evaluation for Andrew to rule out hearing loss and/or excessive fluid in the ears as Andrew sleeps with a bottle of milk every night. Mother was educated on the risks involved and the higher percentage of ear infections that occur when children fall asleep with bottles. Per mother’s report, Andrew has 32 words, but uses them inconsistently and the words are “not clear” to unfamiliar listeners. Based on clinical observations, Andrew’s current communication was characterized as no functional words, two instances of an open mouth vocalization, reaching/grabbing/taking items of desire to express his communication wants/needs. A typically developing child that is Andrew’s age should have 20 to 50 words in their expressive vocabulary, and consistently use 1 word utterances. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Andrew’s receptive and expressive language skills. Based on Andrew’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
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Withdrawn,
Speech Communication Strengths: Follows verbal command with cues,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor use of eye contact, Poor vocabulary, Unable to answer questions, Unable to participate in a conversation, Unable to take turns, Unintelligible,
Speech Background Summary: The evaluation took place at the therapy room table and on the floor. Andrew required numerous redirection cues to engage with the assessment. Overall, Andrew’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Andrew is a 1 year 9 month old male who was referred for a speech and language evaluation by his pediatrician for concerns regarding speech delay. Andrew was accompanied to the evaluation by his mother, who served as the informant. Mother stated that due to complications during the pregnancy, Andrew was born at 35 weeks and with low birth weight. According to mother, Andrew failed the first two hearing screenings at the hospital, and passed the third time. Although mother has stated that Andrew has never had an ear infection, she has felt that Andrew suffers from allergies. It was recommended mother seek a hearing evaluation for Andrew to rule out hearing loss and/or excessive fluid in the ears as Andrew sleeps with a bottle of milk every night. Mother was educated on the risks involved and the higher percentage of ear infections that occur when children fall asleep with bottles. Per mother’s report, Andrew has 32 words, but uses them inconsistently and the words are “not clear” to unfamiliar listeners. Based on clinical observations, Andrew’s current communication was characterized as no functional words, two instances of an open mouth vocalization, reaching/grabbing/taking items of desire to express his communication wants/needs. A typically developing child that is Andrew’s age should have 20 to 50 words in their expressive vocabulary, and consistently use 1 word utterances. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and need for NUMEROUS prompts to redirect to tasks. A formal oral mechanism exam could not be completed due to Andrew’s resistance and difficulty following instruction. It is recommended that Andrew’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 Andrew’s receptive and expressive language skills. Andrew received the following standard scores on the PLS-5: Auditory Comprehension 81 (raw score: 19, percentile: 10, age-equivalent: 1 year 3 months), Expressive Communication 52 (raw score: 10, percentile: 1, age-equivalent: 0 years 5 months), and Total Language Score 64 (raw score: 29, percentile: 1, age-equivalent: 0 years 10 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Andrew presented with a PROFOUND TO MILD MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) language skills were more severe than his receptive (MILD) language skills. Andrew would greatly benefit from speech therapy services that target the following: vocalizing two different consonant sounds, babbling two syllables together, identifying familiar objects from a group of objects, following one step commands, relational play, and imitating environmental/non-speech sounds. Speech therapy is highly recommended at this time as Andrew’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Andrew’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. Andrew’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Andrew’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: Andrew is a 1 year 9 month old male who was referred for a speech and language evaluation by his pediatrician for concerns regarding speech delay. Andrew was accompanied to the evaluation by his mother, who served as the informant. Mother stated that due to complications during the pregnancy, Andrew was born at 35 weeks and with low birth weight. According to mother, Andrew failed the first two hearing screenings at the hospital, and passed the third time. Although mother has stated that Andrew has never had an ear infection, she has felt that Andrew suffers from allergies. It was recommended mother seek a hearing evaluation for Andrew to rule out hearing loss and/or excessive fluid in the ears as Andrew sleeps with a bottle of milk every night. Mother was educated on the risks involved and the higher percentage of ear infections that occur when children fall asleep with bottles. Per mother’s report, Andrew has 32 words, but uses them inconsistently and the words are “not clear” to unfamiliar listeners. Based on clinical observations, Andrew’s current communication was characterized as no functional words, two instances of an open mouth vocalization, reaching/grabbing/taking items of desire to express his communication wants/needs. A typically developing child that is Andrew’s age should have 20 to 50 words in their expressive vocabulary, and consistently use 1 word utterances. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and need for NUMEROUS prompts to redirect to tasks. A formal oral mechanism exam could not be completed due to Andrew’s resistance and difficulty following instruction. It is recommended that Andrew’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 Andrew’s receptive and expressive language skills. Andrew received the following standard scores on the PLS-5: Auditory Comprehension 81 (raw score: 19, percentile: 10, age-equivalent: 1 year 3 months), Expressive Communication 52 (raw score: 10, percentile: 1, age-equivalent: 0 years 5 months), and Total Language Score 64 (raw score: 29, percentile: 1, age-equivalent: 0 years 10 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Andrew presented with a PROFOUND TO MILD MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) language skills were more severe than his receptive (MILD) language skills. Andrew would greatly benefit from speech therapy services that target the following: vocalizing two different consonant sounds, babbling two syllables together, identifying familiar objects from a group of objects, following one step commands, relational play, and imitating environmental/non-speech sounds. Speech therapy is highly recommended at this time as Andrew’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Andrew’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. Andrew’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Andrew’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

58276

Plan Date: 02-02-2026

Speech Assessment Summary: Andrew is a 1 year 9 month old male who was referred for a speech and language evaluation by his pediatrician for concerns regarding speech delay. Andrew was accompanied to the evaluation by his mother, who served as the informant. Mother stated that due to complications during the pregnancy, Andrew was born at 35 weeks and with low birth weight. According to mother, Andrew failed the first two hearing screenings at the hospital, and passed the third time. Although mother has stated that Andrew has never had an ear infection, she has felt that Andrew suffers from allergies. It was recommended mother seek a hearing evaluation for Andrew to rule out hearing loss and/or excessive fluid in the ears as Andrew sleeps with a bottle of milk every night. Mother was educated on the risks involved and the higher percentage of ear infections that occur when children fall asleep with bottles. Per mother’s report, Andrew has 32 words, but uses them inconsistently and the words are “not clear” to unfamiliar listeners. Based on clinical observations, Andrew’s current communication was characterized as no functional words, two instances of an open mouth vocalization, reaching/grabbing/taking items of desire to express his communication wants/needs. A typically developing child that is Andrew’s age should have 20 to 50 words in their expressive vocabulary, and consistently use 1 word utterances. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, WITHDRAWN social interaction, IMPULSIVE response rate, ACTIVE level of activity, FAIR awareness of others/environment, and need for NUMEROUS prompts to redirect to tasks. A formal oral mechanism exam could not be completed due to Andrew’s resistance and difficulty following instruction. It is recommended that Andrew’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 Andrew’s receptive and expressive language skills. Andrew received the following standard scores on the PLS-5: Auditory Comprehension 81 (raw score: 19, percentile: 10, age-equivalent: 1 year 3 months), Expressive Communication 52 (raw score: 10, percentile: 1, age-equivalent: 0 years 5 months), and Total Language Score 64 (raw score: 29, percentile: 1, age-equivalent: 0 years 10 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Andrew presented with a PROFOUND TO MILD MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, where his expressive (PROFOUND) language skills were more severe than his receptive (MILD) language skills. Andrew would greatly benefit from speech therapy services that target the following: vocalizing two different consonant sounds, babbling two syllables together, identifying familiar objects from a group of objects, following one step commands, relational play, and imitating environmental/non-speech sounds. Speech therapy is highly recommended at this time as Andrew’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Andrew’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. Andrew’s mother will be responsible for his Home Management Intervention Plan (HMIP). Based on Andrew’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. Prognosis for improvement in the area of Andrew’s impairments is good with consistent speech therapy. Andrew 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, Andrew 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.
Receptive Language	In 12 months, Andrew will improve his receptive language skills in order to follow safety concerns (i.e., follow safety personnel) and provide vital information to emergency personnel (i.e., name) with 50% accuracy across 5 consecutive sessions.

Speech and Language Short Term Goals:

Category	Goal Description
Play/Socialization	In 6 months, Andrew will engage in relational/functional play-based tasks (i.e., feeding animals, building blocks, etc.) for at least 1-2 minutes using appropriate eye-contact with clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development.
Receptive Language	In 6 months, Andrew will identify pictures of common objects (ball, cup, plate, cat, dog, car, blocks, spoon, fork) with 30% accuracy in 3 consecutive sessions with decreasing multisensory cues in order to increase his receptive vocabulary and in turn increase his expressive vocabulary.
Receptive Language	In 6 months, Andrew will follow routine commands (i.e., clean up, sit down, give me _, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to comprehend instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street).
Expressive Language	In 6 months, during play-based activities, Andrew will imitate environmental AND/OR non-speech sounds with 30% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Andrew can express his needs and wants.
Expressive Language	In 6 months, Andrew will use a variety of consonant + vowel (CV), VC, CVCV combination in play-based tasks with clinician with 30% 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).
Expressive Language	In 6 months, Andrew will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) 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.

Speech and Language Soap Note/Visit:

Soap Note

490244

Note Date: 03-18-2026

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, Andrew will engage in relational/functional play-based tasks (i.e., feeding animals, building blocks, etc.) for at least 1-2 minutes using appropriate eye-contact with clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for continued language development. **Andrew engaged in relational/functional play-based tasks (i.e., feeding animals, building blocks, etc.) for at least 1-2 minutes using appropriate eye-contact with clinician in 1 out of 10 opportunities when given maximum verbal and visual cues, modeling, and repetitions. In 6 months, Andrew will identify pictures of common objects (ball, cup, plate, cat, dog, car, blocks, spoon, fork) with 30% accuracy in 3 consecutive sessions with decreasing multisensory cues in order to increase his receptive vocabulary and in turn increase his expressive vocabulary. **Andrew identified pictures of common objects (ball, cup, plate, cat, dog, car, blocks, spoon, fork) with 10% accuracy when given maximum verbal and visual cues, and modeling. In 6 months, Andrew will follow routine commands (i.e., clean up, sit down, give me _, etc.) in 3 out of 10 opportunities across 3 consecutive sessions in order to comprehend instructions related to activities of daily living and safety situations (i.e., wash hands, cross the street). **Andrew followed routine commands (i.e., clean up, sit down, give me _, etc.) in 2 out of 10 opportunities when given maximum verbal and visual cues, modeling, and repetitions. In 6 months, during play-based activities, Andrew will imitate environmental AND/OR non-speech sounds with 30% accuracy with decreasing multisensory cues across 3 out of 5 consecutive sessions in order to promote independence and safety so that Andrew can express his needs and wants. **Andrew imitated environmental AND/OR non-speech sounds with 10% accuracy when provided maximum verbal and visual cues, modeling, and repetitions. In 6 months, Andrew will use total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) 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. **Andrew used total communication (i.e., eye-contact, gestures, purposeful vocalizations, word approximations) to communicate wants/needs in 1 out of 10 opportunities. Andrew utilized purposeful vocalizations when given maximum verbal and gestural cues, modeling, and 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
880549	92523: Artic & Language Eval	02-02-2026 10:45 AM	02-02-2026 11:45 AM	Annette Barron	NB2 far east side	Completed
904052	92507: Speech & Language Visit	03-10-2026 11:00 AM	03-10-2026 12:00 PM	Annette Barron	NB2 far east side	Completed
904053	92507: Speech & Language Visit	03-17-2026 11:00 AM	03-17-2026 12:00 PM	Annette Barron	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
904055	92507: Speech & Language Visit	03-31-2026 11:00 AM	03-31-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904056	92507: Speech & Language Visit	04-07-2026 11:00 AM	04-07-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904057	92507: Speech & Language Visit	04-14-2026 11:00 AM	04-14-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904058	92507: Speech & Language Visit	04-21-2026 11:00 AM	04-21-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904059	92507: Speech & Language Visit	04-28-2026 11:00 AM	04-28-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904060	92507: Speech & Language Visit	05-05-2026 11:00 AM	05-05-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904061	92507: Speech & Language Visit	05-12-2026 11:00 AM	05-12-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904062	92507: Speech & Language Visit	05-19-2026 11:00 AM	05-19-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904063	92507: Speech & Language Visit	05-26-2026 11:00 AM	05-26-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904064	92507: Speech & Language Visit	06-02-2026 11:00 AM	06-02-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904065	92507: Speech & Language Visit	06-09-2026 11:00 AM	06-09-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904066	92507: Speech & Language Visit	06-16-2026 11:00 AM	06-16-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904067	92507: Speech & Language Visit	06-23-2026 11:00 AM	06-23-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904068	92507: Speech & Language Visit	06-30-2026 11:00 AM	06-30-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904069	92507: Speech & Language Visit	07-07-2026 11:00 AM	07-07-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904070	92507: Speech & Language Visit	07-14-2026 11:00 AM	07-14-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904071	92507: Speech & Language Visit	07-21-2026 11:00 AM	07-21-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904072	92507: Speech & Language Visit	07-28-2026 11:00 AM	07-28-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904073	92507: Speech & Language Visit	08-04-2026 11:00 AM	08-04-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904074	92507: Speech & Language Visit	08-11-2026 11:00 AM	08-11-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904075	92507: Speech & Language Visit	08-18-2026 11:00 AM	08-18-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904076	92507: Speech & Language Visit	08-25-2026 11:00 AM	08-25-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
904077	92507: Speech & Language Visit	09-01-2026 11:00 AM	09-01-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled

Paient Messages Admin:

Date	Posted By	Message
12-23-2025 01:33 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2481
12-23-2025 01:54 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2481
12-23-2025 01:54 PM	Asbel Guajardo	Hi, this is Asbel from New Beginnings. I’ve sent you a link to complete the first steps in getting your child started with services. The link will guide you through a few steps, including filling out required information, uploading documents, and scheduling an appointment at the end. If you need help at any point, please don’t hesitate to reach out or give us a call at 915-303-5177. We’re here to support you! Warm regards, Asbel New Beginnings
12-23-2025 01:59 PM	Andrew R	Thank you!
01-06-2026 12:53 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=2481
01-07-2026 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=2481
01-08-2026 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=2481
01-09-2026 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=2481
01-10-2026 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=2481
01-11-2026 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=2481
01-12-2026 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=2481
01-13-2026 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=2481
01-14-2026 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=2481
01-15-2026 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=2481
01-16-2026 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=2481
01-17-2026 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=2481
01-18-2026 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=2481
01-19-2026 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=2481
01-20-2026 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=2481
01-20-2026 12:12 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us for our Kids Sensory Series — a fun, movement-based sensory play event for kids! 📅 Feb 2nd, 2026 ⏰ 10:00 AM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 _________________________________ 🌟 ¡Están invitados! 🌟 Acompáñenos a nuestra Serie Sensorial para Niños, un evento divertido con actividades sensoriales y de movimiento. 📅 2 de febrero de 2026 ⏰ 10:00 a.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
01-21-2026 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=2481
01-22-2026 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=2481
01-23-2026 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=2481
01-24-2026 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=2481
01-24-2026 12:30 PM	Patsy Guajardo	Andrew 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=9894&type=1&wid=527
01-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Andrew'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=9894&type=1&wid=527
01-25-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Andrew'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=9894&type=1&wid=527
01-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Andrew'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=9894&type=1&wid=527
01-27-2026 10:24 AM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am processing your child's file and want to let you that we need a referral from the pcp. You can have them fax it to us to 915-303-5381. Thank you
01-27-2026 11:05 AM	Asbel Guajardo	Also he is showing inactive in superior but active in medicaid.
01-27-2026 11:11 AM	Asbel Guajardo	I am sorry I just saw it start on Feb 1st in Superior.
02-03-2026 09:39 AM	Asbel Guajardo	Hello Mrs.Holguin this is Asbel I wanted to update you that we have not received the referral yet.
02-03-2026 03:17 PM	Asbel Guajardo	Hello Mrs.Holguin the referral was sent to our other location and we have it.
02-03-2026 03:53 PM	Caleb Tullius	🌟 You’re Invited! 🌟 Join us as we celebrate the unveiling of the Sensory Nook we proudly donated to the library! Come see the space, explore, and enjoy this special moment with us. 📅 February 7th, 2026 ⏰ 4:30 PM 📍 Esperanza Acosta Moreno Public Library We’d love to see you there! 💙 🌟 ¡Están invitados! 🌟 Acompáñenos a celebrar la inauguración del Rincón Sensorial que con orgullo donamos a la biblioteca. Vengan a conocer el espacio y compartir este momento especial con nosotros. 📅 7 de febrero de 2026 ⏰ 4:30 p.m. 📍 Biblioteca Pública Esperanza Acosta Moreno ¡Esperamos verlos! 💙
02-16-2026 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=9894
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/
03-05-2026 07:53 AM	Patsy Guajardo	Hi, Andrew 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=9894&tid=46
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=9894
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
01-27-2026 03:01 PM	Annette Barron	Good afternoon. My name is Annette from New Beginnings, and I will be completing Andrew’s speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Andrew be available to come in on Feb. 2nd at 10:45 AM? 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.
01-28-2026 10:05 AM	Annette Barron	Good morning. This is Annette from New Beginnings. I received word from the front office that you are confirming for the opening on February 2nd at 10:45 AM. What are your concerns? Is Andrew not using enough words and/or difficult to understand?
02-01-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Evaluation appointment scheduled tomorrow at 10:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 07:54 AM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Evaluation appointment scheduled today at 10:45 AM. See you soon! - New Beginnings 🙂
02-02-2026 10:30 AM	Annette Barron	Andrew Villalba : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880549
02-02-2026 10:37 AM	Andrew Villalba	Andrew is CHECKED IN for: 10:45AM-2/2/2026 92523: Artic & Language Eval
02-03-2026 03:40 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Andrew has been diagnosed with a profound to mild mixed receptive-expressive language disorder, where his expressive (profound) language skills were more severe than his receptive (mild) language skills. Andrew would benefit from speech therapy targeting the following: vocalizing two different consonant sounds, babbling two syllables together, identifying familiar objects from a group of objects, following one step commands, relational play, and imitating environmental/non-speech sounds. Once the office has processed the report, they obtain the needed signatures, and insurance approves the report, the assigned treating therapist will reach out to you to discuss beginning treatment. Please let me know if you have any questions. Thank you.
02-03-2026 04:23 PM	Andrew Villalba	Andrew (Prim) Replied: Loved “Good afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Andrew has been diagnosed with a profound to mild mixed receptive-expressive language disorder, where his expressive (profound) language skills were more severe than his receptive (mild) language skills. Andrew would benefit from speech therapy targeting the following: vocalizing two different consonant sounds, babbling two syllables together, identifying familiar objects from a group of objects, following one step commands, relational play, and imitating environmental/non-speech sounds. Once the office has processed the report, they obtain the needed signatures, and insurance approves the report, the assigned treating therapist will reach out to you to discuss beginning treatment. Please let me know if you have any questions. Thank you.”
03-06-2026 03:43 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings. I finally received authorization to begin seeing Andrew. As discussed during the evaluation, I had been saving Tuesday at 11 AM for him. I can schedule our initial session for this coming Tuesday, March 10th, at 11 AM. Would you like to confirm?
03-06-2026 04:02 PM	Annette Barron	I do remember you having an issue replying to my messages during the time of the evaluation. Although I am not in the office today, you can call the office before 6 PM to confirm for the appointment on Tuesday at 11 AM, and they will message me.
03-06-2026 04:12 PM	Andrew Villalba	Andrew (Prim) Replied: Hi Annette, that's great news! Yes, that day and time works perfectly for us. See you then 😊 And yes, I am still having issues when replying but it's not just with you. I have another provider that I have the EXACT same problem with. And we've learned that i can reply if sent with a picture. So that's why you're getting a random picture of a bear, sorry!
03-06-2026 04:12 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.
03-06-2026 04:16 PM	Annette Barron	Our messaging system does not allow pictures, but I am glad we can exchange messages. See you all next week.
03-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Villalba , Andrew has a Speech Therapy appointment on 03-10-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-09-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 08:04 AM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-10-2026 10:45 AM	Annette Barron	Andrew Villalba : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904052
03-10-2026 10:56 AM	Andrew Villalba	Andrew is CHECKED IN for: 11:00AM-3/10/2026 92507: Speech & Language Visit
03-15-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Villalba , Andrew has a Speech Therapy appointment on 03-17-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:25 PM	Andrew Villalba	Andrew (Prim) Replied: Yes
03-15-2026 04:25 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.
03-16-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 07:58 AM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-17-2026 10:45 AM	Annette Barron	Andrew Villalba : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904053
03-17-2026 10:46 AM	Andrew Villalba	Andrew is CHECKED IN for: 11:00AM-3/17/2026 92507: Speech & Language Visit
03-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Villalba , Andrew has a Speech Therapy appointment on 03-24-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-23-2026 03:53 PM	Andrew Villalba	Andrew (Prim) Replied: Yes
03-23-2026 06:31 PM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 07:59 AM	Annette Barron	Hi, this is a just a reminder that Andrew has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 10:45 AM	Annette Barron	Andrew Villalba : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=904054
03-24-2026 10:45 AM	Andrew Villalba	Andrew is CHECKED IN for: 11:00AM-3/24/2026 92507: Speech & Language Visit