New Beginnings | NB1-Office

Patient Name: Jaxon

Patient Information:

Patient ID: 9901

Patient First Name: Jaxon

Patient Date of Birth: 05-13-2024

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Gilberto, Gomez

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Adame, Christine

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
23477	Active	03-02-2026	08-31-2026	El Paso First Health Plans	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26247	01-28-2026	Speech Initial Evaluation	F80.2
Speech Background History: Jaxon is a 1 year 8 month old male who was referred for a speech and language therapy services evaluation by his pediatrician. Jaxon was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) English. Jaxon was accompanied to the evaluation by both of his parents. Parents stated that Jaxon was babbling /mama/ and /dada/ when he was about 6 months to 12 months. Jaxon's parents voiced concerns that Jaxon is not using words yet. A typically developing child that is Jaxon's age should have approximately 10 to 50 words in their expressive language. The language of intervention should be English since parents speak English with Jaxon. Jaxon is exposed to books in English, media in English, and music in English.
Speech Medical History: Jaxon was born at 35 weeks. A week before Jaxon was born, his mother developed pre-eclampsia. Jaxon stayed in the NICU for 1 week after birth. Jaxon had liquid in his lungs and needed oxygen.
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Moderate delays, 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: Shy,
Speech Communication Strengths:
Speech Communication Weaknesses: Diminished vocabulary, Unintelligible, Weakness is conversational repair (failure to request clarification, singal non-comprehension, apologize),
Speech Background Summary:
Speech Diagnosis/Impressions: Jaxon is a 1 year 8 month old male who was referred for a speech and language therapy services evaluation by his pediatrician. Jaxon was accompanied to the evaluation by both of his parents. Parents stated that Jaxon was babbling /mama/ and /dada/ when he was about 6 months to 12 months. Jaxon's parents voiced concerns that Jaxon is not using words yet. A typically developing child that is Jaxon's age should have approximately 10 to 50 words in their expressive language. The language of intervention should be English since parents speak English with Jaxon. Jaxon is exposed to books in English, media in English, and music in English. Jaxon presents with a MODERATE TO PROFOUNDLY SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, characterized by significant deficits in both language comprehension and verbal expression. These findings are consistent with formal assessment results and clinical observations, and are further underscored by a significant medical history including premature birth at 35 weeks gestation and a one-week NICU stay requiring oxygen support, which are known risk factors for developmental delays. Standardized assessment using the Preschool Language Scales, Fifth Edition (PLS-5) revealed profoundly delayed language skills, falling well below the 50th percentile and more than two standard deviations below the mean for his chronological age. Jaxon received the following standard scores on the PLS-5: Auditory Comprehension 77 (raw score: 18, percentile: 6, age equivalent: 1 year 2 months), Expressive Communication 52 (raw score: 10, percentile: 1, age equivalent: 0 years 5 months), and Total Language Score 62 (raw score: 28, percentile: 1, age equivalent: 0 years 9 months). His Total Language Score was significantly depressed, placing him in the first percentile. Receptively, he demonstrated skills equivalent to a 12-month-old, representing an 8-month delay, which impacts his ability to follow novel one-step commands and consistently identify common objects, limiting his participation in daily routines and posing potential safety risks. Expressively, his performance was even more significantly impaired, with an age equivalence of 10 months, reflecting a 10-month delay. This deficit is functionally manifested by a lack of single words, which severely restricts his ability to communicate basic wants and needs, leading to increased frustration and reliance on primitive gestures. His intelligibility at the word level is effectively 0% due to this limited verbal output. These core language deficits negatively impact his pragmatic development and social participation, contributing to shy social interactions and difficulty engaging with others. Without the foundational language skills to build upon, Jaxon is at significant risk for future challenges in academic readiness and literacy development. Based on the severity of these objective and functional findings, skilled Speech-Language Pathology services are deemed medically necessary and strongly recommended. Jaxon exhibits a profound delay that is unlikely to resolve without specialized intervention targeting foundational receptive and expressive language skills. The significant gap between his chronological age and his functional communication abilities is widening and, if left unaddressed, will lead to further regression and greater long-term functional impairment across social and pre-academic domains. Therefore, it is recommended that Jaxon participate in Speech-Language Pathology services one time per week to provide sufficient intensity to mitigate the effects of this severe delay, establish a functional communication system to reduce frustration, and facilitate crucial parent training to ensure carryover of skills. This frequency is essential to build communicative momentum and prevent the development of maladaptive behaviors secondary to his inability to communicate effectively. Without speech therapy, Christian’s safety risks are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Christian’s mother and father will be responsible for his Home Education Program (HEP).
Speech Diagnosis/Impressions: Jaxon is a 1 year 8 month old male who was referred for a speech and language therapy services evaluation by his pediatrician. Jaxon was accompanied to the evaluation by both of his parents. Parents stated that Jaxon was babbling /mama/ and /dada/ when he was about 6 months to 12 months. Jaxon's parents voiced concerns that Jaxon is not using words yet. A typically developing child that is Jaxon's age should have approximately 10 to 50 words in their expressive language. The language of intervention should be English since parents speak English with Jaxon. Jaxon is exposed to books in English, media in English, and music in English. Jaxon presents with a MODERATE TO PROFOUNDLY SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, characterized by significant deficits in both language comprehension and verbal expression. These findings are consistent with formal assessment results and clinical observations, and are further underscored by a significant medical history including premature birth at 35 weeks gestation and a one-week NICU stay requiring oxygen support, which are known risk factors for developmental delays. Standardized assessment using the Preschool Language Scales, Fifth Edition (PLS-5) revealed profoundly delayed language skills, falling well below the 50th percentile and more than two standard deviations below the mean for his chronological age. Jaxon received the following standard scores on the PLS-5: Auditory Comprehension 77 (raw score: 18, percentile: 6, age equivalent: 1 year 2 months), Expressive Communication 52 (raw score: 10, percentile: 1, age equivalent: 0 years 5 months), and Total Language Score 62 (raw score: 28, percentile: 1, age equivalent: 0 years 9 months). His Total Language Score was significantly depressed, placing him in the first percentile. Receptively, he demonstrated skills equivalent to a 12-month-old, representing an 8-month delay, which impacts his ability to follow novel one-step commands and consistently identify common objects, limiting his participation in daily routines and posing potential safety risks. Expressively, his performance was even more significantly impaired, with an age equivalence of 10 months, reflecting a 10-month delay. This deficit is functionally manifested by a lack of single words, which severely restricts his ability to communicate basic wants and needs, leading to increased frustration and reliance on primitive gestures. His intelligibility at the word level is effectively 0% due to this limited verbal output. These core language deficits negatively impact his pragmatic development and social participation, contributing to shy social interactions and difficulty engaging with others. Without the foundational language skills to build upon, Jaxon is at significant risk for future challenges in academic readiness and literacy development. Based on the severity of these objective and functional findings, skilled Speech-Language Pathology services are deemed medically necessary and strongly recommended. Jaxon exhibits a profound delay that is unlikely to resolve without specialized intervention targeting foundational receptive and expressive language skills. The significant gap between his chronological age and his functional communication abilities is widening and, if left unaddressed, will lead to further regression and greater long-term functional impairment across social and pre-academic domains. Therefore, it is recommended that Jaxon participate in Speech-Language Pathology services one time per week to provide sufficient intensity to mitigate the effects of this severe delay, establish a functional communication system to reduce frustration, and facilitate crucial parent training to ensure carryover of skills. This frequency is essential to build communicative momentum and prevent the development of maladaptive behaviors secondary to his inability to communicate effectively. Without speech therapy, Christian’s safety risks are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Christian’s mother and father will be responsible for his Home Education Program (HEP).
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

58413

Plan Date: 01-28-2026

Speech Assessment Summary: Jaxon is a 1 year 8 month old male who was referred for a speech and language therapy services evaluation by his pediatrician. Jaxon was accompanied to the evaluation by both of his parents. Parents stated that Jaxon was babbling /mama/ and /dada/ when he was about 6 months to 12 months. Jaxon's parents voiced concerns that Jaxon is not using words yet. A typically developing child that is Jaxon's age should have approximately 10 to 50 words in their expressive language. The language of intervention should be English since parents speak English with Jaxon. Jaxon is exposed to books in English, media in English, and music in English. Jaxon presents with a MODERATE TO PROFOUNDLY SEVERE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER, characterized by significant deficits in both language comprehension and verbal expression. These findings are consistent with formal assessment results and clinical observations, and are further underscored by a significant medical history including premature birth at 35 weeks gestation and a one-week NICU stay requiring oxygen support, which are known risk factors for developmental delays. Standardized assessment using the Preschool Language Scales, Fifth Edition (PLS-5) revealed profoundly delayed language skills, falling well below the 50th percentile and more than two standard deviations below the mean for his chronological age. Jaxon received the following standard scores on the PLS-5: Auditory Comprehension 77 (raw score: 18, percentile: 6, age equivalent: 1 year 2 months), Expressive Communication 52 (raw score: 10, percentile: 1, age equivalent: 0 years 5 months), and Total Language Score 62 (raw score: 28, percentile: 1, age equivalent: 0 years 9 months). His Total Language Score was significantly depressed, placing him in the first percentile. Receptively, he demonstrated skills equivalent to a 12-month-old, representing an 8-month delay, which impacts his ability to follow novel one-step commands and consistently identify common objects, limiting his participation in daily routines and posing potential safety risks. Expressively, his performance was even more significantly impaired, with an age equivalence of 10 months, reflecting a 10-month delay. This deficit is functionally manifested by a lack of single words, which severely restricts his ability to communicate basic wants and needs, leading to increased frustration and reliance on primitive gestures. His intelligibility at the word level is effectively 0% due to this limited verbal output. These core language deficits negatively impact his pragmatic development and social participation, contributing to shy social interactions and difficulty engaging with others. Without the foundational language skills to build upon, Jaxon is at significant risk for future challenges in academic readiness and literacy development. Based on the severity of these objective and functional findings, skilled Speech-Language Pathology services are deemed medically necessary and strongly recommended. Jaxon exhibits a profound delay that is unlikely to resolve without specialized intervention targeting foundational receptive and expressive language skills. The significant gap between his chronological age and his functional communication abilities is widening and, if left unaddressed, will lead to further regression and greater long-term functional impairment across social and pre-academic domains. Therefore, it is recommended that Jaxon participate in Speech-Language Pathology services one time per week to provide sufficient intensity to mitigate the effects of this severe delay, establish a functional communication system to reduce frustration, and facilitate crucial parent training to ensure carryover of skills. This frequency is essential to build communicative momentum and prevent the development of maladaptive behaviors secondary to his inability to communicate effectively. Without speech therapy, Christian’s safety risks are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Christian’s mother and father will be responsible for his Home Education Program (HEP).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Jaxon will be discharged when he achieves a standard score above - 1.0 standard deviations from the mean for all impairments, indicating that his speech and language skills will be in the average range and he will have met all 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	Within 1 year, Jaxonwill utilize age-appropriate expressive language skills in order to communicate effectively with family and peers with 60% accuracy.
Receptive Language	Within 1 year, Jaxon will utilize age-appropriate receptive language skills in order to communicate effectively with family and peers with 60% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Receptive Language	Within 6 months, Jaxon will follow novel, 1-step commands accompanied by a gestural cue (e.g., "Push the car," "Get the ball") during structured play activities with decreasing verbal and tactile cues with 20% accuracy across 3 out of 5 consecutive sessions in order to improve safety and participation in daily routines at home with his parents and grandmothers.
Receptive Language	Within 6 months, Jaxon will identify common objects from a field of 2 when named by the clinician (e.g., "Where is the ball?") with decreasing visual and verbal cues with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence by increasing his functional understanding of his environment.
Receptive Language	Within 6 months, Jaxon will respond appropriately to "no" and "wait" with decreasing multisensory cues during play based tasks with 20% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Jaxon can stop dangerous actions.
Expressive Language	Within 6 months, Jaxon will combine early phonemes (/m, b, p/) in different combinations (vowel+consonant, consonant+vowel, vowel+vowel) with decreasing multisensory cues during play based tasks with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Jaxon can combine phonemes and eventually produce core vocabulary to express his needs and wants.
Expressive Language	Within 6 months, Jaxon will use gestures that represent verbal concepts with decreasing multisensory cues during play based tasks with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Jaxon will learn that he can express his needs or wants via signs or verbalizations.
Expressive Language	Within 6 months, Jaxon will imitate different environmental or non-speech sounds (e.g., "vroom," "moo," "baa") within a play-based context with maximal modeling and prompting with 20% accuracy across 3 out of 5 consecutive sessions to promote independence by expanding Jaxon's phonetic repertoire and increase expressive output.

Speech and Language Soap Note/Visit:

Soap Note

490329

Note Date: 03-18-2026

Subjective: Patient was alert 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. Jaxon followed novel, 1-step commands accompanied by a gestural cue (e.g., "Push the car," "Get the ball") during structured play activities with decreasing verbal and tactile cues with 0% accuracy. Jaxon identified common objects from a field of 2 when named by the clinician (e.g., "Where is the ball?") with decreasing visual and verbal cues with 0% accuracy. Jaxon combined early phonemes (/m, b, p/) in different combinations (vowel+consonant, consonant+vowel, vowel+vowel) with decreasing multisensory cues during play based tasks with 0% accuracy. Jaxon used gestures that represent verbal concepts with decreasing multisensory cues during play based tasks with 0% accuracy. Jaxon imitated different environmental or non-speech sounds (e.g., "vroom," "moo," "baa") within a play-based context with maximal modeling and prompting with 0% accuracy.

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
879012	92523: Artic & Language Eval	01-28-2026 08:00 AM	01-28-2026 09:00 AM	Christine Adame	NB2 far east side	Completed
901301	92507: Speech & Language Visit	03-11-2026 09:45 AM	03-11-2026 10:30 AM	Christine Adame	NB2 far east side	Completed
905581	92507: Speech & Language Visit	03-12-2026 09:45 AM	03-12-2026 10:30 AM	Christine Adame	NB2 far east side	Completed
905825	92507: Speech & Language Visit	03-18-2026 09:00 AM	03-18-2026 09:45 AM	Christine Adame	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
873540	92523: Artic & Language Eval	01-20-2026 08:00 AM	01-20-2026 09:00 AM	Christine Adame	NB2 far east side	Canceled
875804	92523: Artic & Language Eval	01-27-2026 08:00 AM	01-27-2026 09:00 AM	Christine Adame	NB2 far east side	Canceled
901303	92507: Speech & Language Visit	03-12-2026 09:00 AM	03-12-2026 09:45 AM	Christine Adame	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907580	92507: Speech & Language Visit	03-31-2026 09:00 AM	03-31-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907581	92507: Speech & Language Visit	04-08-2026 09:00 AM	04-08-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907582	92507: Speech & Language Visit	04-15-2026 09:00 AM	04-15-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907583	92507: Speech & Language Visit	04-22-2026 09:00 AM	04-22-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907584	92507: Speech & Language Visit	04-29-2026 09:00 AM	04-29-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907585	92507: Speech & Language Visit	05-06-2026 09:00 AM	05-06-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907586	92507: Speech & Language Visit	05-13-2026 09:00 AM	05-13-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907587	92507: Speech & Language Visit	05-20-2026 09:00 AM	05-20-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907588	92507: Speech & Language Visit	05-27-2026 09:00 AM	05-27-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907589	92507: Speech & Language Visit	06-03-2026 09:00 AM	06-03-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907590	92507: Speech & Language Visit	06-10-2026 09:00 AM	06-10-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907591	92507: Speech & Language Visit	06-17-2026 09:00 AM	06-17-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907592	92507: Speech & Language Visit	06-24-2026 09:00 AM	06-24-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907593	92507: Speech & Language Visit	07-01-2026 09:00 AM	07-01-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907594	92507: Speech & Language Visit	07-08-2026 09:00 AM	07-08-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907595	92507: Speech & Language Visit	07-15-2026 09:00 AM	07-15-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907596	92507: Speech & Language Visit	07-22-2026 09:00 AM	07-22-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907597	92507: Speech & Language Visit	07-29-2026 09:00 AM	07-29-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907598	92507: Speech & Language Visit	08-05-2026 09:00 AM	08-05-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907599	92507: Speech & Language Visit	08-12-2026 09:00 AM	08-12-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907600	92507: Speech & Language Visit	08-19-2026 09:00 AM	08-19-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled
907601	92507: Speech & Language Visit	08-26-2026 09:00 AM	08-26-2026 09:45 AM	Christine Adame	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-12-2026	92507	Adame, Christine	Jaxon Smith 3/8/2026 4:01 PM Jaxon (Prim) Replied: reschedule 03-12-2026
01-27-2026	92523	Adame, Christine	Christine Adame 1/25/2026 1:55 PM Good afternoon! May I please bump Jaxon to Wednesday at 8 am? Or a different day next week? My daughter's teacher notified me that my daughter is getting an award at school on Tuesday. I'm sorry for the late notice. She barely contacted me. Jaxon Smith 1/25/2026 1:55 PM Jaxon (Prim) Replied: Yes Wednesday is perfect! It's my day off, thank you for letting me know
01-20-2026	92523	Adame, Christine	Jaxon Smith 1/15/2026 1:48 PM Jaxon (Prim) Replied: I'm sorry! I wasn't able to adjust my work schedule for 1/20. Was there another appointment available?

Paient Messages Admin:

Date	Posted By	Message
01-07-2026 05:57 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
01-07-2026 08:22 PM	Jaxon Smith	Yes I actually called earlier to make an appointment but no one picked up
01-08-2026 03:53 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2430
01-08-2026 04:29 PM	Patsy Guajardo	Jaxon 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=9901&type=1&wid=462
01-08-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-09-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-10-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-11-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-12-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-13-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Jaxon'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=9901&type=1&wid=462
01-16-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-17-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-17-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-18-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-18-2026 11:32 AM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-19-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-19-2026 08:36 AM	Jaxon Smith	Need help scheduling
01-20-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9901
01-20-2026 12:11 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! 💙
01-28-2026 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=2430
01-29-2026 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=2430
01-30-2026 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=2430
01-31-2026 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=2430
02-01-2026 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=2430
02-02-2026 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=2430
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 05:27 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=9901
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/
02-27-2026 09:48 AM	Patsy Guajardo	Hi, Jaxon as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Christine https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9901&tid=13
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=9901
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
01-15-2026 09:14 AM	Christine Adame	Good morning! My name is Christine, I will perform the evaluation of Jaxon for Speech Therapy services. I have Tuesday (Jan 20) at 8 am available. Would you like to confirm? :)
01-15-2026 09:15 AM	Jaxon Smith	Jaxon (Prim) Replied: Yes! That's perfect
01-15-2026 09:16 AM	Christine Adame	Awesome!! Can you please let me know what your concerns with Jaxon are currently? Is he talking? Is he not talking yet? Is he difficult to understand?
01-15-2026 09:20 AM	Jaxon Smith	Jaxon (Prim) Replied: Actually he understand perfectly. I'll tell him to close the door or just little commands and he does them. But he's not talking he doesn't say not one word.
01-15-2026 01:48 PM	Jaxon Smith	Jaxon (Prim) Replied: I'm sorry! I wasn't able to adjust my work schedule for 1/20. Was there another appointment available?
01-15-2026 01:49 PM	Christine Adame	Did you need it for the week after? Or does 01/21 work?
01-15-2026 01:50 PM	Christine Adame	Christine Adame CANCELLED: 8:00AM-1/20/2026 92523: Artic & Language Eval
01-15-2026 01:55 PM	Jaxon Smith	Jaxon (Prim) Replied: What time would it be on 01/21?
01-15-2026 01:57 PM	Christine Adame	At 8 am too
01-15-2026 04:06 PM	Jaxon Smith	Jaxon (Prim) Replied: What about the week after? Sorry I'm just trying to work something out with my work schedule
01-15-2026 04:09 PM	Christine Adame	No problem at all! I completely understand. I'll look at my schedule for the week after.
01-15-2026 04:20 PM	Jaxon Smith	Jaxon (Prim) Replied: Okay, thank you so much!
01-20-2026 09:41 AM	Jaxon Smith	Jaxon (Prim) Replied: Good morning, I keep getting messages to schedule an evaluation and it doesn't give me any other options besides today. I was just wondering if the appointment will come from you?
01-20-2026 09:42 AM	Christine Adame	Yes, I apologize. I was out yesterday for my son's cardiologist appointment. Did you want an appointment for next week or the following week?
01-20-2026 09:42 AM	Jaxon Smith	Jaxon (Prim) Replied: It's okay don't worry I was just wanting to make sure. Yes I would like it for next week
01-20-2026 09:49 AM	Christine Adame	I appreciate your understanding!! I have next Tuesday at 8 am and Wednesday at 8 am available. Would you like to schedule the evaluation for one of those days?
01-20-2026 09:50 AM	Jaxon Smith	Jaxon (Prim) Replied: Tuesday
01-20-2026 09:52 AM	Christine Adame	Okay! Perfect!! :)
01-20-2026 09:53 AM	Christine Adame	I'll schedule Jaxon on Tuesday at 8 am. May I please ask, what are your concerns as far as speech and language? For example, does he talk yet? Is he difficult to understand?
01-20-2026 09:54 AM	Jaxon Smith	Jaxon (Prim) Replied: Yes he doesn't talk at all, not even "mama" or "papa"
01-20-2026 09:56 AM	Christine Adame	Oh okay! Thank you so much for the information :)
01-20-2026 09:56 AM	Christine Adame	I look forward to meeting you and Jaxon next Tuesday (Jan 27) at 8 am. We are located at 3551 Rich Beem Ste B 79938
01-20-2026 09:57 AM	Jaxon Smith	Jaxon (Prim) Replied: Thank you!
01-25-2026 01:55 PM	Christine Adame	Good afternoon! May I please bump Jaxon to Wednesday at 8 am? Or a different day next week? My daughter's teacher notified me that my daughter is getting an award at school on Tuesday. I'm sorry for the late notice. She barely contacted me.
01-25-2026 01:55 PM	Jaxon Smith	Jaxon (Prim) Replied: Yes Wednesday is perfect! It's my day off, thank you for letting me know
01-25-2026 01:55 PM	Christine Adame	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 02:50 PM	Christine Adame	Thank you so much! I appreciate it :)
01-25-2026 02:51 PM	Christine Adame	Christine Adame CANCELLED: 8:00AM-1/27/2026 92523: Artic & Language Eval
01-27-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Evaluation appointment scheduled tomorrow at 08:00 AM. See you soon! - New Beginnings 🙂
01-28-2026 07:45 AM	Christine Adame	Jaxon Smith : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879012
01-28-2026 08:02 AM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Evaluation appointment scheduled today at 08:00 AM. See you soon! - New Beginnings 🙂
01-28-2026 08:06 AM	Jaxon Smith	Jaxon is CHECKED IN for: 8:00AM-1/28/2026 92523: Artic & Language Eval
03-08-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Smith, Jaxon has a Speech Therapy appointment on 03-11-2026 at 9:45 AM, and on 03-12-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Jaxon Smith	Jaxon (Prim) Replied: NO
03-08-2026 04:01 PM	Christine Adame	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.
03-08-2026 04:01 PM	Jaxon Smith	Jaxon (Prim) Replied: reschedule 03-12-2026
03-08-2026 04:01 PM	Christine Adame	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.
03-08-2026 05:46 PM	Christine Adame	Okay! Thank you
03-09-2026 08:14 AM	Christine Adame	Christine Adame CANCELLED: 9:00AM-3/12/2026 92507: Speech & Language Visit
03-09-2026 12:39 PM	Jaxon Smith	Jaxon (Prim) Replied: Sorry my work schedule changed. I am available for 3/12/2026 if the appointment is still open
03-09-2026 12:40 PM	Christine Adame	Good afternoon! No problem. Will Jaxon still be able to come on Wednesday?
03-09-2026 12:41 PM	Jaxon Smith	Jaxon (Prim) Replied: Yes Wednesday is fine as well
03-09-2026 03:13 PM	Christine Adame	Okay, would Thursday at 9:45 work? I gave the 9 am appointment to another child.
03-09-2026 03:14 PM	Jaxon Smith	Jaxon (Prim) Replied: Yes that's fine
03-09-2026 03:14 PM	Jaxon Smith	Jaxon (Prim) Replied: So it's going to be 2 appointments correct?
03-09-2026 03:24 PM	Christine Adame	For this week, yes. I will check to see how many make-ups we need. Sometimes they give us 28 visits and there are only 26 weeks in the authorization period, therefore, we would need two make-ups. We're doing one make-up because his authorization began last week.
03-09-2026 03:25 PM	Jaxon Smith	Jaxon (Prim) Replied: Okay thank you
03-10-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:55 AM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
03-11-2026 09:30 AM	Christine Adame	Jaxon Smith : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901301
03-11-2026 09:46 AM	Jaxon Smith	Jaxon is CHECKED IN for: 9:45AM-3/11/2026 92507: Speech & Language Visit
03-11-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled tomorrow at 09:45 AM. See you soon! - New Beginnings 🙂
03-12-2026 07:58 AM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled today at 09:45 AM. See you soon! - New Beginnings 🙂
03-12-2026 09:30 AM	Christine Adame	Jaxon Smith : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905581
03-12-2026 09:51 AM	Jaxon Smith	Jaxon is CHECKED IN for: 9:45AM-3/12/2026 92507: Speech & Language Visit
03-13-2026 03:48 PM	Christine Adame	Good afternoon! I sent two links. Those two links require either your signature or initials. After each therapy session, you will receive a link to "sign." This is for billing purposes, so they know that Jaxon really came to therapy that day. Thank you so much!
03-15-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Smith, Jaxon has a Speech Therapy appointment on 03-18-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-16-2026 12:04 PM	Jaxon Smith	Jaxon (Prim) Replied: Yes
03-16-2026 04:47 PM	Christine Adame	Hello!! Can you please sign for last week's appointments? I need you to sign or initial for each day that Jaxon comes to therapy. If I do not receive your signature then I cannot close my invoice for the week. Here is the link for Wednesday's appointment: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9901&app=901301
03-16-2026 04:48 PM	Christine Adame	Here is the link for Thursday's appointment: https://st-pros.com/newbeginnings/patients/signature/default.aspx?pid=9901&app=905581
03-16-2026 04:49 PM	Christine Adame	I really need your signature to close my invoice and submit for payroll. I appreciate your attention to this matter. Thank you!! :)
03-16-2026 04:49 PM	Jaxon Smith	Jaxon (Prim) Replied: Done ✅
03-16-2026 04:51 PM	Christine Adame	Thank you so much!! I appreciate it greatly!!
03-17-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:56 AM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-18-2026 08:45 AM	Christine Adame	Jaxon Smith : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905825
03-18-2026 08:59 AM	Jaxon Smith	Jaxon is CHECKED IN for: 9:00AM-3/18/2026 92507: Speech & Language Visit
03-22-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Smith, Jaxon has a Speech Therapy appointment on 03-25-2026 at 9:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-24-2026 11:35 AM	Christine Adame	Hello!! For next week, would Monday or Tuesday work for Jaxon?
03-24-2026 11:36 AM	Jaxon Smith	Jaxon (Prim) Replied: Tuesday
03-24-2026 05:58 PM	Christine Adame	Okay! I have Jaxon scheduled for 9 am on Tuesday next week ;)
03-24-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:55 AM	Christine Adame	Hi, this is a just a reminder that Jaxon has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-25-2026 08:45 AM	Christine Adame	Jaxon Smith : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907579
03-25-2026 09:00 AM	Jaxon Smith	Jaxon is RUNNING LATE for: 9:00AM-3/25/2026 92507: Speech & Language Visit
03-25-2026 09:05 AM	Jaxon Smith	Jaxon is CHECKED IN for: 9:00AM-3/25/2026 92507: Speech & Language Visit