New Beginnings | NB1-Office

Patient Name: Dominic

Patient Information:

Patient ID: 9910

Patient First Name: Dominic

Patient Date of Birth: 09-24-2021

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Marisol, Valdes

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Rodriguez, Andrea

FD - Feeding Therapy: Rodriguez, Andrea

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23552	Active	03-16-2026	09-10-2026	United Health Care	25	0	0	0
23224	Active	02-02-2026	07-31-2026	Blue Cross Blue Shield	0	25	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26363	03-05-2026	Speech Initial Evaluation	F80.2
Speech Background History: Dominic is a 4 year 5 month old male who was referred for a speech and language evaluation by his pediatrician and father’s concern regarding language development. Dominic was accompanied by his father, who served as the informant for the evaluation. According to father, all of Dominic’s developmental milestones were reported to be achieved within normal limits. However, father has denoted difficulty understanding and following Dominic’s conversational speech. Father stated that Dominic will name and label many things, but often has had difficulty formulating structured sentences. According to father, Dominic is regularly exposed to English at home and Spanish with his grandmother who is the caregiver while both parents work. Based on clinical observations, Dominic’s current communication was characterized as 3+ word utterances and scripted phrases, mixed with jargon to label, comment and request, as well as reaching/grabbing/taking items of desire to express his communication wants/needs. Dominic required numerous redirection cues and prompts from his father and the evaluator to re-engage with the assessment as Dominic perseverated on items within and outside the evaluation room. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Dominic’s receptive and expressive language skills. Based on Dominic’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: Distractible, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Talkative,
Speech Communication Strengths: Appropriate use of eye contact, Initiate activity/dialogue, Responds to greetings,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Immediate echolalia, Perseverations, Poor vocabulary, Problems with organization and relevance, Word finding difficulties,
Speech Background Summary: The evaluation took place at the therapy room table. Dominic is a very pleasant young boy and very active. He required numerous redirection cues and prompts from his father and the evaluator to re-engage with the assessment as Dominic perseverated on items within and outside the evaluation room. Overall, Dominic’s pragmatic skills presented with more weaknesses than strengths at this time.
Speech Diagnosis/Impressions: Dominic is a 4 year 5 month old male who was referred for a speech and language evaluation by his pediatrician and father’s concern regarding language development. Dominic was accompanied by his father, who served as the informant for the evaluation. According to father, all of Dominic’s developmental milestones were reported to be achieved within normal limits. However, father has denoted difficulty understanding and following Dominic’s conversational speech. Father stated that Dominic will name and label many things, but often has had difficulty formulating structured sentences. According to father, Dominic is regularly exposed to English at home and Spanish with his grandmother who is the caregiver while both parents work. Based on clinical observations, Dominic’s current communication was characterized as 3+ word utterances and scripted phrases, mixed with jargon to label, comment and request, as well as reaching/grabbing/taking items of desire to express his communication wants/needs. Dominic required numerous redirection cues and prompts from his father and the evaluator to re-engage with the assessment as Dominic perseverated on items within and outside the evaluation room. The following behavioral observations were also noted: DISTRACTABLE attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, USUAL awareness of others/environment, and NUMOROUS PROMPTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Dominic’s receptive and expressive language skills. Dominic received the following standard scores on the PLS-5: Auditory Comprehension 73 (raw score: 35, percentile: 4, age-equivalent: 2 years 9 months), Expressive Communication 73 (raw score: 33, percentile: 4, age-equivalent: 2 years 7 months), and Total Language Score 72 (raw score: 68, percentile: 3, age-equivalent: 2 years 8 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Dominic presented with a MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Dominic would greatly benefit from speech therapy services that target the following: sustaining attention to task, making inferences, understanding negatives in a sentence, understanding spatial concepts and pronouns, using present progressive (verbs + ing), plurals, and answering what and where questions. Speech therapy is highly recommended at this time as Dominic’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Dominic’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. Dominic’s father will be responsible for his Home Management Intervention Plan (HMIP). Based on Dominic’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: Dominic is a 4 year 5 month old male who was referred for a speech and language evaluation by his pediatrician and father’s concern regarding language development. Dominic was accompanied by his father, who served as the informant for the evaluation. According to father, all of Dominic’s developmental milestones were reported to be achieved within normal limits. However, father has denoted difficulty understanding and following Dominic’s conversational speech. Father stated that Dominic will name and label many things, but often has had difficulty formulating structured sentences. According to father, Dominic is regularly exposed to English at home and Spanish with his grandmother who is the caregiver while both parents work. Based on clinical observations, Dominic’s current communication was characterized as 3+ word utterances and scripted phrases, mixed with jargon to label, comment and request, as well as reaching/grabbing/taking items of desire to express his communication wants/needs. Dominic required numerous redirection cues and prompts from his father and the evaluator to re-engage with the assessment as Dominic perseverated on items within and outside the evaluation room. The following behavioral observations were also noted: DISTRACTABLE attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, USUAL awareness of others/environment, and NUMOROUS PROMPTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Dominic’s receptive and expressive language skills. Dominic received the following standard scores on the PLS-5: Auditory Comprehension 73 (raw score: 35, percentile: 4, age-equivalent: 2 years 9 months), Expressive Communication 73 (raw score: 33, percentile: 4, age-equivalent: 2 years 7 months), and Total Language Score 72 (raw score: 68, percentile: 3, age-equivalent: 2 years 8 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Dominic presented with a MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Dominic would greatly benefit from speech therapy services that target the following: sustaining attention to task, making inferences, understanding negatives in a sentence, understanding spatial concepts and pronouns, using present progressive (verbs + ing), plurals, and answering what and where questions. Speech therapy is highly recommended at this time as Dominic’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Dominic’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. Dominic’s father will be responsible for his Home Management Intervention Plan (HMIP). Based on Dominic’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

58714

Plan Date: 03-05-2026

Speech Assessment Summary: Dominic is a 4 year 5 month old male who was referred for a speech and language evaluation by his pediatrician and father’s concern regarding language development. Dominic was accompanied by his father, who served as the informant for the evaluation. According to father, all of Dominic’s developmental milestones were reported to be achieved within normal limits. However, father has denoted difficulty understanding and following Dominic’s conversational speech. Father stated that Dominic will name and label many things, but often has had difficulty formulating structured sentences. According to father, Dominic is regularly exposed to English at home and Spanish with his grandmother who is the caregiver while both parents work. Based on clinical observations, Dominic’s current communication was characterized as 3+ word utterances and scripted phrases, mixed with jargon to label, comment and request, as well as reaching/grabbing/taking items of desire to express his communication wants/needs. Dominic required numerous redirection cues and prompts from his father and the evaluator to re-engage with the assessment as Dominic perseverated on items within and outside the evaluation room. The following behavioral observations were also noted: DISTRACTABLE attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, USUAL awareness of others/environment, and NUMOROUS PROMPTS to cooperate. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Dominic’s receptive and expressive language skills. Dominic received the following standard scores on the PLS-5: Auditory Comprehension 73 (raw score: 35, percentile: 4, age-equivalent: 2 years 9 months), Expressive Communication 73 (raw score: 33, percentile: 4, age-equivalent: 2 years 7 months), and Total Language Score 72 (raw score: 68, percentile: 3, age-equivalent: 2 years 8 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Dominic presented with a MODERATE MIXED RECEPTIVE-EXPRESSIVE LANGUAGE DISORDER. Dominic would greatly benefit from speech therapy services that target the following: sustaining attention to task, making inferences, understanding negatives in a sentence, understanding spatial concepts and pronouns, using present progressive (verbs + ing), plurals, and answering what and where questions. Speech therapy is highly recommended at this time as Dominic’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Dominic’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. Dominic’s father will be responsible for his Home Management Intervention Plan (HMIP). Based on Dominic’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 Dominic’s impairments is good with consistent speech therapy. Dominic 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, Dominic will improve his expressive language skills in order to effectively communicate pain (i.e., tell his dad 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, Dominic 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
Pragmatic Language	In 6 months, Dominic will sustain attention to play-based and/or literacy-based tasks with clinician for at least 2-3 minutes in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities.
Receptive Language	In 6 months, Dominic will demonstrate understanding of spatial concepts (i.e., in, on, under, etc.) with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote safety and independence by expressing his basic wants and needs.
Receptive Language	In 6 months, Dominic will understand personal pronouns (i.e., him, she, her, his) with 30% accuracy in structured activities across 3 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Dominic will use present progressive verbs by pointing at or imitating the appropriate verb(s) with 30% accuracy across 3 consecutive sessions in order to foster opportunities for language development and in turn increase his expressive language with family and others in his daily routine.
Expressive Language	In 6 months, Dominic will produce simple 3-4 word phrases containing morphological structures plural -s, possessive -s, and third person singular verbs during structured target play activities with 30% accuracy across 3 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities.
Expressive Language	In 6 months, Dominic will answer “what” and “where” questions with 30% accuracy across 3 consecutive sessions in order to improve meaningful responses 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

491265

Note Date: 03-24-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Dominic sustained attention to play-based and/or literacy-based tasks with clinician for at least 2-3 minutes in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities. Dominic demonstrated understanding of spatial concepts (i.e., in, on, under, etc.) with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote safety and independence by expressing his basic wants and needs. Dominic understood personal pronouns (i.e., him, she, her, his) with 30% accuracy in structured activities across 3 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). Dominic will use present progressive verbs by pointing at or imitating the appropriate verb(s) with 30% accuracy across 3 consecutive sessions in order to foster opportunities for language development and in turn increase his expressive language with family and others in his daily routine. Dominic will produce simple 3-4 word phrases containing morphological structures plural -s, possessive -s, and third person singular verbs during structured target play activities with 30% accuracy across 3 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities. Dominic will answer “what” and “where” questions with 30% accuracy across 3 consecutive sessions in order to improve meaningful responses for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).

Plans: Continue with Speech Therapy,

Additional Notes:

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26144	01-29-2026	Feeding Initial Evaluation	R63.32, R13.12
Feeding Background History: Dominic is a 4 year, 4-month-old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father, Mr. Solis, reports that Dominic began displaying feeding concerns around 12 months of age when introduced to solids. Dominic's primary source of nutrition is purees or soups. Dominic has a history of early feeding difficulties, including persistent gagging. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills.
Feeding Medical History: Born at 37 weeks via C-section. Dominic was delivered in a breech presentation, and a cervical cerclage was placed due to cervical dilation during birth.
Feeding Medications: None
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Dominic's pragmatic skills were not formally assessed as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Dominic is a 4 year, 4-month-old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father, Mr. Solis, reports that Dominic began displaying feeding concerns around 12 months of age when introduced to solids. Dominic's primary source of nutrition is purees or soups. Dominic has a history of early feeding difficulties, including persistent gagging. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Born at 37 weeks via C-section. Dominic was delivered in a breech presentation, and a cervical cerclage was placed due to cervical dilation during birth. A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Dominic appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. A bedside swallow evaluation and skilled meal observation revealed that Dominic presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not ageappropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Dominic’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: It is important to note that Dominic, according to father, will only consume foods in a pureed or blended form. His appetite is variable day to day. Currently, his food inventory includes fewer than 20 accepted foods and 5 liquids. Accepted proteins include peanut butter, ground beef, yogurt, breakfast shake, French toast, and ground turkey. Fruits include pear, raspberries, pineapple, blackberries, banana, and plums. Vegetables include potatoes. Starches include bread, oatmeal, pancakes, and dry cereals. Liquids include orange juice, apple juice, lemonade, milk, and water. Dominic's father expressed a desire for him to expand his intake to include more soft foods. NORM REFERENCED ASSESSMENT: Mr. Solis completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Dominic received an overall rating of “no concern,” however, he received “high concern” in the area of problematic mealtime behaviors. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Dominic was seated and self?-fed his preferred food items utilizing a spoon (vegetable soup and pureed eggs and bananas). Non-preferred foods offered were sopita de estrellas and rice. Dominic attempted a small portion of rice and exhibited gagging followed by emesis. With clinician support and implementation of exercises to reduce the gag reflex, Dominic was able to consume an additional three spoonfuls of sopita de estrellas. SWALLOW/ORAL MOTOR EVALUATION: Dominic demonstrated significantly decreased oral motor skills, including a munching bite pattern, open?mouth chewing, minimal tongue lateralization, and oral residue. Mr. Solis does not report unexplained fevers or a history of aspiration pneumonia. Dominic’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. The gag reflex should be active, but should be less sensitive. Dominic’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 45? minutes to address Dominic’s CHRONIC PFD and ORAL DYSPHAGIA. Dominic is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Dominic’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Dominic’s food repertoire by building on existing preferred foods. Without intervention, Dominic may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mr. Solis will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58188

Plan Date: 01-29-2026

Feeding Assessment Summary: PATIENT HX: Dominic is a 4-year, 4-month-old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His father, Mr. Solis, reports that Dominic began displaying feeding concerns around 12 months of age when introduced to solids. Dominic's primary source of nutrition is purees or soups. Dominic has a history of early feeding difficulties, including persistent gagging. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. MEDICAL HX: Born at 37 weeks via C-section. Dominic was delivered in a breech presentation, and a cervical cerclage was placed due to cervical dilation during birth. ORAL MECH EXAM: A formal oral mechanism examination revealed the absence of tethered oral tissues. Structurally, Dominic appears to have all anatomical components necessary for safe and efficient feeding and swallowing. However, the function of his oral mechanism appeared reduced, with decreased facial muscle tone, limited jaw stability, and inconsistent tongue movement and oral control observed during feeding. These oral mechanism findings are consistent with his reduced oral motor feeding skills and may contribute to his difficulty coordinating chewing and swallowing higher bolus consistencies. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal observation revealed that Dominic presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD) and ORAL DYSPHAGIA. His PFD is characterized by impaired oral intake that is not ageappropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). Dominic’s oral dysphagia is characterized by decreased oral motor skills required for efficient mastication. FOOD REPERTOIRE: It is important to note that Dominic, according to father, will only consume foods in a pureed or blended form. His appetite is variable day to day. Currently, his food inventory includes fewer than 20 accepted foods and 5 liquids. Accepted proteins include peanut butter, ground beef, yogurt, breakfast shake, French toast, and ground turkey. Fruits include pear, raspberries, pineapple, blackberries, banana, and plums. Vegetables include potatoes. Starches include bread, oatmeal, pancakes, and dry cereals. Liquids include orange juice, apple juice, lemonade, milk, and water. Dominic's father expressed a desire for him to expand his intake to include more soft foods. NORM REFERENCED ASSESSMENT: Mr. Solis completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Dominic received an overall rating of “no concern,” however, he received “high concern” in the area of problematic mealtime behaviors. These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Dominic was seated and self?-fed his preferred food items utilizing a spoon (vegetable soup and pureed eggs and bananas). Non-preferred foods offered were sopita de estrellas and rice. Dominic attempted a small portion of rice and exhibited gagging followed by emesis. With clinician support and implementation of exercises to reduce the gag reflex, Dominic was able to consume an additional three spoonfuls of sopita de estrellas. SWALLOW/ORAL MOTOR EVALUATION: Dominic demonstrated significantly decreased oral motor skills, including a munching bite pattern, open?mouth chewing, minimal tongue lateralization, and oral residue. Mr. Solis does not report unexplained fevers or a history of aspiration pneumonia. Dominic’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. At this age, a child should demonstrate a more developed rotary pattern and management of thicker purees and soft solids. The gag reflex should be active, but should be less sensitive. Dominic’s oral motor skills are NOT WITHIN FUNCTIONAL LIMITS for his age and/or feeding safety. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 45 minutes to address Dominic’s CHRONIC PFD and ORAL DYSPHAGIA. Dominic is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. Feeding therapy should also target improving Dominic’s oral motor skills for safe and effective feeding/swallowing. In addition, food chaining strategies should be implemented to expand Dominic’s food repertoire by building on existing preferred foods. Without intervention, Dominic may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mr. Solis will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Dominic will be discharged when his feeding inventory is clinically deemed adequate for his age, nutritional needs, and safety.

Feeding Long Term Goals:

Category	Goal Description
Home Management Intervention Program	When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home.
Feeding/Swallowing	In 12 months, Dominic will improve his feeding/swallowing skills in 5 out of 10 trials in order to optimize safe and effective nutrition to meet his nutritional needs.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Dominic will tolerate nonnutritive oral sensory input (e.g., Z vibe, oral swab, chewy tube) to lips, cheeks, and anterior tongue for 5 seconds without gagging in 2 out of 10 opportunities across 3 consecutive sessions in order to improve his tolerance and acceptance of non preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Dominic will interact with non preferred foods using his face AND/OR oral cavity in 3 out of 10 opportunities across 3 consecutive sessions in order to promote tolerance of non preferred food items in his immediate environment.I
Feeding/Swallowing	n 6 months, Dominic will bite and lateralize small pieces of meltable OR soft cube solids in his oral cavity before spitting out in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of foods in his immediate environment.
Feeding/Swallowing	In 6 months, Dominic will complete oral motor exercises for ROTARY CHEW in 3 out of 10 opportunities across 3 consecutive sessions in order to improve oral motor skills for adequate feeding/swallowing.
Feeding/Swallowing	In 6 months, Dominic will add 1-2 food chained items of higher level consistencies (soft cubes and/or mechanical) to his food inventory in order to improve nutritional value and variety of his food inventory.

Feeding Therapy Soap Note/Visit:

Soap Note

490296

Note Date: 03-18-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. Dominic tolerated nonnutritive oral sensory input (e.g., Z vibe, oral swab, chewy tube) to lips, cheeks, and anterior tongue for 5 seconds without gagging in 4 out of 10 opportunities with MODERATE cues in order to improve his tolerance and acceptance of non preferred foods in his immediate environment. Dominic interacted with non preferred foods using his face AND/OR oral cavity in 5 out of 10 opportunities with MODERATE cues in order to promote tolerance of non preferred food items in his immediate environment. Dominic bit and lateralized small pieces of meltable OR soft cube solids in his oral cavity before spitting out in 5 out of 10 opportunities with MODERATE cues in order to improve acceptance and exploration of foods in his immediate environment. Dominic completes oral motor exercises for ROTARY CHEW in 4 out of 10 opportunities with MODERATE cues in order to improve oral motor skills for adequate feeding/swallowing. Dominic add 1-2 food chained items of higher level consistencies (soft cubes and/or mechanical) to his food inventory in order to improve nutritional value and variety of his food inventory.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
879892	92610: Feeding Evaluation	01-29-2026 09:30 AM	01-29-2026 10:30 AM	Andrea Rodriguez	NB2 far east side	Completed
893827	92526: Feeding Visit	02-25-2026 03:00 PM	02-25-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
893828	92526: Feeding Visit	03-04-2026 03:00 PM	03-04-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
899545	92523: Artic & Language Eval	03-05-2026 04:00 PM	03-05-2026 05:00 PM	Annette Barron	NB2 far east side	Completed
893829	92526: Feeding Visit	03-11-2026 03:00 PM	03-11-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
893830	92526: Feeding Visit	03-18-2026 03:00 PM	03-18-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
909188	92507: Speech & Language Visit	03-24-2026 02:45 PM	03-24-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
912110	92526: Feeding Visit	03-31-2026 02:45 PM	03-31-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Scheduled
912351	92526: Feeding Visit	04-07-2026 02:45 PM	04-07-2026 03:15 PM	Andrea Rodriguez	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
1/29/26	Patient visit charged - Feeding Evaluation: Feeding Evaluation	0.00	35.00	-35.00
2/25/26	Patient visit charged - Feeding Visit: Feeding Visit	0.00	70.00	-70.00
2/26/26	Patient Payment Received (Stripe)	35.00	70.00	-35.00
3/4/26	Patient visit charged - Feeding Visit: Feeding Visit	35.00	105.00	-70.00
3/5/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	35.00	140.00	-105.00
3/5/26	Patient Payment Received (Stripe)	70.00	140.00	-70.00
3/6/26	Patient Payment Received (Stripe)	105.00	140.00	-35.00
3/11/26	Patient visit charged - Feeding Visit: Feeding Visit	105.00	175.00	-70.00
3/12/26	Patient Payment Received (Stripe)	140.00	175.00	-35.00
3/18/26	Patient visit charged - Feeding Visit: Feeding Visit	140.00	210.00	-70.00
3/18/26	Patient Payment Received (Stripe)	175.00	210.00	-35.00
3/24/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	175.00	245.00	-70.00
3/25/26	Patient Payment Received (Stripe)	210.00	245.00	-35.00

Billing History:

Date	Service Description	Units	$Amount	$Status
1/29/26	92610: Feeding Evaluation	1	220.00	Billed and Paid
2/25/26	92526: Feeding Visit	1	140.00	EDI Submited
3/4/26	92526: Feeding Visit	1	140.00	Unbilled
3/5/26	92523: Artic & Language Eval	1	345.00	Unbilled
3/11/26	92526: Feeding Visit	1	140.00	Unbilled
3/18/26	92526: Feeding Visit	1	140.00	Unbilled
3/24/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
01-23-2026	Asbel Guajardo	BCBS federal $35 copay limit of 50 visits

Paient Messages Admin:

Date	Posted By	Message
11-24-2025 03:30 PM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am messaging you to let you know that I have verified insurance 50 visit per calendar year with a copay at $35 each visit. If you have any questions please let us know. Thank you
01-07-2026 05:55 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 06:23 PM	Dominic Solis	Yes, I would like to start services with you guys.
01-08-2026 03:32 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2427
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=2427
01-14-2026 08:35 AM	Dominic Solis	Yes, the referral documents.
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=2427
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=2427
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=2427
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=2427
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=2427
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=2427
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! 💙
01-21-2026 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=2427
01-21-2026 06:06 PM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9910
01-22-2026 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=9910
01-22-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9910
01-23-2026 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=9910
01-23-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Feeding Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9910
01-23-2026 01:36 PM	Asbel Guajardo	Hello Mr.Solis we can schedule the evaluation for Feb 2nd at 11 please let me know if that works
01-23-2026 01:37 PM	Dominic Solis	Do you have an earlier time?
01-23-2026 02:54 PM	Asbel Guajardo	How about thursday 29th at 9:30
01-24-2026 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=9910
01-25-2026 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=9910
01-26-2026 07:42 AM	Dominic Solis	Thursday 29th at 9:30am is good.
01-26-2026 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=9910
01-27-2026 08:23 AM	Asbel Guajardo	Ok perfect I have scheduled it!
01-27-2026 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=9910
01-27-2026 09:12 AM	Dominic Solis	Great! Thank you!
01-28-2026 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=9910
01-29-2026 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=9910
01-29-2026 01:47 PM	Patsy Guajardo	Hi, Dominic as been assigned a therapist for Feeding therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9910&tid=127
01-30-2026 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=9910
01-31-2026 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=9910
02-01-2026 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=9910
02-02-2026 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=9910
02-03-2026 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=9910
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! 💙
02-04-2026 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=9910
02-05-2026 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=9910
02-06-2026 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=9910
02-07-2026 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=9910
02-08-2026 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=9910
02-09-2026 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=9910
02-10-2026 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=9910
02-11-2026 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=9910
02-12-2026 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=9910
02-13-2026 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=9910
02-14-2026 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=9910
02-15-2026 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=9910
02-16-2026 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=9910
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=9910
02-17-2026 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=9910
02-18-2026 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=9910
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/
02-19-2026 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=9910
02-20-2026 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=9910
02-21-2026 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=9910
02-22-2026 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=9910
02-23-2026 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=9910
02-24-2026 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=9910
02-25-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39586. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-25-2026 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=9910
02-26-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Dominic Solis from therapy on 02-25-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39586. Thank you for allowing us to serve your child! 🙂
02-26-2026 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=9910
03-04-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39755. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-05-2026 07:31 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Dominic Solis from therapy on 03-04-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39755. Thank you for allowing us to serve your child! 🙂
03-05-2026 07:36 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39802. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-06-2026 07:31 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Dominic Solis from therapy on 03-05-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39802. Thank you for allowing us to serve your child! 🙂
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=9910
03-10-2026 04:12 PM	Patsy Guajardo	Hi, Dominic as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Andrea https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9910&tid=127
03-11-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40087. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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/
03-12-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Dominic Solis from therapy on 03-11-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40087. Thank you for allowing us to serve your child! 🙂
03-18-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40274. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-24-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Dominic Solis. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40549. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-25-2026 07:31 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Dominic Solis from therapy on 03-24-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40549. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
01-27-2026 10:39 AM	Andrea Rodriguez	Good morning! This is Andrea from New Beginnings. I will be performing Dominic's feeding and speech evaluations. I will be performing her feeding evaluation this Thursday at 9:30 am. I do have some paperwork that needs to be filled out in preparation for the evaluation. Do you have access to a printer? :)
01-27-2026 10:40 AM	Dominic Solis	Dominic (Prim) Replied: Yes.
01-27-2026 10:41 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01272026104149-Feeding-Patient-Background---English.pdf
01-27-2026 10:42 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01272026104206-Food-Chaining-Intake-Form---English.pdf
01-27-2026 10:42 AM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01272026104239-PediEAT_Full_English_2019-7-31.pdf
01-27-2026 10:43 AM	Andrea Rodriguez	Let me know if you received all 3 forms. On the PediEat, please disregard the scoring portion.
01-27-2026 11:07 AM	Andrea Rodriguez	I wanted to share some important information I received from the front desk regarding therapy visits.
01-27-2026 11:08 AM	Andrea Rodriguez	Based on your insurance, if Dominic qualifies for services, there is a total of 50 therapy visits per year. This number is combined, meaning it applies whether services are for speech therapy, feeding therapy, or both. The visits are not separated by type of therapy, everything counts toward the same total.
01-27-2026 11:09 AM	Andrea Rodriguez	We’ll be mindful of this as we move forward and make sure we use visits thoughtfully based on Dominic’s needs and priorities. Please let me know if you have any questions. Your copay, I believe, would be $35 per session.
01-27-2026 11:09 AM	Andrea Rodriguez	We can discuss more on Thursday :)
01-27-2026 11:10 AM	Dominic Solis	Dominic (Prim) Replied: Ok, I received the forms. I assume that by addressing the feeding it may also address the issue. But I'll wait for you evaluation to see what's best.
01-27-2026 11:10 AM	Dominic Solis	Dominic (Prim) Replied: Thank you.
01-27-2026 11:11 AM	Andrea Rodriguez	Perfect! In a few words can you please explain your feeding concerns?
01-27-2026 11:13 AM	Dominic Solis	Dominic (Prim) Replied: My son is not only very picky but has a sensitive gag reflex. He has difficulty chewing, moving food around his mouth and when he tries to swallow textured foods that require some chewing he tilts his head back as if using gravity instead of his moth to swallow his food. We are having to blend his food. He has improved but not where I am comfortable with.
01-27-2026 11:15 AM	Andrea Rodriguez	Thank you for your response. The day of the evaluation please bring the forms filled out, as well as 2 preferred food items and 2 non-preferred food items. You can also bring the utensils and cups that you use at home with him. Thank you :)
01-27-2026 11:16 AM	Dominic Solis	Dominic (Prim) Replied: When it comes to speech, he can pronounce words very well but putting words together to make a sentence is where he has trouble.
01-27-2026 11:17 AM	Andrea Rodriguez	Thank you for your response. Has he been screened for tethered oral tissues (tongue tie or lip tie)?
01-27-2026 11:18 AM	Dominic Solis	Dominic (Prim) Replied: Not specifically that I remember.
01-27-2026 11:18 AM	Dominic Solis	Dominic (Prim) Replied: If they did, I was never told anything was wrong.
01-27-2026 11:18 AM	Dominic Solis	Dominic (Prim) Replied: His primary I mean.
01-27-2026 11:19 AM	Andrea Rodriguez	I can review that on his evaluation. The day of the evaluation please bring the forms filled out, as well as 2 preferred food items and 2 non-preferred food items. You can also bring the utensils and cups that you use at home with him. Thank you!
01-27-2026 11:20 AM	Dominic Solis	Dominic (Prim) Replied: Ok, thank you.
01-28-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Evaluation appointment scheduled tomorrow at 09:30 AM. See you soon! - New Beginnings 🙂
01-28-2026 06:41 PM	Dominic Solis	Dominic (Prim) Replied: I will be there. Thank you.
01-29-2026 07:58 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Evaluation appointment scheduled today at 09:30 AM. See you soon! - New Beginnings 🙂
01-29-2026 09:15 AM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=879892
01-29-2026 09:23 AM	Dominic Solis	Dominic is CHECKED IN for: 9:30AM-1/29/2026 92610: Feeding Evaluation
01-29-2026 09:23 AM	Dominic Solis	Dominic (Prim) Replied: Do I go in or wait to be called?
01-29-2026 09:25 AM	Andrea Rodriguez	Hi! I'll be with you shortly :)
01-29-2026 09:25 AM	Dominic Solis	Dominic (Prim) Replied: Ok
01-29-2026 09:29 AM	Andrea Rodriguez	We are ready to begin! Can you please walk in to the lobby. Thank you :)
01-29-2026 09:29 AM	Dominic Solis	Dominic (Prim) Replied: Ok.
01-29-2026 10:17 AM	Andrea Rodriguez	Hi! For Dominic's speech evaluation, let me know, when you have the time, what time works best for you: Tuesday, the 3rd, at 1:15 pm, Wednesday, the 4th, at 11:30 am, or Thursday, the 5th, at 9:00 am.
01-29-2026 10:24 AM	Dominic Solis	Dominic (Prim) Replied: I will have to get to you on that. Is that ok?
01-29-2026 10:24 AM	Andrea Rodriguez	Of course! No problem:)
01-29-2026 10:27 AM	Dominic Solis	Dominic (Prim) Replied: Thank you!
01-29-2026 10:35 AM	Dominic Solis	Dominic (Prim) Replied: What is the vibrating wand you said ai could get on Amazon?
01-29-2026 10:41 AM	Andrea Rodriguez	Here is the link: https://www.amazon.com/Gafly-Therapen-Feeding-Disorders-Included/dp/B08FMTQ1D9/ref=sr_1_5?adgrpid=191163251514&dib=eyJ2IjoiMSJ9.klsvTSgwqVqXS_xZtOugS_PO4kGw4jCXcqCgkzxdDHCQRwMCBD8gzSm6qRUNBQAhUuqOxr5pB8H9yyUvVHIkrkp110eHjNxFazeQtyIV-ROrvLZ0jzaBhkAs73hdZ-EtOAEg2JdErR-c1P5lMNFwzv8vO6iM7J8ZSuAiPnS83D4N15JWpmWdZGQQXIrLb7PlVRrdzRec8PmaXhoEHEVRLjrYDTBSSiKoMcNF64z1nYakpPRFmBS6IxEVm4If8c2OvKO3x9MhcILZqBBeLknUIx5Elk9uyPkLFS0Sj67eEG0.w5GFppU8dJ5A-bvtJEHyZWE2LSc17s9tGav3U16Kuuk&dib_tag=se&hvadid=782323203102&hvdev=c&hvexpln=0&hvlocphy=1026376&hvnetw=g&hvocijid=8514629515131456475--&hvqmt=e&hvrand=8514629515131456475&hvtargid=kwd-847487299569&hydadcr=21849_13401778_8530&keywords=z+vibe+amazon&mcid=77adbccdfd463338977ec6b59033dbc4&qid=1769708368&sr=8-5
01-29-2026 10:44 AM	Dominic Solis	Dominic (Prim) Replied: Thank you so much.
01-29-2026 10:49 AM	Andrea Rodriguez	I will send goals and information as soon as I have his report ready. Thank you!
01-29-2026 10:50 AM	Dominic Solis	Dominic (Prim) Replied: Awesome.
01-29-2026 12:46 PM	Andrea Rodriguez	Hi! I have submitted Domini's feeding plan of care. We will be working on the following goals in the next 4-5 months: will tolerate nonnutritive oral sensory input (e.g., Z vibe, oral swab, chewy tube) to lips, cheeks, and anterior tongue for 5 seconds without gagging, interact with non preferred foods using his face and/or oral cavity, will bite and lateralize small pieces of meltable and/or soft cube solids in his oral cavity, complete oral motor exercises for rotary chew, will add 12 food chained items of higher level consistencies to his food inventory. Once we start his therapies, I will indicate to you what food items to bring, but they will be things you usually eat at home.
01-29-2026 12:46 PM	Andrea Rodriguez	You can start doing this home program at home once you get your z-vibe tool:
01-29-2026 12:47 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/01292026124713-Z-Vibe_Gag_Reflex_Home_Program.pdf
01-29-2026 01:00 PM	Andrea Rodriguez	2. You can start placing 1-2 soft cubes on Dominic's plate alongside his puree/soup (for now, do not add the soft cubes into his puree/soup), such as cheese cubes, banana cubes, pasta cubes, avocado cubes, cubes of vegetables, peas, potato cubes, etc. Anything soft and easy to break down (if you can squish it easily between two fingers, it's appropriate). You can model to him how you eat the cubes by sending it to your side teeth and crunching it down while reminding him to breathe through his nose. This will teach him how to move his tongue side to side, oral awareness. reduces panic when texture touches his tongue and builds tolerance without activating the gag. We're not asking him to eat chunks yet. We're teaching his mouth to tolerate them being present so his gag reflex can calm down over time. If he gags when interacting with soft cubes, you can stop in that moment, but continue to try with each meal. Pushing through the gag teaches the nervous system that food = danger, which makes the gag reflex stronger next time. The goal is to keep experiences below the gag threshold. Eventually, with time and practice, we will be able to tolerate soft cubes.
01-29-2026 01:02 PM	Andrea Rodriguez	Try to do the z-vibe exercises right before meals as a warm-up. That would be the ultimate goal to prepare his muscles and desentize gag reflex to then target soft cubes.
01-29-2026 01:02 PM	Dominic Solis	Dominic (Prim) Replied: Sounds good, thank you. Is it ok to text when I have questions?
01-29-2026 01:04 PM	Andrea Rodriguez	Of course! If you have any questions, please always reach out. I know it might be too much information, but hopefully, with practice, you're able to do it at home without any issues. His hypersensitive gag-reflex will take time to adjust, but with consistency and exercise, he should be able to master it :)
01-31-2026 09:58 AM	Andrea Rodriguez	Good morning! Let me know what day and time works best for you for Dominic’s speech evaluation. Thank you! :)
02-09-2026 09:55 AM	Dominic Solis	Dominic (Prim) Replied: Goodmorning, do you have anything available next week Monday or Tuesday early in the morning for the speech therapy?
02-09-2026 10:16 AM	Andrea Rodriguez	Good morning! I do not have openings for next week, but I do have openings for the following week, Tuesday the 24th at 11:00 am or 1:15 pm. Let me know what time works best for you. Thank you!!
02-11-2026 01:52 PM	Dominic Solis	Dominic (Prim) Replied: Is the 24th at 11.:00am still available?
02-11-2026 02:19 PM	Andrea Rodriguez	1Hi! I apologize it is not. My schedule changes every day. For that same week, I have Thursday, the 26th, at 9:15 am available. Would that work for you?
02-11-2026 02:46 PM	Dominic Solis	Dominic (Prim) Replied: I don't know yet. And this is for the speech evaluation correct?
02-11-2026 02:56 PM	Andrea Rodriguez	Correct, this would be for his speech evaluation. I can hold that spot for you for one week and you can let me know later if it works for you :)
02-11-2026 03:03 PM	Dominic Solis	Dominic (Prim) Replied: Yes please
02-11-2026 03:09 PM	Andrea Rodriguez	Perfect! Thank you
02-11-2026 03:18 PM	Dominic Solis	Dominic (Prim) Replied: Thank you!
02-16-2026 04:23 PM	Dominic Solis	Dominic (Prim) Replied: Hi! I was just wondering on the status as to whether the insurance approved everything so we can start a schedule for Dominic.
02-17-2026 10:50 AM	Andrea Rodriguez	Hi! We have approval to start his feeding sessions. I wanted to go over my schedule and your schedule on the day of his speech evaluation but I can let you know right now what slots I have at the moment :)
02-17-2026 10:52 AM	Andrea Rodriguez	Starting next week, I have Mondays at 12:00 pm, Tuesdays at 1:30 pm and Wednesdays at 3:00 pm. His feeding sessions will be 30 minutes.
02-17-2026 10:54 AM	Andrea Rodriguez	My apologies! My Mondays are not available but Tuesday and Wednesday are :)
02-17-2026 11:07 AM	Dominic Solis	Dominic (Prim) Replied: Are these availabilities on going or does it change. I ask because I either need something really early or really late.
02-17-2026 05:09 PM	Andrea Rodriguez	Another feeding therapist has availability every Wednesday at 5:15 pm. That is the latest appointment we offer. Would this time work with your schedule? Please let me know so we can move forward with scheduling. Thank you so much! :)
02-17-2026 05:13 PM	Dominic Solis	Dominic (Prim) Replied: Aahh! My son reacted great with you. Even surprised me. Let me see what I can do.
02-17-2026 05:19 PM	Andrea Rodriguez	Yes, please let me know as soon as you can so I can secure his appointment. It would be my pleasure working with Dominic but if an afternoon appointment works better for you, he would be in great hands with Ms. Valeria! Let me know :)
02-17-2026 05:45 PM	Dominic Solis	Dominic (Prim) Replied: I think I might be able to do 3pm Wednesdays at 3pm. Can you secure an appointments fornext Wednesdays, not tomorrow. I will let you know tomorrow if I am able to make arrangements at work.
02-17-2026 06:29 PM	Andrea Rodriguez	Yes! If Wednesdays work, we can start his appointments next Wednesday, the 25th, at 3 pm. For that day, could you please bring one preferred item and two non-preferred items. Thank you so much and I look forward to working with Dominic :)
02-17-2026 06:30 PM	Dominic Solis	Dominic (Prim) Replied: Thank you.
02-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Solis, Dominic has a Feeding Therapy appointment on 02-25-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:05 PM	Dominic Solis	Dominic (Prim) Replied: Yes.
02-22-2026 04:05 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
02-24-2026 12:50 PM	Dominic Solis	Dominic (Prim) Replied: Good afternoon, I scheduled a speech Evaluation for my son Dominic this Thursday. I won't be able to make it. Can you give availability dates for speech Evaluation please.
02-24-2026 01:22 PM	Andrea Rodriguez	Hi! No worries! I have available Tuesday, the 3rd, at 1:30 pm. At the moment, it is the only opening I have for the next few weeks. My schedule is full. Let me know if that day works for you! If that is not the case, we can have another clinician conduct Dominic's speech evaluation. I will see you tomorrow at 3 pm for Dominic's feeding appointment :)
02-24-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:57 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
02-25-2026 07:58 AM	Dominic Solis	Dominic (Prim) Replied: Yes, we will be there. Thank you.
02-25-2026 02:45 PM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893827
02-25-2026 02:59 PM	Dominic Solis	Dominic is CHECKED IN for: 3:00PM-2/25/2026 92526: Feeding Visit
02-25-2026 03:00 PM	Dominic Solis	Dominic (Prim) Replied: Do I go in now?
02-25-2026 03:42 PM	Andrea Rodriguez	1. Z-vibe before meals 2. Remind him to breathe before/while/after chewing 3. Remind to chew with his back teeth (use the red chewy tube as practice) Hierarchy when introducing new food items: 1. Touch 2. Smell 3. Kiss 4. Lick 5. Bite and spit out (you can skip this step if you don't see gagging) 6. Eat
02-25-2026 03:43 PM	Dominic Solis	Dominic (Prim) Replied: Thank you! I will use this.
02-25-2026 04:15 PM	Andrea Rodriguez	I forgot to mention that you will be receiving a link to sign after each session. This is only for attendance purposes. Thank you :)
02-25-2026 04:36 PM	Dominic Solis	Dominic (Prim) Replied: Ok, sounds good.
02-25-2026 05:40 PM	Dominic Solis	Dominic (Prim) Replied: Done!
02-25-2026 05:44 PM	Andrea Rodriguez	Thank you! Have a good day :)
02-25-2026 05:44 PM	Dominic Solis	Dominic (Prim) Replied: Have a good day as well. Sorry for the delay.
02-25-2026 05:53 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings and I will be completing Dominic’s speech evaluation. I have an opening to evaluate on Tuesday, March 3rd, at 4 PM. Would you like to confirm?
02-25-2026 06:17 PM	Dominic Solis	Dominic (Prim) Replied: Yes please.
02-26-2026 07:37 AM	Dominic Solis	Dominic (Prim) Replied: I'm wondering if you have availability on Thursday or Friday of that same week?
02-26-2026 09:51 AM	Annette Barron	Good morning. Thank you for confirming. Yes, I do happen to have a cancellation next Thursday at 4 PM. Would you like to schedule the evaluation for that time?
02-26-2026 09:57 AM	Dominic Solis	Dominic (Prim) Replied: I would prefer Thursday at 4pm please.
02-26-2026 10:14 AM	Annette Barron	OK. Dominic is confirmed for next Thursday, March 5th, at 4 PM. What are your concerns? Does Dominic not use enough words and/or difficult to understand?
02-26-2026 10:29 AM	Dominic Solis	Dominic (Prim) Replied: My main concern with my son is not his ability to pronounce words, but his ability to communicate effectively. He can pronounce words clearly and, if we say a full sentence slowly, he is able to repeat it. However, he struggles to form sentences on his own and express his thoughts independently. He has difficulty putting words together to communicate his needs, wants, or ideas without prompting. I would like him to be evaluated to determine if he has a delay or issue with expressive language and to see how speech therapy could help him improve his ability to form sentences and communicate more effectively.
02-26-2026 12:13 PM	Annette Barron	Thank you for all the information. I am going to send you a medical history questionnaire. If you do not receive all the questions, please let me know and I will resend in smaller messages.
02-26-2026 12:13 PM	Annette Barron	Please complete as soon as possible before the evaluation. Thank you. Speech History Questionnaire for Dominic: 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.
02-27-2026 04:29 PM	Annette Barron	Good afternoon. Please do not forget to fill out the medical history questionnaire I sent you yesterday. Thank you.
02-27-2026 05:50 PM	Dominic Solis	Dominic (Prim) Replied: Hi! Is this questionnaire by text? If so, I have not received it.
02-27-2026 05:50 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.
02-27-2026 05:52 PM	Annette Barron	Yes, it was sent out using this text messaging system yesterday. I will resend. Please let me know if you received it.
02-27-2026 05:52 PM	Annette Barron	Please complete as soon as possible before the evaluation. Thank you. Speech History Questionnaire for Dominic: 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.
02-27-2026 05:53 PM	Annette Barron	I just resent it.
02-27-2026 06:13 PM	Dominic Solis	Dominic (Prim) Replied: I am not receiving it.
02-27-2026 06:13 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.
02-27-2026 06:13 PM	Annette Barron	OK, let me sent the questions in smaller messages.
02-27-2026 06:14 PM	Annette Barron	1-3 Speech History Questionnaire for Dominic: 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.)?
02-27-2026 06:14 PM	Annette Barron	4-6 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?
02-27-2026 06:14 PM	Annette Barron	7-9 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.
02-27-2026 07:14 PM	Dominic Solis	Dominic (Prim) Replied: DonI just respond to the questions in a text?
02-27-2026 07:14 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.
03-01-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Solis, Dominic has a Feeding Therapy appointment on 03-04-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-01-2026 04:02 PM	Dominic Solis	Dominic (Prim) Replied: Yes.
03-01-2026 04:02 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-02-2026 08:28 AM	Annette Barron	Good morning. Yes, if you could please respond to the medical history questions via this patient portal messaging system, that would be great. Thank you.
03-02-2026 11:54 AM	Dominic Solis	Dominic (Prim) Replied: 1. Dominic Ray Solis 2. C-section delivery at 37 weeks. 3. None that we are aware of. 4. July 2022, walked Dec 2022, sat up 2022, Self fed 2023, potty trained 2025, first words June 2023. 5. No breathing issues, does get 8-10 hrs of sleep, might wake up once to use the restroom, does not snore, no enlarged tonsils that we know of. 6. No daycare, no school, no therapy. 7. English mostly. 8. No vision or hearing issues. 9. Basic concerns with his speech is his inability to communicate with us. He tries using 1-3 words to tell us something particularly what he wants to watch. I would like for him to be able to tell me how his day was or what he did in school or hiw his day was by the time he does start school.
03-02-2026 01:49 PM	Annette Barron	Thank you for the information. I look forward to meeting you all on Thursday.
03-02-2026 02:04 PM	Dominic Solis	Dominic (Prim) Replied: Great, thank you.
03-03-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-03-2026 06:40 PM	Dominic Solis	Dominic (Prim) Replied: Yes,
03-04-2026 07:52 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-04-2026 02:45 PM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893828
03-04-2026 02:53 PM	Dominic Solis	Dominic is CHECKED IN for: 3:00PM-3/4/2026 92526: Feeding Visit
03-04-2026 04:43 PM	Andrea Rodriguez	Hi! If you could please start integrating the foods that we worked with today to Dominic’s meals. That way he starts feeling more comfortable towards them. See you next week! Thank you!
03-04-2026 06:17 PM	Dominic Solis	Dominic (Prim) Replied: Ok, sounds good. Thank you.
03-04-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Dominic has a Speech Evaluation appointment scheduled tomorrow at 04:00 PM. See you soon! - New Beginnings 🙂
03-05-2026 07:57 AM	Annette Barron	Hi, this is a just a reminder that Dominic has a Speech Evaluation appointment scheduled today at 04:00 PM. See you soon! - New Beginnings 🙂
03-05-2026 03:45 PM	Annette Barron	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899545
03-05-2026 03:50 PM	Dominic Solis	Dominic is CHECKED IN for: 4:00PM-3/5/2026 92523: Artic & Language Eval
03-05-2026 03:52 PM	Dominic Solis	Dominic (Prim) Replied: I'm outside, do I wait for you or do I go inside?
03-05-2026 03:54 PM	Annette Barron	I will meet you all in the lobby in a few minutes. Just gathering my protocols.
03-05-2026 03:54 PM	Dominic Solis	Dominic (Prim) Replied: Ok
03-06-2026 04:00 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Dominic has been diagnosed with a moderate mixed receptive-expressive language disorder. Dominic would benefit from speech therapy targeting the following: sustaining attention to task for 2-3 min., understanding negatives in sentences, spatial concepts, using 3-4 word phrases, using verbs + -ing, and answering “what” and “where” questions. 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.
03-08-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Solis, Dominic has a Feeding Therapy appointment on 03-11-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:47 PM	Dominic Solis	Dominic (Prim) Replied: Yes.
03-08-2026 04:47 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-09-2026 01:30 PM	Dominic Solis	Dominic (Prim) Replied: Good afternoon, my wife will be taking my son Dominic for his appointment this Wednesday. Her name is Aracely Solis and her phone number is 915-873-8827 incase you need to reach her.
03-09-2026 01:45 PM	Andrea Rodriguez	Perfect! Thank you so much for letting me know :)
03-10-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 07:50 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-11-2026 01:36 PM	Dominic Solis	Dominic (Prim) Replied: Dominic will be there, just a reminder that my wife will be the one to take him today.
03-11-2026 02:04 PM	Andrea Rodriguez	Thank you!
03-11-2026 02:14 PM	Dominic Solis	Dominic (Prim) Replied: Also, if you could briefly catch her up on what you have taught me. It would be great if she hears it directly from you. Thank you.
03-11-2026 02:27 PM	Andrea Rodriguez	Absolutely! Will do.
03-11-2026 02:45 PM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893829
03-11-2026 02:54 PM	Dominic Solis	Dominic is CHECKED IN for: 3:00PM-3/11/2026 92526: Feeding Visit
03-15-2026 04:01 PM	Andrea Rodriguez	Hi, this is a just a reminder that Solis, Dominic has a Feeding Therapy appointment on 03-18-2026 at 3:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:10 PM	Dominic Solis	Dominic (Prim) Replied: Yes
03-15-2026 04:10 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-16-2026 12:24 PM	Andrea Rodriguez	Hi! We have received authorization for speech. As we previously discussed, due to the number of visits, we will be doing biweekly sessions. Meaning one week will be for feeding, the following for speech, and so on. Speech sessions are 45 minutes, and feeding sessions are 30 minutes. Our current appointment is only for 30 minutes, so I wanted to ask if, starting next week, I can permanently see Dominic on Tuesdays at 2:45 pm, for feeding and speech. That day and time will allow us to have our full 45-minute sessions. Let me know if this time works for you
03-17-2026 06:30 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled tomorrow at 03:00 PM. See you soon! - New Beginnings 🙂
03-17-2026 06:31 PM	Dominic Solis	Dominic (Prim) Replied: We will be there, also yes about Tuesdays at 2:45pm.
03-17-2026 06:46 PM	Andrea Rodriguez	Thank you!
03-18-2026 07:48 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Feeding Therapy appointment scheduled today at 03:00 PM. See you soon! - New Beginnings 🙂
03-18-2026 02:45 PM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=893830
03-18-2026 02:50 PM	Dominic Solis	Dominic is CHECKED IN for: 3:00PM-3/18/2026 92526: Feeding Visit
03-22-2026 04:02 PM	Andrea Rodriguez	Hi, this is a just a reminder that Solis, Dominic has a Speech Therapy appointment on 03-24-2026 at 2:45 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:09 PM	Dominic Solis	Dominic (Prim) Replied: YES
03-22-2026 04:09 PM	Andrea Rodriguez	Hi, I received your message but am not at work at the moment. Please be patient and I will respond just as soon as I can. Thank you for understanding! 😊 -- This is an automated message.
03-23-2026 06:31 PM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Speech Therapy appointment scheduled tomorrow at 02:45 PM. See you soon! - New Beginnings 🙂
03-24-2026 08:05 AM	Andrea Rodriguez	Hi, this is a just a reminder that Dominic has a Speech Therapy appointment scheduled today at 02:45 PM. See you soon! - New Beginnings 🙂
03-24-2026 02:30 PM	Andrea Rodriguez	Dominic Solis : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=909188
03-24-2026 02:44 PM	Dominic Solis	Dominic is CHECKED IN for: 2:45PM-3/24/2026 92507: Speech & Language Visit