New Beginnings | NB1-Office

Patient Name: Eliana

Patient Information:

Patient ID: 9930

Patient First Name: Eliana

Patient Date of Birth: 03-23-2023

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Marcella, Frausto

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
23154	Active	01-22-2026	07-20-2026	Tricare Select	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26318	02-12-2026	Speech Initial Evaluation	F80.2, F80.0
Speech Background History: Eliana is a 2 year 9 month old female who was referred for a speech and language therapy services evaluation by her pediatrician. Eliana was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish and the Clinical Assessment of Articulation and Phonology Second Edition (CAAP-2). Eliana was accompanied by her mother and twin sister to the evaluation. Eliana's mother voiced concerns that Eliana is not using enough words and she is difficult to understand. Eliana is exposed to both English and Spanish at home. Mother stated that she only speaks English at home, while her husband only speaks Spanish at home. It is recommended that Eliana receive speech therapy in English with support in Spanish provided. Eliana's mother is concerned that Eliana has trouble pronouncing words correctly. Mother stated that Eliana does not "talk much" and uses phrases she hears at home. Mother stated that Eliana requires prompting to speak.
Speech Medical History:
Speech Medications: Eliana is twin A in a twin pregnancy. Eliana was born at 34 weeks 1 day old via a vaginal delivery. Eliana was in the NICU for 2 1/2 weeks to 3 weeks. Eliana came went home April 10, 2023. Eliana was in the NICU for assistance with feeding, breathing, and required minimal support for regulating her temperature. She has not experienced any major illnesses or ear infections.
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: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: WNL,
Speech Communication Strengths: Interactive, Responds to greetings,
Speech Communication Weaknesses: Poor vocabulary, Unable to follow commands, Use of only a narrow range of speech acts (such as questions),
Speech Background Summary:
Speech Diagnosis/Impressions: Eliana is a 2 year 9 month old female who was referred for a speech and language therapy services evaluation by her pediatrician. Eliana was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish and the Clinical Assessment of Articulation and Phonology Second Edition (CAAP-2). On the PLS-5, Eliana received the following standard scores: Auditory Comprehension 87 (raw score: 31, percentile: 19, age equivalent: 2 years 4 months), Expressive Communication 104 (raw score: 30, percentile: 61, age equivalent: 2 years 10 months), and Total Language Score 95 (raw score: 61, percentile: 37, age equivalent: 2 years 6 months). Formal assessment was completed using the Preschool Language Scale, Fifth Edition (PLS-5) to evaluate the patient’s receptive and expressive language skills. According to the standard scores that Eliana received, she does not meet medical necessity standards for speech therapy. Eventhough she does not qualify for speech therapy services with a focus on language, she still requires therapy for assistance with understanding "no" and "wait," along with following one step commands. Eliana received the following standard score on the CAAP-2: Consonant Inventory 72 (raw score: 50, percentile: 3, age equivalent: <2 years 6 months). Formal assessment of the patient’s articulation skills was completed using the Contextual Probes of Articulation Competence—Spanish (CPAC-S). On the Consonant Inventory subtest, the patient achieved a standard score of 72, which corresponds to the 3rd percentile and falls approximately -1.87 standard deviations below the mean for their chronological age. This performance is indicative of a SEVERE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. The patient’s limited consonant inventory functionally impacts their speech intelligibility, leading to significant difficulty being understood by caregivers and peers. This deficit directly impedes the ability to effectively express basic wants and needs, resulting in frequent communication breakdowns and increased frustration. Eliana requires therapy services for the following processes: final consonant devoicing and weak syllable deletion. Eliana requires assistance with the following phonemes: initial /k, h, l, t, s, z/ and final /g, d, f, v, ng, z/. Eliana was accompanied by her mother and twin sister to the evaluation. Eliana's mother voiced concerns that Eliana is not using enough words and she is difficult to understand. Eliana is exposed to both English and Spanish at home. Mother stated that she only speaks English at home, while her husband only speaks Spanish at home. It is recommended that Eliana receive speech therapy in English with support in Spanish provided. Eliana's mother is concerned that Eliana has trouble pronouncing words correctly. Mother stated that Eliana does not "talk much" and uses phrases she hears at home. Mother stated that Eliana requires prompting to speak. Without speech therapy, Eliana's safety risk is high since she will likely not be understood if she needs to communicate pain or the need for assistance. Eliana's mother will be responsible for her Home Education Plan (HEP).
Speech Diagnosis/Impressions: Eliana is a 2 year 9 month old female who was referred for a speech and language therapy services evaluation by her pediatrician. Eliana was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish and the Clinical Assessment of Articulation and Phonology Second Edition (CAAP-2). On the PLS-5, Eliana received the following standard scores: Auditory Comprehension 87 (raw score: 31, percentile: 19, age equivalent: 2 years 4 months), Expressive Communication 104 (raw score: 30, percentile: 61, age equivalent: 2 years 10 months), and Total Language Score 95 (raw score: 61, percentile: 37, age equivalent: 2 years 6 months). Formal assessment was completed using the Preschool Language Scale, Fifth Edition (PLS-5) to evaluate the patient’s receptive and expressive language skills. According to the standard scores that Eliana received, she does not meet medical necessity standards for speech therapy. Eventhough she does not qualify for speech therapy services with a focus on language, she still requires therapy for assistance with understanding "no" and "wait," along with following one step commands. Eliana received the following standard score on the CAAP-2: Consonant Inventory 72 (raw score: 50, percentile: 3, age equivalent: <2 years 6 months). Formal assessment of the patient’s articulation skills was completed using the Contextual Probes of Articulation Competence—Spanish (CPAC-S). On the Consonant Inventory subtest, the patient achieved a standard score of 72, which corresponds to the 3rd percentile and falls approximately -1.87 standard deviations below the mean for their chronological age. This performance is indicative of a SEVERE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. The patient’s limited consonant inventory functionally impacts their speech intelligibility, leading to significant difficulty being understood by caregivers and peers. This deficit directly impedes the ability to effectively express basic wants and needs, resulting in frequent communication breakdowns and increased frustration. Eliana requires therapy services for the following processes: final consonant devoicing and weak syllable deletion. Eliana requires assistance with the following phonemes: initial /k, h, l, t, s, z/ and final /g, d, f, v, ng, z/. Eliana was accompanied by her mother and twin sister to the evaluation. Eliana's mother voiced concerns that Eliana is not using enough words and she is difficult to understand. Eliana is exposed to both English and Spanish at home. Mother stated that she only speaks English at home, while her husband only speaks Spanish at home. It is recommended that Eliana receive speech therapy in English with support in Spanish provided. Eliana's mother is concerned that Eliana has trouble pronouncing words correctly. Mother stated that Eliana does not "talk much" and uses phrases she hears at home. Mother stated that Eliana requires prompting to speak. Without speech therapy, Eliana's safety risk is high since she will likely not be understood if she needs to communicate pain or the need for assistance. Eliana's mother will be responsible for her Home Education Plan (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

58523

Plan Date: 02-12-2026

Speech Assessment Summary: Eliana is a 2 year 9 month old female who was referred for a speech and language therapy services evaluation by her pediatrician. Eliana was evaluated using the Preschool Language Scales Fifth Edition (PLS-5) Spanish and the Clinical Assessment of Articulation and Phonology Second Edition (CAAP-2). On the PLS-5, Eliana received the following standard scores: Auditory Comprehension 87 (raw score: 31, percentile: 19, age equivalent: 2 years 4 months), Expressive Communication 104 (raw score: 30, percentile: 61, age equivalent: 2 years 10 months), and Total Language Score 95 (raw score: 61, percentile: 37, age equivalent: 2 years 6 months). Formal assessment was completed using the Preschool Language Scale, Fifth Edition (PLS-5) to evaluate the patient’s receptive and expressive language skills. According to the standard scores that Eliana received, she does not meet medical necessity standards for speech therapy. Eventhough she does not qualify for speech therapy services with a focus on language, she still requires therapy for assistance with understanding "no" and "wait," along with following one step commands. Eliana received the following standard score on the CAAP-2: Consonant Inventory 72 (raw score: 50, percentile: 3, age equivalent: <2 years 6 months). Formal assessment of the patient’s articulation skills was completed using the Contextual Probes of Articulation Competence—Spanish (CPAC-S). On the Consonant Inventory subtest, the patient achieved a standard score of 72, which corresponds to the 3rd percentile and falls approximately -1.87 standard deviations below the mean for their chronological age. This performance is indicative of a SEVERE PHONOLOGICAL PROCESSES/ARTICULATION DISORDER. The patient’s limited consonant inventory functionally impacts their speech intelligibility, leading to significant difficulty being understood by caregivers and peers. This deficit directly impedes the ability to effectively express basic wants and needs, resulting in frequent communication breakdowns and increased frustration. Eliana requires therapy services for the following processes: final consonant devoicing and weak syllable deletion. Eliana requires assistance with the following phonemes: initial /k, h, l, t, s, z/ and final /g, d, f, v, ng, z/. Eliana was accompanied by her mother and twin sister to the evaluation. Eliana's mother voiced concerns that Eliana is not using enough words and she is difficult to understand. Eliana is exposed to both English and Spanish at home. Mother stated that she only speaks English at home, while her husband only speaks Spanish at home. It is recommended that Eliana receive speech therapy in English with support in Spanish provided. Eliana's mother is concerned that Eliana has trouble pronouncing words correctly. Mother stated that Eliana does not "talk much" and uses phrases she hears at home. Mother stated that Eliana requires prompting to speak. Without speech therapy, Eliana's safety risk is high since she will likely not be understood if she needs to communicate pain or the need for assistance. Eliana's mother will be responsible for her Home Education Plan (HEP).

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis for improvement in the area of her impairments is good with continued, consistent speech therapy. Eliana will be discharged when she achieves a standard score above -1.5 standard deviations from the mean for all impairments, indicating that her speech and language skills will be in the Mild to average range and she 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	Within 1 year, Eliana will utilize age-appropriate expressive language skills in order to communicate effectively with family and peers with 60% accuracy.
Receptive Language	Within 1 year, Eliana will utilize age-appropriate receptive language skills in order to communicate effectively with family and peers with 60% accuracy.
Oral Motor/Articulation	Within 1 year, Eliana will demonstrate the acquisition of developmentally appropriate articulation and improved speech intelligibility in conversational speech with 60% accuracy.

Speech and Language Short Term Goals:

Category	Goal Description
Pragmatic Language	Within 6 months, via play-based activities, Eliana will practice joint attention during tasks for 5 minutes with decreasing multisensory cues with 80% accuracy across 3 out of 5 consecutive sessions in order to promote safety so that Aitana will pay attention to her mother and teacher when provided instructions related to safety.
Pragmatic Language	Within 6 months, via play-based activities, Eliana will remain seated for intervals of 5 minutes with decreasing multisensory cues with 80% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Aitana can practice better joint attention.
Receptive Language	Within 6 months, via play-based activities, Eliana will follow novel one-step commands with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Eliana can follow commands related to being safe and placing articulators in the proper placement for each phoneme.
Oral Motor/Articulation	Within 6 months, via play-based activities, Eliana will perform (lingual, labial) range of motion (ROM) exercises (such as tongue tip elevation, base of tongue retraction), strengthening and coordination exercises with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Eliana can be understood by her caregivers when expressing needs or wants.
Oral Motor/Articulation	Within 6 months, via play-based activities, Eliana will produce the following phonemes in isolation: /g, d, k, h/ with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Eliana can be understood by her caregivers when expressing needs or wants.
Oral Motor/Articulation	Within 6 months, via play-based activities, Eliana will produce the following phonemes in initial syllable position: /g, d, k, h/ with 20% accuracy across 3 out of 5 consecutive sessions in order to promote independence and safety so that Eliana can be understood by her caregivers when expressing needs or wants.

Speech and Language Soap Note/Visit:

Soap Note

490902

Note Date: 03-23-2026

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. Via play-based activities, Eliana practiced joint attention during tasks for 5 minutes with decreasing multisensory cues with 50% accuracy. Via play-based activities, Eliana remained seated for intervals of 5 minutes with decreasing multisensory cues with 50% accuracy. Via play-based activities, Eliana followed novel one-step commands with 20% accuracy. Via play-based activities, Eliana performed (lingual, labial) range of motion (ROM) exercises (such as tongue tip elevation, base of tongue retraction), strengthening and coordination exercises with 10% accuracy. Via play-based activities, Eliana produced the following phonemes in isolation: /g, d, k, h/ with 10% 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
883223	92523: Artic & Language Eval	02-12-2026 11:30 AM	02-12-2026 12:30 PM	Christine Adame	NB2 far east side	Completed
901214	92507: Speech & Language Visit	03-04-2026 08:15 AM	03-04-2026 09:00 AM	Christine Adame	NB2 far east side	Completed
902783	92507: Speech & Language Visit	03-11-2026 08:15 AM	03-11-2026 09:00 AM	Christine Adame	NB2 far east side	Completed
905773	92507: Speech & Language Visit	03-19-2026 09:00 AM	03-19-2026 09:45 AM	Christine Adame	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
905774	92507: Speech & Language Visit	03-25-2026 08:15 AM	03-25-2026 09:00 AM	Christine Adame	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
905775	92507: Speech & Language Visit	03-31-2026 08:15 AM	03-31-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905776	92507: Speech & Language Visit	04-08-2026 08:15 AM	04-08-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905777	92507: Speech & Language Visit	04-15-2026 08:15 AM	04-15-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905778	92507: Speech & Language Visit	04-22-2026 08:15 AM	04-22-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905779	92507: Speech & Language Visit	04-29-2026 08:15 AM	04-29-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905780	92507: Speech & Language Visit	05-06-2026 08:15 AM	05-06-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905781	92507: Speech & Language Visit	05-13-2026 08:15 AM	05-13-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905782	92507: Speech & Language Visit	05-20-2026 08:15 AM	05-20-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905783	92507: Speech & Language Visit	05-27-2026 08:15 AM	05-27-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905784	92507: Speech & Language Visit	06-03-2026 08:15 AM	06-03-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905785	92507: Speech & Language Visit	06-10-2026 08:15 AM	06-10-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905786	92507: Speech & Language Visit	06-17-2026 08:15 AM	06-17-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905787	92507: Speech & Language Visit	06-24-2026 08:15 AM	06-24-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905788	92507: Speech & Language Visit	07-01-2026 08:15 AM	07-01-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905789	92507: Speech & Language Visit	07-08-2026 08:15 AM	07-08-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled
905790	92507: Speech & Language Visit	07-15-2026 08:15 AM	07-15-2026 09:00 AM	Christine Adame	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
2/12/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	33.00	-33.00
2/12/26	Patient Payment Received (Stripe)	33.00	33.00	0.00
3/4/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	33.00	66.00	-33.00
3/4/26	Patient Payment Received (Stripe)	66.00	66.00	0.00
3/11/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	66.00	99.00	-33.00
3/11/26	Patient Payment Received (Stripe)	99.00	99.00	0.00
3/19/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	99.00	132.00	-33.00
3/19/26	Patient Payment Received (Stripe)	132.00	132.00	0.00
3/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	132.00	165.00	-33.00

Billing History:

Date	Service Description	Units	$Amount	$Status
2/12/26	92523: Artic & Language Eval	1	345.00	EDI Submited
2/12/26		1	0.00	Unbilled
3/4/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/11/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/19/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-25-2026	92507	Adame, Christine

Paient Messages Admin:

Date	Posted By	Message
01-13-2026 01:35 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2535
01-15-2026 02:09 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2535
01-15-2026 02:38 PM	Patsy Guajardo	Eliana 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=9930&type=1&wid=506
01-15-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-16-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-17-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-18-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-19-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
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! 💙
01-20-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-21-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-22-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-23-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-25-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-27-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-28-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-29-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-30-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
01-31-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
02-01-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Eliana'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=9930&type=1&wid=506
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! 💙
02-12-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Eliana Picorelli Walik. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39268. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-16-2026 05:27 PM	Caleb Tullius	Join us this Wednesday!
02-16-2026 05:49 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=9930
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 07:57 AM	Patsy Guajardo	Hi, Eliana 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=9930&tid=13
03-04-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Eliana Picorelli Walik. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39747. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-04-2026 08:23 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9930&Appt=901214
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=9930
03-11-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Eliana Picorelli Walik. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40078. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-11-2026 08:43 AM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9930&Appt=902783
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/
03-19-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Eliana Picorelli Walik. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40427. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-23-2026 04:04 PM	Patsy Guajardo	This is an automated School Excuse Note. If you do not require excuse notes for your child's school, you can turn this setting off by going to the Patient Profile in the app. Here is the link: https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9930&Appt=911436

Paient Messages Therapist:

Date	Posted By	Message
02-11-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Evaluation appointment scheduled tomorrow at 11:30 AM. See you soon! - New Beginnings 🙂
02-12-2026 07:55 AM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Evaluation appointment scheduled today at 11:30 AM. See you soon! - New Beginnings 🙂
02-12-2026 11:15 AM	Christine Adame	Eliana Picorelli Walik : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=883223
03-02-2026 09:05 AM	Christine Adame	Good morning! We can begin therapy with Eliana! Would she be able to come in Wednesday at 8:15 am?
03-02-2026 11:07 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Good morning, yes that will be perfect
03-02-2026 11:22 AM	Christine Adame	Awesome! See you all Wednesday:)
03-02-2026 12:18 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Liked “Awesome! See you all Wednesday:)”
03-03-2026 03:41 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Good afternoon! Question, would we be able to move to thursday ?
03-03-2026 03:43 PM	Christine Adame	Good afternoon! Unfortunately, I cannot move it. I already have an 8:15 appointment on Thursday.
03-03-2026 03:44 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Her sister is sick and I do not have childcare for her and my husband is on a work trip, only day i have childcare is Thursday
03-03-2026 03:45 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: I may need to cancel and reschedule
03-03-2026 03:52 PM	Christine Adame	Oh no! Poor Alondra!! We have several options: A. We can try having Eliana come in on her own. B. I can try to move Eliana to Thursday at 9:45. C. Or we can double up next week. What would you like to do?
03-03-2026 03:52 PM	Christine Adame	I'm almost sure she would do fine coming in on her own since she goes to daycare.
03-03-2026 03:54 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: We cab have her try and go in on her own, she might do better that way
03-03-2026 04:08 PM	Christine Adame	Okay! Sounds good. If you want. You can bring a snack for her, and I'll use it as a positive reinforcer.
03-03-2026 04:08 PM	Christine Adame	Honestly, the majority of our kiddos do way better by themselves. They behave better. :)
03-03-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled tomorrow at 08:15 AM. See you soon! - New Beginnings 🙂
03-03-2026 07:43 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Loved “Okay! Sounds good. If you want. You can bring a snack for her, and I'll use it as a positive reinforcer.”
03-03-2026 07:43 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.
03-03-2026 07:43 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Loved “Honestly, the majority of our kiddos do way better by themselves. They behave better. :)”
03-03-2026 07:43 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.
03-03-2026 07:43 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Liked “Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled tomorrow at 08:15 AM. See you soon! - New Beginnings 🙂”
03-03-2026 07:43 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.
03-04-2026 08:00 AM	Christine Adame	Eliana Picorelli Walik : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=901214
03-04-2026 08:00 AM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled today at 08:15 AM. See you soon! - New Beginnings 🙂
03-04-2026 08:00 AM	Eliana Picorelli Walik	Eliana is CHECKED IN for: 8:15AM-3/4/2026 92507: Speech & Language Visit
03-04-2026 08:06 AM	Christine Adame	Good morning! Which vehicle are you in? I can go outside for Eliana, if you'd like.
03-04-2026 08:07 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: White jeep wagoner
03-04-2026 08:10 AM	Christine Adame	Okay! I'll be out shortly. Do you need a work note?
03-04-2026 08:10 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Ok sounds good ! and yes please
03-04-2026 08:59 AM	Christine Adame	I forgot to mention, after each session, I will send a link for you to sign or write your initials. This is for billing so that they know Eliana was seen on that particular date. Thank you so much!
03-08-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Picorelli Walik, Eliana has a Speech Therapy appointment on 03-11-2026 at 8:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:10 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: NO
03-08-2026 04:10 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 04:10 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: I have an appointment that same morning
03-08-2026 04:10 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 05:33 PM	Christine Adame	Okay! Would you be able to bring her Thursday at 8:15 am this week?
03-08-2026 05:34 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Do you have anything afternoons ?
03-08-2026 05:34 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 05:45 PM	Christine Adame	Unfortunately, I do not. The afternoon times are full of children that go to school all day.
03-08-2026 05:46 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Friday would be my only free morning
03-08-2026 05:46 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 05:47 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Does the clinic have any therapists that do afternoons ?
03-08-2026 05:47 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 05:48 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: I will move my appointment on the 11th to the afternoon can i take the 815?
03-08-2026 05:48 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.
03-10-2026 07:18 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Good morning is the appointment on the 11th at 0815?
03-10-2026 07:32 AM	Christine Adame	Good morning! Yes ma'am
03-10-2026 07:38 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Thank you !
03-10-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled tomorrow at 08:15 AM. See you soon! - New Beginnings 🙂
03-11-2026 07:57 AM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled today at 08:15 AM. See you soon! - New Beginnings 🙂
03-11-2026 08:00 AM	Christine Adame	Eliana Picorelli Walik : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=902783
03-11-2026 08:05 AM	Eliana Picorelli Walik	Eliana is CHECKED IN for: 8:15AM-3/11/2026 92507: Speech & Language Visit
03-11-2026 09:29 AM	Christine Adame	I'm so sorry to bother you. I checked my calendar. My appointment on Friday next week is at 11 am. I can make it if I see Eliana at 8:15 on Friday next week. :)
03-11-2026 09:29 AM	Christine Adame	Also, do you need me to send you an excuse note for today?
03-11-2026 09:58 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: No bother ! thank you that works perfect! and i got one from the link
03-11-2026 10:36 AM	Christine Adame	Okay! Perfect! I'll move her appointment over to Friday.
03-15-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Picorelli Walik, Eliana has a Speech Therapy appointment on 03-20-2026 at 8:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-18-2026 10:45 AM	Christine Adame	Good morning! I forgot to add an appointment for my son on my schedule for Friday. Unfortunately, I need to cancel Eliana on Friday. The patient I had scheduled tomorrow at 9 am just canceled. I can see Eliana tomorrow at 9 am if it works with your schedule. I'm very sorry for the inconvenience. Please let me know.
03-18-2026 10:46 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Good morning, 9am works for tomorrow. Her dad will be taking her
03-18-2026 10:47 AM	Christine Adame	Okay! Perfect! Thank you!
03-18-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 07:56 AM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-19-2026 08:45 AM	Christine Adame	Eliana Picorelli Walik : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905773
03-19-2026 10:15 AM	Christine Adame	Patient School Note Report https://st-pros.com/newbeginnings/patients/Intakereports/School_Note_Report_print.aspx?pid=9930&Appt=905773
03-22-2026 04:00 PM	Christine Adame	Hi, this is a just a reminder that Picorelli Walik, Eliana has a Speech Therapy appointment on 03-25-2026 at 8:15 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:00 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: NO
03-22-2026 04:00 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.
03-22-2026 04:02 PM	Christine Adame	Hi! Would Tuesday at 8:15 work for you? I can see if I can switch my patient on Tuesday with Eliana.
03-22-2026 05:01 PM	Christine Adame	I have an afternoon appointment available tomorrow at 3:15 pm. The patient canceled. I can switch Eliana for this week. Let me know :)
03-22-2026 06:08 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Tomorrow would be perfect !
03-22-2026 06:08 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.
03-22-2026 06:29 PM	Christine Adame	Christine Adame CANCELLED: 8:15AM-3/25/2026 92507: Speech & Language Visit
03-22-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled tomorrow at 03:15 PM. See you soon! - New Beginnings 🙂
03-23-2026 08:00 AM	Christine Adame	Hi, this is a just a reminder that Eliana has a Speech Therapy appointment scheduled today at 03:15 PM. See you soon! - New Beginnings 🙂
03-23-2026 03:00 PM	Christine Adame	Eliana Picorelli Walik : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=911436
03-23-2026 03:04 PM	Eliana Picorelli Walik	Eliana is CHECKED IN for: 3:15PM-3/23/2026 92507: Speech & Language Visit
03-23-2026 03:59 PM	Eliana Picorelli Walik	Eliana (Prim) Replied: Next wednesday will be good!
03-23-2026 04:00 PM	Christine Adame	Okay! Perfect! :)
03-24-2026 11:36 AM	Christine Adame	Hello! I'm so sorry to bother you. By any chance would Monday or Tuesday work for you next week? If so, what times work better for you?
03-24-2026 11:37 AM	Eliana Picorelli Walik	Eliana (Prim) Replied: Tuesday works good, morning if possible
03-24-2026 05:57 PM	Christine Adame	OKay!! I have Eliana scheduled for 8:15 am on Tuesday next week :)