New Beginnings | NB1-Office

Patient Name: Luca

Patient Information:

Patient ID: 9931

Patient First Name: Luca

Patient Date of Birth: 10-13-2022

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Brianna, Garza

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Barron, Annette

FD - Feeding Therapy:

OT - Occupational Therapy:

PT - Physical Therapy:

Patient Primary Authorizations:

Auth. ID	Status	Start Date	End Date	Insurance	ST-Units	FD-Units	OT-Units	PT-Units
23291	Active	02-09-2026	08-04-2026	Blue Cross Blue Shield	14	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26179	02-03-2026	Speech Initial Evaluation	F80.1
Speech Background History: Luca is a 3 year 3 month old male who was referred by his pediatrician for a speech and language evaluation due to mother’s concerns regarding speech delay. Luca was accompanied by his mother, who served as the informant. Although mother suffered a stroke 7 weeks into the pregnancy, the issue was resolved, and Luca was born at full-term with no complications. According to mother, Luca is “very talkative” but difficult to understand, often struggling with “certain consonants in words.” Luca often utilizes a leading behavior, pointing and gestures to assistance when expressing his communication wants/needs. Luca has received speech therapy in the past with ECI and with another private group. However, both times mother discontinued services due to lack of progress or Luca becoming frustrated with the group setting. Based on clinical observations, Luca’s current communication was characterized as 1-2 word utterances and word approximations, mixed with use of jargon, gestures, and pointing to express his communication wants/needs. A typically developing child that is Luca’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Luca’s receptive and expressive language skills. Based on Luca’s reported language background and language input/output, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable. According to mother, Luca has not been diagnosed with any medical conditions, but is concerned about his congestion. Mother will give Luca over the counter (OTC) allergy medication when Luca seems congested.
Speech Medications: Over-the-counter medication
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With some 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, Auditory and visually alert and attentive, Easily separated from Parents, Follows verbal command with cues, Responds to greetings,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor vocabulary, Unintelligible, Use of jargon,
Speech Background Summary: The evaluation took place at the therapy room table. Luca required some redirection cues to engage with the assessment. Overall, Luca’s pragmatic skills presented with more weaknesses than strengths at this time as he was very difficult to understand and utilized more jargon and word approximations than words.
Speech Diagnosis/Impressions: Luca is a 3 year 3 month old male who was referred by his pediatrician for a speech and language evaluation due to mother’s concerns regarding speech delay. Luca was accompanied by his mother, who served as the informant. Although mother suffered a stroke 7 weeks into the pregnancy, the issue was resolved, and Luca was born at full-term with no complications. According to mother, Luca is “very talkative” but difficult to understand, often struggling with “certain consonants in words.” Luca often utilizes a leading behavior, pointing and gestures to assistance when expressing his communication wants/needs. Luca has received speech therapy in the past with ECI and with another private group. However, both times mother discontinued services due to lack of progress or Luca becoming frustrated with the group setting. Based on clinical observations, Luca’s current communication was characterized as 1-2 word utterances and word approximations, mixed with use of jargon, gestures, and pointing to express his communication wants/needs. A typically developing child that is Luca’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and SOME PROMPTS to cooperate. A formal oral mechanism exam was completed. A formal oral mechanism exam was completed. Luca reportedly sleeps with his mouth open, snores loudly, and at the time of the assessment was mouth breathing. According to mother, Luca was suffering with severe allergies, and is not typically a mouth-breather. It is recommended Luca receive further consultation with an ENT as Luca’s quality of sleep is of great importance to his brain and language development. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Luca’s receptive and expressive language skills. Luca required some redirection cues to complete the assessment. Luca received the following standard scores on the PLS-5: Auditory Comprehension 94 (raw score: 37, percentile: 34, age-equivalent: 3 years 0 months), Expressive Communication 74 (raw score: 27, percentile: 4, age-equivalent: 1 year 11 months), and Total Language Score 83 (raw score: 64, percentile: 13, age-equivalent: 2 years 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Luca presented with a MODERATE TO MILD EXPRESSIVE LANGUAGE DISORDER, where his expressive (moderate) language skills were more severe than his overall total language (mild) score. Luca would greatly benefit from speech therapy services that address the following: imitation of speech sounds, naming/labeling via word approximations, imitation of 1-2 word phrases, and use of functional communication to express wants/needs. Speech therapy is highly recommended at this time as Luca’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Luca’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. Luca’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Luca’s language background, language input/output, and observed preference, 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: Luca is a 3 year 3 month old male who was referred by his pediatrician for a speech and language evaluation due to mother’s concerns regarding speech delay. Luca was accompanied by his mother, who served as the informant. Although mother suffered a stroke 7 weeks into the pregnancy, the issue was resolved, and Luca was born at full-term with no complications. According to mother, Luca is “very talkative” but difficult to understand, often struggling with “certain consonants in words.” Luca often utilizes a leading behavior, pointing and gestures to assistance when expressing his communication wants/needs. Luca has received speech therapy in the past with ECI and with another private group. However, both times mother discontinued services due to lack of progress or Luca becoming frustrated with the group setting. Based on clinical observations, Luca’s current communication was characterized as 1-2 word utterances and word approximations, mixed with use of jargon, gestures, and pointing to express his communication wants/needs. A typically developing child that is Luca’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and SOME PROMPTS to cooperate. A formal oral mechanism exam was completed. A formal oral mechanism exam was completed. Luca reportedly sleeps with his mouth open, snores loudly, and at the time of the assessment was mouth breathing. According to mother, Luca was suffering with severe allergies, and is not typically a mouth-breather. It is recommended Luca receive further consultation with an ENT as Luca’s quality of sleep is of great importance to his brain and language development. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Luca’s receptive and expressive language skills. Luca required some redirection cues to complete the assessment. Luca received the following standard scores on the PLS-5: Auditory Comprehension 94 (raw score: 37, percentile: 34, age-equivalent: 3 years 0 months), Expressive Communication 74 (raw score: 27, percentile: 4, age-equivalent: 1 year 11 months), and Total Language Score 83 (raw score: 64, percentile: 13, age-equivalent: 2 years 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Luca presented with a MODERATE TO MILD EXPRESSIVE LANGUAGE DISORDER, where his expressive (moderate) language skills were more severe than his overall total language (mild) score. Luca would greatly benefit from speech therapy services that address the following: imitation of speech sounds, naming/labeling via word approximations, imitation of 1-2 word phrases, and use of functional communication to express wants/needs. Speech therapy is highly recommended at this time as Luca’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Luca’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. Luca’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Luca’s language background, language input/output, and observed preference, 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

58282

Plan Date: 02-03-2026

Speech Assessment Summary: Luca is a 3 year 3 month old male who was referred by his pediatrician for a speech and language evaluation due to mother’s concerns regarding speech delay. Luca was accompanied by his mother, who served as the informant. Although mother suffered a stroke 7 weeks into the pregnancy, the issue was resolved, and Luca was born at full-term with no complications. According to mother, Luca is “very talkative” but difficult to understand, often struggling with “certain consonants in words.” Luca often utilizes a leading behavior, pointing and gestures to assistance when expressing his communication wants/needs. Luca has received speech therapy in the past with ECI and with another private group. However, both times mother discontinued services due to lack of progress or Luca becoming frustrated with the group setting. Based on clinical observations, Luca’s current communication was characterized as 1-2 word utterances and word approximations, mixed with use of jargon, gestures, and pointing to express his communication wants/needs. A typically developing child that is Luca’s age should have 100-200 words in their expressive vocabulary, and use 2-3 word utterances consistently to label, comment or request. The following behavioral observations were also noted: INCONSISTENT attending skills, INTENT to communicate, TALKATIVE social interaction, IMPULSIVE response rate, ACTIVE level of activity, ADEQUATE awareness of others/environment, and SOME PROMPTS to cooperate. A formal oral mechanism exam was completed. A formal oral mechanism exam was completed. Luca reportedly sleeps with his mouth open, snores loudly, and at the time of the assessment was mouth breathing. According to mother, Luca was suffering with severe allergies, and is not typically a mouth-breather. It is recommended Luca receive further consultation with an ENT as Luca’s quality of sleep is of great importance to his brain and language development. The Preschool Language Scales Fifth Edition (PLS-5) was used to evaluate Luca’s receptive and expressive language skills. Luca required some redirection cues to complete the assessment. Luca received the following standard scores on the PLS-5: Auditory Comprehension 94 (raw score: 37, percentile: 34, age-equivalent: 3 years 0 months), Expressive Communication 74 (raw score: 27, percentile: 4, age-equivalent: 1 year 11 months), and Total Language Score 83 (raw score: 64, percentile: 13, age-equivalent: 2 years 6 months). According to the standard scores on the PLS-5, where a score from 85 to 115 is considered within functional limits, Luca presented with a MODERATE TO MILD EXPRESSIVE LANGUAGE DISORDER, where his expressive (moderate) language skills were more severe than his overall total language (mild) score. Luca would greatly benefit from speech therapy services that address the following: imitation of speech sounds, naming/labeling via word approximations, imitation of 1-2 word phrases, and use of functional communication to express wants/needs. Speech therapy is highly recommended at this time as Luca’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for his age and for safety. Without speech therapy, Luca’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. Luca’s parents will be responsible for his Home Management Intervention Plan (HMIP). Based on Luca’s language background, language input/output, and observed preference, 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 Luca’s impairments is good with consistent speech therapy. Luca 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, Luca will improve his expressive language skills with 50% accuracy across 5 consecutive sessions in order to effectively communicate pain (i.e. tell his mom if stomach hurts) and safety issues (i.e., express when someone hits or bites him at school) with familiar listeners in familiar settings.

Speech and Language Short Term Goals:

Category	Goal Description
Expressive Language	In 6 months, Luca will imitate speech sounds modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Luca will imitate monosyllabic words modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Luca will name common objects via word approximations AND/OR gestures in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Luca will use total communication to express wants/needs to the clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Luca will imitate functional 1-2 word phrases (i.e., NOUN + VERB, ADJECTIVE + NOUN) modeled by clinician when talking about stimuli during literacy-based or play-based tasks in 3 out of 10 opportunities across 3/5 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).
Oral Motor/Articulation	In 6 months, Luca will produce /b, d, g/ in final word position at the word level with 30% accuracy across 3 consecutive sessions in order to improve articulation and overall speech intelligibility when communicating to parents and/or emergency personal (i.e., stating what he wants to play, when he is sick).

Speech and Language Soap Note/Visit:

Soap Note

490897

Note Date: 03-23-2026

Subjective: Patient needed frequent reminders to return to task,Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: When counseled by the clinician, parents will incorporate the home management intervention program as a daily and weekly activity to transfer skills learned in therapy into the home environment. Home management training will optimize patients functional communication tasks in the home. In 6 months, Luca will imitate speech sounds modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). **Luca imitated speech sounds modeled by clinician in 3 out of 10 opportunities when given maximum verbal and visual cues, modeling, and redirection to attend to the task. In 6 months, Luca will imitate monosyllabic words modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). **Luca imitated monosyllabic words modeled by clinician in 3 out of 10 opportunities and required maximum verbal and visual cues, modeling, and constant redirection to attend to the task. In 6 months, Luca will use total communication to express wants/needs to the clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve use of meaningful language for functional communication in everyday activities (i.e., stating what he wants to play, when he is sick). **Luca used total communication to express wants/needs to the clinician in 3 out of 10 opportunities and needed redirection to attend to the task . In 6 months, Luca will imitate functional 1-2 word phrases (i.e., NOUN + VERB, ADJECTIVE + NOUN) modeled by clinician when talking about stimuli during literacy-based or play-based tasks in 3 out of 10 opportunities across 3/5 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). **Luca imitated functional 1-2 word phrases (i.e., NOUN + VERB, ADJECTIVE + NOUN) modeled by clinician when talking about stimuli during literacy-based or play-based tasks in 2 out of 10 opportunities when given maximum verbal cues, multiple repetitions and redirection to attend to the task. In 6 months, Luca will produce /b, d, g/ in final word position at the word level with 30% accuracy across 3 consecutive sessions in order to improve articulation and overall speech intelligibility when communicating to parents and/or emergency personal (i.e., stating what he wants to play, when he is sick). **Luca produced /b, d, g/ in final word position at the word level with 10% accuracy when given maximum verbal and visual cues, modeling, repetitions and redirection to attend to the task.

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
880550	92523: Artic & Language Eval	02-03-2026 02:00 PM	02-03-2026 03:00 PM	Annette Barron	NB2 far east side	Completed
887224	92507: Speech & Language Visit	02-10-2026 10:00 AM	02-10-2026 11:00 AM	Annette Barron	NB2 far east side	Completed
888654	92507: Speech & Language Visit	02-24-2026 10:00 AM	02-24-2026 11:00 AM	Annette Barron	NB2 far east side	Completed
900571	92507: Speech & Language Visit	03-09-2026 11:00 AM	03-09-2026 12:00 PM	Annette Barron	NB2 far east side	Completed
900573	92507: Speech & Language Visit	03-23-2026 11:00 AM	03-23-2026 12:00 PM	Annette Barron	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
900575	92507: Speech & Language Visit	04-06-2026 11:00 AM	04-06-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900577	92507: Speech & Language Visit	04-20-2026 11:00 AM	04-20-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900596	92507: Speech & Language Visit	05-04-2026 11:00 AM	05-04-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900581	92507: Speech & Language Visit	05-18-2026 11:00 AM	05-18-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900604	92507: Speech & Language Visit	06-01-2026 11:00 AM	06-01-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900606	92507: Speech & Language Visit	06-15-2026 11:00 AM	06-15-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900608	S9152: Reevaluation	06-29-2026 11:00 AM	06-29-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900622	92507: Speech & Language Visit	07-13-2026 11:00 AM	07-13-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900626	92507: Speech & Language Visit	07-27-2026 11:00 AM	07-27-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled
900627	92507: Speech & Language Visit	08-03-2026 11:00 AM	08-03-2026 12:00 PM	Annette Barron	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
2/3/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	60.00	-60.00
2/3/26	Patient Payment Received (Stripe)	60.00	60.00	0.00
2/10/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	60.00	120.00	-60.00
2/10/26	Patient Payment Received (Stripe)	120.00	120.00	0.00
2/24/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	120.00	180.00	-60.00
2/24/26	Patient Payment Received (Stripe)	180.00	180.00	0.00
3/9/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	180.00	240.00	-60.00
3/9/26	Patient Payment Received (Stripe)	240.00	240.00	0.00
3/23/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	240.00	300.00	-60.00
3/23/26	Patient Payment Received (Stripe)	300.00	300.00	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
2/3/26	92523: Artic & Language Eval	1	345.00	EDI Submited
2/10/26	92507: Speech & Language Visit	1	140.00	EDI Submited
2/24/26	92507: Speech & Language Visit	1	140.00	EDI Submited
3/9/26	92507: Speech & Language Visit	1	140.00	Unbilled
3/23/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Notes:

Date	Posted By	Description
02-06-2026	Patsy Guajardo	Patient only has 30 visits per year and will be seen every other week, co pay is 60 dlls

Paient Messages Admin:

Date	Posted By	Message
12-23-2025 02:01 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2486
01-15-2026 06:04 PM	Patsy Guajardo	Luca 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=9931&type=1&wid=507
01-15-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-16-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-17-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-18-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-19-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-20-2026 12:10 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: Luca '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=9931&type=1&wid=507
01-21-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-22-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-23-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-25-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Luca '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=9931&type=1&wid=507
01-27-2026 09:51 AM	Asbel Guajardo	Hello this Asbel and a therapist will be contacting you to schedule, I do apologize the for the delay. The limit of visit is 30 visits a year and a $60 each visit.
01-27-2026 11:15 AM	Luca Folhadella	When will I be hearing about the first visit?
02-03-2026 07:33 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Luca Folhadella. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=38930. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
02-03-2026 03:51 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! 💙
02-06-2026 08:46 AM	Patsy Guajardo	Hi, Luca as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Annette https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9931&tid=46
02-10-2026 07:34 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Luca Folhadella. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39158. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
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=9931
02-17-2026 06:30 PM	Caleb Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled tomorrow at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
02-18-2026 07:30 AM	Caleb Tullius	Hi, this is a just a reminder that you are registered for our Parent Training: Introduction to AAC (Augmentative and Alternative Communication) scheduled today at 6:30 PM. Please be on-time. See you soon! - New Beginnings 🙂
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/
02-18-2026 04:40 PM	Luca Folhadella	Hi could you take me off the list for the training? I don't need it!
02-24-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Luca Folhadella. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39527. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Luca Folhadella. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=39978. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-09-2026 07:22 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=9931
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/
03-23-2026 07:32 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Luca Folhadella. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40492. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
01-27-2026 03:03 PM	Annette Barron	Good afternoon. My name is Annette from New Beginnings, and I will be completing Luca’s speech evaluation. I am messaging you via our patient portal which is a secure texting only system. Would Luca be available to come in on Feb. 3rd at 2:00 PM? We are located at 3551 Rich Beem Blvd, Suite B, 79938. Please let me know if you would like to confirm the appointment. Thank you.
01-28-2026 08:30 AM	Luca Folhadella	Luca (Prim) Replied: Hi yes we can do that!
01-28-2026 09:44 AM	Annette Barron	Good morning. Thank you for confirming. Luca is scheduled for February 3rd at 2 PM at 3551 Rich Beem Blvd, Suite B, 79938. What are your concerns? Is Luca not using enough words and/or difficult to understand?
02-02-2026 11:43 AM	Annette Barron	Good morning. Last week we scheduled Luca for a speech evaluation set for tomorrow at 2 PM. What are your concerns? Does Luca not use enough words and/or difficult to understand?
02-02-2026 11:45 AM	Luca Folhadella	Luca (Prim) Replied: So the concern is from his pediatrician, but we do know that he has trouble with certain sounds so he's difficult to understand sometimes!
02-02-2026 11:47 AM	Annette Barron	OK, thank you for the information. I am going to send you a series of 9 questions that cover Luca's medical history. I would greatly appreciate it if you could fill this out as soon as possible so I may prepare for the evaluation tomorrow.
02-02-2026 11:47 AM	Luca Folhadella	Luca (Prim) Replied: Ok!
02-02-2026 11:48 AM	Annette Barron	Please complete as soon as possible. Thank you. Speech History Questionnaire for Luca: 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.
02-02-2026 12:07 PM	Luca Folhadella	Luca (Prim) Replied: Please complete as soon as possible. Thank you. Speech History Questionnaire for Luca: 1.) Lucas Folhadella 10/14/2022 2.) while I was pregnant 7 weeks I had a stroke. I was able to come out of it without having any issues after. 3.) None 4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, 1st words, combined word? Physically he has had no issues he stood up and was walking before his first birthday, his first word was mama. Combined words would be last year maybe February . He liked to do a lot of continuous talking like he wanted to have a conversation with you but didn't have the words yet 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? He usually sleeps 10 hours or more, he doesn't wake up usually unless he is sick during the night. We have noticed he's been snoring as he's gotten older I would say after he turned 2 we can hear it more. Sleeps with both closed and open mouth just depends on the day . 6.) Education history (i.e., attends daycare, preschool, etc.) and past therapy history? He was going to a speech therapist September 2024 and was attending a speech therapy play group with other kids led by the same SLP. He was also getting help through ECI through the city prior to the SLP so I would say that was the beginning of 2024. 7.) Which language(s) is the child exposed to regularly? English and Spanish 8.) Vision or hearing issues? None 9.) In a few wor
02-02-2026 12:37 PM	Luca Folhadella	Luca (Prim) Replied: Let me know if you need more info!
02-02-2026 12:52 PM	Annette Barron	Thank you for all the information. Your response for question 9 did not come through. Could you please resend that answer? Thank you.
02-02-2026 12:57 PM	Luca Folhadella	Luca (Prim) Replied: 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. I would love for Luca to be able to say more words correctly, he has a tendency to not say certain consonants in words, I want others to understand him better!
02-02-2026 01:38 PM	Annette Barron	Thank you. I look forward to meeting you all tomorrow.
02-02-2026 01:43 PM	Luca Folhadella	Luca (Prim) Replied: Us too!!
02-02-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Evaluation appointment scheduled tomorrow at 02:00 PM. See you soon! - New Beginnings 🙂
02-03-2026 08:02 AM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Evaluation appointment scheduled today at 02:00 PM. See you soon! - New Beginnings 🙂
02-03-2026 01:45 PM	Annette Barron	Luca Folhadella : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=880550
02-03-2026 01:55 PM	Luca Folhadella	Luca is CHECKED IN for: 2:00PM-2/3/2026 92523: Artic & Language Eval
02-04-2026 01:33 PM	Annette Barron	Good afternoon. This is Annette from New Beginnings. Here is a brief summary from yesterday’s evaluation. Luca has been diagnosed with a profound to moderate to mild expressive language disorder, where his expressive (moderate) language skills were more severe than his overall total language (mild) score. Luca would benefit from speech therapy targeting the following: imitation of functional gestures, imitation of speech sounds, imitation of monosyllabic words, naming common objects via word approximations and/or gestures, and using total communication to express wants/needs. Once the office has processed the report, they obtain the needed signatures, and insurance approves the report, the assigned treating therapist will reach out to you to discuss beginning treatment. Please let me know if you have any questions. Thank you.
02-04-2026 01:36 PM	Luca Folhadella	Luca (Prim) Replied: Annette I'm going to need a simplified explanation of what you wrote I'm not fully understanding. Could you explain?
02-04-2026 02:04 PM	Annette Barron	Sure. As I explained yesterday, the goals are to increase Luca’s expressive vocabulary. We are building up to increase the amount of words he is currently using. Using a total communications gives him the opportunity to use gestures, word approximations and/or words to tell us what he needs.
02-06-2026 02:31 PM	Annette Barron	Good afternoon. I wanted to let you know that Luca is now ready to begin speech therapy and he has been placed on my caseload. As you requested, I can see Luca every other Tuesday.
02-06-2026 02:32 PM	Annette Barron	I have 10 AM on Tuesday saved for Luca.
02-06-2026 02:33 PM	Annette Barron	Would you like to begin this coming Tuesday (Feb. 10th) or the following Tuesday?
02-06-2026 02:35 PM	Luca Folhadella	Luca (Prim) Replied: Yes we can start feb 10!! Thank you!!
02-06-2026 02:39 PM	Annette Barron	Great. I will see you all Tuesday at 10 AM.
02-06-2026 02:42 PM	Luca Folhadella	Luca (Prim) Replied: Awesome!!
02-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Folhadella, Luca has a Speech Therapy appointment on 02-10-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-08-2026 07:33 PM	Luca Folhadella	Luca (Prim) Replied: Yes
02-08-2026 07:33 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.
02-09-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-09-2026 06:37 PM	Luca Folhadella	Luca (Prim) Replied: Yes!!
02-10-2026 08:08 AM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-10-2026 09:45 AM	Annette Barron	Luca Folhadella : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=887224
02-10-2026 09:56 AM	Luca Folhadella	Luca is CHECKED IN for: 10:00AM-2/10/2026 92507: Speech & Language Visit
02-18-2026 03:07 PM	Luca Folhadella	Luca (Prim) Replied: Hi Anette?
02-18-2026 03:10 PM	Annette Barron	Hi there. How can I help you?
02-18-2026 03:11 PM	Luca Folhadella	Luca (Prim) Replied: So I wanted to double check with you we signed up for the training today on AAC do you think it's appropriate for us? To help Luca?
02-18-2026 03:15 PM	Annette Barron	Well the training for AAC is geared for kiddos who use a device to talk. Luca doesn’t have an issue talking. Let me take a look at the schedule to see what might work for you all.
02-18-2026 03:15 PM	Luca Folhadella	Luca (Prim) Replied: Oh no! I didn't realize !
02-18-2026 03:17 PM	Luca Folhadella	Luca (Prim) Replied: Would you be able to cancel my registration for it?
02-18-2026 04:58 PM	Annette Barron	I took a look at the classes and they are geared toward kids with sensory issues. If a language class pops up, I will let you know.
02-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Folhadella, Luca has a Speech Therapy appointment on 02-24-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
02-22-2026 04:01 PM	Luca Folhadella	Luca (Prim) Replied: Yes
02-22-2026 04:01 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.
02-23-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
02-24-2026 07:58 AM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
02-24-2026 09:45 AM	Annette Barron	Luca Folhadella : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=888654
02-24-2026 10:03 AM	Luca Folhadella	Luca is CHECKED IN for: 10:00AM-2/24/2026 92507: Speech & Language Visit
02-27-2026 04:50 PM	Annette Barron	Good afternoon. I did not receive word from the front office, so I wanted to reach out to you about Luca's schedule. Will we continue with every other week?
02-27-2026 04:51 PM	Luca Folhadella	Luca (Prim) Replied: Yes we will! I actually wanted to ask you if you had availability on a different day? Maybe Monday?
02-27-2026 04:55 PM	Annette Barron	OK, we will keep with the bi-weekly schedule. I have an opening Mondays at 11 AM.
02-27-2026 04:55 PM	Luca Folhadella	Luca (Prim) Replied: Could we do that please?
02-27-2026 04:58 PM	Annette Barron	Sure. The next visit would be Monday, March 9th, at 11 AM.
02-27-2026 04:58 PM	Luca Folhadella	Luca (Prim) Replied: Thank you so much!! We really appreciate you!!
03-08-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Folhadella, Luca has a Speech Therapy appointment on 03-09-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-08-2026 04:01 PM	Luca Folhadella	Luca (Prim) Replied: Yes
03-08-2026 04:01 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.
03-08-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 07:52 AM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-09-2026 10:45 AM	Annette Barron	Luca Folhadella : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900571
03-09-2026 10:52 AM	Luca Folhadella	Luca is CHECKED IN for: 11:00AM-3/9/2026 92507: Speech & Language Visit
03-22-2026 04:00 PM	Annette Barron	Hi, this is a just a reminder that Folhadella, Luca has a Speech Therapy appointment on 03-23-2026 at 11:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:01 PM	Luca Folhadella	Luca (Prim) Replied: Yes
03-22-2026 04:01 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.
03-22-2026 06:30 PM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled tomorrow at 11:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 07:52 AM	Annette Barron	Hi, this is a just a reminder that Luca has a Speech Therapy appointment scheduled today at 11:00 AM. See you soon! - New Beginnings 🙂
03-23-2026 10:45 AM	Annette Barron	Luca Folhadella : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=900573
03-23-2026 10:57 AM	Luca Folhadella	Luca is CHECKED IN for: 11:00AM-3/23/2026 92507: Speech & Language Visit