New Beginnings | NB1-Office

Patient Name: Juan Diego

Patient Information:

Patient ID: 9950

Patient First Name: Juan Diego

Patient Date of Birth: 11-06-2023

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Marisol, Valdes

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Holguin, Valeria

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
23539	Active	03-09-2026	09-05-2026	Superior Health Plan	26	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26320	02-18-2026	Speech Initial Evaluation	F80.9
Speech Background History: Juan Diego is a 2 year, 3 month old male who was referred for a speech and language evaluation by his pediatrician for concerns with his speech and language. Juan Diegos’s mother and father served as the informant for this evaluation. Mrs and Mr. Melendez reported concerns regarding Juan Diego’s verbal output as he mumbles and has little to no words. Mr. Melendez also reported that Enzo is not talking as much as kids his same age and only has around 10 words. Mrs. Melendez also reports concerns that something more is going on with Enzo than his speech delay. According to clinician's observations, Juan Diego’s current communication is characterized by use purposeful vocalizations and crying to express his wants/needs. Juan Diego was evaluated using the Preschool Language Scales 5th Edition English version (PLS 5). Due to Juan Diego’s language background and input/output, the language of intervention will be English.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications:
Speech Behavioral Observations: Attending Skills: Inconsistent, Response Rate: Impulsive, Level of Activity: Active, Cooperation: Active, Communicative Intent: With numerous prompts, Awareness of Others: Present, Reliability of Scores: Fair, Awarencess of Environmental Events: Good, Social Interactions: Moderately, Prognosis for Improved Communicative Functioning: Friendly,
Speech Communication Strengths: Follows verbal command with cues, Interactive, Responds to greetings, Understood inhibitory words with signs,
Speech Communication Weaknesses: Difficult to understand, Diminished vocabulary, Poor use of eye contact, Poor vocabulary, Repetitiveness, Self stimulation behaviors,
Speech Background Summary:
Speech Diagnosis/Impressions: PATIENT HX: Juan Diego is a 2 year, 3 month old male who was referred for a speech and language evaluation by his pediatrician for concerns with his speech and language. Juan Diego’s mother and father served as the informant for this evaluation. Mrs Melendez reported concerns regarding Juan Diego’s verbal output as he has about 5 words in his vocabulary and mostly vocalizes or yells when wanting something. Mrs Melendez also reported that Juan Diego is not talking as much as kids his same age and only has about 10 word. Mrs. Melendez also reports concerns that something more is going on with Enzo than his speech delay. According to clinician's observations, Juan Diego'’s current communication is characterized by use purposeful vocalizations and crying to express his wants/needs. Juan Diego was evaluated using the Preschool Language Scales 5th Edition English version (PLS 5). ORAL MECH EXAM: At this time, Juan Diegos’s oral cavity is functional for speech and language. However, Juan Diego’s oral cavity should be monitored to determine if further testing is warranted. HEARING: Parent did not have concerns regarding hearing. Juan Diego passed his newborn hearing screening and has only one occurance off past ear infections. BEHAVIORAL OBSERVATIONS: Juan Diego was accompanied by his mother to the evaluation. The evaluation took place on the therapy room floor. Juan Diego required numerous prompts to complete and redirect to assessment tasks. Juan Diego attempted to climb on the chairs and table numerous times throughout the evaluation. A occupational therapy consult is recommended to support Enzo’s attention skills, self regulation skills, and fine motor skills. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, FRIENDLY social interactions, ADEQUATE awareness of others/environments, IMPULSIVE response rate, need for NUMEROUS PROMPTS to cooperate, and ACTIVE level of activity. LANGUAGE: The following are Juan Diego’s standard scores on the PLS 5 Auditory Comprehension 63(raw score: 18, percentile: 1, age equivalent: 1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 3, age equivalent: 0 year and 11 months), and Total Language Score 59 (raw score: 34, percentile: 1, age equivalent: 1 year 0 months). According to Juan Diego’s standard scores on the PLS 5, where a standard score from 85 to 115 is considered within functional limits, Juan Diego presents with an overallMODERATE-SEVERE MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. Juan Diego would benefit from speech therapy services targeting the following age appropriate concepts: attention to relational/functional tasks, follow commands with common objects, imitation of gestures, imitation of speech sounds, and use of functional communication to express his wants/needs. RECOMMENDATIONS: Speech therapy is highly recommended at this time to target Juan Diego’s language difficulties as his language skills are NOT DEVELOPMENTALLY FUNCTIONAL FOR HIS AGE/SAFETY. Without speech therapy, Juan Diego’s safety risk are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Juan Diego’s mother and father will be responsible for his Home Education Program (HEP). Due to Enzo’s language background and input/output, the language of intervention will be English.
Speech Diagnosis/Impressions: PATIENT HX: Juan Diego is a 2 year, 3 month old male who was referred for a speech and language evaluation by his pediatrician for concerns with his speech and language. Juan Diego’s mother and father served as the informant for this evaluation. Mrs Melendez reported concerns regarding Juan Diego’s verbal output as he has about 5 words in his vocabulary and mostly vocalizes or yells when wanting something. Mrs Melendez also reported that Juan Diego is not talking as much as kids his same age and only has about 10 word. Mrs. Melendez also reports concerns that something more is going on with Enzo than his speech delay. According to clinician's observations, Juan Diego'’s current communication is characterized by use purposeful vocalizations and crying to express his wants/needs. Juan Diego was evaluated using the Preschool Language Scales 5th Edition English version (PLS 5). ORAL MECH EXAM: At this time, Juan Diegos’s oral cavity is functional for speech and language. However, Juan Diego’s oral cavity should be monitored to determine if further testing is warranted. HEARING: Parent did not have concerns regarding hearing. Juan Diego passed his newborn hearing screening and has only one occurance off past ear infections. BEHAVIORAL OBSERVATIONS: Juan Diego was accompanied by his mother to the evaluation. The evaluation took place on the therapy room floor. Juan Diego required numerous prompts to complete and redirect to assessment tasks. Juan Diego attempted to climb on the chairs and table numerous times throughout the evaluation. A occupational therapy consult is recommended to support Enzo’s attention skills, self regulation skills, and fine motor skills. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, FRIENDLY social interactions, ADEQUATE awareness of others/environments, IMPULSIVE response rate, need for NUMEROUS PROMPTS to cooperate, and ACTIVE level of activity. LANGUAGE: The following are Juan Diego’s standard scores on the PLS 5 Auditory Comprehension 63(raw score: 18, percentile: 1, age equivalent: 1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 3, age equivalent: 0 year and 11 months), and Total Language Score 59 (raw score: 34, percentile: 1, age equivalent: 1 year 0 months). According to Juan Diego’s standard scores on the PLS 5, where a standard score from 85 to 115 is considered within functional limits, Juan Diego presents with an overallMODERATE-SEVERE MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. Juan Diego would benefit from speech therapy services targeting the following age appropriate concepts: attention to relational/functional tasks, follow commands with common objects, imitation of gestures, imitation of speech sounds, and use of functional communication to express his wants/needs. RECOMMENDATIONS: Speech therapy is highly recommended at this time to target Juan Diego’s language difficulties as his language skills are NOT DEVELOPMENTALLY FUNCTIONAL FOR HIS AGE/SAFETY. Without speech therapy, Juan Diego’s safety risk are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Juan Diego’s mother and father will be responsible for his Home Education Program (HEP). Due to Enzo’s language background and input/output, the language of intervention will be English.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

58487

Plan Date: 02-18-2026

Speech Assessment Summary: PATIENT HX: Juan Diego is a 2 year, 3 month old male who was referred for a speech and language evaluation by his pediatrician for concerns with his speech and language. Juan Diego’s mother and father served as the informant for this evaluation. Mrs Melendez reported concerns regarding Juan Diego’s verbal output as he has about 5 words in his vocabulary and mostly vocalizes or yells when wanting something. Mrs Melendez also reported that Juan Diego is not talking as much as kids his same age and only has about 10 word. Mrs. Melendez also reports concerns that something more is going on with Enzo than his speech delay. According to clinician's observations, Juan Diego'’s current communication is characterized by use purposeful vocalizations and crying to express his wants/needs. Juan Diego was evaluated using the Preschool Language Scales 5th Edition English version (PLS 5). ORAL MECH EXAM: At this time, Juan Diegos’s oral cavity is functional for speech and language. However, Juan Diego’s oral cavity should be monitored to determine if further testing is warranted. HEARING: Parent did not have concerns regarding hearing. Juan Diego passed his newborn hearing screening and has only one occurance off past ear infections. BEHAVIORAL OBSERVATIONS: Juan Diego was accompanied by his mother to the evaluation. The evaluation took place on the therapy room floor. Juan Diego required numerous prompts to complete and redirect to assessment tasks. Juan Diego attempted to climb on the chairs and table numerous times throughout the evaluation. A occupational therapy consult is recommended to support Enzo’s attention skills, self regulation skills, and fine motor skills. The following behavioral observations were also noted: DISTRACTIBLE attending skills, INTENT to communicate, FRIENDLY social interactions, ADEQUATE awareness of others/environments, IMPULSIVE response rate, need for NUMEROUS PROMPTS to cooperate, and ACTIVE level of activity. LANGUAGE: The following are Juan Diego’s standard scores on the PLS 5 Auditory Comprehension 63(raw score: 18, percentile: 1, age equivalent: 1 year 2 months), Expressive Communication 61 (raw score: 16, percentile: 3, age equivalent: 0 year and 11 months), and Total Language Score 59 (raw score: 34, percentile: 1, age equivalent: 1 year 0 months). According to Juan Diego’s standard scores on the PLS 5, where a standard score from 85 to 115 is considered within functional limits, Juan Diego presents with an overallMODERATE-SEVERE MIXED RECEPTIVE EXPRESSIVE LANGUAGE DISORDER. Juan Diego would benefit from speech therapy services targeting the following age appropriate concepts: attention to relational/functional tasks, follow commands with common objects, imitation of gestures, imitation of speech sounds, and use of functional communication to express his wants/needs. RECOMMENDATIONS: Speech therapy is highly recommended at this time to target Juan Diego’s language difficulties as his language skills are NOT DEVELOPMENTALLY FUNCTIONAL FOR HIS AGE/SAFETY. Without speech therapy, Juan Diego’s safety risk are high since he will likely not be understood if he needs to communicate pain or the need for assistance, nor will he understand instruction from safety personnel in the case he becomes separated from his caregivers. Juan Diego’s mother and father will be responsible for his Home Education Program (HEP). Due to Enzo’s language background and input/output, the language of intervention will be English.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support

Speech and Language Long Term Goals:

Category	Goal Description
Expressive Language	In 12 months, Juan Diego will improve his expressive language skills in order to effectively communicate pain (i.e. tell his mom if stomach hurts) and safety issues (i.e. express when someone hits or bites him at school) with familiar listeners in familiar settings with 50% accuracy across 5 consecutive sessions.
Receptive Language	In 12 months, Juan Diego will improve his receptive language skills in order to follow safety concerns (i.e. follow safety personnel) and provide vital information to emergency personnel (i.e. name) with 50% accuracy across 5 consecutive sessions

Speech and Language Short Term Goals:

Category	Goal Description
Play/Socialization	In 6 months, Juan Diego will sustain attention to play based tasks for at least 30 to 45 seconds with clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to promote language learning opportunities for language development.
Expressive Language	In 6 months, Juan Diego will imitate gestures modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Juan Diego will imitate environmental sounds OR speech sounds modeled by clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Expressive Language	In 6 months, Juan Diego will use total communication to express his wants/needs to the clinician in 3 out of 10 opportunities across 3 consecutive sessions in order to improve meaningful vocabulary for functional communication in everyday activities (i.e stating what he wants to play, when he is sick).
Receptive Language	In 6 months, Juan Diego will follow commands containing common objects in 3 out of 10 opportunities across 3 consecutive session in order to comprehend instructions related to activities of daily living and safety situations (i.e. wash hands, cross the street).
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.

Speech and Language Soap Note/Visit:

Soap Note

491232

Note Date: 03-24-2026

Subjective: Patient was alert and cooperative,Patient was alert and oriented,

Assessment of Goals/Response to Treatment: The patient was alert, cooperative, and oriented throughout the session. As this was the initial session, a primary focus was on establishing rapport through motivating, structured play activities. The patient demonstrated significant progress toward the goal of sustaining attention, successfully maintaining joint attention on play-based tasks for 30-45 seconds in 8 out of 10 opportunities. Intervention also targeted expressive language development. To improve functional communication, the patient was prompted to imitate gestures modeled by the clinician, achieving success in 2 out of 10 opportunities. Similarly, when working on the imitation of environmental and speech sounds, he produced accurate imitations in 2 out of 10 trials. Efforts were made to encourage the use of a total communication approach to express wants and needs, which the patient utilized in 2 out of 10 opportunities presented. The patient's parents were counseled on a home management intervention program, and strategies were provided to help incorporate therapeutic activities into daily routines to promote the generalization of skills to the home environment.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
891099	92523: Artic & Language Eval	02-18-2026 12:15 PM	02-18-2026 01:15 PM	Valeria Holguin	NB2 far east side	Completed
910247	92507: Speech & Language Visit	03-24-2026 10:00 AM	03-24-2026 10:45 AM	Valeria Holguin	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
910248	92507: Speech & Language Visit	03-31-2026 10:00 AM	03-31-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910249	92507: Speech & Language Visit	04-07-2026 10:00 AM	04-07-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910250	92507: Speech & Language Visit	04-14-2026 10:00 AM	04-14-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910251	92507: Speech & Language Visit	04-21-2026 10:00 AM	04-21-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910252	92507: Speech & Language Visit	04-28-2026 10:00 AM	04-28-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910253	92507: Speech & Language Visit	05-05-2026 10:00 AM	05-05-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910254	92507: Speech & Language Visit	05-12-2026 10:00 AM	05-12-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910255	92507: Speech & Language Visit	08-11-2026 10:00 AM	08-11-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910256	92507: Speech & Language Visit	08-18-2026 10:00 AM	08-18-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910257	92507: Speech & Language Visit	08-25-2026 10:00 AM	08-25-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled
910258	92507: Speech & Language Visit	09-01-2026 10:00 AM	09-01-2026 10:45 AM	Valeria Holguin	NB2 far east side	Scheduled

Paient Messages Admin:

Date	Posted By	Message
02-02-2026 10:42 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2589
02-05-2026 11:22 AM	Patsy Guajardo	Juan Diego 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=9950&type=1&wid=541
02-05-2026 11:22 AM	Patsy Guajardo	Schedule Evaluation: When you are ready to schedule your evaluation, click this link https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9950
02-05-2026 11:22 AM	Patsy Guajardo	Juan Diego 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=9950&type=1&wid=542
02-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
02-06-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
02-07-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
02-08-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
02-09-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
02-10-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Juan Diego '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=9950&type=1&wid=542
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=9950
03-10-2026 09:55 AM	Patsy Guajardo	Hi, Juan Diego as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9950&tid=138
03-11-2026 05:40 PM	Stephen Tullius	Hello, for anybody who would like to attend our Sensory Play parent training today but can't, we will be attempting a webinar version. You can register to see it online at https://webinar.getresponse.com/JvvC9/sensory-play/

Paient Messages Therapist:

Date	Posted By	Message
02-12-2026 02:07 PM	Valeria Holguin	Hi! My name is Valeria, speech therapist from New beginnings. I wanted to reach out to offer this next Wednesday at 12:15 to evaluate you child. Please let me know if this time/day works! :) thank you
02-12-2026 02:08 PM	Juan Diego Melendez	Juan Diego (Prim) Replied: yes that works (:
02-12-2026 02:10 PM	Valeria Holguin	awesome, thank you so much!
02-12-2026 02:10 PM	Valeria Holguin	if you could please fill out this information 24 hours before the appointment! let me know if you have any further questions, thank you!!
02-12-2026 02:10 PM	Valeria Holguin	Speech History Questionnaire: 1.) Name and DOB 2.) Any complications with pregnancy or birth? Vaginal or cesarean birth? Passed newborn hearing screening? 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.)?
02-12-2026 02:11 PM	Valeria Holguin	4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, first words? 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.)?
02-12-2026 02:11 PM	Valeria Holguin	7.) Vision or hearing issues? 8.) 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.
02-12-2026 02:11 PM	Valeria Holguin	Just a reminder, our address is 3551 Rich Beem Blvd, Unit B. thank you!!
02-13-2026 07:34 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: hi i'm sorry what information did you need me to fill out ? 😭
02-13-2026 07:34 AM	Valeria Holguin	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.
02-16-2026 10:57 AM	Valeria Holguin	hi! let me send it again! let me know if you receive it please
02-16-2026 10:57 AM	Valeria Holguin	Speech History Questionnaire: 1.) Name and DOB 2.) Any complications with pregnancy or birth? Vaginal or cesarean birth? Passed newborn hearing screening? 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.)?
02-16-2026 10:57 AM	Valeria Holguin	4.) When were these developmental milestones met: Crawl, sat-up, stood up, walked, fed self, dressed self, potty trained, first words? 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.)?
02-16-2026 10:57 AM	Valeria Holguin	7.) Vision or hearing issues? 8.) 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.
02-17-2026 10:17 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: 1. Juan Diego Melendez 11/06/2023 2. No complications. Vaginal Delivery. Passed Newborn hearing screening. 3. Ear infections. 4. Crawling: 7 months Sat up: 6 months Stood up: 8 months Walked: 10 months Fed Self: 10 months Dressed Self: 1 yr Potty Trained: Not yet First Words: 18 months 5. Yes sleeps all night. and takes 1 nap during the day. sleeps with mouth closed. 6. Attended daycare from 6 months- 18 months 7. Not that i'm aware of 8. I am just hoping to help him learn to use words and for him to communicate what he wants and needs. It's hard to understand what he is upset about or what he wants. Doesn't refer to me as mom or to his dad as dad.
02-17-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Juan Diego has a Speech Evaluation appointment scheduled tomorrow at 12:15 PM. See you soon! - New Beginnings 🙂
02-17-2026 06:33 PM	Juan Diego Melendez	Juan Diego (Prim) Replied: Thanks for the reminder see you soon.
02-18-2026 07:56 AM	Valeria Holguin	Hi, this is a just a reminder that Juan Diego has a Speech Evaluation appointment scheduled today at 12:15 PM. See you soon! - New Beginnings 🙂
02-18-2026 12:00 PM	Valeria Holguin	Juan Diego Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=891099
02-18-2026 12:09 PM	Juan Diego Melendez	Juan Diego is CHECKED IN for: 12:15PM-2/18/2026 92523: Artic & Language Eval
02-18-2026 12:18 PM	Juan Diego Melendez	Juan Diego is CHECKED IN for: 12:15PM-2/18/2026 92523: Artic & Language Eval
03-10-2026 10:15 AM	Valeria Holguin	Good morning! Im reaching out to let you know we have received Authorization back from doctor and were all set to start Speech therapy! I wanted to offer Mondays at 10:45am, We could start Monday the 23rd:)
03-10-2026 10:19 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: Good Morning, by any chance would you have another day available? if not i can totally work out Mondays! just wanted to ask 🥹
03-16-2026 07:54 AM	Valeria Holguin	Good morning! Let me see what I can do, sorry for the delayed response!!
03-16-2026 08:30 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: good morning, no worries! like i said if it's not possible, we are ready to start monday the 23rd 🥹
03-19-2026 10:28 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: good morning, are we still on for monday at 10:45?
03-19-2026 10:34 AM	Valeria Holguin	Good morning! I was just about to contact you!:) Im waiting for a parent to confirm that way I can make a move of schedule. I may have Tuesday at 10:00am but I'll confirm again in the next hour. Would that time/day be better?
03-19-2026 10:35 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: yes actually that would be perfect t
03-19-2026 11:29 AM	Valeria Holguin	All set for Tuesday at 10:00am :)
03-19-2026 11:33 AM	Juan Diego Melendez	Juan Diego (Prim) Replied: thank you so much 😭 we will see you soon!
03-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Melendez, Juan Diego has a Speech Therapy appointment on 03-24-2026 at 10:00 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:03 PM	Juan Diego Melendez	Juan Diego (Prim) Replied: Yes
03-22-2026 04:03 PM	Valeria Holguin	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	Valeria Holguin	Hi, this is a just a reminder that Juan Diego has a Speech Therapy appointment scheduled tomorrow at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 08:07 AM	Valeria Holguin	Hi, this is a just a reminder that Juan Diego has a Speech Therapy appointment scheduled today at 10:00 AM. See you soon! - New Beginnings 🙂
03-24-2026 09:45 AM	Valeria Holguin	Juan Diego Melendez : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=910247
03-24-2026 09:49 AM	Juan Diego Melendez	Juan Diego is CHECKED IN for: 10:00AM-3/24/2026 92507: Speech & Language Visit
03-24-2026 10:31 AM	Valeria Holguin	https://st-pros.com/newbeginnings/documents/03242026103154-US-English-Version--Early-Language-Ideas-for-Home--Freebie--The-SLT-Scrapbook.pdf