New Beginnings | NB1-Office

Patient Name: Sophia

Patient Information:

Patient ID: 9973

Patient First Name: Sophia

Patient Date of Birth: 07-20-2020

Gender: Female

Assigned Office: NB2 far east side

Primary Care Physician: Shelley, Lazaro

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy: Viramontes, Victoria

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
23496	Active	03-04-2026	08-31-2026	Tricare Select	21	0	0	0

Speech and Language Evaluation:

ID	Date	Type	Evaluation Diagnosis
26409	03-13-2026	Speech Initial Evaluation	F80.0
Speech Background History: Sophia is a 5-year-old and 7-month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Schwanke accompanied her and served as the primary informant for the evaluation. Mrs. Schwanke expressed concerns that Sophia has difficulty producing certain speech sounds. She also reported that Sophia’s teacher has mentioned that her speech can sometimes be difficult to understand, which is impacting her academic performance at school. During the evaluation, Sophia’s expressive language was characterized by 5-6-word utterances with NUMEROUS speech errors. According to developmental norms, a typically developing child of Sophia’s age should have an expressive vocabulary of over 2,200 words, produce utterances of 5-6 words in length, and be 100%. intellegible. Sophia was evaluated using the Goldman-Fristoe Test of Articulation, third edition. LANGUAGE BACKGROUND: LANGUAGE INPUT: Sophia’s mother reported that she is exposed to English within. her home environment. During the evaluation, Sophia was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English.
Speech Medical History: Per parent report, medical history is not remarkable
Speech Medications: None
Speech Behavioral Observations: Attending Skills: Adequate, Response Rate: Appropriate, Level of Activity: WNL, Cooperation: WNL, Communicative Intent: Adequate, Awareness of Others: Present, Reliability of Scores: Adequate, Awarencess of Environmental Events: Good, Social Interactions: Usually, Prognosis for Improved Communicative Functioning: Shy,
Speech Communication Strengths: Appropriate use of eye contact, Appropriate utterances, Follows verbal command without cues, Maintains topic, Makes requests, Responds to greetings, Speech acts performed appropriately,
Speech Communication Weaknesses: Unintelligible,
Speech Background Summary: Sophia was accompanied by her mother for the evaluation, which was conducted in the clinic room. She required MINIMUM prompting to engage in specific evaluation tasks. Sophia appeared SHY and demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. She also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION throughout the session.
Speech Diagnosis/Impressions: Sophia is a 5-year-old and 7-month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Schwanke accompanied her and served as the primary informant for the evaluation. Mrs. Schwanke expressed concerns that Sophia has difficulty producing certain speech sounds. She also reported that Sophia’s teacher has mentioned that her speech can sometimes be difficult to understand, which is impacting her academic performance at school. During the evaluation, Sophia’s expressive language was characterized by 5-6-word utterances with NUMEROUS speech errors. According to developmental norms, a typically developing child of Sophia’s age should have an expressive vocabulary of over 2,200 words, produce utterances of 5-6 words in length, and be 100%. intellegible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Sophia’s mother reported that she is exposed to English within. her home environment. During the evaluation, Sophia was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English. During the evaluation, Sophia required MINIMUM prompting to engage in specific evaluation tasks. Sophia appeared SHY and demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. She also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION. Sophia was evaluated using the Goldman-Fristoe Test of Articulation, third edition (GFTA-3). She received the following standard scores on the GFTA-3: 40 (raw score: 79, percentile: <0.1, age equivalent: <2:0). According to the standard scores that Bryson received on the GFTA-3, Sophia presents with a PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Sophia’s PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. Sophia would greatly benefit from speech therapy that targets the following age-appropriate concepts: producing the following goals in isolation and inital syllable position,/k/,/g/,/ng/,/l/,/v/, /sh/, /ch/, and /dz/, and suppresses the following phonological processes: stopping, fronting, gliding, and cluster reduction. Speech therapy is highly recommended at this time as Sophia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Sophia’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Sophia’s mother will be responsible for her Home Management Intervention Program (HMIP) to promote progress and generalization of skills.
Speech Diagnosis/Impressions: Sophia is a 5-year-old and 7-month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Schwanke accompanied her and served as the primary informant for the evaluation. Mrs. Schwanke expressed concerns that Sophia has difficulty producing certain speech sounds. She also reported that Sophia’s teacher has mentioned that her speech can sometimes be difficult to understand, which is impacting her academic performance at school. During the evaluation, Sophia’s expressive language was characterized by 5-6-word utterances with NUMEROUS speech errors. According to developmental norms, a typically developing child of Sophia’s age should have an expressive vocabulary of over 2,200 words, produce utterances of 5-6 words in length, and be 100%. intellegible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Sophia’s mother reported that she is exposed to English within. her home environment. During the evaluation, Sophia was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English. During the evaluation, Sophia required MINIMUM prompting to engage in specific evaluation tasks. Sophia appeared SHY and demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. She also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION. Sophia was evaluated using the Goldman-Fristoe Test of Articulation, third edition (GFTA-3). She received the following standard scores on the GFTA-3: 40 (raw score: 79, percentile: <0.1, age equivalent: <2:0). According to the standard scores that Bryson received on the GFTA-3, Sophia presents with a PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Sophia’s PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. Sophia would greatly benefit from speech therapy that targets the following age-appropriate concepts: producing the following goals in isolation and inital syllable position,/k/,/g/,/ng/,/l/,/v/, /sh/, /ch/, and /dz/, and suppresses the following phonological processes: stopping, fronting, gliding, and cluster reduction. Speech therapy is highly recommended at this time as Sophia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Sophia’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Sophia’s mother will be responsible for her Home Management Intervention Program (HMIP) to promote progress and generalization of skills.
Speech Recommendations: Speech Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Speech and Language Plan of Care:

Plan of Care

58814

Plan Date: 03-13-2026

Speech Assessment Summary: Sophia is a 5-year-old and 7-month-old female who was referred for a speech and language evaluation by her pediatrician due to language delay. Mrs. Schwanke accompanied her and served as the primary informant for the evaluation. Mrs. Schwanke expressed concerns that Sophia has difficulty producing certain speech sounds. She also reported that Sophia’s teacher has mentioned that her speech can sometimes be difficult to understand, which is impacting her academic performance at school. During the evaluation, Sophia’s expressive language was characterized by 5-6-word utterances with NUMEROUS speech errors. According to developmental norms, a typically developing child of Sophia’s age should have an expressive vocabulary of over 2,200 words, produce utterances of 5-6 words in length, and be 100%. intellegible. LANGUAGE BACKGROUND: LANGUAGE INPUT: Sophia’s mother reported that she is exposed to English within. her home environment. During the evaluation, Sophia was noted to communicate ONLY in English. LANGUAGE OF INTERVENTION: It is recommended that intervention be conducted in English. During the evaluation, Sophia required MINIMUM prompting to engage in specific evaluation tasks. Sophia appeared SHY and demonstrated GOOD PRAGMATIC SKILLS, including maintaining conversation with the clinician, making requests, commenting, and using appropriate eye contact. She also demonstrated GOOD ATTENTION TO TASK, COOPERATIVE BEHAVIOR, and APPROPRIATE SOCIAL INTERACTION. Sophia was evaluated using the Goldman-Fristoe Test of Articulation, third edition (GFTA-3). She received the following standard scores on the GFTA-3: 40 (raw score: 79, percentile: <0.1, age equivalent: <2:0). According to the standard scores that Sophia received on the GFTA-3, Sophia presents with a PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. At this time, speech and language therapy at the rate of 1x per week for 45-60 minutes is warranted to treat Sophia’s PROFOUND ARTICULATION/PHONOLOGICAL DISORDER. Sophia would greatly benefit from speech therapy that targets the following age-appropriate concepts: producing the following goals in isolation and inital syllable position,/k/,/g/,/ng/,/l/,/v/, /sh/, /ch/, and /dz/, and suppresses the following phonological processes: stopping, fronting, gliding, and cluster reduction. Speech therapy is highly recommended at this time, as Sophia’s current speech and language skills are NOT DEVELOPMENTALLY FUNCTIONAL for her age. Without speech therapy, Sophia’s safety risk is high since she will not likely be understood if she needs to communicate pain, communicate need for assistance, or understand safety personnel/directions. Sophia’s mother will be responsible for her Home Management Intervention Program (HMIP) to promote progress and generalization of skills.

Speech Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Sophia 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.
Oral Motor/Articulation	Within 12 months, given traditional articulation therapy, Sophia will improve speech intelligibility skills by accurately producing target phonemes with 50% accuracy in order to communicate effectively with family and peers.

Speech and Language Short Term Goals:

Category	Goal Description
Oral Motor/Articulation	In 6 months, using various phonological processes activities, Sophia will suppress the use of stopping, fronting, gliding, and cluster reduction in words to less than 80% of the time in order for phrases or words to be understood when Sophia is giving information to unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Sophia will produce the following phonemes in initial syllable position: /z, sh, ch/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Sophia to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Sophia will produce the following phonemes in initial syllable position: /v,l/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Sophia to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Sophia will produce the following phonemes in initial syllable position: /k/ and /g/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Sophia to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Sophia will produce the following phonemes in isolation: /k,g,v,l/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Sophia to be understood by unfamiliar listeners.
Oral Motor/Articulation	In 6 months, Sophia will produce the following phonemes in isolation: /z, sh, ch/ with decreasing multisensory cues with 30% accuracy across 3 consecutive sessions in order for Sophia to be understood by unfamiliar listeners.

Speech and Language Soap Note/Visit:

Soap Note

491705

Note Date: 03-27-2026

Subjective: Patient was friendly and cooperative,

Assessment of Goals/Response to Treatment: Sophia presented as friendly and cooperative, demonstrating good engagement in all therapeutic activities. The clinician provided parent counseling regarding a home management program designed to facilitate the generalization of skills. The parent demonstrated a clear understanding of the strategies discussed and verbally committed to incorporating these activities into the family's daily and weekly routines to support functional communication in the home environment.The primary focus of this session was to establish baseline data for the patient's articulation and phonological objectives. An informal assessment of the patient's conversational speech revealed multiple phonological processes impacting overall intelligibility. Baseline data indicated the presence of Stopping: less than 90%, Fronting: less than 90%, Gliding: less than 90%, Cluster Reduction: less than 90%. These patterns significantly reduce the patient's ability to be understood by unfamiliar listeners.Further baseline data was collected for specific phoneme production goals. For production in isolation, the following data was collected: /z/: 10%, /sh/: 30%, /ch/: 10%, /k/: 10%, /g/: 20%, /v/: 40%, /l/: 20% . For production initial syllable position: /z/: 20%, /sh/: 30%, /ch/: 10%, /v/: 40%, /l/: 20%, /k/: 10%, /g/: 20%. This data will serve as the benchmark against which future progress will be measured as therapy commences.

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
905254	92523: Artic & Language Eval	03-13-2026 09:00 AM	03-13-2026 10:00 AM	Jessica Ortiz	NB2 far east side	Completed
910571	92507: Speech & Language Visit	03-25-2026 04:00 PM	03-25-2026 04:45 PM	Victoria Viramontes	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
910614	92507: Speech & Language Visit	03-30-2026 03:15 PM	03-30-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910615	92507: Speech & Language Visit	04-06-2026 03:15 PM	04-06-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910616	92507: Speech & Language Visit	04-13-2026 03:15 PM	04-13-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910617	92507: Speech & Language Visit	04-20-2026 03:15 PM	04-20-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910618	92507: Speech & Language Visit	04-27-2026 03:15 PM	04-27-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910619	92507: Speech & Language Visit	05-04-2026 03:15 PM	05-04-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910620	92507: Speech & Language Visit	05-11-2026 03:15 PM	05-11-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910621	92507: Speech & Language Visit	05-18-2026 03:15 PM	05-18-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910622	92507: Speech & Language Visit	05-25-2026 03:15 PM	05-25-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910623	92507: Speech & Language Visit	06-01-2026 03:15 PM	06-01-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910624	92507: Speech & Language Visit	06-08-2026 03:15 PM	06-08-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910625	92507: Speech & Language Visit	06-15-2026 03:15 PM	06-15-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910626	92507: Speech & Language Visit	06-22-2026 03:15 PM	06-22-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910627	92507: Speech & Language Visit	06-29-2026 03:15 PM	06-29-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910628	92507: Speech & Language Visit	07-06-2026 03:15 PM	07-06-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910629	92507: Speech & Language Visit	07-13-2026 03:15 PM	07-13-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910630	92507: Speech & Language Visit	07-20-2026 03:15 PM	07-20-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910631	92507: Speech & Language Visit	07-27-2026 03:15 PM	07-27-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled
910632	92507: Speech & Language Visit	08-03-2026 03:15 PM	08-03-2026 04:00 PM	Victoria Viramontes	NB2 far east side	Scheduled

Payments History:

Date	Service Description	$Credit	$Debit	$Balance
3/13/26	Patient visit charged - Artic & Language Eval: Artic & Language Eval	0.00	39.00	-39.00
3/25/26	Patient visit charged - Speech & Language Visit: Speech & Language Visit	0.00	78.00	-78.00
3/26/26	Patient Payment Received (PayPal)	78.00	78.00	0.00

Billing History:

Date	Service Description	Units	$Amount	$Status
3/13/26	92523: Artic & Language Eval	1	345.00	Unbilled
3/25/26	92507: Speech & Language Visit	1	140.00	Unbilled

Paient Messages Admin:

Date	Posted By	Message
02-13-2026 05:27 PM	Asbel Guajardo	Hello this New Beginnings front office I will be sending you a link for you to be placed in our waiting list. If you have any questions please let me know. Thank you
02-13-2026 05:27 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2638
02-13-2026 06:01 PM	Asbel Guajardo	Patient Registration: When you are ready to pick up where you left off, click this link https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2638
02-14-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2638
02-15-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2638
02-16-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2638
02-17-2026 08:35 AM	Patsy Guajardo	Patient Registration: Are you having problems completing our Intake Documents? Reply here if you need help. Or, complete them here https://patient.newbeginnings-elp.com/Registration/step2.aspx?sid=2638
02-17-2026 08:47 AM	Patsy Guajardo	Sophia 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=9973&type=1&wid=586
02-17-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
02-19-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
02-21-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
02-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
02-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
02-28-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
03-03-2026 11:00 AM	Asbel Guajardo	Hi, it's time to schedule your Speech Evaluation. Thank you for your patience! NOTE: This link will expire in 3 days...Please select an appointment time now by clicking here https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9973
03-03-2026 12:39 PM	Sophia Schwanke	Schedule Evaluation: Patient Sophia Schwanke needs help!
03-03-2026 12:39 PM	Sophia Schwanke	Schedule Evaluation: Patient Sophia Schwanke needs help!
03-03-2026 12:39 PM	Sophia Schwanke	Schedule Evaluation: Patient Sophia Schwanke needs help!
03-03-2026 02:37 PM	Asbel Guajardo	Hello Yes how can I help you
03-03-2026 02:38 PM	Sophia Schwanke	Hi, I am having trouble loading that link to show the available times I've tried it on my phone and my computer
03-03-2026 02:46 PM	Asbel Guajardo	Oh yes the reason being is because we have have a waitlist for the afternoon patients. What times work best for you?
03-03-2026 03:02 PM	Sophia Schwanke	I can do mornings or afternoons on Monday Wednesday or Friday
03-03-2026 03:07 PM	Asbel Guajardo	Ok perfect thank you I will processes the file and a therapist will be contacting you to schedule
03-03-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
03-04-2026 09:32 AM	Asbel Guajardo	Hello this si Asbel from New Beginnings front office would it be possible for you send me the entire referral since only the front page was uploaded to aguajardo@newbeginnings-elp.com
03-04-2026 09:33 AM	Sophia Schwanke	Hi, good morning it was only the front page the stapled page on the back was just a list of places we could call
03-04-2026 09:43 AM	Asbel Guajardo	Ok who is the primary care doctor? Our company does require a referral and since the information was giving to the doctor could fax us the referral to 915-303-5381.
03-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
03-07-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Sophia'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=9973&type=1&wid=586
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=9973
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/
03-13-2026 07:31 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Sophia Schwanke. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40147. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-14-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Sophia Schwanke from therapy on 03-13-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40147. Thank you for allowing us to serve your child! 🙂
03-20-2026 08:47 AM	Patsy Guajardo	Hi, Sophia as been assigned a therapist for Speech and Language therapy. Here's a link to learn more about Victoria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9973&tid=30
03-25-2026 07:35 AM	Patsy Guajardo	New Beginnings just sent you an invoice for Sophia Schwanke. Click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40589. Payment is due at the time of service. Thank you for allowing us to serve your child! 🙂
03-26-2026 07:30 AM	Patsy Guajardo	REMINDER: You have an outstanding invoice for Sophia Schwanke from therapy on 03-25-2026. We don't want your balance to delay therapy for your child. Please click this secure link to make your payment online https://st-pros.com/newbeginnings/stripe/default.aspx?transId=40589. Thank you for allowing us to serve your child! 🙂

Paient Messages Therapist:

Date	Posted By	Message
03-09-2026 12:01 PM	Jessica Ortiz	Hi, this is Jessica from New Beginnings. I will be conducting Sophia’s speech evaluation. I'm texting you from our secure, text-only patient portal. I wanted to check if you’re available on Friday, March 13th, at 9 am for the evaluation.
03-09-2026 12:07 PM	Sophia Schwanke	Sophia (Prim) Replied: Yes that works
03-09-2026 12:10 PM	Jessica Ortiz	Awesome! Please complete this short questionnaire, which I’ll be sending as an attachment. You can reply to the questions via text message. Thank you!
03-09-2026 12:10 PM	Jessica Ortiz	https://st-pros.com/newbeginnings/documents/03092026121021-NB-initial.pdf
03-09-2026 12:21 PM	Sophia Schwanke	Sophia (Prim) Replied: Sophia Schwanke 07/20/2020 No complications Allergies to treenuts and peanuts. Severe eczema. Takes Dupixent injection every 4 weeks in thigh. Crawling (don’t remember exactly, maybe 7 months old?), sitting up (don’t remember, maybe around 7-8 months old), standing up (like 9 months old), feeding self (around 7 months old), dressing self (like 3.5 years old), potty training (3.5 years old), first word (maybe at 9 or 10 months old), word combinations (maybe at 1.5-2 years old). Wakes up a few times a night She attends public school, in kinder No other languages Vision; she wears glasses, last hearing was in 2023, and she passed, has had screenings at school and no concerns Her teacher has a concern that she cannot understand certain sounds that she says, there are some words that she struggles to pronounce and even I can’t understand sometimes, for example tomorrow, remember
03-09-2026 01:25 PM	Jessica Ortiz	Thank you so much for your quick reply. Based on your feedback, I will assess Sophia's articulation skills. See you on Friday :)
03-12-2026 06:30 PM	Jessica Ortiz	Hi, this is a just a reminder that Sophia has a Speech Evaluation appointment scheduled tomorrow at 09:00 AM. See you soon! - New Beginnings 🙂
03-13-2026 07:35 AM	Jessica Ortiz	Hi, this is a just a reminder that Sophia has a Speech Evaluation appointment scheduled today at 09:00 AM. See you soon! - New Beginnings 🙂
03-13-2026 08:39 AM	Sophia Schwanke	Sophia (Prim) Replied: Good morning just making sure it's at the rich beam location, correct?
03-13-2026 08:45 AM	Jessica Ortiz	Sophia Schwanke : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905254
03-13-2026 08:56 AM	Sophia Schwanke	Sophia is CHECKED IN for: 9:00AM-3/13/2026 92523: Artic & Language Eval
03-13-2026 09:52 AM	Jessica Ortiz	Hi Mrs. Schwanke, I just checked with the front office, and they mentioned there's an in-person opening at 5 pm on Wednesday. Would you like to take the spot? I think Sophia would do great in person.
03-13-2026 09:54 AM	Sophia Schwanke	Sophia (Prim) Replied: I can't make that one, I have class at UTEP at 6pm on wednesdays :(
03-13-2026 01:43 PM	Jessica Ortiz	Okay, no worries. Thank you :)
03-20-2026 09:40 AM	Victoria Viramontes	Hello! My name is Victoria, I have received Sophia as a patient to be seen virtually, and I am so happy to get to work with you guys. What time is she typically home from school? Or what days and time absolutely dont work for you guys?
03-20-2026 09:43 AM	Sophia Schwanke	Sophia (Prim) Replied: Hi! She is home by 3pm. I'm free Mondays and Fridays, but on Tuesdays and Thursdays, I have to go to UTEP at 3:45 and Wednesdays I leave at 5pm So any times in between that would work for us
03-20-2026 10:18 AM	Victoria Viramontes	I can schedule her on Mondays at 3:15 if that's okay? The only thing is, I have a conflicting doctor appointment this Monday. So I can see her on Wednesday at 4:00 just for next week if you'd like? Or we can begin services the following week?
03-20-2026 10:20 AM	Sophia Schwanke	Sophia (Prim) Replied: That actually works great for us! We are out of state right now so Wednesday at four is good and then recurring on Mondays will be best
03-20-2026 10:21 AM	Sophia Schwanke	Sophia (Prim) Replied: And these appts will be on Zoom, right?
03-20-2026 10:40 AM	Victoria Viramontes	Awesome!! I will put her down. Yes, you will get a reminder on Sunday, and then you will get the Zoom link the morning of the session. We have a 10-min grace period. Her sessions will be 45 min long. A phone will work, but typically a laptop or computer is recommneded :)
03-20-2026 10:44 AM	Sophia Schwanke	Sophia (Prim) Replied: Okay that works for us, thank you!
03-22-2026 04:00 PM	Victoria Viramontes	Hi, this is a just a reminder that Schwanke, Sophia has a Speech Therapy appointment on 03-25-2026 at 4:00 PM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:00 PM	Sophia Schwanke	Sophia (Prim) Replied: YES
03-22-2026 04:00 PM	Victoria Viramontes	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.
03-24-2026 06:30 PM	Victoria Viramontes	Hi, this is a just a reminder that Sophia has a Speech Therapy appointment scheduled tomorrow at 04:00 PM. - New Beginnings 🙂
03-25-2026 07:58 AM	Victoria Viramontes	Hi, this is a just a reminder that Sophia has a Speech Therapy appointment scheduled today at 04:00 PM. Here is the link https://us06web.zoom.us/j/87805159147 - New Beginnings 🙂
03-25-2026 03:45 PM	Victoria Viramontes	Sophia Schwanke : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/CheckInTele/default.aspx?AppId=910571
03-25-2026 03:58 PM	Sophia Schwanke	Sophia is CHECKED IN for: 4:00PM-3/25/2026 92507: Speech & Language Visit