New Beginnings | NB1-Office

Patient Name: Alexander

Patient Information:

Patient ID: 9975

Patient First Name: Alexander

Patient Date of Birth: 12-08-2021

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Kaleb, Roberts

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

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
23514	Active	03-06-2026	07-26-2026	Tricare Prime	21	0	0	0
23642	Active	03-24-2026	05-30-2026	Tricare Prime	0	0	100	0

Occupational Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
4331	03-27-2026	Occupational Initial Evaluation	R62.0
Occupational Background History: Alexander is a 4.3 year old boy who was seen on this date for a scheduled occupational therapy evaluation in order to obtain current level of function. Mother, was present in order to serve as the primary informant throughout the evaluation. Per mother's report child was born at 37 weeks gestation via natural birth with a few complications. Child did not experience any complications at birth, does not have any visual or hearing deficits. Child does not have history of aggression and no seasonal allergies.
Occupational Medical History: 0. umbilical cord 2xs;
Occupational Medications: None. Allergic to Amoxicillin
Occupational Behavioral Observations: Attending Skills: Adequate, Response Rate: Impulsive, Level of Activity: Active, Cooperation: With some prompts, Behavior: Non-existent, Awareness of Others: Adequate, Reliability of Scores: Good, Awarencess of Environmental Events: Usually, Social Interactions: Friendly, Prognosis for Improved Communicative Functioning: Good,
Occupational Communication Strengths: Cooperative, Eye-Hand Coordination, Motivated, Problem Solving,
Occupational Communication Weaknesses: Attention to Task, Balance, Body Awareness, Eye-Hand Coordination, Grasp, Manual Dexterity, Sensory Process/Mod, Upper Limb Coordination, Visual Motor Skills, Visual Perceptual Skills,
Occupational Background Summary:
Occupational Diagnosis/Impressions: Alexander was assessed via: PDMS-2 Standardized Assessment, Clinical Observations, and Parental Report PDMS-2 - Per standardized assessment scores Alexander falls well below average in both subsets assed on the PDMS-2 evident by below average age equivalency scores ranging from 37 months to 38 months compared to his chronological age of 51 months, placing him at least (-2) standard deviations behind his peers. Alexander demonstrates deficits in fine motor precision, fine motor integration, visual motor integration, manual dexterity, manual coordination, sensory processing and self-regulation, which have impaired their ability to complete activities of daily living and instrumental activities of daily living that compromise their routines and roles at home and in the community. Child would greatly benefit from skilled OT interventions in order to address their established delays and facilitate functional independence and performance. Home programming alone is not sufficient to make the needed progress, direct one to one services are required for progress to be achieved. Results of the evaluation were reported and explained to mother, along w/ the diagnosis, prognosis, including the frequency, time and duration of treatment and contents of the plan of care. Family will be provided w/ a verbal report of progress noted along w/ any homework for the household and/or pt. as part of a home program (if applicable) at the end of every session. Mother verbalized understanding of treatment plan and agreed to the initiation of skilled therapy.
Occupational Recommendations: Occupational Therapy: 1 time(s) a Week for 45 to 60 minute sessions

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
913539	97167: OT Evaluation	03-27-2026 12:00 PM	03-27-2026 01:00 PM	Bertha Solis	NB2 far east side	Completed

Canceled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
904947	92523: Artic & Language Eval	03-12-2026 09:00 AM	03-12-2026 10:00 AM	Christine Adame	NB2 far east side	Canceled

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
905822	92523: Artic & Language Eval	03-26-2026 08:30 AM	03-26-2026 09:30 AM	Christine Adame	NB2 far east side	Scheduled

Paient Missed Visit Notes:

Date	Service	Therapist	Description
03-12-2026	92523	Adame, Christine	Christine Adame 3/9/2026 8:46 AM Good morning! My name is Christine, I will perform the initial evaluation of Jiovanni and Alexander. I have this Thursday (March 12) at 9 am available. Would you like to confirm for Jiovanni and Alexander? Thank you!! Alexander Butler 3/9/2026 9:23 AM Alexander (Prim) Replied: Hello good morning, we are actually in Arizona until the 20th for spring break. Are there any openings after the 20th? Christine Adame 3/9/2026 9:43 AM Okay! Let me check my calendar :) Alexander Butler 3/9/2026 10:08 AM Alexander (Prim) Replied: Okay thank you

Paient Messages Admin:

Date	Posted By	Message
02-13-2026 05:30 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2641
02-13-2026 07:53 PM	Patsy Guajardo	Alexander 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=9975&type=1&wid=574
02-13-2026 07:53 PM	Patsy Guajardo	Alexander has been added to our Occupational 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=9975&type=3&wid=575
02-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-14-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-17-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-17-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-19-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-19-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-21-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-21-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-24-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-26-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
02-28-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
02-28-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
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=9975
03-03-2026 12:02 PM	Patsy Guajardo	Reschedule Evaluation: When you are ready to reschedule your evaluation, click this link https://patient.newbeginnings-elp.com/ReSchedule/stevaluation.aspx?pid=9975
03-03-2026 12:05 PM	Alexander Butler	Schedule Evaluation: Patient Alexander Butler needs help!
03-03-2026 12:05 PM	Alexander Butler	Schedule Evaluation: Patient Alexander Butler needs help!
03-03-2026 12:05 PM	Alexander Butler	Schedule Evaluation: Patient Alexander Butler needs help!
03-03-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
03-03-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
03-04-2026 05:15 PM	Asbel Guajardo	Hello Mrs.Buttler this is Asbel from New Beginnings and how can I help you?
03-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
03-05-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
03-06-2026 10:51 AM	Asbel Guajardo	Hello this is Asbel from New Beginnings and I am processing your children's profile and I want to make sure you are aware that we do no have any afternoon appointments. We only have morning and day appointments.
03-07-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander '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=9975&type=1&wid=574
03-07-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
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=9975
03-10-2026 08:36 AM	Patsy Guajardo	Schedule Evaluation: Are you having problems scheduling your Speech Evaluation? Reply here if you need help. Or, schedule your evaluation now https://patient.newbeginnings-elp.com/Schedule/default.aspx?pid=9975
03-10-2026 06:30 PM	Patsy Guajardo	WAIT LIST UPDATE: Alexander 's placement has changed on our Occupational Therapy wait list. To check the current status, click this link https://patient.newbeginnings-elp.com/register/waitlist_status.aspx?pid=9975&type=3&wid=575
03-11-2026 05:41 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
03-09-2026 08:46 AM	Christine Adame	Good morning! My name is Christine, I will perform the initial evaluation of Jiovanni and Alexander. I have this Thursday (March 12) at 9 am available. Would you like to confirm for Jiovanni and Alexander? Thank you!!
03-09-2026 09:23 AM	Alexander Butler	Alexander (Prim) Replied: Hello good morning, we are actually in Arizona until the 20th for spring break. Are there any openings after the 20th?
03-09-2026 09:43 AM	Christine Adame	Okay! Let me check my calendar :)
03-09-2026 10:08 AM	Alexander Butler	Alexander (Prim) Replied: Okay thank you
03-09-2026 10:28 AM	Christine Adame	Christine Adame CANCELLED: 9:00AM-3/12/2026 92523: Artic & Language Eval
03-25-2026 06:30 PM	Christine Adame	Hi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled tomorrow at 08:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 07:53 AM	Christine Adame	Hi, this is a just a reminder that Alexander has a Speech Evaluation appointment scheduled today at 08:30 AM. See you soon! - New Beginnings 🙂
03-26-2026 08:15 AM	Christine Adame	Alexander Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=905822
03-26-2026 08:19 AM	Alexander Butler	Alexander is CHECKED IN for: 8:30AM-3/26/2026 92523: Artic & Language Eval
03-26-2026 06:30 PM	Bertha Solis	Hi, this is a just a reminder that Alexander has a Occupational Evaluation appointment scheduled tomorrow at 12:00 PM. See you soon! - New Beginnings 🙂
03-27-2026 07:36 AM	Bertha Solis	Hi, this is a just a reminder that Alexander has a Occupational Evaluation appointment scheduled today at 12:00 PM. See you soon! - New Beginnings 🙂
03-27-2026 11:45 AM	Bertha Solis	Alexander Butler : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=913539