New Beginnings | NB1-Office

Patient Name: Zane

Patient Information:

Patient ID: 9998

Patient First Name: Zane

Patient Date of Birth: 10-04-2021

Gender: male

Assigned Office: NB2 far east side

Primary Care Physician: Norma, Greenhoward

Patient Status: Active

Primary Attendance / Assigned Therapists:

ST - Speech Therapy:

FD - Feeding Therapy: Holguin, Valeria

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
23484	Active	03-02-2026	08-26-2026	Tricare Prime	0	27	0	0

Speech and Language Soap Note/Visit:

ID	Soap Note

Feeding Therapy Evaluation:

ID	Date	Type	Evaluation Diagnosis
26354	03-03-2026	Feeding Initial Evaluation	R63.32
Feeding Background History: Zane is a 4 year, 5 month old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His mother, Mrs. Hartstield, reports Zane began solids at 6 months while breastmilk remained the primary source of nutrition. Breastfeeding ceased at approximately 16 months of age. Subsequent to weaning, the patient demonstrated significant food regression, eliminating previously accepted items. Mother estimates prior food repertoire included around 40 foods. At present, Zane's primary source of nutrition is Pediasure. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills.
Feeding Medical History: Per parent report, medical history is not remarkable. Born via c-section at 40 weeks. Per parent's report, fetal heart rate decelerations were noted near delivery. No complications were reported postnatally. Zane is diagnosed with an adolescent heart murmur.
Feeding Medications: None
Feeding Behavioral Observations:
Feeding Communication Strengths:
Feeding Communication Weaknesses:
Feeding Background Summary: Zane's pragmatic skills were not formally assessed as this was not the purpose of the evaluation.
Feeding Diagnosis/Impressions: Zane is a 4 year, 5 month old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His mother, Mrs. Hartstield, reports Zane began solids at 6 months while breastmilk remained the primary source of nutrition. Breastfeeding ceased at approximately 16 months of age. Subsequent to weaning, the patient demonstrated significant food regression, eliminating previously accepted items. Mother estimates prior food repertoire included around 40 foods. At present, Zane's primary source of nutrition is Pediasure. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. Born via c-section at 40 weeks. Per parent's report, fetal heart rate decelerations were noted near delivery. No complications were reported postnatally. Zane is diagnosed with an adolescent heart murmur. Observable findings suggest that Zane presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were reported by his mother. Visualization of the palate was not possible at this time. It is recommended that Zane’s oral cavity be monitored throughout the course of treatment. A bedside swallow evaluation and skilled meal observation revealed that Zane presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). His PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). FOOD REPERTOIRE: Zane's food inventory includes fewer than 5 accepted foods and 3 liquids. Accepted proteins none. Fruits include smoothies. Vegetables include smoothies. Starches include Cheerios and fruit gummy snacks. Liquids include Pediasure and water. NORM REFERENCED ASSESSMENT: Mrs. Hartstield completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Zane received an overall rating of “high concern". These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Zane was seated and self-fed his preferred food items utilizing his fingers (Cheerios and gummies). Nonpreferred foods offered were strawberries and cookies. Zane verbally refused trials of non-preferred. With clinician support, Zane tolerated non-preferred at the level of his head and nose. SWALLOW/ORAL MOTOR EVALUATION: Zane demonstrated a rotary chewing pattern when consuming preferred food items, with some instances of open-mouth chewing. Anterior posterior bolus transit was timely, and no clinical signs or symptoms of aspiration or penetration were observed. His intake rate was slightly elevated, though manageable. Mother does not report unexplained fevers or history of aspiration pneumonia, however she reported consistent gagging and/or throwing up during mealtimes. Zane’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. Based on foods trialed and behaviors observed, Zane’s oral motor skills appear functional at this time. Continued monitoring is recommended throughout treatment to ensure safe feeding and swallowing. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Zane’s CHRONIC PFD and ORAL DYSPHAGIA. Zane is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. In addition, food chaining strategies should be implemented to expand Zane’s food repertoire by building on existing preferred foods. Without intervention, Zane may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Hartstield will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.
Feeding Recommendations: Feeding Therapy: 1 time(s) a Week for 30 to 45 minute sessions

Feeding Therapy Plan of Care:

Plan of Care

58672

Plan Date: 03-03-2026

Feeding Assessment Summary: PATIENTH HX: Zane is a 4 year, 5 month old male referred by his pediatrician for a feeding evaluation due to concerns with feeding. His mother, Mrs. Hartstield, reports Zane began solids at 6 months while breastmilk remained the primary source of nutrition. Breastfeeding ceased at approximately 16 months of age. Subsequent to weaning, the patient demonstrated significant food regression, eliminating previously accepted items. Mother estimates prior food repertoire included around 40 foods. At present, Zane's primary source of nutrition is Pediasure. A bedside feeding evaluation and skilled meal observation were completed to further assess his feeding and swallowing skills. MEDICAL HX: Born via c-section at 40 weeks. Per parent's report, fetal heart rate decelerations were noted near delivery. No complications were reported postnatally. Zane is diagnosed with an adolescent heart murmur. ORAL MECH EXAM: Observable findings suggest that Zane presents with the oral structures necessary for feeding and swallowing. Oral mechanism function appeared intact, as evidenced by his ability to chew and swallow solid foods during meal observation. No tethered oral tissues were reported by his mother. Visualization of the palate was not possible at this time. It is recommended that Zane’s oral cavity be monitored throughout the course of treatment. FEEDING/SWALLOWING: A bedside swallow evaluation and skilled meal observation revealed that Zane presents with a CHRONIC PEDIATRIC FEEDING DISORDER (PFD). His PFD is characterized by impaired oral intake that is not age-appropriate and appears to be influenced by multiple domains: medical (history of feeding difficulties), nutritional (limited food inventory), feeding skill (sensory sensitivities to food textures), and psychosocial (selective/restrictive eating). FOOD REPERTOIRE: Zane's food inventory includes fewer than 5 accepted foods and 3 liquids. Accepted proteins none. Fruits include smoothies. Vegetables include smoothies. Starches include Cheerios and fruit gummy snacks. Liquids include Pediasure and water. NORM REFERENCED ASSESSMENT: Mrs. Hartstield completed the Pediatric Eating Assessment Tool (PediEAT), a validated caregiver report questionnaire for children aged 6 months to 7 years. Zane received an overall rating of “high concern". These concerns were consistent with clinical observations during the evaluation. MEALTIME FEEDING OBSERVATION: Zane was seated and self-fed his preferred food items utilizing his fingers (Cheerios and gummies). Nonpreferred foods offered were strawberries and cookies. Zane verbally refused trials of non-preferred. With clinician support, Zane tolerated non-preferred at the level of his head and nose. SWALLOW/ORAL MOTOR EVALUATION: Zane demonstrated a rotary chewing pattern when consuming preferred food items, with some instances of open-mouth chewing. Anterior posterior bolus transit was timely, and no clinical signs or symptoms of aspiration or penetration were observed. His intake rate was slightly elevated, though manageable. Mother does not report unexplained fevers or history of aspiration pneumonia, however she reported consistent gagging and/or throwing up during mealtimes. Zane’s pharyngeal/esophageal swallow function should be monitored by his treating clinician to ensure safety and determine if further testing is warranted. Based on foods trialed and behaviors observed, Zane’s oral motor skills appear functional at this time. Continued monitoring is recommended throughout treatment to ensure safe feeding and swallowing. RECOMMENDATIONS: At this time, feeding therapy is recommended at a frequency of once per week for 30 minutes to address Zane’s CHRONIC PFD and ORAL DYSPHAGIA. Zane is at risk for compromised health and development due to a significantly limited food inventory and persistent picky eating behaviors. At his age, a child is typically expected to accept 30 or more foods across various food groups. Therapy will focus on increasing food acceptance through systematic desensitization techniques and the Steps to Eating hierarchy. In addition, food chaining strategies should be implemented to expand Zane’s food repertoire by building on existing preferred foods. Without intervention, Zane may be at increased risk for nutritional deficiencies and inadequate growth due to his restricted dietary variety. Mrs. Hartstield will be responsible for implementing the recommended Home Management Program to reinforce therapeutic strategies and support progress between sessions.

Feeding Rehabilitation Potential: Good. with consistent Speech Therapy and parental support. Prognosis is good with consistent feeding therapy, parental support, and parental implementation of therapeutic strategies outside of the therapy room. Zane will be discharged when his feeding inventory is clinically deemed adequate for his age, nutritional needs, and safety.

Feeding 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.
Feeding/Swallowing	In 12 months, Zane will improve his feeding/swallowing skills in order to optimize safe and effective nutrition in 5 out of 10 trials across 5 consecutive sessions.

Feeding Short Term Goals:

Category	Goal Description
Feeding/Swallowing	In 6 months, Zane will consume food chained items in 3 out of 10 opportunities across 3 consecutive sessions in order to improve his food inventory.
Feeding/Swallowing	In 6 months, Zane will complete oral motor stimulation/desensitization exercises in 3 out of 10 opportunities across 3 consecutive sessions in order to promote oral awareness and oral confidence for feeding/swallowing.
Feeding/Swallowing	In 6 months, Zane will identify and describe sensory features (e.g., "soft", "crunchy", "sweet", "cold") of food in his hands or mouth with 30% accuracy given multisensory cues across 3 consecutive sessions in order to promote interactions with non?preferred foods to increase consumption of all food groups.
Feeding/Swallowing	In 6 months, Zane will interact with non preferred foods using his whole hands in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.
Feeding/Swallowing	In 6 months, Zane will bring non preferred foods to his face to smell or touch in 3 out of 10 opportunities across 3 consecutive sessions in order to improve acceptance and exploration of non?preferred foods in his immediate environment.

Feeding Therapy Soap Note/Visit:

Soap Note

490819

Note Date: 03-23-2026

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

Assessment of Goals/Response to Treatment: The patient presented as alert, oriented, and cooperative for this initial therapy session. A primary focus was placed on establishing a positive therapeutic rapport. Therapeutic intervention targeted feeding and swallowing skills, utilizing patient-preferred (Cheerios) and non-preferred (seaweed) food items brought from home. To promote oral awareness and confidence, oral motor stimulation and desensitization exercises were introduced; the patient participated in these exercises in 5 out of 10 presented opportunities (50%), demonstrating a foundational tolerance for oral sensory input. Efforts were made to improve acceptance and exploration of non-preferred foods to increase consumption across food groups. The patient interacted with the non-preferred food (seaweed) using his whole hands in 3 out of 10 opportunities (30%) and subsequently brought the food to his face to smell and touch in 3 out of 10 opportunities (30%). To facilitate positive interactions with new foods, the patient worked on identifying and describing sensory features, achieving 30% accuracy with multisensory cueing. These initial outcomes indicate progress toward improving acceptance and exploration of non-preferred foods within his immediate environment.

Plans: Continue with Speech Therapy,

Additional Notes:

Completed Appointments:

ID	Plan of Care

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
899688	92610: Feeding Evaluation	03-03-2026 02:30 PM	03-03-2026 03:30 PM	Andrea Rodriguez	NB2 far east side	Completed
907057	92526: Feeding Visit	03-18-2026 10:30 AM	03-18-2026 11:00 AM	Valeria Holguin	NB2 far east side	Completed

Scheduled Appointments:

Appt-ID	Service	Start-Date	End-Date	Therapist	Location	Status
907059	92526: Feeding Visit	04-01-2026 10:30 AM	04-01-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907060	92526: Feeding Visit	04-08-2026 10:30 AM	04-08-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907061	92526: Feeding Visit	04-15-2026 10:30 AM	04-15-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907062	92526: Feeding Visit	04-22-2026 10:30 AM	04-22-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907063	92526: Feeding Visit	04-29-2026 10:30 AM	04-29-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907064	92526: Feeding Visit	05-06-2026 10:30 AM	05-06-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907065	92526: Feeding Visit	05-13-2026 10:30 AM	05-13-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907066	92526: Feeding Visit	05-20-2026 10:30 AM	05-20-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907067	92526: Feeding Visit	05-27-2026 10:30 AM	05-27-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907068	92526: Feeding Visit	06-03-2026 10:30 AM	06-03-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907069	92526: Feeding Visit	06-10-2026 10:30 AM	06-10-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907070	92526: Feeding Visit	06-17-2026 10:30 AM	06-17-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907071	92526: Feeding Visit	06-24-2026 10:30 AM	06-24-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907072	92526: Feeding Visit	07-01-2026 10:30 AM	07-01-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907073	92526: Feeding Visit	07-08-2026 10:30 AM	07-08-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907074	92526: Feeding Visit	07-15-2026 10:30 AM	07-15-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907075	92526: Feeding Visit	07-22-2026 10:30 AM	07-22-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907076	92526: Feeding Visit	07-29-2026 10:30 AM	07-29-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907077	92526: Feeding Visit	08-05-2026 10:30 AM	08-05-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907078	92526: Feeding Visit	08-12-2026 10:30 AM	08-12-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907079	92526: Feeding Visit	08-19-2026 10:30 AM	08-19-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled
907080	92526: Feeding Visit	08-26-2026 10:30 AM	08-26-2026 11:00 AM	Valeria Holguin	NB2 far east side	Scheduled

Paient Messages Admin:

Date	Posted By	Message
02-16-2026 10:52 AM	Asbel Guajardo	Hello this is New Beginnings front office and as of right now we have limited spots in the afternoon. Please let me know if you are interested in feeding therapy. Thank you
02-16-2026 11:01 AM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2647
02-16-2026 11:10 AM	Zane Hartstield	Yes
02-20-2026 03:55 PM	Asbel Guajardo	Please fillout the form https://patient.newbeginnings-elp.com/Registration/default.aspx?sid=2647
02-25-2026 12:14 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=2647
02-25-2026 12:21 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=2647
02-26-2026 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=2647
02-26-2026 09:59 AM	Zane Hartstield	Hello I dont have a tricare card to show and I honestly didnt feel too comfortable uploading my full military ID on the site. Is it ok to do in person when the appointment time is available?
02-26-2026 01:06 PM	Asbel Guajardo	Hello does patient have ID by chance? What you can do is re-upload your driver license and the back of the military ID which is what we need to verify benefits. Or just upload your driver license 3 times and we can make at the time of appointment.
02-26-2026 01:14 PM	Zane Hartstield	No he's still too young for a id but I'll do driver's license.
02-26-2026 01:22 PM	Asbel Guajardo	Also I forgot to ask you what times work best for you?
02-26-2026 01:30 PM	Zane Hartstield	Any time besides tuesdays is ok with us
03-06-2026 10:51 AM	Patsy Guajardo	Hi, Zane as been assigned a therapist for Feeding therapy. Here's a link to learn more about Valeria https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9998&tid=138
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=9998
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
02-26-2026 01:47 PM	Andrea Rodriguez	Hi, my name is Andrea, with New Beginnings, and I will be performing your child's Feeding Evaluation. If you have any questions before the evaluation, you can message me here. See you soon!😊 Oh, and here's a link to learn more about me https://st-pros.com/newbeginnings/reports/welcomefromtherapist.aspx?id=9998&tid=127
02-26-2026 01:47 PM	Zane Hartstield	Zane SCHEDULED: 9:00AM-3/5/2026 92610: Feeding Evaluation
02-26-2026 01:49 PM	Andrea Rodriguez	Good afternoon! Zane is scheduled for 3/5/2026 at 9:00 am. I do have some feeding intake paperwork that needs to be filled out for the evaluation. Do you have access to a printer? :)
02-26-2026 01:51 PM	Zane Hartstield	Zane (Prim) Replied: Yes ma'am!
02-26-2026 01:52 PM	Andrea Rodriguez	Perfect! Can you please confirm Zane's age so I can send the correct paperwork? Thank you.
02-26-2026 01:53 PM	Zane Hartstield	Zane (Prim) Replied: Yes he's 4yrs old
02-26-2026 01:54 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02262026135413-Feeding-Patient-Background---English.pdf
02-26-2026 01:54 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02262026135426-Food-Chaining-Intake-Form---English.pdf
02-26-2026 01:54 PM	Andrea Rodriguez	https://st-pros.com/newbeginnings/documents/02262026135446-PediEAT_Full_English_2019-7-31.pdf
02-26-2026 01:55 PM	Andrea Rodriguez	Please let me know if you received all 3 forms. For the PediEat, please disregard the scoring portion.
02-26-2026 01:57 PM	Zane Hartstield	Zane (Prim) Replied: Yup I got all 3
02-26-2026 02:00 PM	Andrea Rodriguez	If you can, please bring them filled on the day of the evaluation. In a few words, can you please describe Zane's feeding concerns?
02-26-2026 02:04 PM	Zane Hartstield	Zane (Prim) Replied: Of course and he stopped trying foods and only sticks with a few safe foods
02-26-2026 02:07 PM	Andrea Rodriguez	Thank you! For his evaluation, aside from the paperwork, can you please bring 3 preferred food items and 3 non-preferred food items? Portions can be small.
02-26-2026 02:09 PM	Andrea Rodriguez	I also have Tuesday, the 3rd, at 2:30 pm available in case you prefer an afternoon appointment. If that is not the case, see you Thursday morning :)
02-26-2026 02:16 PM	Zane Hartstield	Zane (Prim) Replied: Gotcha I'll bring them and we can do the 2:30 appointment if that's ok
02-26-2026 02:28 PM	Andrea Rodriguez	Yes! See you Tuesday, the 3rd, at 2:30 pm. Have a good day!
03-03-2026 02:15 PM	Andrea Rodriguez	Zane Hartstield : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=899688
03-03-2026 02:34 PM	Andrea Rodriguez	Hi! I wanted to ask if you were running a little late? :)
03-03-2026 02:36 PM	Zane Hartstield	Zane (Prim) Replied: Hi sorry we're outside. It was hard to find a big enough space.
03-10-2026 10:12 AM	Valeria Holguin	Good morning! My name is Valeria, Ill be your child's feeding therapist from New beginnings. I want introduce myself as well as to offer wednesdays at 10:30am for you child's appointments!:) please let me know if this time/day is ok:) We could start next week
03-10-2026 10:33 AM	Zane Hartstield	Zane (Prim) Replied: Hello! Wednesday is totally fine!
03-12-2026 04:26 PM	Valeria Holguin	Sorry for the delayed response. I scheduled you then for next week at 10:30 Wednesday the 18th, thank you!
03-12-2026 04:28 PM	Zane Hartstield	Zane (Prim) Replied: Okie dokie!
03-15-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Hartstield, Zane has a Feeding Therapy appointment on 03-18-2026 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-15-2026 04:03 PM	Zane Hartstield	Zane (Prim) Replied: YES
03-15-2026 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.
03-17-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Zane has a Feeding Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 07:59 AM	Valeria Holguin	Hi, this is a just a reminder that Zane has a Feeding Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
03-18-2026 08:38 AM	Valeria Holguin	Good morning! For today’s session if you could please bring a non-preferred food item anda preferred , we’ll go over the plan of care;)
03-18-2026 08:41 AM	Zane Hartstield	Zane (Prim) Replied: Okie dokie!
03-18-2026 10:15 AM	Valeria Holguin	Zane Hartstield : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907057
03-18-2026 10:31 AM	Zane Hartstield	Zane (Prim) Replied: Hi we're gonna be 5 mins late
03-18-2026 10:34 AM	Valeria Holguin	Hi! Just so you are aware we can wait for 7 minutes after the session time due to clinic policy, if you don’t make it in time we can go ahead and reschedule! :)
03-22-2026 04:02 PM	Valeria Holguin	Hi, this is a just a reminder that Hartstield, Zane has a Feeding Therapy appointment on 03-25-2026 at 10:30 AM. Reply YES to Confirm or NO to reschedule - New Beginnings 🙂
03-22-2026 04:35 PM	Zane Hartstield	Zane (Prim) Replied: YES
03-22-2026 04:35 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 07:50 AM	Valeria Holguin	Good morning! I’m missing signature from last week please!
03-23-2026 08:50 AM	Zane Hartstield	Zane (Prim) Replied: Sorry, I must've missing it after rushing but I just signed it!
03-24-2026 06:30 PM	Valeria Holguin	Hi, this is a just a reminder that Zane has a Feeding Therapy appointment scheduled tomorrow at 10:30 AM. See you soon! - New Beginnings 🙂
03-25-2026 07:55 AM	Valeria Holguin	Hi, this is a just a reminder that Zane has a Feeding Therapy appointment scheduled today at 10:30 AM. See you soon! - New Beginnings 🙂
03-25-2026 08:20 AM	Valeria Holguin	Good morning! For today’s session I was wondering if you could bring a protein of your choice, it could be whatever you have at home, chicken or even yogurt, For veggies also whatever you have at home such as lettuce, spinach etc Fruits apple or orange And 1 preferred food:)
03-25-2026 08:21 AM	Zane Hartstield	Zane (Prim) Replied: Gotcha I will!
03-25-2026 10:15 AM	Valeria Holguin	Zane Hartstield : Time to check in at New Beginnings 🙂 Click here https://patient.newbeginnings-elp.com/checkin/default.aspx?AppId=907058
03-25-2026 10:33 AM	Zane Hartstield	Zane is CHECKED IN for: 10:30AM-3/25/2026 92526: Feeding Visit