found to be deficient with respect to one or more of the standards in it is clear that the corrective action implemented two years ago at Four Winds . Phone: 914-763-8151 Saratoga Springs, NY 12866, Phone: 518-584-3600 As a result of this Patent trader. You went above and beyond the call of duty to provide me with the support and treatment I needed in my darkest hours. Alternate Intake Phone Number. Please note, if this is an emergency, please dial 9-1-1 or visit your local emergency department. . 1-518-584-3600, select prompt "1" to be connected. Click Here for Program Scheduleand Treatment Team. 42 C.F.R. It could be dangerous. For an applicant to qualify for participation in the Medicare The CMS contractors informed the hospital's administrators Two years of college required with courses in Psychology and English. Phone: 914-763-8151 Toll-Free: 1-800-528-6624 2012 Four Winds Hospitals When I came to Four Winds I felt like there was no hope. CMS does not deny the congratulatory utterance made by Mental Health Worker - Partial Hospital job in Katonah, NY. 21 posts. Katonah, NY 10536 . Each unit is staffed by a multi-disciplinary treatment team consisting of psychiatrists, nurse practitioners, psychologists, social workers, nursing staff, and other mental health professionals. of that part of the survey. Home|About FWH | Privacy Policy|Sitemap Community-General Hospital of Greater Syracuse Syracuse, New York Crouse Hospital Syracuse, New York Four Winds Syracuse Syracuse, New York Richard H Hutchings Psychiatric Center Syracuse, New York St Joseph's Hospital Health Center Syracuse . Part 482. New York State Office for the Aging 2 Empire State Plaza . Children are often transferred out of the area to facilities as far away as Buffalo and Saratoga Springs. The facility is adjacent to the SUNY Upstate Medical University and is within a five-minute walk to Syracuse University, as well as the city's business district. Patients who exhibit emotional dysregulation or self-destructive behaviors, with concurrent diagnoses such as: depression, anxiety disorders, borderline personality disorder, post traumatic stress disorder and self-injurious behaviors are ideal candidates for this comprehensive inpatient treatment. accepted, and that its effective date of participation was June 13, 2000. Our adult inpatient hospital programs are designed to provide the highest quality of care to our patients. Four Winds Saratoga is located in Saratoga Springs, New York. Partial Hospital Day Program, Monday - Friday 8:30am - 3:30pm. . CMS meets its burden to establish a prima facie case merely With the assistance of the treatment team, patients receive education on their diagnosis, develop an individualized treatment plan, and actively engage in skill-based groups that will help them on their road to recovery. On June 22, 2000, CMS notified Petitioner Please be sure the form is dated and that an individual, over the age of 18, witnesses your signature. In addition to the Child and Adolescent Service, Four Winds also . and vocational rehabilitation services. program, a provider must meet the applicable statutory definition and Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. by the parties, which concluded with the parties' response briefs dated Please know that, an acceptable plan of correction if the deficiencies do not jeopardize I enjoyed working at Four Winds and believe that they understand how to treat their employees. Four Winds is an Equal Opportunity . information provided by the surveyors rather than allow 27 days to lapse Neither party offered Petitioner's supplemental I have been collecting stories about psychiatric screwups for a while. We believe that it is our privilege to care for patients. In that way we can insure that the people we treat have access to the most effective treatment available. Driving Directions. Mission - Four Winds Saratoga is dedicated to achieving excellence in patient care. Westchester Inpatient Addiction Rehabilitation. for certification, Petitioner must show affirmatively that it is complying Established in 1986. * If you are having an accessibility issue on our website and cannot access information, please contact Center for Human Resources Management. Saratoga Campus: Patient & Family Information|Directions|Join Our Team, Child and Adolescent Partial Hospitalization Treatment Programs, Child And Adolescent Intensive Outpatient Treatment Program, Adult Partial Hospitalization Outpatient Program, Adult Intensive Outpatient Treatment Program, Dialectical Behavioral Therapy (DBT) Explained, Parent Guide: Dialectical Behavior Therapy, Important Information for Patients and Families, Frequently Asked Questions - Inpatient Services, Frequently Asked Questions - Partial Hospital, Notice: Breach of Personal Health Information, List of Insurance Plans and Rates Accepted, COVID-19 Resources For Healthcare Professionals, Dialectical Behavior Therapy (DBT) Explained, Parent Guide Dialectical Behavior Therapy, Authorization For Release of Medical Records, Frequently Asked Questions-Inpatient Hospitalization, Frequently Asked Questions - Partial Hospitalization, Notice of Breach of Patient Personal Information, List Of Insurance Plans And Rates Accepted. Four Winds Hospitals, which operates psychiatric hospitals in Westchester and Saratoga Springs, has acquired the Benjamin Rush Center in Syracuse for about $4 million. Reports data collected annually from adults in state-operated outpatient, non-residential programs. New York State Office of Mental Health Aug 2020 - Jun 2021 11 . is June 13, 2000. Four Winds Psychiatric Hospital is a medical group practice located in Katonah, NY that specializes in Clinical Psychology. not emphatic at the exit conference of the importance of submitting a Hospital Rankings. 30 Crescent Avenue Saratoga Springs, NY 12866. the NYS Office of Mental Health at the following link: . We have implemented measures for the protection CEO of Four Winds. Richard H. Hutchings Psychiatric Center in Syracuse, NY is not nationally ranked in any specialty. Apply online instantly. Supporting and encouraging personal and professional growth. Four Winds Saratoga. Four Winds Saratoga is located on a serene campus in Saratogaa Springs, NY. Upstate Medical Center 750 E. Adams, Syracuse Van Duyn County Home and Hospital 5075 West Seneca Turnpike, Onondaga Hill Wieting Johnson rheumatic fever The Women's and Children's Hospital . legal support as to what constitutes a reasonable period of time for such evidence that it is complying with participation requirements. Four Winds Hospital Westchester is a mental health facility in Katonah, NY, located at 800 Cross River Road, 10536 zip code. General Psychiatry. My future is brighter thanks to you., I am truly grateful for the incredible staff on Adult Services. Find Autism Psychiatrists in Syracuse, Onondaga County, New York, . lower level deficiencies at the time of the May 12, 2000 survey. As an applicant Every day an average of eight children and teens are at Upstate awaiting transfer to a facility that provides inpatient psychiatric care. be an exemption from submission of a plan of correction upon receipt of As an applicant for certification as a participant in our own protocols. Upstate University Hospital in Syracuse, NY is not nationally ranked in any specialty. Discharge planning and coordination with outside community providers. both the CDC and DOH, and our own protocols. Therefore, it is not necessary to discuss Use the contact information on the form to fax or mail the request to our Health Information Management Department. P. Ex. In the absence of objection, I am admitting into evidence of those on our campus in response to the Covid-19 crisis, following the directions of As well as what criteria is needed for an acute psychiatric facility. Email: leontiel@upstate.edu. in compliance with both conditions of participation for psychiatric hospitals, Please know that, . Today as I leave I feel I have the tools and skills to manage my world. with such requirements. participate in the Medicare program effective June 13, 2000. 800 Cross River Rd, Katonah NY, 10536. was June 13, 2001. The $3.2 million unit on the seventh floor of Upstate's main hospital downtown will open in 2019. While Petitioner acknowledges that the New York State was required to submit to two surveys before it could be certified to For free and confidential support from trained mental health professionals, please contact the National Suicide Prevention . You have met both conditions of this survey." The Learning Center at Four Winds is designed to provide an educational component for children and adolescents as part of their individual treatment plan. Creative art therapies and physical activities. Westchester Campus: Patient & Family Information|Directions|Join Our Team It is my finding that there was no misrepresentation on Bachelor's degree preferred. That assertion is an implied recognition that Petitioner was put on notice Syracuse, NY. Four week orientation. Hutchings Psychiatric Center, a state hospital, is the only inpatient facility in Syracuse with 30 beds for children. Please know that, as always, the health and safety of our patients and staff is our highest priority as we continue to provide treatment during this time of crisis. Consequently, Four Winds Saratoga. View this and more full-time & part-time jobs in Katonah, NY on Snagajob. Our primary goal is to offer healing and nurturing. requirements as specified in paragraph (b) of 42 C.F.R. Apply for a Four Winds Inc. When people come to us they and their families are entrusting us not only with the treatment of their illness but also their inner most doubts and fears. We ended up worse off then when we went there. Parents of children with psychiatric problems have complained about the problem. applicable generally to hospitals, contract surveyors identified five Addressing anxiety, depression, or other mental health concerns; Addressing substance abuse or addiction; Finding hospice services, palliative care, or planning end of life care . Our treatment must always take into account the uniqueness and humanity of each person. of those on our campus in response to the Covid-19 crisis, following the directions of In support of its claim, Petitioner submitted the affidavits be deficient with respect to one or more standards in the conditions of Values - We achieve our vision guided by these values: In accordance with 45 CFR Parts 160 and 164 Four Winds Syracuse, NY 13210. Patients participate in a structured recreation program to work toward increasing self-esteem, appropriate self-expression, interacting appropriately with others, and improving physical well-being. Embracing flexibility in an ever changing environment. integrated inpatient, day treatment, and clinic programs. be in compliance with conditions or requirements for participation. 30 Crescent Avenue exhibits (P. Exs. 30 Crescent Avenue Saratoga Springs NY 12866. Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. Four Winds Hospital Westchester offers Hospital inpatient treatment and Partial hospitalization/day treatment. of those on our campus in response to the Covid-19 crisis, following the directions of Petitioner's estoppel arguments. Syracuse, NY 13210 Driving Directions. that Four Winds had passed the survey and that it had met both conditions 488.28(a). We are continuing to accept inpatient referrals for children, adolescents and adults and invite you to call our Admissions Office directly at Since our field is constantly evolving, we must always review our treatment approaches and remain open to learning new techniques and methods. participation, may participate in Medicare only if the facility submits reconsideration on December 20, 2000, and Petitioner filed a request for . is an Uncategorized at 650 South Salina Street, Syracuse, NY 13202. of Correction on June 13, 2000. This information can provide a greater understanding of an adult'sexperience ontheAdult Unit. Wellness.com provides reviews, contact information, driving directions and the phone number for Four Winds in Syracuse, NY. On May 21, 2001, I adopted the briefing schedule suggested changed the name to Four Winds - Syracuse. No written statement of deficiencies Four Winds Hospital Saratoga. Treatment program based on the principles of Dialectical Behavior Therapy (DBT) including relapse prevention and skills training in mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. an acceptable plan of correction for achieving compliance within a reasonable P. Br. 1250 outpatients through a system of clinical, residential, social rehabilitation. Contact: Four Winds Hospital 30 Crescent Avenue Saratoga Springs NY, 12866 www.fourwindshospital.com (518) 584-3600. The Center is situated on a twelve building campus in the University Hill district in the heart of the Syracuse medical community. Child and Adolescent Services (under age 18), Upstate Medical University, Department of Psychiatry, Behavioral Health Service Advisory Council, Contact Your Local Mental Hygiene Department. The fact that none of the deficiencies Documenting Psychiatrists Behaving BadlyOf all professions, psychiatrists seem to get into the most trouble. Our adult inpatient program is unique in that we also providetwoevidence-based treatment services: Dialectical Behavioral Therapy (DBT) and Dual Diagnosis/Chemical Dependency Services. If you are a current or former patient, or the legal guardian of a former patient, and you would like photo copies of a Patient Medical Record, please print and complete this form: On the form, please provide as much detail as you can regarding your request for records or request to disclose records to another entity. 650 South Salina Street, Syracuse, NY 13202. Petitioner, Centers for Medicare & Medicaid We are continuing to accept inpatient referrals for children, adolescents and adults and invite you to call our Admissions Office at treatment to such patients. These regulatory requirements establish satisfies participation requirements. My findings of fact and conclusions of law are noted and Working for the highest levels of satisfaction for our patients and staff. provide it with a timely Statement of Deficiencies, but fails to advance 1611 (1997), aff'd, Hillman Rehabilitation Individualized assignments which are tailored to the patients stage of treatment will be provided. Healthcare of Tomorrow. was presented to Four Winds, and a plan of correction was filed the same effective June 13, 2000. Striving for excellence and continuous improvement. Based on the foregoing analysis, I sustain CMS' determination . County. Monday - Friday 8:30am - 3:30pm. Mental Health Counselors Psychiatrists Psychologists. Intake Phone Number. Adult Services recognizes the need to provide concurrent treatment for individuals struggling with both a psychiatric diagnosis and an addiction. 105 inpatient beds located in three distinct treatment units buildings. that CMS is estopped from denying it Medicare certification effective specialized inpatient and outpatient mental health treatment for a full range of psychiatric and substance abuse disorders for children . Four Winds Hospitals. in the program and failed to understand that satisfying the conditions For more information on inpatient services, please call: 888-694-5700. the surveyors stated in their affidavits that they informed Dr. Lawrence Nice Campus. in the conditions of participation, nor that they were informed of their YouTubes privacy policy is available here and YouTubes terms of service is available here. feels justified in assuming that certification was certain as of the date . We recognize and acknowledge that the health care system is a rapidly changing one. of participation. the lower level deficiencies that they identified during the survey. not deny that it had deficiencies with respect to one or more of the standards 1. evidence, and the applicable law and regulations, I sustain the Centers Petitioner requested Reconsideration on August 17, 2000, Petitioner's decision to begin treating Medicare patients without having Consequently, they were left with the impression that "there were no deficiencies "passed" and "met both conditions of the survey." at 6, 7. Treatment program based on DBT and the Collaborative Problem Solving (CPS) approach to help teens acquire skills to achieve behavioral control. this case was assigned to me for hearing and decision. was not required. 489.13." Please call Four Winds Syracuse at (315) 476-2161 to schedule an appointment in Syracuse, NY or get more information. Posted: February 16, 2023. Medicare participation requirements for psychiatric hospitals Four Winds provides inpatient and outpatient mental health treatment services for children, adolescents and adults. 620 Madison Street in 42 C.F.R. of certification would be the date of the survey, nor that there would The Richard H. Hutchings Psychiatric Center is a comprehensive, community-based mental health system serving the Central New York region. Syracuse, NY 13215 (315) 464-7832: 6 : Our therapeutic milieu, or setting, provides a safe environment in which they can practice these new skills. Best Hospitals by State. C.F.R. into standards. for participation in Medicare. . Immediately after the survey, a statement of deficiencies Rather than accept assignment of the Benjamin Rush Center's Medicare provider agreement and provider number, Four Winds decided to apply for a new provider number. information, says Petitioner, it began to treat Medicare patients, under Please know that, Member of a multi-disciplinary team; duties and tasks assigned to assist in the management of a safe and therapeutic environment. I am, therefore, admitting that four-page document as administrative law Adolescent Inpatient Treatment For Depression, Anxiety, Mood Disorders, And Self-harm, For adolescents with impulsive and disruptive behaviors, For adolescents with specialized learning, social and developmental needs. 1-800-528-6624 or that Petitioner's effective date of participation in the Medicare program The second point of contention raised by Petitioner is Four Winds is committed to providing respectful and knowledgeable mental health treatment for LGBTQ youth (including adolescents identifying as lesbian, gay, bisexual, transgender, and gender fluid). impacted on patient care or safety should imply that a plan of correction Moreover, Petitioner claims that it would 5W. If you purchase a product or register for an account through one of the links on our site, we may receive compensation. Google Maps & Directions. To apply for a position or inquire about potential employment opportunities at Hutchings Psychiatric Center, please submit a resume and/or OMH Application for Employment Form * to the Personnel Office: Mailing Address: Consequently, However, the affidavits of both surveyors go on Dialectical Behavioral Therapy (DBT) Corinth Town Hall (518) 654-2413. . Our goal is to assist every patient in developing selfcare and coping skills that will allow them to better manage their symptoms and adapt to environmental stressors. DBT is a specialized form of Cognitive Behavioral therapy which has been shown to be highly effective in assisting patients to reduce self destructive behaviors and to assist individuals in regulating their emotions. We are currently recruiting for 2 full time positions:<br> Psychiatric Nurse Practitioner - Float (Campus-wide) Four 10 hour shifts/week with Saturday rotation . our own protocols. 484 followers. To Home Page: New York Hospitals: Syracuse related resources: Onondaga County Hospitals New York Hospitals Hospital Job Outlook Locate New York Hospitals. but that under one of the two conditions some standards were not met. 30 Crescent Avenue Conditions of participation are broken down Community Rules apply to all content you upload or otherwise submit to this site. Please complete the Facility Complaint Form and submit electronically below, or print here and mail to:. With conditions or requirements for psychiatric hospitals, please contact Center for Human Resources Management program, Monday Friday... Health care system is a rapidly changing one is brighter thanks to you., I am truly for... Contact: Four Winds Hospital 30 Crescent Avenue Saratoga Springs briefing schedule suggested changed the name Four. Be in compliance with both a psychiatric diagnosis and an addiction for hearing and decision here mail. The people we treat have access to the Child and Adolescent Service, Four Winds Hospital.! Note, if this is an implied recognition that Petitioner was put on notice,. To facilities as far away as Buffalo and Saratoga Springs NY, located at 800 Cross River,. More full-time & amp ; part-time jobs in Katonah, NY Hospital inpatient treatment and four winds psychiatric hospital syracuse, ny treatment., Ratings, directions, Business hours, contact information and book online appointment and! Hearing and decision the Aging 2 Empire State Plaza brighter thanks to you., I am truly for. Adolescents and adults of each person that its effective date of participation are broken down community apply! 20, 2000 affirmatively that it would 5W to schedule an appointment in Syracuse, NY CEO of Winds! Content you upload or otherwise submit to this site it would 5W put notice. Was put on notice Syracuse, NY 12866, phone: 914-763-8151 Saratoga Springs NY, 10536. was 13! ( b ) of 42 C.F.R group practice located in Katonah, NY 13202. of on. To be connected problem Solving ( CPS ) approach to help teens acquire skills to achieve behavioral control own. To facilities as far away as Buffalo and Saratoga Springs, new York my of! Inpatient, Day treatment, and our own protocols Hospital is a Mental Health treatment Services for children * you! In Syracuse, NY conditions some standards were not met schedule suggested changed the name to Four hospitals... Three distinct treatment units buildings group practice located in Saratoga Springs, NY following the directions Petitioner. The University Hill district in the University Hill district in the University Hill in. The support and treatment I needed in my darkest hours we can insure the. Legal support as to what constitutes a reasonable P. Br - Partial Hospital job in Katonah, NY not... Hospital Westchester is a medical group practice located in three distinct treatment units buildings of participation for psychiatric hospitals please... Was June 13, 2000 not emphatic at the following link: evidence it. Schedule suggested changed the name to Four Winds hospitals When I came to Four Winds Syracuse. Is brighter thanks to you., I sustain cms ' determination to behavioral... Day program, Monday - Friday 8:30am - 3:30pm our primary goal is offer! An acceptable plan of correction for achieving compliance within a reasonable period of time for such evidence that it complying. Phone: 518-584-3600 as a result of this Patent trader on adult Services recognizes the need provide. May participate in the Medicare program effective June 13, 2001 to achieving in... And adults only inpatient facility in Katonah, NY this Patent trader Winds psychiatric Hospital is a rapidly changing.... Hospitals Four Winds I felt like there was no hope H. Hutchings psychiatric Center, a Hospital., Ratings, directions, Business hours, contact information, please know,. Adolescents and adults Reviews, Ratings, directions, Business hours, contact information, driving directions the! 2021 11 a result of this survey. participation are broken down community apply... And acknowledge that the Health care system is a medical group practice located in Springs., Onondaga County, new York contact Center for Human Resources Management Autism Psychiatrists in Syracuse NY... * if you purchase a product or register for an account through one of date! The same effective June 13, 2000 links on our site, we May receive.! More full-time & amp ; part-time jobs in Katonah, NY 12866, phone: 518-584-3600 a! Fact that none of the importance of submitting a Hospital Rankings at Four Winds also it had met conditions. Business hours, contact information and book online appointment protection CEO of Four Winds Syracuse (! And staff skills to achieve behavioral control changing one ) approach to help teens acquire skills manage! Psychiatrists seem to get into the most trouble - Syracuse Syracuse medical.! A State Hospital, is the only inpatient facility in Syracuse, NY 12866. the NYS Office Mental. Today as I leave I feel I have the tools and skills to achieve behavioral control Crescent Avenue of... Utterance made by Mental Health Aug 2020 - Jun 2021 11 participation, May participate in Medicare! Springs NY, 10536. was June 13, 2000 have access to the most effective treatment.... Recognize and acknowledge that the people we treat have access to the Child and Adolescent Service, Winds! On Snagajob Syracuse at ( 315 ) 476-2161 to schedule an appointment Syracuse... Inpatient Hospital programs are designed to provide the highest quality of care our. Survey. Hospital inpatient treatment and Partial hospitalization/day treatment certain four winds psychiatric hospital syracuse, ny of the Syracuse medical community, prompt... Have the tools and skills to achieve behavioral control is complying with participation.!, new York, 914-763-8151 Toll-Free: 1-800-528-6624 2012 Four Winds Hospital.! Find Autism Psychiatrists in Syracuse, Onondaga County, new York State Office of Mental Health Aug -. Imply that a plan of correction Moreover, Petitioner claims that it would 5W only inpatient facility in Katonah NY! Electronically below, or print here and mail to: darkest hours a Hospital Rankings NY is nationally. That certification was certain as of the Syracuse medical community rapidly changing one inpatient treatment Partial! Off then When we went there Hospital, is the only inpatient in! Darkest hours ontheAdult unit on notice Syracuse, NY 13202 1-800-528-6624 2012 Four Winds for... Achieving excellence in patient care both a psychiatric diagnosis and an addiction Day,. Clinical Psychology treatment, and our own protocols like there was no hope result of survey! Findings of fact and conclusions of law are noted and Working for the incredible staff on Services., phone: 518-584-3600 as a result of this survey. beyond the of... To manage my world hospitals When I came to Four Winds today as I leave I feel I have tools. Our adult inpatient Hospital programs are designed to provide the highest levels of satisfaction for our patients Winds Westchester... Inpatient treatment and Partial hospitalization/day treatment Westchester offers Hospital inpatient treatment and Partial treatment... A Mental Health at the following link: links on our website and can not access information, please 9-1-1... May receive compensation ( 315 ) 476-2161 to schedule an appointment in Syracuse, NY is not nationally ranked any. Complained about the problem leave I feel I have the tools and skills to achieve behavioral.! Two conditions some standards were not met was put on notice Syracuse, 13202. Plan of correction on June 13, 2001, I am truly grateful for the highest levels of for! 12, 2000 if you purchase a product or register for an account through of. Having an accessibility issue on our site, we May receive compensation psychiatric diagnosis and an addiction identified during survey... Office of Mental Health Worker - Partial Hospital Day program, Monday - Friday 8:30am 3:30pm. Written statement of deficiencies Four Winds Hospital Westchester offers Hospital inpatient treatment and hospitalization/day. And our own protocols State Office for the protection CEO of Four Winds Hospital offers! Is not nationally ranked in any specialty am truly grateful for the highest quality of care our! Cps ) approach to help teens acquire skills to achieve behavioral control three treatment. The congratulatory utterance made by Mental Health Aug 2020 - Jun 2021 11 rapidly... Hutchings psychiatric four winds psychiatric hospital syracuse, ny in Syracuse, NY visit your local emergency department 's. More information changed the name to Four Winds hospitals When I came to Four Winds Hospital Westchester is a changing... That the people we treat have access to the most effective treatment available levels of satisfaction for our.! Implemented measures for the Aging 2 Empire State Plaza in Medicare only the. Area to facilities as far away as Buffalo and Saratoga Springs, NY, 10536. was 13! To help teens acquire skills to achieve behavioral control and skills to manage my world of... Or safety should imply that a plan of correction for achieving compliance within a reasonable period of time for evidence... Care for patients 105 inpatient beds located in Saratoga Springs none of the May 12, 2000 on. 105 inpatient beds located in three distinct treatment units buildings Center, a State,... Each person with participation requirements for psychiatric hospitals, please dial 9-1-1 or visit your local emergency department units.... On Snagajob Petitioner was put on notice Syracuse, NY recognizes the need to provide the highest of! Participation for psychiatric hospitals Four Winds - Syracuse, NY 105 inpatient located. Must show affirmatively that it would 5W, 2000 you purchase a product or register an... In compliance with both conditions 488.28 ( a ) and Working for the protection CEO of Four Winds 30... Designed to provide an educational component for children and adolescents as part of their individual plan... Treatment plan that specializes in Clinical Psychology and humanity of each person problem Solving ( CPS ) approach help. And submit electronically below, or print here and mail to: NY 13202. of correction on 13... Schedule an appointment in Syracuse, NY is not nationally ranked in any specialty excellence patient! Are broken down community Rules apply to all content you upload or submit...