choa seating and mobility clinic

Learn about this specialty clinic from Michele Lloyd, a physical therapist who leads the clinic. Any young adult who can walk part time but has difficulty keeping up with friends, maintaining balance in crowds, or tires out limiting their participation. Each person who comes to the Seating and Mobility Clinic undergoes a complete evaluation, which includes the following: pertinent medical history; environmental and activity needs; caregiver needs; method of transportation in the community; sensation and skin integrity; postural alignment; range of motion and strength; functional mobility; and measurement for a wheelchair/seating system. The clinic is staffed by a physical therapist who completes a seating and positioning assessment and makes recommendations based on a patients unique physical and environmental needs. Location: Cleveland Clinic Children's Hospital for Rehabilitation 2801 Martin Luther King Jr. Dr. If you have selected a vendor, please contact them to inform them of your appointment time with us. #top-link-block { Diagnosed with cerebral palsy at 18 months old, Kaleb underwent surgery to help him get on his feet with confidence. display: none !important; If so, please click here and have your doctor complete and fax the form, Good Faith Estimate and No Surprise Billing. Talking to your teen about his injury or illness. Cerebral refers to the brain, and palsy refers to muscle weakness or impaired motor function. Diagnoses we see most often include: Brain Injury Cerebral Palsy Genetic Syndromes Limb differences and amputations Multiple Sclerosis Muscular dystrophy Neuromuscular disorders Spina bifida Scoliosis These goals may include making changes to your seating and positioning for better skin health or healing of a pressure ulcer. Training sessions can be scheduled with your mobility therapist so you or your child can master moving in the new ride. Usually a picture is not enough! EIN 58-2367819. Together, we can explore the options to modify your equipment to keep you rolling! Get more information about scheduling an appointment at Shepherd Centers Wheelchair Seating Clinic. The Seating Clinic at Kennedy Krieger Institute provides mobility systems for patients of all ages and work with all types of children and adults. For your safety and the safety of others, Children's is currently under visitor restrictions. Children who have motor delays that prevent them from moving independently in all environments (even if they are working on walking or will eventually learn to walk). When the vendor is with the patient, they call or video me here so we can all consult simultaneously to conduct the full assessment. Your insurance will make a decision regarding each item that was submitted. Read our patient, Good Samaritan Regional Rehabilitation Center, Website Design and Development by SiteCrafting, A referral from your physician is required and must be, You will be contacted by a scheduler within 2 business days. Our program is led by Medical Director Robert W. Bruce Jr., MD. If so, please click here and have your doctor complete and fax the form, Is the patients primary insurance Amerihealth? Programar una Cita Aan assessment of you or your childs posture, flexibility, balance, strength and movement. One way to help your participation in activities is to make sure that your chair is helping you be as independent as possible. Mobility is a key factor in gaining independence after a debilitating illness or injury. We involve each patients family in therapy so rehabilitation can continue at home, allowing patients to relearn skills and recover more quickly. And better yet, the right chair can give you more independence. Have a current drivers license or learners permit. Fresno, California, United States. If the specialty or service requires an appointment request, we will contact you in 2-3 days to review your request. Recognize the impact of the seating configuration on quality of life. Vanderbilt, Vanderbilt University Medical Center, V Oak Leaf Design, Monroe Carell Jr. Childrens Hospital at Vanderbilt and Vanderbilt Health are trademarks of The Vanderbilt University. Appointment lengths vary but last approximately: You or your child should wear light, comfortable clothing, Avoid clothes with stripes or patterns as this can cause confusion in the molding process. Tell us a little bit about the program. Multiple opportunities are necessary to learn new ways to move and try different approaches. From optimal wheelchair propulsion to weight shift techniques to positioning in the seating system, the seating therapists strive to make sure patients and caregivers fully understand their equipment choices and optimal function with the use of the equipment. Based on these assessments, we create an individualized treatment plan for each patient. 35 Jesse Hill Jr. Drive SE Our Outpatient Rehabilitation Program is led by experienced, pediatric-trained specialists. An opportunity to learn/discuss types of modifications possible on your equipment, Measurements to look at sizing of equipment that is being discussed. Seating and Mobility Clinic. Our therapies and services are designed to restore and improve body movement and function. 404-785-7100, 2023 Children's Healthcare of Atlanta Inc. All Rights Reserved. When your child is 14, begin talking with their pediatrician and specialists about a transition plan to help ensure a smooth and timely process. Your insurance expects this equipment to last for 5 years so it is important to take the time to make a thoughtful decision. Step 1: Evaluation Part 1 will last approximately 60-90 minutes. We present at national and local conferences. Therapists also test your ability to perform everyday activities using mobility equipment. top: 128px; A discussion of goals and challenges with your current equipment. The equipment chosen is designed to meet the needs of the individual and his or her family. Together, we explore a variety of options to help those with mobility challenges get moving to explore, learn and participate! They participate in the assessment, process all paperwork to the insurance company and provide service to the equipment down the road. Some policies have specific items that they do not cover, for example: Bathroom equipment. This is pretty unusual for the wheelchair business and one of the key factors that sets our clinic apart from others. Cleveland, OH 44104. The staffincluding audiologists, physical and occupational therapists, speech-language pathologists and other professionalshelps patients regain and improve their independence by creating individualized therapy plans. Pressure mapping technology helps us evaluate the source of skin issues and relieve pressure sores. You will then be contacted shortly by someone from our team with answers to your questions. To register, contact ourIntake Department at 216.636.KIDS(5437). Locations. We use an adaptive car for testing and training. Fortunately, we can help. Our goal is to truly partner with the patient to help achieve their goals. I have read and accept the terms of this agreement, I-285 CONSTRUCTION: EXPECT TRAFFIC DELAYS>, Community Resources and Advocacy Organizations, Babies Cant Wait of Georgia (Early Intervention), Support Group Resource Families of Children Under Stress, American Academy of Cerebral Palsy and Developmental Medicine, Georgia Department of Behavioral Health and Developmental Disabilities, The Georgia Vocational Rehabilitation Agency, Tools for Life, Georgia's Assistive Technology Act Program, Friends of Disabled Adults and Children, Home Modification and Equipment, Georgia Adaptive Sports, Sports Abilities, Georgia Legal Aid, Individual Education Program, Georgia State University Center for Leadership Disability, Georgia Council on Developmental Disabilities, Evaluation by specialists in orthopedics, neurosurgery or ophthalmology, Marta Mobility Eligibility (Fulton, DeKalb, Clayton Counties); 404-848-5389. 1211 Medical Center Drive, Nashville, TN 37232. In this edition of Let's Get Moving, were talking about getting active in all its forms and sharing stories of innovators and creators who inspire us. Our vendors have also been extremely understanding during this time as we all work toward safely providing patients the best equipment and supplies out there. See the links below for more information on frequently asked questions. At our Wheelchair and Seating Clinic, we can help both adults and children who need wheelchairs and other adaptive equipment, such as bath seats, car seats, walkers, standers and strollers. Many insurances want your mobility base to last 5 years. I-285 CONSTRUCTION: EXPECT TRAFFIC DELAYS>. The Wheelchair Seating Clinic at Shepherd Center offers people with disabilities a variety of seating and mobility services. We really enjoyed Randy, he is a very caring man. He was invaluable in demonstrating what my sons wheelchair can do., National Seating and Mobility is very helpful for when we need them to answer any questions about the equipment. For more than 25 years, National Seating & Mobility has been providing unparalleled products and services meeting mobility and accessibility needs, no matter how simple or complex. Wheelchair management: Assessment of patient positioning in current wheelchair. You can contact your insurance company prior to your appointment for the following information. This is often a good time to review what was decided and is on order. } Overview. Sometimes things change along the way and adjustments are needed for growth or to improve how you sit or move. The Mobile Seating and Mobility Clinic provides free walker and manual wheelchair assessments to community seniors in North Simcoe-Muskoka. The solution may be customizing a power wheelchair, helping ensure independence and safety in the home or servicing equipment to keep our clients moving. I genuinely care about each of our patients in the clinic. If so, please click here, Is the patient's primary insurance DC Medicaid? West Des Moines, IA 50266. A list of what you like about you or your child's current equipment or mobility solution. *Some rental agreements and payer contracts may prohibit NSM from servicing a chair. You will meet with the mobility clinic therapist, the physician, and the durable medical equipment supplier. From the time they're born, children use sensory informationwhat they see, hear, touch, taste, and smellto learn about the world around them. Our Serving Safely commitment means you can feel confident we're going above and beyond to put your safety first, no matter what. Cleveland Clinic Childrens Hospital for Rehabilitation Set up recurring payments, or view statements and payment history. (515) 224-5225. All mobility clinic clients must go through an intake process before your appointment can be scheduled. (865) 331-3600, Covenant Health, Encompass Health host grand opening celebrations for two inpatient rehabilitation hospitals in Knoxville, CEO Named to Lead New Patricia Neal Rehabilitation Hospital Under Construction in West Knoxville. 2023 Patricia Neal Rehabilitation Center Prior to your seating clinic appointment, you will need to select a durable medical equipment (DME) supplier. } Mobility gives us the freedom to participate, make choices and make friends. 1211 Medical Center Drive, Nashville, TN 37232. Request an outpatient rehabilitation appointment. OBJECTIVES: At the completion of the course, participants will be able to: Chris Maurer, PT, MPT, ATP, is the assistive technology manager at Shepherd Center. Our appointments often involve a team including a physician, a supplier and a therapist. It is easy to think moving a chair will come with just practice. Check with your primary therapist to get an estimate that reflects your appointment specifics. Contact Us Call 404-785-7100 for more information. At all of our locations you'll find professionals who are committed to providing you with the individualized care you need. This service ensures that the prescribed equipment fits appropriately and adjustments maximize function and postural support. The Mobility and Seating Clinic at Cleveland Clinic Children's Hospital for Rehabilitation focuses on mobility solutions for infants, children, adolescents and young adults. 605 Big Shanty Road NW After all equipment decisions are finalized, documentation is generated to be sent to your insurance company. Getting the care you need starts with seeing one of our specialists. A DME supplier sells wheelchairs and other medical equipment. 2850 Westown Parkway. Once insurance has approved the custom seat and/or back, you will be contacted to schedule a molding appointment. Once the initial steps are completed, you will receive a call to schedule your appointments. Meet state rules for vision and seizure-free time. Bel Air, MD 21015, 102 Irving St., NW Washington, DC, 20010, 25500 Point Lookout Rd. Step 2: Mobility Trials: 4-6 sessions with a mobility therapist lasting 60 minutes each. Locations offering the Mobility Clinic: West. Shepherd Center does not provide or sell any equipment. 1st Floor Shepherd Centers terrain garden simulates obstacles frequently encountered in a persons typical environment to improve mobility and independence. Our rehabilitation team is experienced and equipped to meet the needs of growing and developing patients with a wide array of conditions, including: Our programs therapists and clinicians also help make sure patients receive quality care in several ways: Childrens uses Episodes of Care, a specialized approach to developing individualized treatment plans for patients. A Seating and Mobility Clinic team works together to provide seating and mobility evaluation and services for persons with all types of conditions, including spinal cord injury, brain injury, stroke, multiple sclerosis, post-polio syndrome, cerebral palsy, spina bifida, pressure sores, and many other neurological and orthopedic diagnoses. Spaulding Rehabilitation Hospital Cape Cod. Get answers to your medical questions from the comfort of your own home. Contact Us Call 404-785-5437 to reach our team. Our wheelchair therapists are specifically trained in wheelchair seating. Our pediatric-trained physical therapists are leaders in treating children. Many power chairs have highly sophisticated electronics that can be adjusted to your unique needs for independence. Its not a result of permanent hearing loss, attention difficulties or a developmental disorder. Theres continuous support at the clinic that you wont find anywhere else. } Atlanta, GA 30329, Northside Professional Center The seating and mobility clinic at Patricia Neal Rehabilitation Center is unique because we treat patients of all ages, all diagnoses and all levels of ability. Seating and mobility systems today can range from a simple manual wheelchair to the most complex power wheelchair. Pediatric occupational therapy teaches patients to reach independence through self-care activities important to daily living. Whats the process? Children who can walk but their endurance or medical condition limits their ability to participate at the same level as other children their age. Our therapists have over 20 years of experience in wheelchair seating and mobility and serve over 500 wheelchair users every year. 975 Johnson Ferry Road NE Complex Rehab Technology products and associated services include medically necessary, individually . This time frame is unique to each individual. Your supplier attends your evaluation and works with the seating clinic staff to offer equipment options. ", Chris is outstanding in his professionalism, knowledge, respectfulness, understanding, and friendliness. 1400 Tullie Road NE Check with your primary therapist to get an estimate that reflects your appointment specifics. We work with medical suppliers with extensive experience in pediatric equipment. This comprehensive evaluation includes assessment of the current equipment being used, as well as the functional status, social history and seating/mobility needs of the patient. Once I receive the referral, I contact the patient and schedule a consultation with them and their preferred vendor. No matter what you need, we have innovative products and a reliable team of experts to keep you moving so you can enjoy life to the fullest - wherever it takes you. If you do not hear from our scheduler, please call. Our Cerebral Palsy Program combines the expertise of specialists from Childrens Physician Group as well as specialists in the community to help coordinate patient care. Don't watch life from the sidelines! We recommend that you make yearly appointments with your supplier. Therapists help you make personalized decisions about seating and mobility devices to address your needs and meet your lifestyle goals. The Wheelchair Seating Clinic at Shepherd Center offers people with disabilities a variety of seating and mobility services. You may be right for Adventist HealthCare's Seating & Mobility program if you're 18 or older and: Have difficulty walking because of weakness, balance problems, injury or illness; Use a wheelchair that's hard for you to move or causes discomfort, pain or pressure ulcers (sores) We recommend upgrading to the latest browser from Microsoft. Specialists at our Seating and Mobility Clinic evaluate patients' mobility needs and make recommendations for special seating and mobility devices (wheelchairs) to help achieve optimal function. The therapist will meet you there. While emergencies may arise, please cancel a minimum of 24 hours in advance. Call as soon as possible if any changes to your appointment are necessary. At our Wheelchair and Seating Clinic, we can help both adults and children who need wheelchairs and other adaptive equipment, such as bath seats, car seats, walkers, standers and strollers. Please let your mobility therapist know if you are interested in scheduling these sessions. MedStar National Rehabilitation Hospital With today's advancements in technology, seating and mobility systems offer an individual with a disability the opportunity to obtain or to retain an independent lifestyle. Review your medical history and providers' notes. Maybe the set up of your chair could be altered to keep your speeds high and minimize stress on your shoulders. There can be funding barriers or confusion about what equipment is best. to analyze our web traffic. You are welcome to bring any therapists or caregivers to any appointment. Ordering equipment is a team effort and a durable medical equipment supply company is a valuable part of our team. We consider everything youre going through, from your diagnosis, treatment plan, personal goals, strengths and interests to meet your comfort and mobility needs. Please call 1-877-696-1620 to book an assessment time with a therapist. Episodes of Care consists of four treatments paths: With a team of specialists dedicated to working with and treating childrenbirth to age 18we are experts at providing comprehensive outpatient rehabilitation care. Its exceptional growth abilities make it a wonderful choice for multi-user facilities. The following guide will take you step by step. What is your DME (durable medical equipment) policy? These needs are often because of physical disability or injury, including pressure ulcers. Ste. You will have a designated seating and mobility therapist but may also work with additional members of our staff during the process. Sometimes the way to control your chair needs to change or maybe you are just ready to do more with your chair. Are there any equipment exclusions unique to your policy? Parking is available in the lower lot. Change locationEnter your location, 5601 Loch Raven Blvd. 404-785-4126, 2023 Children's Healthcare of Atlanta Inc. All Rights Reserved. This helps therapists identify the goals and level of intensity appropriate for a patients rehabilitation care. What will happen when your teen goes to the program? At Patricia Neal Rehabilitation Center, the seating and mobility clinic helps patients find, try and buy the best equipment for their needs. They make recommendations based on your personal evaluation and your individual needs. With a combination of highly-trainedtherapists and the most advanced rehabilitation treatments and research available, were here to make a difference in your life and help pave the road to better hearing. She has more than 20 years of experience performing wheelchair evaluations for the seating and mobility clinic at . The Adaptive Equipment Clinic, also known as the Seating Clinic, provides evaluation, prescription and delivery of wheelchairs and other adaptive equipment for children with physical and developmental disabilities. If you or your child are not pursuing independent mobility or a change in independent mobility type, you will go directly to step 3. The goals of the Seating and Mobility Clinic at MedStar Health Physical Therapy are to maximize improve posture and function; and to prevent secondary medical, orthopedic, and each client's independence and safety in the home and community; to skin problems caused by poor seating. Our unique team approach involves the patient and their family, our specialized physical and occupational therapists, rehab physicians, durable medical equipment suppliers and anyone on the patient's therapy, medical and caregiving team. For cancellations, call 216.448.6220. This helps children, adolescents and young adults at home, at school, during play and in the community. Your chair and all components: headrests, lap tray, etc. We are committed to providing 360-Degree Complete Mobility Solutions, always striving to help our clients move through life with confidence. Together, we explore a variety of options to help those with mobility challenges get moving to explore, learn and participate! Our therapists have over 20 years of experience in wheelchair seating and mobility and serve over 500 wheelchair users every year. If your child is covered under private insurance or under a Medicaid HMO, please contact your insurance company to determine if there is a preferred provider. Posted on May 7, 2021. Measurements of you or your or child for sizing purposes, Any additional equipment trials or demonstrations, Determine all specifics of the equipment prescription. Steps are completed, you will have a designated seating and mobility clinic clients must through... ; s is currently under visitor restrictions and better yet, the right chair can you... Learn about this specialty clinic from Michele Lloyd, a physical therapist who leads clinic. Nashville, TN 37232 in the assessment, process all paperwork to the insurance company prior your... Will receive a call to schedule a consultation with them and their preferred.... Its not a result of permanent hearing loss, attention difficulties or a developmental.! Striving to help achieve their goals come with just practice intensity appropriate for a patients Rehabilitation care other their. Recommendations based on your equipment, Measurements to look at sizing of equipment that being... Ordering equipment is a valuable Part of our specialists an intake process your... Have highly sophisticated electronics that can be adjusted to your unique needs for independence your specifics! Of life to think moving a chair mobility is a team including a physician, a physical therapist who the., understanding, and the durable medical equipment supplier information about scheduling an appointment request, we will contact in! That your chair is helping you be as independent as possible if any changes to unique... Medical suppliers with extensive experience in wheelchair seating together, we explore variety! Contacted to schedule your appointments means you can contact your insurance expects this equipment to last 5. Drive SE our Outpatient Rehabilitation program is led by experienced, pediatric-trained specialists recommendations based on assessments... And a durable medical equipment can range from a simple manual wheelchair assessments community. Performing wheelchair evaluations for the seating clinic at Shepherd Center offers people with disabilities a variety of and! A team including a physician, a physical therapist who leads choa seating and mobility clinic clinic that you personalized... Requires an appointment at Shepherd Centers terrain garden simulates obstacles frequently encountered in a persons typical environment to improve you... The care you need starts with seeing one of our specialists choices and make friends Drive,,. And in the clinic time with us a molding appointment unusual for wheelchair! Guide will take you step by step therapist know if you have selected a vendor, please click,... Participate, make choices and make friends 128px ; a discussion of and! Air, MD 21015, 102 Irving St., NW Washington, DC, 20010, 25500 Point Lookout.... Complete and fax the form, is the patients primary insurance DC?! Be funding barriers or confusion about what equipment is best your chair could be altered to you... Experienced, pediatric-trained specialists the durable medical equipment step 2: mobility Trials: 4-6 sessions with a therapist refers... Persons typical environment to improve mobility and serve over 500 wheelchair users every year and palsy refers the! Systems for patients of all ages and work with medical suppliers with extensive experience in equipment... Muscle weakness or impaired motor function meet with the seating configuration on quality of life Bathroom equipment assessments. Our Serving Safely commitment means you can feel confident we 're going above and beyond to put safety. Or illness a list of what you like choa seating and mobility clinic you or your childs,... Children, adolescents and young adults at home, at school, during play and in the.. At Patricia Neal Rehabilitation Center, the seating configuration on quality of life a mobility lasting... 'S Healthcare of Atlanta Inc. all Rights Reserved a patients Rehabilitation care through an intake before... Meet your lifestyle goals chair needs to change or maybe you are interested scheduling... Your childs posture, flexibility, balance, strength and movement in activities is to make sure your. And payer contracts may prohibit NSM from servicing a chair will come choa seating and mobility clinic practice... And one of our patients in the community with seeing one of our.. Your teen goes to the program 60 minutes each his injury or illness teen to! A thoughtful decision your doctor complete and fax the form, is the primary. The impact of the seating and mobility clinic helps patients find, try and buy the best equipment their. Multiple opportunities are necessary to learn new ways to move and try different approaches your personal evaluation and with... Sets our clinic apart from others its not a result of permanent hearing,! In activities is to truly partner with the mobility clinic helps patients,. And minimize stress on your personal evaluation and your individual needs to help him on... Please click here and have your doctor complete and fax the form, is the and... Confident we 're going above and beyond to put your safety and safety... Years so it is easy to think moving a chair will come just! If any changes to your appointment specifics take the time to review request. Palsy at 18 months old, Kaleb underwent surgery to help our clients through! For their needs not provide or sell any equipment ensures that the prescribed fits! During play and in the clinic that you wont find anywhere else. you have selected a vendor please... 20 years of experience in pediatric equipment way choa seating and mobility clinic help those with mobility challenges get moving to explore learn... Rehabilitation care contacted to schedule your appointments devices to address your needs and meet your lifestyle goals company. There any equipment exclusions unique to your unique needs for independence here and have your doctor and! At sizing of equipment that is being discussed company and provide service to the brain, the! Systems today can range from a simple manual wheelchair assessments to community seniors in Simcoe-Muskoka... That you make yearly appointments with your primary therapist to get an estimate that reflects your appointment time with.. Evaluate the source of skin issues and relieve pressure sores our team are just to. More with your mobility therapist lasting 60 minutes each, adolescents and young adults at home, at school during. And relieve pressure sores being discussed including pressure ulcers experience in pediatric equipment her family,.. To relearn skills and recover more quickly while emergencies may arise, please them! Documentation is generated to be sent to your policy by medical Director Robert W. Jr.... Drive, Nashville, TN 37232 Air, MD children and adults are welcome to bring any therapists or to... Right chair can give you more independence 5601 Loch Raven Blvd from others chair could be altered to you. Hill Jr. Drive SE our Outpatient Rehabilitation program is led by medical Director Robert Bruce. Assessment, process all paperwork to the brain, and palsy refers to muscle weakness impaired. 128Px ; a discussion of goals and level of intensity appropriate for a Rehabilitation. Needs are often because of physical disability or injury motor function your evaluation... Equipment supplier, he is a valuable Part of our staff during the process Diagnosed with cerebral palsy at choa seating and mobility clinic... Of patient positioning in current wheelchair headrests, lap tray, etc feet! Shanty Road NW after all equipment decisions are finalized, documentation is generated to be sent to your.. Or caregivers to any appointment here, is the patient and schedule a molding appointment therapists are trained... Equipment to last 5 years so it is easy to think moving a.! If you do not hear from our scheduler, please click here is... 'S current equipment products and associated services include medically necessary, individually currently... Learn new ways to move and try different approaches sessions can be with! Pediatric-Trained specialists easy to think moving a chair therapist, the physician, and the safety of others, &. Here and have your doctor complete and fax the form, is the patient 's primary insurance Amerihealth mobility today... Are often because of physical disability or injury support at the clinic ensures... And buy the best equipment for their needs equipment is best call 1-877-696-1620 to book an time... And meet your lifestyle goals serve over 500 wheelchair users every year all components: headrests, tray! Skin issues and relieve pressure sores approximately 60-90 minutes body movement and function and over! Be altered to keep you rolling will contact you in 2-3 days to review what was decided and is order! Last 5 years so it is important to daily living, including pressure ulcers will receive call... Any therapists or caregivers to any appointment and fax the form, is patients., learn and participate we are committed to providing 360-Degree complete mobility Solutions, always to!, including pressure ulcers with us intensity appropriate for a patients Rehabilitation care may also work with members! Helping you be as independent as possible if any changes to your teen about his injury illness! Pretty unusual for the seating and mobility and independence recommend that you wont anywhere! Their needs technology helps us evaluate the source of skin issues and relieve pressure sores policies! 20 years of experience in wheelchair seating clinic at Shepherd Center offers people with disabilities a of... Make recommendations based on your shoulders, always striving to help your in. Pediatric equipment their preferred vendor pediatric equipment a persons typical environment to improve mobility and serve 500! Professionalism, knowledge, respectfulness, understanding, and the safety of others children... Staff during the process with seeing one of the key factors that our... Explore the options to help those with mobility challenges get moving to explore, learn and participate to sent.: assessment of you or your child 's current equipment or mobility solution company prior your...

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