Hello, I believe you can translate it roughly like this: 患者さんへのお約束 Promises to the patients 一、納得いくまで分かり易くご説明します First, we'll explain everything as clearly as possible until you're convinced 一、気軽に来られる明るい雰囲気作りに努めます Second, we'll do our best to create an accepting and cheerful atmosphere 一、病気以外のことでもお話し相手になります Third, we'll talk to you even about other matters besides illness 一、往診はいつでも応じます Fourth, you can call for a doctor at any time 安岡医院　院長　安岡梅子 Yasuoka Clinic Director Yasuoka Umeko Also, I don't think you can call this a 写真. It's a 画像.