Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Local owners Moire and Frank Hayes are deeply committed to providing the best possible in-home care to seniors in the Round Rock and Central Texas area. Moire directs the Care Team and ensures the correct plan of care is...
Home Helpers provides professional in home supportive services that help seniors and adults remain safe and independent at home. Through their unique Cared-4℠ program, a Caregiver can assist with personal care and...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Greater Austin and surrounding areas to provide...
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
Ronnie has passion for helping others in a time of need led him to the home care industry after 30+ years of leading teams in retail. After losing his father to a terminal illness, having grandparents in assisted living,...
B'Zoe Home Care Services of TX is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a client first franchise. Our goal is to build lasting and meaningful relationships between caregivers and their clients. We are family operated and consider our caregivers a part of the family. Our caregivers are...
Home Matters Caregiving exemplifies these services by offering various options such as daily living support, hourly care, 24-hour care, live-in care, and overnight care services. These services are tailored to preserve...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in South Austin or in surrounding areas like Onion Creek, Rollingwood and Bee Cave. Our trusted...
Home Helpers® Cared-4 program covers every need to keep someone independent and comfortable at home. Our services include Personal Care & Companionship, Nutrition and Well-Being, Safety and 24-Hour Monitoring and Wellness...
SYNERGY HomeCare of South Austin is a locally owned provider of personalized, non-medical in-home care dedicated to helping seniors and adults maintain their independence, safety, and quality of life. Through...
Hallmark Homecare of South & West Austin connects families with experienced, independent caregivers through a direct-hire model that offers greater control, consistency, and affordability. Families can choose caregivers...
Homewatch CareGivers provides in-home care for seniors on a weekly, daily, or 24-hour basis, but our teams can also assist with individuals of any age, with any or condition. Get an extra set of hands around the house...
Assisting Hands Home Care – West Austin provides compassionate, personalized in-home support that helps individuals remain safe, comfortable, and independent in their own homes. With a strong clinical foundation rooted in...
Maxim Healthcare Services Inc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With home care services, our office can provide personal care plans through an in-home evaluation and interviews between the client, family and the ComForCare team to help determine the best plan of action for the...
At Assisting Hands Home Care, our goal is to provide the highest quality of care and exceptional service. When life’s events – aging, illness, or disability – make living independently more difficult, we can help to...
Gentiva Health Services is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome When seniors or adults need long or short-term assistance with their daily living needs, home is the most comfortable and convenient place to receive care. Companion Care USA provides non-medical companion/...
Msn Homecare is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Stellar Senior Care is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Texas Home Care Partners brings a unique, whole-person approach to a full range of companion and personal care services for seniors and other adults who require assistance with day-to-day living, allowing them to remain...
Robinson Creek Home Health and Hospice is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifestyles may change with age, but the ability to maintain a safe, independent life doesn’t have to. That is why Caring Senior Service provides affordable, non-medical services and a strategic line of safety care...
Journey Home Healthcare of Austin LLC is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Caretakers Inc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hill Country Home Health is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Inhome Care Inc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Texas County Homecare, provides quality in-home care to seniors and other clients who need help with the activities of daily living. Our goal is to enrich the lives of our clients as we enable them to maintain the highest...
K And J Sunshine Home Health Care Inc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide an affordable and caring solution for your family. Wise Companion Care is the perfect solution for seniors and adults, because of age, illness, chronic conditions, or disability (temporary or permanent),...
Seniors Helping Seniors - Hill Country at Austin, TX is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Theracare Home Health Of Austin Llc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FC Home Health Agency Inc is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mom's Best Friend is a home care provider that services in Austin, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RedBud HomeCare Services is a small, family-owned homecare agency that has the privilege of providing care that is reliable, dependable, and hands-on. We are here to serve the needs of Seniors and their families who have...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Preferred Care at Home of North Austin and Williamson County is locally owned and operated, providing caregiving services including companionship, medication reminders, hygiene assistance, light housekeeping, meal...
As a Premier Home Health Medicare and Medicaid Provider, we provide comprehensive health care services in the comfort of our clients’ homes. Our vision is to promote high-level wellness for the clients we serve.
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Patrick Murphy, owner of Amada Senior Care Austin, Texas has had recent senior care experiences in his own family that have reaffirmed his commitment to providing the highest quality of care services for his clients in...
We take pride in serving Central Austin and its surrounding areas. Our dedicated caregivers not only provide exceptional in-home care services, but also create meaningful connections by learning their preferences and...
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
Golden Heart Senior Care is a family-owned and operated in-home senior care provider. We offer hourly, live-in, and in-home services for seniors. With over 30 years of combined experience in the healthcare industry, we...
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One of our advisors will contact you soon to connect you with trusted sources for care in your area.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.