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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
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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:
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...
Kimberly Cotto, owner of Amada Senior Care in Southwest Atlanta, knows firsthand the impact that accessible healthcare and quality care services can make. As a breast cancer survivor, Kimberly has spent her career...
Precious Angel Home Care Services is a family owned and operated company that provides Companionship, Home Health Assistance, and Personal Care to clients all over the Atlanta, Georgia area.
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
At the heart of exceptional home care are exceptional care professionals. We take pride in ensuring that only the most skilled, compassionate, and dedicated staff are entrusted to care for you or your loved one in the...
Founded in 1999, we provide much needed respite and personal care, as well as compassion and companionship for the elderly, or those recovering from illness, surgery, or childbirth and the disabled. SYNERGY HomeCare, a...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Charlotte Web Private Home Care, LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
Noble Care Partners LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily living, personal care, and companionship,...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
At Aiko Home Care, our mission is to provide exceptional, compassionate, and reliable non-medical in-home care to the residents of Cobb, Douglas, and Paulding counties. We are dedicated to enhancing the quality of life...
At Amada Senior Care Atlanta, we constantly look for ways to bring enjoyment to clients’ lives by making even the most common tasks and activities special. Our in-home caregivers form close bonds with clients as well as...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
Maurina Homecare Agency was founded by a Family Nurse Practitioner and a military servicing member. Having worked in the healthcare field, I have witnessed the essence of providing high-standard care in the comfort of...
Atlantic Medical Professionals, LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ULTIMATE CHOICE STAFFING LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We know no better place can provide the convenience and warmth of a home. Hence, we offer a broad range of services so patients and loved ones can receive the help they need with the assistance of our skilled and reliable...
At Righteous Hands Personal Care Agency, we pride ourselves on providing exceptional in-home care services throughout Georgia. We understand the importance of offering compassionate and purposeful care to our clients.
Faith Living Legacy LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For as much or as little as you may need, FAVOR is with you. We offer a variety of services that includes Personal Care Aide (PCA), Certified Nursing Assistant (CNA), Skilled Nursing (LPN,RN) as well as individual...
Favor Health Care Services is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FREGO HOMECARE INC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Godwins Family Care LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Around the Clock Homecare is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MARIEL'S HEALTHCARE SERVICES, LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TLC Senior Care is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over 50 years, Interim HealthCare has been personalizing care to meet the unique health needs of our clients, patients, and partners. Our team’s standard of care is centered around HomeLife Enrichment, our unique...
Candid Hearts Healthcare Services LLC is a non-medical home care agency based in Acworth, Georgia. The agency is dedicated to providing compassionate and personalized care to seniors and individuals with disabilities who...
PON HEALTH LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Penny Health Services is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentle Springs Health Care Services, LLC is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Place Of Joy Home Care Agency is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
ARM Home Care is a home care provider that services in Acworth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MainSpring Home Care is committed to providing high-quality, affordable, and compassionate Private Home Care Services that meet the needs of our clients and their loved ones in the comfort of their own homes.
LovingU Personal Care LLC is a compassionate home care agency dedicated to providing personalized, non-medical support to seniors and individuals in need within the comfort of their own homes. Our trained caregivers...
At Senior Helpers Marietta, we provide compassionate, personalized in-home care to help seniors live safely and comfortably where they belong—at home. Locally owned and deeply rooted in the Marietta and Kennesaw...
With extensive clinical healthcare experience, we offer levels of service ranging from sending certified nurse aides to nursing functions that are performed under doctor orders. Our agency is clinician-owned, and whatever...
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
Acti-Kare of Marietta, GA is a home care provider that services Woodstock, GA 30189. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
At Home Matters Caregiving of North Atlanta, we provide homecare that strives to keep our clients as independent as possible; improving quality of life, longevity and provide peace of mind.
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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.