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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
Why Choose BrightStar Home Care With an emphasis on comprehensive person-centered care, our team at BrightStar Home Care Duluth is committed to helping clients maintain their independence in the home where they feel...
Amanda Smith, Kiu Smith, and Michelle DeHaarte, the owners of Amada Senior Care Cumming, GA view their role as part of a larger commitment to our population of cherished seniors in Jasper, Tate, Ball Ground, Canton, Holly...
Seniors Helping Seniors® 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...
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...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
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...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
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...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
At Clear Care, we provide more than home care—we offer peace of mind. We are a licensed, full-service home care agency serving individuals across every stage of recovery and independence. Whether you're a senior...
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 Care For You by Us, we understand that the need for personal care can arise at any point in life. From seniors who require assistance with daily tasks to individuals recovering from surgery or illness, we are here to...
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...
Charlotte Web Private Home Care, LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Care Assistance for activities of daily living (ADLs) so that you can feel more independent at home.Companion Care Individuals without a strong support system can create an everlasting bond with our...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Kitchen's Home Care LLC, Compassionate In-Home Care Services At Kitchen's Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
When seeking a care service for seniors, those with disabilities, illness or recovering from injury or surgery, there are many factors to consider. You undoubtedly have many concerns and reservations. This is perfectly...
If you’ve been searching for a quality home care agency, either for yourself or a loved one’s care, then you’ve likely discovered a “sea of sameness” in the dozens of home care choices available. We know that it can be...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
At Family First Hospice Care, each person we serve receives kind, personal care. We go to any place our patients call “home.” Our proven care team approach meets patient needs and exceeds family expectations. If quality...
Tender Loving Care Staff Builders Home Health is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
We are a dedicated homecare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
Opulent Angels LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Judy's Private Home Care LLP is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
ANGEL'S TOUCH LOVING CARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Home Care Caring for Angels Home Care LLC will provide Personal Care services to individuals in their own homes and communities, who need assistance with their activities of daily living as a result of old age,...
New Hope Care Solutions, LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RONNAX HEALTHCARE is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A One Home Care is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trusted Home Care Agency LLC is a compassionate, client-focused home care provider dedicated to enhancing the quality of life for seniors and individuals with disabilities. Our professional caregivers deliver...
HEARTBOUND HOME CARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Guardian Angels Home Care provide health care services in a private home, assisted living facility, or adult family care home. Nursing visits Give medications or help the patient give themselves medications Physical,...
CarePoint Home Care is an Alpharetta based agency proudly serving residents within the metro Atlanta area. We provide non-medical private duty home care services specializing in companion and hands-on personal care...
OOB BrightStar Care of Alpharetta, GA is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our services range from skilled nursing and therapy services to personal care assistance and companionship, all delivered by experienced and certified caregivers who are committed to ensuring your safety, comfort, and...
Trinity Quality Homecare is your family's trusted companion and leader in providing superior care and services for seniors, the disabled, and other individuals in need in the Atlanta Metro area. We are owned and operated...
It’s important what we do. It’s more important who we are. At Exclusive In Home Care we strive to provide a higher standard of home care with loving, compassionate trained individuals who truly care about family loved...
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...
Let Home Helpers of Alpharetta (Serving Cumming) Create a Customized Home Care Plan to Fit Your Lifestyle! Live life your way in the comfort of home with Home Helpers of Alpharetta. Whether you’re a family caregiver...
At Sarah's Angels In Home Care, we pride ourselves in delivering top-notch quality care for your loved ones. Each of Sarah’s Angels are driven by personal journeys traveling down the path of caring for others. Our mission...
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,...
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.
At Regency Home Care of North Atlanta, there is no higher priority than the health and safety of our clients. When a loved one requires extra care and assistance, turn to Regency’s certified expert care staff, because...
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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.