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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 believe that people stay healthier, longer by living with liberty and dignity at home, the place they want to be. That philosophy motivates everything we do and embodies our culture and values. Our purpose is to help...
At Avila Homecare Some services we provide : Companion Care ,Personal Care, Supportive Services and Light Housekeeping, Meal Preparation, Medication Reminders, Transportation & Hospice Care Support / End of Life...
Services are available around the clock, 24 hours a day, seven days a week, including holidays. We can provide same-day home care, transition-of-care, such as transportation home after a discharge, or assist with many...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Assisting Hands exemplifies compassion, dependability and dignity to all of our clients. Providing non-medical in-home healthcare in the privacy of a client’s home or Assisted Living Facility, 24 hours a day, 7 days a...
Gracie Healthcare Services of Maryland is a healthcare provider dedicated to offering compassionate and high-quality home care services. Specializing in personalized care for individuals with varying needs, they offer...
Spirit of Hope is a locally owned and operated Home Health Agency — We pride ourselves in hiring the highest trained and exceptional health care professionals in the area, who are compassionate and understand how to bring...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Premium Home Health Care is owned and operated by true healthcare advocates along with a team of exceptional talents who deeply understand not only what it means to be a caregiver but most importantly, to be a care...
Home Instead® is a reliable source of home care for seniors in the Anne Arundel County area including Annapolis, Edgewater, Arnold, Severna Park, Pasadena, Crofton, Millersville, Odenton, Odenton. Services include...
Home Call - Annapolis is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Oshea, LLC is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Wellington Care and Services WCS is a home-care service available to support your independent lifestyle that services four different counties within the District of Columbia and Maryland. We dedicate at least...
SYNERGY HomeCare of Annapolis, MD is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care At Home Llc is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Onic Medical Services is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Annapolis, MD is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aamira Homecare (AHC) is a family-owned home care agency. Unlike many local agencies, AHC is not a franchise. We put all of our resources into hiring the best caregivers for our clients. We are licensed to provide care by...
One You Love Home Care of Annapolis, MD is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Philia Home Care - Maryland is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Homemade Plan: In-Home Senior Care A Homemade Plan (formerly Angels of Care) is an in-home senior care company that provides Caregivers in the homes of senior citizens and people who have disabilities to assist with...
Homsi Senior Care LLC is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care for Anne Arundel & Queen Anne's Counties, MD is a home care provider that services in Annapolis, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Senior Helpers Severna Park provides a full range of senior home care services for you or your loved one—from companionship and housework help, to more complex care services, including disease management, Live-In and...
Dan Homa, owner of Amada Senior Care Annapolis, knows from personal experience how valuable the right caregiver can be for a family. Dan says, “My grandmother lived to be 95 years old, and was able to stay in her house...
No matter the care you are looking for Arise Home Care would love to be there for you! Senior, Hospice, Respite, Child Care, and Transportation Assistance.
Just Caring Hands Home Health Services is a home health care company committed to providing quality home health care to clients that may be aged, ill, or disabled. It is our Goal to provide these services in a caring and...
Here at Comfort Keepers of Annapolis, MD, our mission is a simple one. To provide each of our valued clients with the perfect level of elderly care at home that will make it possible for them to enjoy living independently...
One You Love Homecare provides senior in-home care services for your loved one. We pride ourselves on being one of the only homecare organizations that delivers what we like to call, “Always Caring Expertise.” Simply put,...
Founded in 1966, Interim HealthCare is the nation’s first home care company and a trusted provider of home healthcare, personal care and support, hospice care and medical staffing services.
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
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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.