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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
✔
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:
Our dedicated team provides heartfelt care, ensuring every senior feels valued and supported. Every individual is unique, so is our care. We tailor support to fit every senior's needs and lifestyle. Comfort and security...
Golden Hope Services is a reputable home care agency dedicated to providing compassionate, personalized in-home care services for seniors and individuals with disabilities.
Senior Helpers Concord was opened by Jenny Lind in 2008. She was drawn to Senior Helpers because of their unique approach to in-home care and the continuing education they provide their caregivers. Jenny and her staff are...
Why Choose Allpro? Choosing an in-home care provider is an important decision. At Allpro, we are committed to delivering dependable care that feels personal, consistent, and supportive.
At Griswold Home Care for Contra Costa County, we offer more than just in-home support—we provide the peace of mind that comes from knowing your loved ones are cared for with compassion, respect, and unwavering dedication.
Everyone deserves to feel safe, valued, and cared for—especially elderly individuals, those with disabilities, and anyone needing a helping hand at home. Homewatch CareGivers of Walnut Creek is dedicated to nurturing your...
It is our goal to provide companionship and help out with everyday activities to ensure your elderly loved ones can live safely and securely. Whether your loved one’s health concerns are due to illness, injury, or aging,...
Home Instead can help with compassionate, home senior care services delivered right in your loved one's home. Whether a few hours a day or long-term care 24 hours a day, a CAREGiver can assist you. All CAREGivers are...
At Amada Senior Care Tracy, owner Gurvinder Kaur and her team are here to assist the elderly in the Contra Costa, San Joaquin, and Stanislaus counties, encompassing Brentwood, Antioch, Tracy, Mountain House, Patterson,...
At Guardians of Home Care, our mission is to provide compassionate, reliable, and personalized non-medical home care services that empower individuals to maintain their independence, dignity, and quality of life in the...
Thrive Home Care - San Leandro is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Entrusted Heart Homecare is powered by a seasoned team that brings a wealth of knowledge and dedication to every aspect of patient care. We understand the intricacies of healthcare and the importance of a personalized...
Quail Lodge is an affordable all-inclusive retirement community, located in beautiful Northern California, just minutes from shops, restaurants and hospitals. A Sunshine Retirement Living Community, we offer a variety of...
Premiere Care Management Specialists, Llc is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Finding the right care for your loved ones as they age can be pretty tough. There are so many options out there, different levels of care, and it's emotionally challenging to make decisions for someone you care about....
First Day Homecare of Oakland, CA is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Antioch, CA is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ELIZABETH CARE TEAM is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Star Home Care LLC is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bay Area Senior Care offers professional health aide that enables a better quality of life for seniors in all stages of recovery at the comfort of their homes.
Aging in the Bay is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is simple yet profound: Helping Seniors and Adults with Disabilities age in place and maintain their dignity wherever they call home. VA credentials.
Caring Hearts In Home Helpers is a company that specializes in assisting seniors and the physically challenged with their simple day-to-day needs. From offering companionship and meal preparations to running errands and...
Home Instead - Antioch, CA is a home care provider that services in Antioch, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beacon Home Care is a local provider of caregivers offering assistance to individuals and families seeking to maintain independence during their time of need within the San Francisco Bay Area. We help families in...
At Medical Concern Home Care, we go over and beyond to ensure every client's needs are met.We treat our clients with care, we listen to their needs and most importantly we treat everyone as if they were our own family...
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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.