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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.
✔
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:
Home Care Assistance is the leading home care provider for seniors in need of living assistance while in the comfort of their own homes. Our mission is to provide the best home care services and other specialized service...
Care Circle Home Health Services offers dependable, compassionate in-home care designed to keep clients safe, comfortable, and connected. Their caregivers provide personalized daily assistance and meaningful...
We specialize in daily care and we are here to help! The core values of Comfort Home Care are based on dedication to meet the needs of each individual client by providing compassionate care that creates an atmosphere of...
Senior Helpers connects caring, professional caregivers with seniors when assistance is needed so they can remain where they are most comfortable. We offer a wide range of personal and companion care services to assist...
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
Mal & Mal Home Health delivers compassionate, reliable in-home care that supports comfort, safety, and independence. Caregivers provide personalized daily assistance and meaningful companionship—giving families peace of...
No matter who in your family needs some help at home, our secret sauce is what we are praised for, time and again. It's a mixture of compassion, love, empathy, and continuity of experienced care infused with strong...
Stephen Conway opened Senior Helpers Fort Worth in 2013 due to his commitment to delivering the best possible in-home care to seniors in the Greater Fort Worth community. After winning a battle with cancer, Steve was...
At Absolute Home Care Services, we are committed to helping you live comfortably and confidently at home. Our dedicated team provides skilled nursing, personal assistance, and therapeutic support—customized to meet your...
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 Eventide Health LLC, we strive to empower individuals to maintain independence, dignity, and comfort in the place they cherish most- their home. Through dedicated caregivers, clinical excellence, and heartfelt service,...
Ann’s Residential Homecare is a trusted non-medical homecare provider in Texas, dedicated to delivering compassionate, personalized support for seniors and individuals who need assistance with daily living. Our highly...
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...
For more than 20 years, BrightStar Care caregivers and nurses across the country have delivered compassionate, personalized, nurse-led care, helping clients of all ages live safely and comfortably at home – including...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
Our story is deeply personal—it’s shaped by our own experiences. A few years ago, we faced the difficult journey of caring for Jeorgia’s mother when her health began to decline. As her needs grew beyond what we could...
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
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...
This home care agency provides compassionate, non-medical support that helps seniors and adults remain independent in the comfort of their own homes. Caregivers focus on everyday assistance, meaningful companionship, and...
Guardian Angels at Home Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Concord Home Health Services Llc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Naaman Primary Home Health Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fountains Home Health Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bridgeway Health Services Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lipet Home Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ariel Amana Healthcare Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace Home Healthcare Ltd is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Linca Home Health Services is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care For All Home Health is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ropheka Homehealth Agency is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Florence Health Care Services & Training Center IN is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Estelles Home Health Agency Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Azza Home Health Care Agency is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Heights Healthcare Agency is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gilead Community Home Health Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calvary Hill Health Services Llc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amenite Home Health Agency is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthcare Resources is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cuidado Casero Home Health & Hospice is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Professional Home Health Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Barclays Home Healthcare Services Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excellent Home Health Services is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AccuAid Care Services provides companion care, personal care, respite care, and dementia care wherever older adults need it. Whether you or your loved one needs help due to injury, illness, or age related decline, we are...
At Homewatch CareGivers of Keller Grapevine, we understand the importance of finding a reliable and trustworthy caregiving provider for your loved ones. Whether you’re an elder adult or someone of any age with a health...
At HomeWell Care Services, we provide hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable Care Managers...
C & C Caring Hands is proud to provide a high quality level of customer service, medical experience, and commitment to health and wellness to all our patients. Our experienced professionals put your healing needs first....
Our caregivers and personal assistants help overcome challenges and make home an even better place to be. We include everything from specialty senior care, Alzheimer’s and Dementia care, personal companion services,...
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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.