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:
For more than 13 years, we have provided quality caregivers to our patients, emphasizing communication in order to best understand the needs of the patient. We are honored to assist with non-medical personal care and...
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At ComForCare in Denver South, we offer an extensive range of in-home health care services tailored to meet the unique needs of your loved one. Whether you need senior care or in-home care services for a loved one with an...
At AmeriCARE Denver we believe that all people deserve to live and thrive in the comfort of their own homes, wherever they call home. We understand the complications that come with aging, surgery recovery, and managing...
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We go beyond home care by matching you with your perfect Caregiver, providing personalized care and offering 24/7 live support to give you peace of mind.
We’re honored to serve you and your loved one. One You Love Homecare Denver provides exceptional private in-home care services to senior adults in Denver, Jefferson, and Arapahoe Counties in Colorado. We pride ourselves...
Helping People through Home Care in Denver South Do you or a member of your family need in-home assistance? FirstLight Home Care offers one-of-a-kind care services by professional caregivers throughout South Denver...
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For nearly 20 years, we have been placing kind, thoughtful caregivers with people who need extra help with the basics of daily living. We consider it an honor to be a trusted resource wherever dependable, outstanding...
Elderlink Home Care, Inc. endeavors to enrich the life of every client we have the privilege of serving. We believe in quality, affordability and an unparalleled level of customer service. Our mission is to provide our...
To improve lives by providing safe, compassionate, and personalized care at home empowering individuals to live independently, with dignity, and the highest quality of life possible.
A Place at Home - South Denver is a dedicated homecare agency providing compassionate and professional in-home care services tailored to the unique needs of each client. Serving the South Denver area, the agency offers a...
At Namaste, we are redefining healthcare by setting the standard for exceptional service. Our vision is to be the trusted partner that enhances lives and brings comfort, dignity, and peace to those we serve.
At Golden Touch, we are committed to providing exceptional non-medical home care services. Our focus is on delivering compassionate care with a touch of cheerfulness, ensuring the well-being and happiness of our elderly...
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...
Our One You Love Homecare in Denver Tech Center provides personal and companion care to seniors and families in Aurora, Englewood, Littleton, Parker, Centennial, Greenwood Village, Cherry Hills Village, and Denver. We...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
A Better Solution In Home Care has been helping individuals and families with their care needs since 2000. We have a full service staff available 24 hours per day, 7 days per week. Our staff are experienced, professional,...
Valiant Home Care Professionals offers reliable and compassionate in-home care services designed to support seniors and individuals with daily living needs. Our dedicated caregivers focus on promoting independence,...
ACASA Senior Care - Denver, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
Aster Home Care LLC is a compassionate and professional non-medical home care agency based in Colorado, dedicated to helping seniors live safely, comfortably, and independently in the place they call home. With a team of...
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Kingdom Management Home Care is a purpose-driven company that is ready to serve the disabled and the elderly. We offer a wide array of personalized home care services to assist disabled individuals, the elderly, the...
Shared Touch, Inc. is a locally owned and operated Home Healthcare Agency that has been providing (non-skilled) caregivers to clients since 1999. The idea behind establishing Shared Touch was to establish an agency that...
Abby Home Care is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Agape Care Community LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Goal The main goal of Sweet Honey Home Care LLC is to bring smiles to the faces of our patients and their families. Our home care services target a wide range of people – from children, to young adults and to the...
Securing independence at home for yourself or a loved one is one of the most difficult tasks that most people are faced with within their life time. We believe that most people are prematurely forced out of their homes...
At Fusion Home Care, we understand how unsettling it is to think about having to possibly move out of your home because maybe you feel like you need a higher level of care or you are uncertain about what your options are...
Morning Star Support Services LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Dedication Inc is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bringing peace of mind to you and your family. With Rocky Mountain Elder Care Connections you can rest assured your loved one has the best possible care at the comfort of your home in Centennial, Colorado. We aim to...
Joint Commission Accreditation for Quality Standards of CareBrightStar Care®’s mission is to improve the health and wellbeing of those entrusted to our care. From our industry-leading employment standards to RN oversight...
Accessible Home Health Care is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sunrise Home Health Care Llc is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dunamis Home Health Services is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Talem Home Care - Denver, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving provides compassionate, personalized home care, allowing seniors to remain comfortably in their own homes. Our skilled caregivers offer flexible, high-quality support tailored to the unique needs of...
Assisting Hands provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. At Assisting Hands Home Care, we understand. Our trained dependable...
We provide professional, affordable, and caring in-home living assistance for seniors in the Ventura County and Los Angeles County area. We are committed to providing high quality, client-centered and affordable Home Care...
Non-medical care can work in conjunction with skilled home health and hospice care to help you manage a disease process, reduce the need for ER visits, increase adherence to the care plan developed by your physician,...
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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.