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:
Capital City Nurses - Columbia is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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...
Heartfelt Homecare Services, Compassionate In-Home Care Services At Heartfelt Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Personal Home Care Skilled, compassionate certified nursing assistants (CNAs) and geriatric nursing assistants (GNAs) provide assistance with activities of daily living food preparation, eating, dressing, shopping,...
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...
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...
For over 50 years, Interim HealthCare has been personalizing care to meet the unique health needs of our clients, patients, and medical staffing partners. Pioneers in personalized home healthcare, Interim HealthCare is...
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...
As a Residential Service Agency (RSA), our mission is to enhance the quality of life for our clients by addressing their unique health and personal care needs. With a team of skilled professionals who share a passion for...
When considering your path to recovery, it’s essential to be informed about your choices so that you can make a well-informed decision. The same principle applies when you’re aiming to enhance your overall well-being,...
At Direct Home Nurturing LLC, you are our number one priority. We want you to focus on living life the fullest and achieving independence in the comfort of home with the services that we have prepared for you. Together...
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...
Home Instead® is a reliable source of home care for seniors in the West Baltimore and Howard County area. Services include companionship, meal preparation, light housekeeping, med reminders, shopping, errands, more. We...
Founded in 2024, Goodness & Paradise is a compassionate and community-focused agency dedicated to providing exceptional care and support for families and their loved ones.
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
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...
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
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...
At Abundance Grace Home Care LLC, we believe that every individual deserves to feel safe, valued, and supported—right in the comfort of their own home. Founded with compassion at its core, our mission is to provide...
Divine Health Inc. is a premier non-medical in-home care agency located in Windsor Mill, MD. We specialize in providing high-quality, compassionate support for seniors and individuals who require assistance with daily...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Cornerstone Health Care Agency, Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dunaway Caring Hearts originated in 2017, growing into a healthcare business that offers many services. We show compassion to vulnerable people of all backgrounds and ages. We lead the mindset of compassion and tenacity...
Johns Hopkins Pharmaquip, Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Caring With Love and Compassion Homecare Agency, we provide reliable and affordable home care services to clients in the Maryland, Baltimore City, Baltimore County, Annapolis, Frederick, Carroll, Cecil, Halethorpe and...
Our mission is to provide excellent health care services in a home environment. As a Residential Service Agency that also offer Behavior Consultation and Consumer and Family Training, Affectionate Healthcare Services, LLC...
At Home Helpers Home Care, we have been providing professional in-home care services since 1997. For over 25 years, our one-on-one compassionate care has been allowing our clients to stay right where they belong: at home.
Helping Hands Care Agency LLC is a home care provider that services Baltimore, MD 21239. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
Welcome to Amazing Care Health Services LLC, your community behavioral health, skilled nursing, DDA, and home health services provider. Our organization offers comprehensive health care services in Gwynn Oak, Maryland,...
Amedisys Home Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Value We strive to provide the Best Quality Home Care. We Promote: Affordable High-Quality Health care A culture of Compassion and endurance Ethics and Integrity Cultural Awareness and Diversity
Balto. Co. Dept of Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Health Care Services Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health and hospice services.
Comprehensive Home Health Services is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Call Of Baltimore is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Helping Hands LLC is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caresify Home Care LLC is accredited by the Joint commission. At Caresify, we believe in the profound power of care. As a leading non-medical home care provider, we are deeply committed to simplifying the care experience...
You can achieve better health despite your disability, fragile age or illness. Our Residential Private Duty program helps you manage your health and increase safety at home, while you enjoy the company of your loved...
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...
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...
Griswold Home Care for Anne Arundel & Queen Anne's Counties, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Johns Hopkins Home Care Group is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At D & D Home Health Services, we believe that quality care starts with compassion and expertise. Our dedicated team of licensed professionals is committed to providing exceptional home health care services
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
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.