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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:
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
Capital City Nurses CHC- Local/DC is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
Senior Helpers of Laurel, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Adonai Family Healthcare LLC, we’re dedicated to delivering compassionate, comprehensive, and accessible healthcare to every family. Our community-focused approach provides personalized medical services for families...
Blessed Angels Home Healthcare Services extends a warm welcome to you our client and to your family and friends. Your medical treatment, safety and happiness are most important to us as we will do our best to answer any...
Life is Better with Villi of Prince George's At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Adamant Home Care Services, is dedicated to developing partnerships in healthcare with its clients in a manner that fosters exceptional nursing and general In Home Care Services, along with complete documentation of that...
Key Services Offered Merimax Health Care Services provides a range of in-home support and health-related services, tailored to individuals needing both medical care and personal assistance. Services include: Personal...
A Homemade Plan of Lanham, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Options for Senior America - Gaithersburg, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care Home Care is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
Americare Alliance of Maryland is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Expertcare Services LLC, your trusted partner in non-medical in-home care. Based in the heart of Beltsville, Maryland, our mission is to provide exceptional care and support to individuals who need assistance...
First Choice Quality Healthcare is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We at Elite Home Care Solutions, constantly strive to introduce better approach in our bid to service mankind, appropriately improving on our approach and keeping up with fast changing needs of adult physical and elder...
Aasurance Nursing Services LLC is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPLICATE - Elite Home Care Solutions is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Active Participant Llc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Homecare Health Services is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity. Based on...
Priority Care Nursing LLC, MD, Compassionate In-Home Care Services At Priority Care Nursing LLC, MD, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Holistic Health Care Services Inc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chacha Impact Healthcare Service Llc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
J and J Medical Services, Inc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dynamic Care First LLC is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medstar Health VNA, Inc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of skilled caregivers offers a range of services, including personal care, companionship, medication management, light housekeeping, and specialized care for chronic conditions or disabilities. Committed to...
Maximum Health Care Services, Llc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Heart to Heart Health LLC is to provide exceptional home care services with compassion, integrity, and professionalism. We strive to create a supportive and nurturing environment where our clients feel...
Excel Health Care Services, Inc is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that choosing a home health care provider can be a difficult decision. That's why we are committed to providing the highest level of care and support to our clients and their families. Our team of skilled...
FCQ Healthcare is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
J & J Medical Svc Inc, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Defyd Services LLC, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
About us APH Dependable Health Care LLC provides non-medical home health aide and companion care services to seniors, elderly, mentally challenged and physically challenged adults. Through coordinated care and support...
Sodalite Healthcare LLC is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPLICATE -Elite Home Care Solutions LLC is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Continium Health Care Services LLC, MD is a home care provider that services in Beltsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Amysville Home Health LLC, we provide safe care to people within our community in the comfort of their homes with peace of mind, consistent, and COMPASSIONATE assistance with guaranteed independence and DIGNITY at the...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
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...
We are a certified care provider in Washington, DC, offering personalized, compassionate support through a team of experienced and diverse professionals. With a strong focus on safety, engagement, and attention to detail,...
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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.