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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:
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Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
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2nd Family - Eldersburg is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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 &...
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 Rockville is committed to delivering the best possible in-home care to seniors in Montgomery County. Our top notch caregivers have a passion to serve you or your loved by providing companionship and...
Wendy and Todd Johnson opened the Senior Helpers Silver Spring office in 2007 because of their passion for helping others by delivering the best possible in-home care to seniors throughout the Silver Spring community....
At Providence Care, Inc., we are devoted to making sure that our clients receive the personalized attention and care that they deserve. If you would like to learn more about our agency and what services we can provide,...
What Makes SYNERGY Different? Reliability SYNERGY HomeCare's Care Team can be relied upon to be at their assigned shift as scheduled. SYNERGY HomeCare utilizes a telephony system allowing us to know when our caregiver...
Rockville Home Care 1Heart Caregiver Services is a high-quality in-home senior care agency with over 20 years of experience. Discover how our services can support you or your loved ones in aging safely and comfortably at...
1. A care team led by a Registered Nurse that develops and implements a personalized care plan for each client 2. Experienced, compassionate, and highly trained caregivers 3. On-going training and Development for all...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
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We believe that people stay healthier, longer by living with liberty and dignity at home, the place they want to be. That philosophy motivates everything we do and embodies our culture and values. Our purpose is to help...
Life Matters is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At The Lisa Vogel Agency, our number-one priority is providing quality and professional care to help your loved one continue to live comfortably and safely at home. We understand that inviting someone into your home to...
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*DUPE* Chevy Chase Home Care is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Our Bethesda elder care team brings nearly 40 years of in-home care experience and is ready to deliver support and top-quality home care in Bethesda, MD. Count on us to be committed to safety and professionalism – each of...
Bethesda Home Health Care Services provides a full spectrum of in‑home support—from daily living assistance and health monitoring to errand-running and transportation—with the reliability and safety of licensed, bonded...
Two Caring Hands is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Choice Healthcare is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Health Connection, Inc is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Yad Lae Zeerah is a dedicated health care provider committed to offering affordable and comprehensive care solutions. Our mission is to ensure that high-quality health care services are accessible to all, regardless of...
"More than 12 million people in the United States, about 80 percent of whom are age 50 or older and about half of whom are age 65 or older, need some kind of long-term care. Among those who are 50+ years of age, the...
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With our aides, we are able to provide both non medical in home care and free assistance living referral services, helping people maintain a safe, independent and dignified lifestyle custom care plan. Our aides willing...
Homsicare is an in-home healthcare service that provides medical (care coordination) and nonmedical healthcare services in the community. Established in 2019, our company works with various experienced healthcare...
Corewood Homecare, MD is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Genesis Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to support individuals in leading fulfilling...
The main goal of Nest Homecare LLC is to bring smiles to the faces of our patients and their families. Our home healthcare services target a wide range of people – from children to young adults and to the elderly. We want...
Our caregivers are employees not contractors and are extensively vetted to ensure that they are properly trained. We are family owned and operated and will provide the level of care that we would want our parents or...
Loving Hands is a leading home health care agency, here to help you with your home health care needs! We deliver exceptional care to improve patient/caregiver relationships and, more importantly, better health outcomes....
Providing quality in-home care at affordable rates since 1989. Assistance in personal care including help in bathing, showering, dressing, grooming, meal preparation, medication reminders, companionship, transportation to...
We are a premium home care agency with sophisticated and mature caregivers who can relate to clients. We match caregivers and clients with complementary personalities and similar interests. The result is service that...
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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.