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:
We are a licensed home care agency that provides care to individuals who are in need of assistance due to the challenges brought by aging, disability, or certain health conditions.
Senior Solutions - Home Care and Care Management is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gifted Sons and Daughters Home Care LLC is a compassionate and professional home care service provider based in Pennsylvania. The company is dedicated to offering high-quality in-home care to individuals in need of...
Griswold Home Care for Lehigh Valley, PA is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our philosophy is centered around utilizing methods that reduce pain, renew hope, improve efficiency, and cultivate mental health and peace. We merge wellness, good health, and quality of life to achieve this
Respectful Home Care Solutions for Every Stage of Life When you hear “home care services,” do you immediately think of someone 65 years or older? You aren’t alone in that thinking. Fortunately, Homewatch CareGivers of...
Help at Home of Allentown, PA is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Generous Leaders Home Care LLC is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RIGHT CARE, USA is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
NYJ Staffing is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Always Best Care of Greater Bethlehem combines national strength and standards with local accessibility and personal service. Providing senior living solutions including in-home care and related services throughout the...
VNA of St. Lukes-HH Hospice Inc is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RX Home Care Inc is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
Easton Home Health Services is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care for Lehigh Valley, PA is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality home care, caregivers and medical staffing solutions from BrightStar Care of Lehigh Valley in Northampton County At BrightStar Care of the Lehigh Valley, we provide quality home care, caregivers, and medical...
Shivachi Sheltering Arms LLC is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Good Samaritan Home Health Care, LLC is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Saint Joseph Home Care is a home care provider that services in Bethlehem, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
We are committed to providing personal care services. From assistance with bathing to mobility support, we are here to ensure that every individual's unique needs are met with respect and professionalism.
Our compassionate caregivers provide non-medical assistance with daily living activities to seniors and disabled individuals who would like to remain independent and safe in the comfort of their own homes. We understand...
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...
Empowering Independence, Enriching Lives: At LivWell Home Care Agency, our mission is to provide compassionate, personalized, and professional care to individuals in the comfort of their own homes. We are dedicated to...
When all you need is a little help ... we’ll be there. Comforting Home Care by Phoebe is the region’s premier home care provider. We are not a corporate franchise owned by for-profit investors. We are managed by...
Mission Statement Our mission is to ensure a better quality of life for our elderly clients and their families by providing dependable and affordable care. We are a trusted and respected organization that takes a...
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...
Compare Home Care Agency Costs & Services
×
Success!
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.