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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:
At Homewatch CareGivers of Birmingham-Hoover, we believe everyone deserves compassionate, personalized care that honors their dignity and independence. As a locally owned franchise backed by a brand with over 30 years of...
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...
Meridacare is a home health and community-based service agency based in Alabama We believe in absolute client satisfaction. It is our conviction that Total Quality Care will be the guiding principle and cornerstone of...
Right at Home Pelham provides a range of in-home care options for seniors and adults with disabilities. Don’t think of our services as one-size-fits all. We know everyone’s needs are different, so our care plans are...
Right at Home Gardendale provides a range of in-home care options for seniors and adults with disabilities. Don’t think of our services as one-size-fits all. We know everyone’s needs are different, so our care plans are...
All About Care LLC in Alabama is dedicated to providing compassionate, dependable, and personalized home care services that enhance comfort, dignity, and independence. Our trusted caregivers assist with daily living,...
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,...
At Care First Home Care, we believe in providing compassionate, quality in-home care to you and your loved ones. We understand that your family member’s health and safety is a top priority, We strive to promote the health...
With Quality 1 Home Care, not only are you receiving one-on-one in-home care and support as often as you need, but you're also working directly with a medical professional who has the expertise to give you peace of mind....
Comfort Keepers of Birmingham, AL, offers a variety of services tailored to meet the individual needs of each senior in our care. Our caregivers work diligently to enhance the well-being of seniors and support their...
At B&C Quality Homecare, we believe that compassionate care makes all the difference. With a dedicated team of trained caregivers, we provide personalized support that allows our clients to remain safe, comfortable, and...
At Exodus Vital, we pride ourselves on Integrity, which emphasizes unwavering honesty, ethical conduct, and transparency in all business dealings. Innovation, that encourages a mindset of creativity, and continuous...
Right at Home Birmingham East provides a range of in-home care options for seniors and adults with disabilities. Don’t think of our services as one-size-fits all. We know everyone’s needs are different, so our care plans...
Riverdale Health Group LLC. is committed to giving you the best care for your loved ones. We take pride in our supportive service care experience with our client. The first step to meeting our clients needs starts with...
Right at Home Birmingham offers special education and training for our staff regarding Stroke recovery, Hospice care, Cancer care and many more special circumstances. Right at Home Birmingham offers free in-home...
The Helping Palms Healthcare LLC is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
While Accessible Home Health Care began with the intention of helping the elderly age in their own homes, we've grown exponentially over the past twenty years! Our home health care services can assist your family at any...
Family Private Care, LLC is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Virginia Sitter's Service is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Intrepid USA Healthcare Services is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Diamond Home Care Solutions is committed to providing high quality, client-centered and affordable Home Care services to its clients to assist them to lead dignified and independent lives in the comfort and safety of...
Good Hands Care offers compassionate and personalized in-home care services for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily tasks, medical support, and warm...
ameriCARE Birmingham believes it’s time the in-home care experience became more personalized, positive, and powerful. We bring our own experience, compassionate caregivers, and the industry’s best communication tools to...
BrightStar Care of Birmingham, AL is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
T.T Hands On Care LLC provides very hands-on care to families. Latisha, owner and founder, provides free consultation to help you assess your care situation and offers recommendation on what additional services would be...
Since 1971, Helping Hand Services has been serving Alabama families by providing compassionate, high-quality home care. We are a locally owned and operated home care agency and one of the oldest such services in the area....
Over the years, Dailyn Caregivers have remained the most preferred non-medical caregiver of choice for families. Our skills and ability to offer comprehensive and practical solutions for day-to-day challenges has...
Preferred Care at Home of Greater Birmingham is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
dupeSeniors Helping Seniors - Birmingham, AL is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Send Me an Angel Sitters, caring for your senior loved one is the top priority. Serving families in the Birmingham, Alabama area, we offer several services and care options to fit the varying and changing needs of...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
God's Sitting Partners LLC - Vestavia, AL is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alacare Home Health & Hospice is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Able Homecare of Birmingham is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The vast majority of today’s healthcare consumers and especially seniors want to stay in their home as they age, but sometimes independence needs a helping hand. That’s where in-home personal care and support services...
Angel of Mercy ElderCare, LLC is a home care provider that services in Birmingham, AL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When your loved ones need compassionate and personalized care, you want a provider you can trust. FirstLight Home Care of Scottsdale delivers tailored home care services that prioritize comfort, dignity, and well-being....
Since 2000, we have served Jefferson County and the greater Birmingham area with excellence in home care. We are a locally owned company dedicated to improving the lives of our clients with quality in-home care. Choice...
Heart to Home has a small group of reliable, experienced CNAs, who are also dementia specialists (if that is helpful), CPR certified, vaccinated caregivers to provide individuals with companionship (engagement activities...
Home Helpers In-Home Care Services is more than an in-home health care agency: we are your extended family when family cannot be there. We are locally owned and a trusted provider of quality, compassionate in-home care....
ComForCare Home Care is a premiere home care provider specializing in dementia care and chronic conditions serving Birmingham and surrounding areas. We have a personalized approach to home care. We understand that...
Your Choice Senior Care provides services and care for those who choose to remain in their home. We can relieve the pressures and demands on you and your loved ones to help you live as independently as possible in the...
Amada Senior Care is Birmingham’s premier home care agency where reliable caregivers anticipate your care needs, and we customize your experience with our unique senior home care plans. As Long-Term Care Insurance...
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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.