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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:
SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Birmingham, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Care Overview – Senior Helpers of Farmington Hills, MI At Senior Helpers of Farmington Hills, we believe that every senior deserves care that truly focuses on what matters most to them. We are proud to be one of...
Premier At Home Care provides compassionate, reliable non-medical home care services to individuals and families throughout Detroit, MI. Our dedicated caregivers support clients with personalized assistance—ranging from...
Founded and owned by nurses, expertise in patient care has been the hallmark of CareDriven from day one. Our knowledge and skill in providing care for catastrophically injured patients makes CareDriven the choice for home...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
PROVIDING PROFESSIONAL AND COMPASSIONATE CARE FOR SENIORS AND ADULTS Home Helpers in Troy, MI offers a comprehensive approach to home care services with our Cared-4 program. Our dedicated Caregivers are trained to assist...
Kevin Manuel and Greg Hines are the owners of Amada Senior Care in Farmington Hills, and they have hand-picked each of the caregivers on their team to ensure that each of our clients receives the highest level of...
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
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...
CarePRN’s mission is to provide passionate and reliable care to seniors with caregivers who love what they do. We pride ourselves on delivering high-quality care that promotes independence and well-being, and we believe...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
Through the belief in the power of a faith community, EHM Senior Solutions provides innovative services and solutions to individuals, no matter where on life’s journey they may be. As a faith-based organization, EHM...
We specialize in daily living assistance at an affordable rate. Our goal is to help seniors and their loved ones live happy and fulfilling lives. Improving Seniors Quality Of Life While Being Passionate, Patient, And...
Amaana Care is a trusted in-home care agency in Michigan, dedicated to providing compassionate and reliable non-medical support for seniors and individuals who wish to remain safe and independent at home.
We understand caring for elderly parents or loved ones can be challenging. That is why it’s our goal to provide the best care we can, allowing loved ones to rest and recover comfortably at home whether it be from an...
Heartwell Homecare LLC is more than just a home care agency; we’re a family. Our mission is to bring comfort, compassion, and dignity to those who need it most.
Lasting Connections specializes in empowering seniors to age gracefully in the familiar surroundings of their own home. We offer a broad range of services, from meticulous housekeeping to compassionate personal care,...
Arcadia Health Services, Inc., d.b.a. Arcadia Health Care, has been in the business of providing home care services since 1978 and is a leading provider in the health care service industry. Arcadia operates over 60...
Assured Home Nursing Services, Inc is a home care provider that services in Birmingham, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Assistance specializes in hourly or 24 hour a day, 7 day a week, live-in care for older adults. Caregivers come to the home or senior facility to provide assistance with activities of daily living. We have the...
Arcadia Health Care-Birmingham-MI is a home care provider that services in Birmingham, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Royal Oak or in surrounding areas like Troy, Bloomfield Hills and Grosse Pointe.
Discover personalized and affordable care services at Avalon Essential Home Care in Troy, Michigan. We prioritize understanding your loved ones’ needs to provide quality care with the right caregivers.
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Birmingham, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carter’s Caring Services is a home care provider that services in Birmingham, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Barbara Roden opened the Senior Helpers Southeast Michigan office in 2007 because of her passion for helping others and her interest in the growing need for in-home care services. Barbara and her team are committed to...
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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.