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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:
Here at Premier Home Care, our goal is very simple. It is to keep our clients living comfortably and happily in their homes for the rest of their lives. We strive to do this by offering a variety of services that our...
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...
Happier At Home provides in-home care in many settings throughout Southwest Idaho & the surrounding areas. Our team of experienced caregivers can assist with laundry, household cleaning, meal preparation, transportation,...
Senior Helpers of Eagle was founded in 2007 and purchased by Nicholas Magnusson in 2014. He became passionate about working with Seniors through his experience working as a Administrative Director at UCSF Medical Center...
Comfort Keepers of Boise, ID is here to help seniors thrive safely while living independently at home. Our empathetic caregivers are specially trained to provide uplifting care, transportation and support. From driving to...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Boise. Our trusted Boise staff can’t wait to meet your loved one. We want to know how many times...
Home Instead - Meridian, ID - Duplicate is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission and Values As a leader in the homecare industry, Addus understands the importance of doing our business in a warm and compassionate way that meets the needs of those we serve. Our Mission Providing...
When it comes to home care, there’s one thing that stands above all else – trust. When you welcome Red Fox Home Care into your home to care for yourself or a loved one, we recognize it for the blessing that it is and...
As a VIDA Senior Resource certified agency we set industry leading standards for In-Home Care. Our main goal is continuity of care with a regularly scheduled caregiver who knows you and your needs. A Caring Hand Care...
When seniors or others need long or short-term assistance with their daily living needs, home is the most comfortable and convenient place to receive care. Assisting Angels Home Care provides non-medical companion/...
St. Lukes Rmc Home Care is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifes Doors Home Health is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care of Boise, ID is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care offers a wide variety of high-quality services—from in-home care and senior living to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Boise, ID area, please...
First Choice Home Care is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Serengeti Care supports people of all ages in the comfort of their own home. Trust our dedicated and compassionate staff with your care needs such as personal care, activities of daily living, companionship, housekeeping,...
FirstLight Home Care of Boise, ID is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care - Treasure Valley/Boise, ID is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Home Health Care is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trinity Home Care & Resource is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First Choice Home Care DBA Jet Health is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
St. Alphonsus Home Health, an Amedisys Partner is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Village Caregiving’s mission statement is “keep your heart at home.” This means our goal is to allow the elderly to live as comfortably and safely as possible in their own homes. To accomplish this goal, Village...
Progressive Nursing Services is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Founded in 1966, Interim HealthCare is the nation’s first and finest home health company and we are pleased offer programs, services and education which will raise the bar in the delivery of home health services in our...
A Better Solution In Home Care has been helping individuals and families with their care needs since 2000. We have a full-service staff available 24 hours per day, 7 days per week. Our staff are experienced, professional,...
Trinity Home Care & Resource is a home care provider that services in Boise, ID. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are more than an in-home health care agency: we’re your extended family when family can’t be there. We’re a locally owned, trusted provider of quality, compassionate in-home care, and we customize our home care...
Quality caregivers and medical staffing solutions in Boise, ID At BrightStar Care of ID – Boise, owned by Caroline Moore & Jacqueline Kite-Powell, our home care agency provides quality home care, caregivers, and...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Why are Peak Moment Caregivers different? It’s in our name Peak Moments. We focus on building Peak Moments with our Senior Family members. Other Agency Caregivers focus on the Task – We look for ways to create Peak...
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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.