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:
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Home Instead® is a reliable source of home care for seniors in the Anne Arundel County area including Annapolis, Edgewater, Arnold, Severna Park, Pasadena, Crofton, Millersville, Odenton, Odenton. Services include...
At Dominion Home Healthcare Services, we provide exceptional care and support through personalized in-home skilled nursing care. Our team of compassionate and skilled professionals is committed to ensuring your health and...
SHEKINAH LOVING CARE INC. is where we offer a comprehensive range of home health care services designed to meet the unique needs of each individual. Our dedicated team is committed to providing exceptional support and...
Capital City Nurses CHC- Local/DC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care Home Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All decisions are made right here in Maryland’s by owners who care about the quality-of-life for your loved ones and are long-time, active members of the local community. We are committed 24/7 to having your family member...
Spirit of Hope is a locally owned and operated Home Health Agency — We pride ourselves in hiring the highest trained and exceptional health care professionals in the area, who are compassionate and understand how to bring...
Midastouch Services LLC is a Residential Service Agency (RSA) licensed in the state of Maryland. We are committed to providing high-quality, compassionate home care services to individuals in need. Our team of experienced...
Cornerstone Care Nursing is a provider of healthcare services to the clients in the comfort of their homes. As our company has grown, we have maintained a commitment to high performance and unsurpassed knowledge about the...
TruGrace Healthcare is a reliable home care service agency dedicated to providing exceptional care and support for your family. We offer a wide range of personalized home health services, including skilled nursing,...
A Homemade Plan of Lanham, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Laurel, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Options for Senior America - Gaithersburg, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our priority is the well-being and livelihood of all our patients. We work tirelessly to ensure the elderly can access essential services and help mitigate their struggles. Our team is not just dedicated to physical...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Our vision Is to prioritize patient safety and training, tailoring our services to unique needs and offering 24/7 assistance. Our goal is to improve quality of life and promote independence, dignity, and peace of mind.
Miracle Hands Care Services LLC, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Precious Soul Healthcare LLC, we are committed to providing exceptional care and support to individuals in the comfort of their homes. Our residential service agency (RSA) is designed to meet the unique needs of...
We are confident that the self-worth of our residents will not get lost by maintaining our core values of: Compassion, Confidentiality, Privacy, Dignity, Integrity, Excellence and Respect. Please call us to learn more...
Emmalec Nursing Services is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PDN Health Care is committed to providing superior nursing care to specifically targeted groups of individuals in the community, with the aim of improving their quality of life in the comfort of their own homes. Our...
At Zoe Home Health Care, our mission is to provide compassionate, high-quality, and personalized health care services that empower individuals to maintain their independence and dignity in the comfort of their own homes....
EMC Home Health Care, Inc. provides reliable and affordable home health care services in the Maryland area. As your trusted Home Health Care Service since 2000, our staff guarantees personalized attention to your...
We are a residential nursing agency that provides 24 hour Nursing Services. Our programs emphasize personalized care, tailored to the patient’s individual needs. Our team steadily works with the physicians, the patient...
Compassion Healthcare Services is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Days Home Care functions as a Residential Service Agency, we provide short and long-term care on an intermittent part-time basis in the comfort of our patients’ home. We hold no discrimination towards our patients....
UNIQ delivers home healthcare with compassion & dignity. Our reputation is built on reliable service, trust, and high quality of care. We are committed to providing a comforting alternative to nursing home care and other...
We strive to provide affordable and patient-centered health care to ensure that our clients can gain access to better health. By providing individualized services, we can meet our clients’ needs beyond expectations. In...
We are a Licensed Home Health Agency In Maryland. We tailor all of our home care services to meet the individual needs of our clients. We strive to ensure the highest levels of professionalism, quality, attentiveness and...
Wholistic Home Care, LLC is a company that provides a variety of home care services to help individuals needing extra assistance in their daily routine. These services are responsive to the distinct needs of the...
Phoenix Home Health Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Emmalec Nursing Services LLC (ENS) is a compassionate and professional skilled Residential Healthcare Agency Licensed by the state of Maryland to provide skilled and non-skilled home healthcare services to the community.
Distinctive Home Care Inc - Largo is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
P-Key assists bathing, grooming, and hygiene (e.g., help with showering, dressing, brushing teeth).Helping with mobility and transfers (e.g., assisting with walking, getting in and out of bed, or using a...
When discomfort stifles your life, we come to the rescue, peeling away layers of physical/ mental restriction through healthcare and healthy lifestyle changes.
Flawless Home Health Services, LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First healthcare are a team of skilled professionals ready to serve patient needs. We provide quality care in a loving manner. Our mission is bridging the gap during life transitions by changing one life at a time....
Welcome to Unity Homecare! We are dedicated to providing compassionate and personalized homecare services tailored to your individual needs. Our team is committed to enhancing your quality of life by delivering...
Life Net Healthcare Services, Inc. is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Serving You Home Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Interim HealthCare of Bowie, Maryland, we know how important it is to be in a comfortable, familiar environment. We all value our independence, however, sometimes the best way to maintain our autonomy, or preserve that...
Dan Homa, owner of Amada Senior Care Annapolis, knows from personal experience how valuable the right caregiver can be for a family. Dan says, “My grandmother lived to be 95 years old, and was able to stay in her house...
Assisting Hands® of Bowie, owned by Tahira Goldson, and her Assisting Hands® Care Team provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. Assisting...
At D & D Home Health Services, we believe that quality care starts with compassion and expertise. Our dedicated team of licensed professionals is committed to providing exceptional home health care services
Community Support Health Services, LLC, we put our clients first in providing home health care services in Maryland. Our extensive array of services guarantees your loved ones’ optimum health while remaining in the...
Welcome to Pleasant Care and Nurse Staffing! Pleasant Care and Nurse Staffing is your local source for reliable care. Our company is proudly a part of the community in Maryland, Washington, D.C. and Virginia. We serve...
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
Leading Radiant Health Services is a diverse group of professionals who have worked in home healthcare for over a decade. We recognize the critical role that healthcare workers play in keeping our community safe. That is...
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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.