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:
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City-Wide Nurses Registry, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Igor Homecare Inc of Bronx NY is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Fegs Home Attendant Services, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hebrew Hospital Home Lthhcp is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing care to those who need it most is not just a service, but a privilege. Honesty and empathy drives us to ensure those who deserve the most care, receive the best of it.
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Empire Home Care Solutions is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dunkez Private Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Amazing Home Care Services, Llc is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Castle Rock Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Floral Home Care LLC prides itself in providing compassionate and professional Home Care services. Serving all five boroughs within New York State (The Bronx, Kings County, New York, Queens and Richmond County) as well as...
Aspire Social Services of NY is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jsp Life Agency, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Academy Care Givers, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Whether due to a temporary situation such as recovering from illness, injury or hospitalization or something longer-term such as the challenges of aging or a disability, including senior, elder or respite home care,...
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There is no greater responsibility than entrusting someone with the care of a loved one. I know this firsthand because I lived it with my own family. It is my personal journey that led me to pursue a career with Senior...
Eldercare Homecare provides personalized, in-home care services across the New York area, helping seniors age with dignity and independence. Their compassionate team tailors each care plan to meet individual needs,...
Beth Abraham Health Svs Home Care Lthhcp is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gotham Per DiEm, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Latin Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bestcare, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
City-Wide Nurses Registry, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Igor Homecare Inc of Bronx NY is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jewish Home Lifecare, Home Assistance Personnel is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fegs Home Attendant Services, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hebrew Hospital Home Lthhcp is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing care to those who need it most is not just a service, but a privilege. Honesty and empathy drives us to ensure those who deserve the most care, receive the best of it.
Comprehensive Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empire Home Care Solutions is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dunkez Private Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calvary Hospital CHHA is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Home Care Services, Llc is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Assistance Personnel is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Castle Rock Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Floral Home Care LLC prides itself in providing compassionate and professional Home Care services. Serving all five boroughs within New York State (The Bronx, Kings County, New York, Queens and Richmond County) as well as...
Aspire Social Services of NY is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jsp Life Agency, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Academy Care Givers, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bronx Jewish Community Council Home Attn.Svcs.,Inc is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We care where you are. Elara Caring delivers exceptional personalized in-home care services by hiring compassionate people who believe in taking care of our patients, our clients, our care providers and each other. We...
Caring People Inc is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Besure Home Health Services Agency, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All City Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hhh Home Care, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kingsbridge Heights Nursing Home Lthhcp is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpine Home Health Care LLC is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alliance Home Services, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Frances Schervier Home and Hospital Lthhcp is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Care Services is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
K A & R Home Health Care LLC, Compassionate In-Home Care Services At K A & R Home Health Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
Brooksy Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bronxwood Home For The Aged, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cooperative Home Care Associates, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Hands & Heart, INC is a compassionate and dedicated organization committed to providing exceptional care and support to individuals in need. With a mission centered on enhancing the well-being and quality of life...
Best Choice Home Health Care, Inc. is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Apple Homecare is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First-Care of New York Inc. is a New York State Home Care Service agency licensed by the New York State Department of Health and we are accredited with the gold seal of approval by the Joint Commission. We provide...
Allegiant Home Care is a home care provider that services in Bronx, NY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Though our logo has recently changed, our commitment to superior home care has not. Home Instead Westchester has provided compassionate, reliable, and professional in-home care to enhance the quality of life for those who...
Best Home Care in Westchester, NY SYNERGY HomeCare is the name you can trust when it comes to finding the compassionate care you or a loved one may need at home. We understand the difficulty it is to make the decision...
Your Extended Family When Family Can’t Be There At Home Helpers Home Care, we’re here to do exactly what our name says: help. We’re more than an in-home health care agency – we’re your extended family when family can’t...
Whether due to a temporary situation such as recovering from illness, injury or hospitalization or something longer-term such as the challenges of aging or a disability, including senior, elder or respite home care,...
WHY US? Love and Care LLC offers quality homecare including homemakers, health aides and companions. We screen compassionate and capable caregivers who can play a critical role in delivery of exceptional home health...
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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.