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:
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in McAllen or in surrounding areas like Edinburg, Mission, or Pharr. Our trusted McAllen staff can’t...
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Medical Calls Home Care Llc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Trinity Home Health Care Services is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adorable Primary Home Care Incorporated is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Valleywide Home Care is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Monarca Home Care is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lower Valley Home Health Llc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beacon Harbor Home Health Inc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cima Health Latino is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Para Ninos Del Valle Pediatric Home Health Pllc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amor Eterno Provider Services, LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Halo Home Health Llc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gold Star Care Home Health, LLC is a home care provider that services Cameron, Hidalgo & Willacy Counties. Home care services allow seniors to remain safely in their own homes while receiving assistance with personal care...
Stat Nursing Home Health Care Inc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
San Martin Home Health Inc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Prime Home Care is the solution for seniors and persons with disabilities who need support and want to continue to live at home. Our mission is to deliver the highest quality of care to each individual client in the...
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RIVERSIDE PRIMARY HOME CARE LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INFINITY CARE PROVIDERS INC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Valley Angels Home Health LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At SOL Primary Home Care LLC, our vision is to be the leading provider of home care services in Texas, renowned for our unwavering dedication to enriching the lives of our clients and their families. We envision a future...
GLOBALITY, LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Corazon Health Care Services LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
NEW MOON HOME CARE LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Doctors Choice Home Health is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A BETTER HOME CARE, LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MONTALVO HOME CARE COMPANY is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring For You Home Health Inc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tropical Home Health Inc is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Rio Med 21 is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SAN ANGEL PRIMARY HOME CARE LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mercy Home Health is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Companion Care Doctor Visits Errands/Shopping Help with Eating Laundry Light Exercise Meal Preparation Medication Reminders Respite Care Socialization/Emotional Support
CME Homemaker Services LLC is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Doctors Choice Home Health is a home care provider that services in Brownsville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Interim HealthCare we understand how important it is to have someone you can depend on when you want to stay at home as healthy as you can be. We understand that you may need this help for a short time after you come...
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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.