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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:
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Indianapolis NW, IN area, please contact...
FirstLight Home Care of Northern Indianapolis & Suburbs is here to provide companion care and personal care assistance. Our home care and elderly caregiver services are available for elderly individuals, new moms, those...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
At Hope Group Home Care, our mission is to enhance the lives of individuals living with chronic illnesses in Hendricks County, Hamilton, Boone, Johnson, and surrounding counties.
SYNERGY HomeCare of Northern Indianapolis is owned and operated by Trent Terry, a Master’s graduate in Business Administration who has since put his degree to use in multiple successful entrepreneurial ventures, ranging...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Mary's Precious Care LLC, Compassionate In-Home Care Services At Mary's Precious Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
At Home is Where The Heart Is Homecare our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely...
HigherCareHaven.org is a nonprofit organization focused on providing support, resources, and services to individuals and families impacted by addiction and mental health challenges. They aim to create a community of care...
DM Unlimited Living Care Agency is dedicated to providing compassionate, reliable in-home care that helps individuals maintain independence and dignity in the comfort of their own homes. Their team offers personalized...
We provide exceptional care to you and your family in the comfort of your own home by partnering closely with you and your family and understanding your specific needs.
Shalom Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily tasks, medical support, and companionship, creating a...
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...
We Adore You Home Care LLC provides compassionate, reliable non-medical home care services to individuals and families in Indianapolis, Indiana. We are committed to promoting independence, dignity, and comfort through...
Our vision is to create a community where every individual feels valued, supported and cared for as they age gracefully in their own homes. We strive to be the trusted partner for families, setting the standard for...
Pleasant Place Home Care was founded with a passion for providing high-quality home care personal services to seniors and individuals with disabilities. Our founder, who has over 20 years of experience caregiving,...
To be Indiana’s most trusted home care provider, delivering compassionate, personalized support that empowers individuals to live with dignity, independence, and enhanced quality of life in the comfort of their own homes.
Caros Serenity Home Care was founded with a simple mission: to provide gentle, compassionate, dependable care that allows individuals to remain safe, comfortable, and dignified in their own homes. We understand that...
Optima Care Services in Indiana is dedicated to delivering compassionate, dependable in-home care that helps individuals live safely and comfortably where they matter most—at home. With a personalized approach, their team...
Better Care at Home provides compassionate, reliable in-home support designed to improve comfort, safety, and independence. Caregivers deliver personalized daily assistance and meaningful companionship—giving families...
At The Chosen Personal Services, our mission is to serve all people with compassion, respect, and excellence, guided by the principles of faith, love, and integrity. We are dedicated to providing personalized care that...
Aken Home Care Services Indianapolis Aken Home Care, Indianapolis home care services agency provides Reliable and Quality non medical in-home care services in Indianapolis, Zionsville, Carmel, Fishers, Avon, Noblesville,...
At Right Touch Care, all our caregivers are thoroughly background-checked and trained to ensure they provide compassionate home care and personalized care services, delivering safe and reliable support to clients,...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
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At Elevated Care with Compassion Inc., our mission is to provide exceptional, patient-centered healthcare that nurtures the whole person—mind, body, and spirit—through a seamless blend of professional expertise,...
LUXURYTIME PERSONAL CARE LLC is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Visiting Angels of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Heartfelt Companion Care LLC, we provide top-notch senior care services. Our caregivers are well trained and we ensure that we foster genuine and compassionate connections. We go beyond conventional care and provide...
Northside Home Care is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentle Home Personal Care in Indianapolis offers compassionate in-home assistance, tailored to each client's unique needs, ensuring comfort and independence. Our dedicated caregivers provide a nurturing environment,...
Senior 1 Care is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nestled in the heart of Indiana, Supporting Angels Homecare proudly serves as a cornerstone of compassionate care and support for seniors and their families throughout the region. With a deep understanding of the unique...
Cardinal Home Services is a trusted home health agency based in Indianapolis, Indiana, dedicated to delivering exceptional, compassionate care tailored to each individual's needs. Our mission is to enhance the quality of...
Homewatch CareGivers of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passionate Gifted Angels Homecare LLC delivers compassionate and personalized in-home care services. Our skilled caregivers assist with daily tasks, providing comfort, safety, and independence. We are committed to...
Agency Description Kindness Care Solutions, Compassionate In-Home Care Services At Kindness Care Solutions, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort,...
Sim-1 Inspired Home Care Solutions Agency LLC is a compassionate, client-focused healthcare provider dedicated to delivering high-quality, personalized in-home care services.
K&R Glowing Pride Residential Services founded in the year of 2018. operated by Keyana Rice whom worked patient care for the past 17 years. Graduate with honors in Health Science. K&R was established with hope and faith...
Looking for Home Care near Carmel, IN? TJ Pinnacle Homecare Services offers Companionship Care, Homemaking Care for homebound patients throughout Indiana.
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Our mission at Home Care Assistance is to change the way the world ages. We provide older adults with quality care that enables them to live happier, healthier lives at home. Our services are distinguished by the caliber...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
Senior Helpers Indianapolis helps families navigate the full continuum of senior care. Our in-home aides allow seniors to receive the day-to-day help with personal care they need and assistance with activities of daily...
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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.