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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.
✔
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 of San Diego stands apart as the only home care company in the region that is physician and advanced practice nurse owned and operated. Established in 2020 by dedicated advocates for high-quality senior...
CogniHealth is a local, independently owned home care agency created from real caregiving experience. We are not a franchise. Our mission is to provide compassionate, person-centered care that honors each individual’s...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity. Based on...
Our Mission is to provide seniors with the services that allow them to choose an independent lifestyle in their own homes and to be treated with the dignity and respect they deserve. Serving San Diego and Orange...
Driven by a deep commitment to helping others, Wills Nwajei was drawn to HomeWell after personally caring for his older brother following a stroke. That experience opened his eyes to the emotional and physical challenges...
Nu Care is the perfect solution for seniors and others in need who are not ready to leave their home for an institutional setting, but need support to remain at home. We improve your life by providing compassionate,...
We have the privilege of helping people preserve their independence - and keep up with the demands of daily living - in the familiar surroundings of their own homes. Whether your elderly mother needs help with meals and...
Alpha Homecare LLC, Compassionate In-Home Care Services At Alpha Homecare LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our...
FirstLight Home Care of Carlsbad & La Jolla provides private home care services that allow seniors and other adults to receive the support they deserve in a comfortable, familiar setting.
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
At Hannah's Angelic Care LLC, we strive to be a beacon of support, enhancing the quality of life for our clients by delivering compassionate, respectful, and personalized home care services. We believe in fostering a...
Assertive Care At Home Inc provides the aging and infirmed population in San Diego with excellent home care services, respect and dignity, which allows the clients to maintain their independence. We offer in-home...
At Home Helpers in Mission Valley, CA, we provide professional home care services designed to help seniors and adults remain safe and independent at home. Through our innovative Cared-4℠ program, our dedicated Caregivers...
A Caring Heart Home Care is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We offer affordable hourly and live-in caregivers who provide non-medical, in-home assistance. This includes personal care, bathing, dressing, medications, meals, housekeeping, errands and companionship.Our clients come...
Chalati Group LLC is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Western Health Homecare is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Circle of Life Healthcare is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Angels LLC provides non-medical in-home care services to help seniors and other patients with activities of daily living and instrumental activities of daily living that allow them to live safely and independently...
ComForCare Home Care of Southeast San Diego, CA is proud to provide professional, compassionate personal and companion care services to seniors and individuals who need extra support to remain safe, independent, and...
Comfort Helpers exist to provide comfort and helping hands to seniors and those in need of our services in their homes with our team of professional caregivers who assist with care and provide companionship. Our...
St Lidwina Home Care LLC of San Diego is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving is proud to serve Chula Vista and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
RELIABLE HOME CARE OF SAN DIEGO, LLC is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Inheritance Home Care, LLC elderly couples talking with a caregiverEssentially, we at Inheritance Home Care, LLC, are here to provide assistance to your loved ones, and to anyone who needs it within the San...
Absolute Senior Home Care provides you the option to recover from an illness or surgery in the comfort of your own home. Staying home gives our clients the enjoyment of familiar surroundings, the warmth of family,...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Golden Years Home Care Solutions Inc - San Diego is a home care provider that services in Chula Vista, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.