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:
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 through compassionate support,...
Senior Helpers of Greater Cleveland has been caring for seniors throughout Cleveland's West suburbs for over 10 years. We offer tailored services to meet the individual needs of your loved one. Our care services range...
Bob Mikolich, owner of Amada Senior Care Westlake, understands that to provide the best quality of senior care it is necessary to support an entire family, not just a single client. He has seen firsthand the emotional and...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
If you or someone you love needs in-home care or assistance, give us a call at FirstLight Home Care. We provide quality, dependable in-home and elder care services for adults on Cleveland’s west side.
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'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...
At S&S Constant Care Services, we believe in the power of consistent, compassionate care. Our dedicated caregivers provide dependable support with daily tasks, companionship, and specialized needs—helping each client...
Our mission at Cardinal Home Care Services is to enhance the quality of life for our clients by providing compassionate, customized home care solutions. We strive to build trusting relationships with our clients and their...
Enjoy Exceptional Care with Shepherd Heart Home Care: WHERE QUALITY CARE MEETS COMPASSION Welcome to Shepherd Heart Home Care, where your comfort and well-being are at the heart of everything we do. Our team of...
Home Caregivers Bringing High Quality Care to You Aides Helping Hands Home Care is the most reliable and trustworthy Home Care Agency service in the greater Cleveland area — providing excellent home care solutions to...
At Chanelles Helping Hands Recruitment (CHHR), we provide high-quality, person-centered NDIS services to support individuals in leading independent and fulfilling lives. Our compassionate team is dedicated to delivering...
Home In Health Healthcare is a client-focused home care agency in Cleveland offering compassionate companionship and personal care services. We provide customized in-home support to promote dignity, independence, and...
Senior care services from Home Instead® help to enhance the aging experience by providing practical support at home with a human touch. Our professional CAREGiversSM immerse themselves into wherever home is to assist with...
7TH & HENDRIX HOME CARE LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care for You Homecare Services is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chs of Greater Cleveland, LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Caring Alternative Inc is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devine Home Health provides compassionate, non-medical in-home care to seniors and individuals needing daily support. Our caregivers assist with tasks like meal prep, light housekeeping, companionship, and more—helping...
Beejay Homecare LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACTIVE is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arcadia Health Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cleveland Coast Home Care Services LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission and Values “As a member of The Senior’s Choice, a leading companion care service provider, our mission is to ensure a better quality of life for our elderly clients and the families by providing...
A locally owned and operated home care company. At Home Comfort Care LLC is an Ohio-based company providing the best non-medical and medical services. With our wide range of care, we offer a tailored service to fit your...
At Charm Home Care, we provide compassionate and personalized home care services to individuals in Cleveland and surrounding areas. Our dedicated team of professionals is committed to enhancing the quality of life for our...
We at A.L.I.C.E offer Personal Care: Assistance with activities such as bathing, dressing, grooming, and toileting. Companion Care: Providing companionship and emotional support, helping with social activities, and...
Discover compassionate, personalized care designed to enhance comfort, dignity, and independence for aging adults and individuals with disabilities. Our tailored approach ensures your loved ones receive the attention they...
Caring Companions Care Center is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eagle Home Healthcare is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Provide : Personal Care Services: Assistance with bathing, grooming, and dressing Help with toileting and incontinence care Mobility assistance (e.g., transferring, walking) Assistance with feeding and meal...
Angels At Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eldercare Services Institute Home Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightway Home Health, LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Caring In-Home Health Services LLC, we are dedicated to providing compassionate and reliable non-medical care to individuals in the comfort of their own homes. Based in Cleveland, Ohio, our agency is committed to...
Alpine Home Health Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arcadia Home Care & Staffing is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dominear Health Agency is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Best Quality Home Care Agency. Thank you for taking the time to view our website. We are fully committed to providing the services needed to improve our patient’s activities of daily living, lessen the...
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'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 GUARANTEE BETTER SERVICES WITH CHEAPER PRICES.... We offer Home care services, Light housekeeping, professional sitters, meal prep, and MUCH more... for both residential and hospitals and various other facilities.
Big Heart Home Health Care LLC is focused on providing high-quality service and customer satisfaction - we will do everything we can to meet your expectations. We provide service in Cleveland, Youngstown, Ashtabula,...
We Provide AT THE HEART OF YOUR HOME, WE OFFER LOVINGLY TAILORED CARE SERVICES, ENSURING EACH OF OUR CLIENTS FEELS COMFORTABLE AND CHERISHED IN THEIR OWN FAMILIAR SURROUNDINGS. FOR THOSE SEEKING A COMMUNITY EXPERIENCE,...
Medicaid/Medicare certified Home Health Agency located in Cleveland and serving the needs of patients in the Greater Cleveland area and surrounding counties. All our employees undergo a background investigation process...
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,...
At Senior Helpers, we are here to help anyway we can, no matter how big or how small the request. Our owners are the husband and wife team of Michael and Lynn Jones. Our team knows these aren't just clients, but cherished...
At BrightStar Care Cuyahoga West, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve.
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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.