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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:
PROVIDING PROFESSIONAL AND COMPASSIONATE CARE FOR SENIORS AND ADULTS Home Helpers in Troy, MI offers a comprehensive approach to home care services with our Cared-4 program. Our dedicated Caregivers are trained to assist...
Purpose Home Care is a licensed in-home care agency in Michigan with over 15 years of experience serving seniors and individuals with disabilities. Founded by Deshawn, whose passion for caregiving is deeply personal,...
Our loved ones to stay where they feel most comfortable: at their home in Chesterfield. Our trusted Chesterfield staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at Ravis Grille,...
Cha-Rae’s Care in Detroit, MI is dedicated to providing compassionate, reliable, and personalized home care services that promote comfort, dignity, and independence. Our caregivers support clients with daily living...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Assisting Hands Home Care® grew out of a desire to provide seniors, and others needing non-medical assistance at home, with the option that most people prefer – to remain independent, safe and comfortable in their own...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
At Griswold Home Care for Troy, Utica & Macomb, we offer compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and...
Founded and owned by nurses, expertise in patient care has been the hallmark of CareDriven from day one. Our knowledge and skill in providing care for catastrophically injured patients makes CareDriven the choice for home...
Our caregivers are trained professionals, calling upon the experience they need to make a difference. From assistance with daily living activities to emotional support, they’re there.
Nursing Unlimited, Inc. is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In Home Care is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Reesie Quality Care Llc of Chesterfield, MI is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to FirstLight HomeCare of Macomb/Grosse Pointe, MI When you or your loved one needs help at home, turn to FirstLight HomeCare. We offer complete companion and personal care services for seniors, new mothers,...
duplicate - Home Helpers Home Care of Clinton Township, MI - OOB is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical...
America's Choice Home Care, Inc is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Call Home Health Svc-Clinton Twp-MI is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Nursing Unlimited Inc. we believe in not only caring for the physical needs of our patients, but the emotional needs as well. People with physical or cognitive limitations need the proper care in order to overcome...
Commonwealth Home Health Network is committed to providing private duty home health care and senior medical aid services to communities across Alabama, Illinois, Indiana, Kentucky, Massachusetts, Michigan, Ohio,...
At our Family Home, we offer honesty, dedication and the utmost care to our residents. Attantion to detail and listening to needs of people is the top priority. Willing to go above and beyond for the comfort of...
St. John Home Care is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divinity Home Care is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
As three professional firefighter/paramedics, we see the need and benefits of senior home care on a daily basis. Nearly every shift on the fire department, we are called to help a senior in our community, who is having a...
Seniors Helping Seniors - Clinton Twp, MI is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hope Quality Care, MI is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lincoln Home Care is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grosse Pointe Home Care Inc is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devoted Healthcare is an all-in-one healthcare company focusing on improving the health and well-being of your loved ones. They offer in-home care, a Food & Home Card for eligible members, and specialized services and...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Familja First LLC is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Christian Home Health Care, Inc is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Love In Your Home Care Llc of Clinton Township, MI is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Clinton Township, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
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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.