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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:
At Effective Outcomes Healthcare Staffing LLC, our mission is to deliver high-level performance and service that leads to optimal outcomes. We are dedicated to ensuring that healthcare facilities in the Tri-State areas...
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained,...
We build our caregiving team using rigorous screening processes, which enables us to assemble a highly skilled group of caregivers comprised of exceptional individuals. This ensures you receive only the best care for your...
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...
Cornerstone Caregiving is dedicated to providing exceptional home care services with a focus on flexibility and quality. We offer personalized care plans with no minimum hourly requirements, ensuring that each client...
Finding the right home care for your loved one, whether they are aging, disabled, or recovering from surgery, is a serious decision. It takes courage and willingness. With FirstLight® Home Care of Greater Memphis, you can...
Rod and Kristy Marter opened Senior Helpers Memphis office in 2009 to provide the community of Germantown and surrounding areas with the best possible in-home senior care. Whether you need companionship, personal care or...
Impeccable accepts requests for services from any source including clients, family members, referrals from healthcare providers, and community referrals. Anyone may apply for services.
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
Whether your needs call for respite care, help following surgery, companion care, part-time or full time care at home, Eagle Staffing and Home Care Services is here to assist you. We are committed to offering seniors and...
SYNERGY HomeCare of Cordova, TN is a home care provider that services in Cordova, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carmelyta and Jinliang Cai are very proud to bring FirstLight Home Care, a leading national home care brand known for high-quality care, to the Memphis area. FirstLight provides compassionate in-home care, senior care,...
Christian Companion Senior Care is a home care provider that services in Cordova, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trusted Care LLC is a premier home care provider in Tennessee, dedicated to delivering high-quality, personalized support to seniors and individuals in need. Our services include personal care, companion care, medication...
A Better Touch Home Health LLC is a home care provider that services in Cordova, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Caring for You Staffing LLC, we are dedicated to offering exceptional elderly care services in Cordova, Tennessee. Our goal is to enhance the quality of life for our senior community through compassionate and...
AllyCare LLC is a home care provider that services in Cordova, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Journey Health Care is a home care provider that services in Cordova, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
If you’re looking for in-home care services for yourself or a loved one, you’ve come to the right place! Welcome to Home Helpers® Home Care, where we offer a comprehensive care approach that adapts to the changing needs...
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 JUST FOR FAMILY HomeCare, we provide Non-Medical home health care to seniors. We have hired a highly trained staff to help your loved ones by working with you to set up the best home care service available while...
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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.