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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 Careco - The Caregiving Company, we are committed to providing high-quality non-medical in-home care services tailored to the individual needs of each client. Our mission is rooted in compassion, respect, and...
We support seniors and their families by providing opportunities for meaningful engagement. Our caregivers building authentic, caring relationships and implement custom care plans that evolve with a senior’s needs.
Home Helpers® Home Care is a home healthcare service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and...
FirstLight Home Care strives to be the industry leader of The Woodlands, Northwest Houston and Katy in home care, respite care, and senior care. We work hard to ensure we have the most skilled and trustworthy caregivers....
Harmony Hearts Homecare is a leading provider of compassionate in-home care services designed to support the health and well-being of individuals who require assistance with daily living activities.
At Angels Over Us North LLC, we believe that every client deserves care delivered with compassion, dignity, and trust. Our experienced caregivers offer personalized assistance with daily activities, companionship, and...
At Abbydot Homecare LLC, we prioritize the comfort and independence of our clients by offering professional and compassionate in-home care services. Our dedicated team provides personal care, companionship, and...
We take pride in serving Cypress, TX and its surrounding areas. Our dedicated caregivers not only provide exceptional in-home care services, but also create meaningful connections by learning their preferences and...
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Tomball or in surrounding areas.
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
Our senior care services in Houston, TX help aging adults stay engaged in everyday life with tailor-made support to stay safe and well at home. It’s our mission to provide a care plan personalized to your family’s needs...
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Select Care Home Health Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mountain Springs Home Care LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Giving Care Houston, LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HELPING HANDS FAMILY HOMECARE LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Madondo Health Servces LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elife Home Care is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our in-home senior care option allows seniors to lead safe and independent lives in the comfort of their own homes. When family members of a senior need support to care for their loved one, A Place At Home – Cypress steps...
We are a home care agency that is dedicated to delivering exceptional quality care and making sure all of your loved one's safety and personal care needs are met. Home Care for the 21st Century is not only forward...
Divine Hands Healthcare Corporation is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kiddercare Home Health LLC, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Help Unlimited LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Altima Healthcare Services Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affectionate Healthcare LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
IN HOME CAREGIVERS OF CYPRESS LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Victoba HealthCare Services Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EXQUISITE QUEENS INHOME CARE is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand & a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Ceregen Health LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell of Cypress, TX we provide live-in and hourly home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our knowledgeable Care...
Carewatch Home Care LLC of Cypress, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AC Competent Providers Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At AFT Healthcare, we understand the health challenges that both children and adults face. We believe every individual deserves access to high-quality health care services, which is why we offer a wide range of...
"We treat you royally around the clock" The staff at Queen's Care In Home 2 look forward to getting to know you and your family. Our desire is to help you acheive optimal health. We are here to provide comfort and...
Acti-Kare of Cypress, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Caring Homes of Serenity, LLC offers : Companion Care Doctor Visits Errands/Shopping Help with Eating Laundry Light Exercise Meal Preparation Medication Reminders Respite Care Socialization/Emotional Support...
Our mission is to provide unwavering support and compassionate care to the elderly and individuals that need help in the comfort of their own homes. We believe that every person deserves to age with dignity and receive...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
Bright Autumn Home Care stands at the heart of service, with a special focus on compassionate, tailored support for our seniors. We give seniors the opportunity to live life on their own terms, aging with dignity, grace,...
Guided by a native Texan, Always Best Care ensures that exceptional service and care is provided to all family members. Caregivers are thoroughly screened, licensed, bonded and insured to provide the safest and highest...
Locally owned and operated, Synergy HomeCare of Northwest Houston has been awarded "Best of Home Care" for its expertise in providing quality Home Care services. Synergy HomeCare is dedicated to providing exceptional and...
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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.