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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:
Neighborly Home Care provides a comprehensive range of personal care services to assist seniors or anyone who needs help with activities of daily living, in their home or residence. We understand that maintaining your...
At BrightStar Care Greater Chester County, 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. BrightStar...
We provide non-medical, aide services and companion care to seniors, elderly, and physically challenged adults. Through coordinated care and support for clients and their families, we enable our clients to live at home...
ETW Care Services, LLC is a compassionate home care agency dedicated to helping individuals maintain independence and comfort in their own homes. With personalized support and dependable caregivers, the agency provides...
Discover the Senior Helpers' Difference. At Senior Helpers, compassionate care and dedicated service can make all the difference in the lives of seniors and their families. Our owner, Kevin Herman, embodies this...
At Newtown Caregiving Services, our mission is to provide compassionate and reliable home health care services to our clients. We strive to improve their quality of life and help them maintain independence in the comfort...
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...
To be the most trusted and compassionate provider of home care services, empowering individuals to live with dignity, independence, and joy in the comfort of their own homes.
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...
Neighborly Home Care - Ardmore is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Pennydynamic Care at Home, our mission is to provide compassionate, personalized, and high-quality in-home care services that enhance the well-being and independence of our clients. We are dedicated to delivering care...
Yannie Home Care provides compassionate, personalized in-home care where every client is treated like family. With a focus on dignity, trust, and comfort, we tailor our services to each individual’s needs, creating a warm...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
At Happy Seniors Homecare LLC, our mission is to enhance the quality of life for seniors and individuals with special care needs by providing compassionate, personalized, and dependable homecare services in the comfort...
Trees Of Life, LLC is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABISHAG HOME HEALTH CARE LLC is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ASAP HEALTHCARE SERVICES, INC. is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Thomas Quality Caregivers LLC is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Angels Human Service is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fatsan Home Care Services, LLC is a compassionate provider of non-medical home care services dedicated to supporting seniors and individuals with disabilities in the comfort of their own homes. With a focus on dignity,...
Don’t let age or disability keep you from living independently. Our team can provide you with the assistance you need to stay in your own home safely and comfortably. With our professional caregivers, you and your family...
KeynCare provides in-home and community supports, companion and respite for the elderly and individuals with disabilities. We value the needs of our clients. We hire caregivers that are well trained, properly screened,...
Reliable Staffing Services is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gracefully With Age Healthcare Agency LLC is a compassionate and client-centered home healthcare provider dedicated to supporting seniors and individuals with disabilities in maintaining their independence and dignity.
Menlehs Home Health Care LLC is committed to delivering reliable, compassionate, and personalized care to seniors and individuals in need of daily living support. Our dedicated caregivers provide services such as personal...
TAY SERVICES, LLC is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Step Up Care Inc is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There’s no need for you to worry about leaving your senior or disabled loved ones alone at home. Our caregivers are here to watch them and provide the assistance that they need.
American Equal Care Inc is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PROMINENT HOMECARE AGENCY LLC of Darby, PA is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BIGHEART CAREGIVERS LLC is a home care provider that services in Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Don’t let age or disability keep you from living independently. Our team can provide you with the assistance you need to stay in your own home safely and comfortably. With our professional caregivers, you and your family...
Home Care is designed to make your whole family feel better. The main goal of providing in-home care is to provide a better quality of life to our patients and the confidence in their families that their loved one is well...
Talles Home Care Service Provider LLC is a home care provider that services in Darby, PA. 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.