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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.
✔
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:
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 Advantageous Home Care, we believe comfort and independence belong together. Our compassionate caregivers provide personalized, in-home support tailored to each client’s unique needs, helping seniors live safely,...
Founded on the principles of dignity, respect, and integrity, Lady T Home Care offers a wide range of services including personal care, companionship, medication reminders, light housekeeping, meal preparation, and...
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...
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
As Operating Director of Cornerstone Caregiving Dearborn, I focus on delivering high-quality support to the Geriatric and Veteran communities in Dearborn/Dearborn Hts., Westland, Garden City, Livonia, and Plymouth/Canton...
Alpha Home Care Services, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ultimate Home Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Moore Open Hands Caring Open Hearts is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healing Care Advocates LLC is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Link Home Health Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advance Home Health Care Services, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dynamic Care Services is dedicated to providing exceptional in-home care for individuals and families throughout Southeast Michigan, including the Greater Detroit Metro Area, Wayne, Washtenaw, Macomb, and Oakland...
University Home Care is owned, operated, and staffed by a registered nurse which is why we are the most reliable and trustworthy Home Health Care— providing excellent home care solutions to patients who are dealing with...
Great Care First was founded with the mindset of the client being the focus. Our team of compassionate caring professionals believe that individualized care is priority. Focus centered care allows us to maintain an...
Access Home Health Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Mercy Home Health care LLC is a privately owned and licensed agency. We continually seek new ways and means of being responsive to the ever-changing health needs in the community. We believe in the value of...
American Choice Home Health, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pristine Home Care is a Ypsilanti-based home care agency that brings a holistic, heart-centered approach to caregiving. Led by Maraea Tutson—a health coach, life coach, and nurse—Pristine serves families with compassion,...
Right at Home - Dearborn/Downriver, MI is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Armantii Home Care Services was founded with a passion for providing high-quality home health care services to seniors and individuals with disabilities. Our founder, who has over 20 years of experience in the healthcare...
Transition Home Health Partners, L L C is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
WiserCare Home Care is a local agency that was built on integrity, love, kindness, and compassion. We are dedicated to being involved in the care of your loved one and fully committed to improve the lives of our clients,...
Al- Hoda Home Care Services, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brighter Pathways LLC is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accessible Home Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Babylon Home Care of Dearborn, MI is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fairlane Home Health Care, L L C is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Supportive Solutions Homecare, we are dedicated to providing compassionate and professional support to enhance the quality of life for you and your loved ones. Book a free consultation to find out how Home Help Care...
Metro Home Health Care Plans is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ascention Home Health Services, Ltd is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Line Home Health, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Senior Nursing Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providers Home Care, LLC is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Five Star Home Health Care, L L C is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Luxury Management Group, LLC. is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comprehensive Home Health Care Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amber Home Health Care, Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B & B Senior Services of MI LLC is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Synergy Home Health System, L L C is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homecare Alliance Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Infinity Home Health Services, Pc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Metro Home Health Care Network, Inc of Dearborn, MI is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Plan Inc is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carter’s Caring Services is a home care provider that services in Dearborn, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Dearborn, MI. 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.