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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:
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
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...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
We know you have countless choices when it comes to selecting your care provider. At Esther Home Care, when we say, “Serving Families Is Our Pleasure,” we mean it. You are at the heart of our service! We respect and take...
Just as growing older can allow for a more relaxed lifestyle, it can also present new obstacles and challenges. Our clients have peace of mind knowing that we are dedicated to their satisfaction and quality of life. We...
Welcome A little help could go a long way. We understand, and we are here to help with reliability, professionalism, and kindness. We send trained aides to the homes of our clients to provide support with activities of...
At 1st Touch Home Care, . Our comprehensive home care services are designed to meet the daily needs of older adults while promoting dignity, safety, and peace of mind for both clients and their families. We offer personal...
HomeWell is more than just a home care business; we are a community of passionate care management professionals and dedicated caregivers who believe in the power of care at home. Our team is comprised of kindhearted,...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
Home Instead® is serving the Central and North Atlanta community by providing safe and compassionate in-home care. Their passion and goal is to enrich the lives of Atlanta seniors and their families.
At Hopeful Haven Home Care, LLC, our mission is to provide compassionate, high-quality home care services that enhance the dignity, independence, and well-being of every client we serve. We are committed to delivering...
Home Care & Senior Assistance Services for Every Need in North Atlanta & Marietta Qualicare North Atlanta & Marietta is your family’s partner for personalized home care.
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Cornerstone Caregiving is a senior home care provider in East Atlanta, GA that is trained and ready to help your loved one today. Our leadership team holds decades of at-home senior care expertise in the home care...
Kindly Companions, founded by cybersecurity expert and professor JT Folson, blends compassionate in-home care with modern digital wellness. Inspired by his experience caring for his mother, JT created a service that keeps...
Our in-home care services brighten the lives of seniors, who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier through compassionate support,...
Welcome to SYNERGY HomeCare of Suwanee. Up to 24-hour home care. CARE THAT MOVES YOU. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client
It is with pride that we provide you with experienced and capable staff at Divine Home Care & Staffing Agency. For years, we’ve assembled an efficient team that brings first-rate health services to your homes in...
Avalon Home Health LLC: Friendly companionship and assistance with daily activities to help maintain independence and social connection. Conversation and social interaction Light meal preparation Medication...
Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the week, Right at Home Atlanta’s in-home care is the answer. Our...
Charlotte Web Private Home Care, LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
Monitors patient condition by observing physical and mental condition, intake and output, and exercise. Supports patients by providing housekeeping and laundry services; shopping for food and other household...
Divine Dwelling Services LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
“At Rey of Life Homecare Services LLC, our mission is to provide compassionate, high-quality in-home care that empowers individuals to live with dignity, independence, and purpose in the comfort of their own homes. We are...
Beacon Lifecare is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Medical Home Care Agency is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why Choose BrightStar Home Care With an emphasis on comprehensive person-centered care, our team at BrightStar Home Care North Dekalb & Peachtree Corners is committed to helping clients maintain their independence in the...
Exceptional Care, Inc. is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Experience Heartfelt Care with Two Caring Hands Private Home Care LLC Here at Two Caring Hands Private Home Care LLC, we provide quality care designed to make living at home and community integrations easier. We believe...
BRIGHT STAR HOME CARE LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
263 AMERICA is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Oasis Family Care is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Martha Home Healthcare Services delivers personalized and compassionate in-home care solutions. Our dedicated team prioritizes individualized attention, dignity, and respect for each client, enhancing their quality of...
ComForCare Home Care of Southeast Atlanta takes a client-centered approach to home care. We meet each potential new client in their home, prior to beginning home care services. Our caregivers work closely with patients...
PROVIDING OUR CLIENTS WITH AFFORDABLE HIGH-QUALITY CARE IN THE COMFORT OF THEIR HOMES. Schedule a Free In-Home Assessment with our Nurse Practitioner to develop a personal care plan customized to meet your healthcare...
Experience Heartfelt Care with Two Caring Hands Private Home Care LLC Here at Two Caring Hands Private Home Care LLC, we provide quality care designed to make living at home and community integrations easier. We believe...
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
Synergy HomeCare strives to provide the utmost comfort and highest quality of life for our clients every day. Trust our qualified caregivers to provide personalized assistance and the highest level of care.
FirstLight Home Care delivers loving and compassionate care to seniors in Atlanta in the comfort of their own home. Our team's "Culture of Care" helps people age independently with confidence, dignity and happiness.
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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.