Are you sure you want to exit? Your progress will be lost.
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.*
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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:
Valiant Home Care Professionals offers reliable and compassionate in-home care services designed to support seniors and individuals with daily living needs. Our dedicated caregivers focus on promoting independence,...
Cornerstone Caregiving combines home care with a personal touch, ensuring that your love ones are treated with respect and compassion. Our team of skilled caregivers and supportive office staff provides empathetic,...
We are a top-quality home healthcare provider based in Denver, Colorado that delivers personalized, compassionate care to patients in the comfort of their own homes. Our team of skilled and experienced healthcare...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
Our team at Griswold Home Care for Lakewood & Golden lives in the same community as you. We are driven to provide high-quality home care services to local families with the same standard we would expect for our own loved...
We aspire to be the preeminent home care agency in the Denver Metro area focusing on safety, lifestyle enhancement, and positive outcomes to help seniors continue to age in the comfort of their own homes. Talem Home Care...
Home Health Care – Denver West -Hello from Lakewood, Colorado! We are Susie Fogerson and Shanna Tourtlotte, owners of SYNERGY HomeCare of West Denver. Together we bring nearly 10 years of home care experience to the...
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 by providing compassionate care in the...
A Place at Home - South Denver is a dedicated homecare agency providing compassionate and professional in-home care services tailored to the unique needs of each client. Serving the South Denver area, the agency offers a...
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...
Assisting Hands Home Care of Littleton, CO is a home care provider that services in Denver, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With over 40 years of serving our local community, Homewatch CareGivers is the oldest in-home care company in the world. We were founded in Boulder Colorado in 1980.
Elderlink Home Care, Inc. endeavors to enrich the life of every client we have the privilege of serving. We believe in quality, affordability and an unparalleled level of customer service. Our mission is to provide our...
Welcome to SYNERGY HomeCare! We truly appreciate the opportunity to help you. We are proud to announce that our Synergy Home Care Broomfield office has been awarded the 2016 Best of Home Care® Provider of Choice Award*...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
At 2nd Family Home Care of Longmont, CO we believe that care begins with compassion. As a trusted provider of non-medical home care services, our mission is to bring comfort, dignity, and independence to every individual...
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....
Our home care services can help aging adults stay engaged in everyday life with tailor-made support by professional caregivers to stay safe and well at home. It’s our mission to provide a care plan personalized to your...
Friends For Life, Inc.'s mission is to assist seniors and to support families. The pressures of work, family, and long distances can make caring for elderly loved ones a daunting task. While, at the same time, aging...
No matter their needs, our personalized in-home health care services help your loved one remain where they feel safe and help them actively engage in leading an enriched life.
ACASA Senior Care - Denver, CO is a home care provider that services in Denver, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When it comes time to look for home care services for your loved one, you want to be sure that you’re making the best decision. Our senior home care teams in Arvada offer more than just care for your loved one’s...
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...
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...
For more than 13 years, we have provided quality caregivers to our patients, emphasizing communication in order to best understand the needs of the patient. We are honored to assist with non-medical personal care and...
Our caregivers deliver quality personal care services with care and respect, giving your family member the dignity and comfort he or she deserves. We understand how important your loved ones are. That’s why at FirstLight,...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
At AmeriCARE Denver we believe that all people deserve to live and thrive in the comfort of their own homes, wherever they call home. We understand the complications that come with aging, surgery recovery, and managing...
Aster Home Care LLC is a compassionate and professional non-medical home care agency based in Colorado, dedicated to helping seniors live safely, comfortably, and independently in the place they call home. With a team of...
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...
We go beyond home care by matching you with your perfect Caregiver, providing personalized care and offering 24/7 live support to give you peace of mind.
At Namaste, we are redefining healthcare by setting the standard for exceptional service. Our vision is to be the trusted partner that enhances lives and brings comfort, dignity, and peace to those we serve.
At ComForCare in Denver South, we offer an extensive range of in-home health care services tailored to meet the unique needs of your loved one. Whether you need senior care or in-home care services for a loved one with an...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in the Mile-high City or in surrounding areas.
For the members of our team at Amada Senior Care Denver West, providing in-home senior care is much more than just a job; it is a fulfillment of our personal goal to enrich the lives of our clients at every level. Whether...
Gifted Hands Home Health Care LLC is a compassionate home care agency dedicated to providing personalized, high-quality care that promotes comfort, independence, and dignity for every client. Our team of skilled...
More than 90% of seniors want to age in their own home with dignity but getting the right type of care can seem daunting. At Senior Helpers Denver North we believe getting the best care for your loved ones should not be...
Visiting Angels of Brighton, CO is a home care provider that services in Denver, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Littleton is the top provider of in-home senior care, offering personalized services tailored to individual needs. From daily companion care to specialized support for seniors with Alzheimer’s, Dementia,...
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...
Personalized Senior Home Care Services in Littleton. Our services are tailored to meet your unique needs. We provide one-on-one care on your schedule. Regardless of the senior services you may require, we charge one flat,...
Talem Home Care - Denver, CO is a home care provider that services in Denver, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bayada Nurses Inc is a home care provider that services in Denver, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care of Denver Southwest offers complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance. And with our trusted,...
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...
Assisting Hands provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. At Assisting Hands Home Care, we understand. Our trained dependable...
Staying at home isn't always the easiest path for those who live with physical or mental limitations. It can be difficult for the entire family. Griswold Home Care for Westminster, Broomfield & Boulder is here to help you...
Our purpose is simple – to be there for you and your family to make life easier, happier, healthier and more enjoyable – each and every day! Our affordable home care services are available 24/7, 365 days a year...
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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.