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.*
✔
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:
In 2019 Susie Murphy started D’Vine Caregivers as a natural extension of her 35 years of excellence in matching nannies and domestic helpers with young families. She now brings her skills and insight in finding and...
Cornerstone Caregiving is proud to provide exceptional in-home care in North Chicago and its surrounding areas. We offer a wide range of services including veteran’s care, palliative care, respite care, senior care,...
24-Hour Care For continuous, around-the-clock support, our caregivers ensure safety and companionship day and night. Hospital Recovery Care Post-hospital care that prevents readmissions and enhances recovery, providing...
Resurrection Home Care LLC is a leading provider of in-home care services in the United States. Our mission is to provide compassionate and personalized care to seniors, individuals with disabilities, and those recovering...
Primewell Health Care Services delivers personalized, compassionate home and community-based care, helping clients maintain independence and dignity. Their trusted team offers services like personal care, companionship,...
Our Vision Our vision is to be the leading provider of homecare services, known for excellence in care and innovation. We strive to ensure that every senior has access to the support they need for a fulfilling and...
Our mission is to deliver superior homecare services that promote independence, dignity, and well-being. We strive to create a nurturing and supportive environment that caters to the unique needs and preferences of each...
COMPASSIONATE & PROFESSIONAL HOME CAREGIVERS If you have a loved one who needs extra care, whether it be due to aging or lifelong challenges, trust the team at Home Helpers® Home Care! We are a professional and...
At Top Tier Homecare Services, our mission is to provide exceptional, compassionate, and personalized in-home care that empowers our clients to live with dignity, independence, and comfort in the familiarity of their own...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Optimum Senior Care Optimum Senior Care offers in home senior care and caregiver services to the elderly population in the Chicago Metro area. Our mission is to cherish and protect the independence and dignity of our...
Merit Homecare is a trusted home health agency serving Des Plaines and the surrounding Cook County communities. We specialize in delivering comprehensive, compassionate, and patient-centered care directly in the comfort...
Has the time come to find care services for your loved one? While it's a difficult decision, it's an important one. You need to find someone trustworthy who can provide the necessary level of care for your loved one's...
Perennial Home Care Services LLC is a home care provider that services Chicago, IL 60634. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
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...
Healthquest Homecare, LLC is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Covenant Home Health Agency, Llc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Associates Home Health, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Delta Home Health Care, Inc. is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
IMS Professional Home Care, Inc. of Des Plaines, IL is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Advanced Home Health Services, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
VISION Create and sustain a leading high-quality service that supports individuals to live as independently as possible in the comfort of their own homes.
Hands That Heal, LLC is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You and your loved ones deserve excellent care services that is nothing less than extraordinary. At Topxperts home care services, our experienced, trustworthy and compassionate health care professionals provide full range...
5 Star Healthcare, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Entera HomeCare, LLC is a dedicated provider of comprehensive home care services designed to meet the unique needs of individuals in the comfort and familiarity of their homes.
24/7 Assure Care, LLC is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Services of Illinois, Inc provides reliable, non-medical in-home care to seniors and individuals with daily living needs. With a focus on compassion, dignity, and independence, our trained caregivers deliver...
Advance Level Care is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TopXperts Home Care Services is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Victoria's Angels Home Care, INC. is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Heart Home Health, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Absolute Healthcare Systems, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Care Home Health, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Axis Healthcare Services, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Express Prof Home Health Serv Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glory Home Health Care Management, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assured Care Giver Services is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sterling Home Health Care, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Crystal Home Care’s mission is to provide our clients the finest care possible. Our philosophy of caring and our commitment to excellence is central to all we do. We focus on empowering our clients to live safely and...
Medcore Home Health Care, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
National Home Health Care Serv is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Niklife Home Care Inc. is a leading provider of home care services dedicated to enhancing the quality of life for individuals of all ages. With a compassionate and professional team, we offer personalized care solutions...
A2zee Home Services Inc. of Des Plaines, IL is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Venus Home Health, Inc is a home care provider that services in Des Plaines, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Amada Senior Care Barrington, our caregivers consistently strive to exceed clients’ expectations, which means that meal preparation, cleaning and other daily tasks are only a small part of what we do. Our goal is to...
Senior Helpers of Greater Chicagoland is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for...
Compare Home Care Agency Costs & Services
×
Success!
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.