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:
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Your Ideal Home Care is a home care agency based in Detroit Michigan that provides non medical in home support services for seniors adults with disabilities and individuals who need assistance with daily living...
Our philosophy at Wise Home Care is to provide the quality of care that we would want for our loved ones. Home care is a sincere appreciation of and for the people we serve. We invite you to call us to discuss how Wise...
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...
Cardinal Home Care provides compassionate, personalized in-home support designed to help seniors and individuals maintain independence and comfort in their own homes. Serving communities across Michigan, Cardinal focuses...
Bastian Home Care is a trusted home help agency serving the Detroit Metro area, including Wayne, Macomb, and Oakland Counties. Our team of compassionate and experienced caregivers provide personalized assistance to help...
Our mission is to make life easier for older adults and their families, while also highlighting their struggles and creating meaningful job opportunities within our community and beyond.
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Purpose Driven Care Inc. provides reliable and personalized in-home care services, focusing on enhancing comfort, independence, and quality of life. Our compassionate caregivers are dedicated to meeting the unique needs...
At CJM HCS, we understand that the right caregiver can truly make all the difference. Our dedicated team of professionals is attentive, compassionate, and committed to serving the senior community with excellence.
24 7 Community Outreach is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At J & J Precious Hearts Home Care, Inc., we are dedicated to providing compassionate and personalized home care services for seniors, ensuring they live comfortably and with dignity in the familiar surroundings of their...
ATTENTIVE HEARTS HOME CARE is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elena Hearts of Bless Hands, LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HARMONY HEARTS VILLAGE LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TGAG LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chili's Willow Tree provides personalized non-medical care to help individuals maintain independence and comfort at home. Our dedicated caregivers assist with daily activities, companionship, light housekeeping, meal...
Caring Plus Care LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shanny`s Home Care is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide reliable and trustworthy care in Wayne, Macomb, and Oakland Counties. Our program is designed to support individuals who want to live independently in their homes rather than live in an adult foster care...
Touching Angels is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HEART OF GOLD HOMECARE LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthy Living Home Care Service is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Our team of professional and compassionate companions is dedicated to enhancing the quality of life for you and your loved ones. Schedule your complimentary home care assessment now and embark on a journey of exceptional...
CARE WITHIN is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dubson Home Support Services LLC is a compassionate and dedicated company that has been proudly serving families for just over two years. We specialize in providing exceptional, personalized care to individuals and...
Michigan Healthy Hands is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GRATEFUL HEARTS HOMECARE is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BATTLEFIELD HELPING HANDS is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Bailey's Home Care Solution, we believe that everyone deserves to age with dignity, independence, and the comfort of home. We provide personalized, high-quality in-home care services for seniors and individuals with...
Nurture Nest Homecare LLC of Detroit, MI is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LOUISE SENIOR CARE AGENCY LLC is a home care provider that services in Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Precious Gift Home Healthcare Agency LLC, we believe that quality care is the foundation of a fulfilling life. Our mission is to provide compassionate, personalized, and professional home healthcare services that...
Bailey Hope Home Care LLC was founded with the desire to assist seniors and individuals who need additional assistance with exceptional care while in the comfort of their own homes. Bailey Hope Home Care LLC was...
Queen Teema's Loving Arms LLC is a Detroit, Michigan-based home care provider dedicated to supporting seniors and individuals who need assistance with daily living activities while remaining in the comfort of their own homes.
Companion and personal home care services are essential support systems for individuals who require assistance with daily living activities or companionship due to aging, illness, injury, or disabilityPersonal home care...
At Lillies Helpers Home Aid Services, our mission is to provide quality services with respect, dignity, patience, and compassion to individuals in need. We strive to assist individuals in maintaining their quality of...
Abliss Homecare Agency is a home care agency committed to providing compassionate, high-quality care in the comfort of the patient's home. We embrace the idea of happiness as an essential part of health and strive to...
Grateful Hearts Homecare LLC is a home care provider that services in Detroit, 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 Detroit, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Royal Oak or in surrounding areas like Troy, Bloomfield Hills and Grosse Pointe.
Heavenly Hands Homecare is a compassionate and reliable provider of in-home healthcare services, dedicated to enhancing the quality of life for individuals in need of assistance. Offering personalized care, including...
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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.