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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:
Sister to Sister Home Care provides compassionate, reliable personal caregiving services to elderly clients in Gwinnett and surrounding counties in Georgia. We are committed to delivering high-quality, individualized care...
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When seeking a care service for seniors, those with disabilities, illness or recovering from injury or surgery, there are many factors to consider. You undoubtedly have many concerns and reservations. This is perfectly...
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Charlotte Web Private Home Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Flamede health! We provide efficient, effective, comforting and loving short-term and long-term in-home care. We are here to care for the needs of your loved ones from Pediatric to elderly & disabled. We...
Family‑owned provider of in‑home care services tailored for seniors in North Atlanta. They deliver compassionate, dignified support through highly vetted, CPR-certified caregivers, under the oversight of a licensed RN,...
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,...
At Doctor Bird Home Care, we provide compassionate, non- medical support that helps clients feel comfortable and cared for in the place they love most – their home.
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
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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...
Serenity Care and Compassion is Locally Operated, Licensed, Bonded, Insured, and have been providing compassionate care in Georgia For 15+ Years and are happy to provide services to older adults and children in need of...
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...
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...
Psalm Companion is a compassionate home care agency dedicated to providing personalized, non-medical support that enhances quality of life and promotes independence for seniors and individuals in need. With a strong focus...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We our licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Divine Home Nursing prides itself on having a dedicated and passionate team that will strive to deliver a sense of compassion, awereness, safety, and exceptional skilled and personal in home care to our clients. Why...
CURA HOME CARE SERVICES LLC - DUPE is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance 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.
Safe Space Healthcare LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help at Home of Atlanta - North East, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide professional Nursing, personal care and companionship services allowing our clients to safely remain in their own homes or senior living community. Nursing Care Wound care
When it comes to caregiving services, you can always depend on Elite Homecare Agency. Our caregivers are all knowledgeable, trained and experienced in providing round-the-clock care, assistance and support to your elderly...
Dependable Homecare LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We hold ourselves accountable to the highest ethical standards demonstrating honesty, professionalism and sincerity staying true to our promises at all times. Acting in the best interests of of our clients, residents and...
Senior Home Care Group LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blair Care LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
From delivering specialized home care to managing everyday tasks, or simply keeping your loved one company, we’ll work with you to develop a custom home care plan that compassionately responds to your loved one’s needs,...
Nightingales Home Care Services is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Magnolia Adult Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We’re dedicated to enhancing your quality of life by offering tailored home care services that promote independence and well-being. At Agape Family Healthcare Services, we pride ourselves on delivering compassionate,...
Staff Builders Home Health is a home care provider that services in Duluth, GA. 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,...
CARE PLUS, INC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Lois Comfort Home Care is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Care Solutions LLC, we believe that tailored care makes all the difference. Our experienced caregivers deliver thoughtful, reliable support—from daily living assistance to medication management and emotional...
Edgewater Medical provides compassionate, high-quality healthcare and in-home support services for seniors and individuals with disabilities. Our dedicated team assists with daily living, medical care, and companionship,...
AGELESS HOMECARE SERVICES INC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MainSpring Home Care is committed to providing high-quality, affordable, and compassionate Private Home Care Services that meet the needs of our clients and their loved ones in the comfort of their own homes.
At Home Matters Caregiving of North Atlanta, we provide homecare that strives to keep our clients as independent as possible; improving quality of life, longevity and provide peace of mind.
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
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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.