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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:
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...
Premium Home Care Services provides high-quality, non-medical in-home support designed to help seniors and adults maintain independence, comfort, and safety at home. Our caregivers offer personalized assistance with...
At Senior Helpers of Greater Philadelphia, we deliver dependable in-home care tailored to your family’s needs. We help adults live safely and independently—right where they’re most comfortable: at home. Whether you need...
Allegiant Home Healthcare is a family owned and operated non-medical home care company. We have a combined 35 years of experience in the home and health care industry. Our experience, expertise and loyalty to the...
Every Glenside family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy daily...
When we established Pippins homecare we committed to one guiding principle: delivering the highest quality of professional, compassionate care to those who need it right in the comfort of their own homes. This principle...
Home Matters Caregiving Philadelphia (Montgomery County), PA is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
A Ray of Sunshine is a Private Home Care Agency. We designed a well-rounded program that encourage Participants and their loved ones to live independently. Committed to standing out from the rest, our home care services...
Neighborly Home Care - Ardmore is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
he Seniors Helping Seniors® team provides affordable, professional in-home care services and heartfelt companionship for seniors. Our caregivers, who are seniors themselves, understand the importance of remaining...
Elders Choice of PA is a provider of non-medical home support services in Southampton, PA. Our company was built around the idea that, ultimately, what makes a quality life possible is our clients' sense of...
To be the most trusted provider of compassionate, high-quality home care—empowering individuals to live with dignity, independence, and comfort in the place they call home.
Formosity Support Services, LLC is a non-medical home health agency with over 10 years of experience providing compassionate and reliable care. They are dedicated to helping seniors and individuals with disabilities live...
Neighborly Home Care provides a comprehensive range of personal care services to assist seniors or anyone who needs help with activities of daily living, in their home or residence. We understand that maintaining your...
Pinky's Angels Home Care Agency is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALBERT HOME HEALTH CARE AGENCY, LLC is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healing Hands Caregivers provides compassionate, reliable in-home care focused on safety, dignity, and personalized support. With trained caregivers and individualized care plans, the agency helps clients maintain...
Next Generation Care, LLC is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heavenly Helpers Homecare is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Multi Care Home Health Agency Inc is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COMPANIONS WHO CARE AGENCY, LLC is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
J LANG Home Care LLC is a licensed home health care agency based in Elkins Park, Pennsylvania. Established in September 2023, the organization is officially registered under NPI number 1629854997 and operates as a Type-2...
Abington Caregivers, LLC - Elkins Park is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Finecare Inc is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greater Hearts Homecare is the most reliable non-medical Home Health Care Agency in Montgomery County. Our Caregivers provide the best home health care services and cater to the specific needs of each client. We bring...
PRIORITIZE YOU CAREGIVERS, LLC. is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our core values are integrity and compassion for people. We find it meaningful to be able to help individuals and their families live their fullest, well-balanced life, a quality life.
Oceanwide Home Care, Inc., PA is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Silverbird Homecare Services LLC is committed to providing the personalized home care services you deserve. Through our services, we can help you maintain a healthy and independent lifestyle right at home.
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...
Apollo Home Health LLC is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ELITE CARE HOME CARE LLC is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Omni Home Care is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a licensed home care agency that provides care to individuals who are in need of assistance due to the challenges brought by aging, disability, or certain health conditions.
Progressive Health Care Services, Inc is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devmar Home Health Services is a home care provider that services in Elkins Park, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Promise Home Care Services, we believe in delivering more than just care — we deliver peace of mind. Located in the heart of Elkins Park, Pennsylvania, we proudly serve families throughout Montgomery County and...
Abington Caregivers has assisted and delighted our senior care-receivers with uniquely tailored care plans, markedly uncommon service, and exceptional caregivers since 2014.
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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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.