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-Home Care Overview – Senior Helpers of Farmington Hills, MI At Senior Helpers of Farmington Hills, we believe that every senior deserves care that truly focuses on what matters most to them. We are proud to be one of...
Heartwell Homecare LLC is more than just a home care agency; we’re a family. Our mission is to bring comfort, compassion, and dignity to those who need it most.
We specialize in daily living assistance at an affordable rate. Our goal is to help seniors and their loved ones live happy and fulfilling lives. Improving Seniors Quality Of Life While Being Passionate, Patient, And...
Angels at Home Care - Farmington Hills is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
BrightStar Care of Novi, MI provides home care and support services for seniors, including 24-hour in-home care, and support in independent and assisted living communities. We provide all levels of home care from...
SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier At Home Care provides compassionate, reliable non-medical home care services to individuals and families throughout Detroit, MI. Our dedicated caregivers support clients with personalized assistance—ranging from...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Cornerstone Caregiving is proud to serve Dearborn and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
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....
Founded and owned by nurses, expertise in patient care has been the hallmark of CareDriven from day one. Our knowledge and skill in providing care for catastrophically injured patients makes CareDriven the choice for home...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
At Care For You by Us, we understand that the need for personal care can arise at any point in life. From seniors who require assistance with daily tasks to individuals recovering from surgery or illness, we are here to...
Kevin Manuel and Greg Hines are the owners of Amada Senior Care in Farmington Hills, and they have hand-picked each of the caregivers on their team to ensure that each of our clients receives the highest level of...
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...
We are Brian and Breanne Stuart, parents to two boys and owners of Homewatch CareGivers of Ann Arbor, serving Washtenaw and Livingston counties. We have a deep passion for caring and serving others and feel blessed that...
CarePRN’s mission is to provide passionate and reliable care to seniors with caregivers who love what they do. We pride ourselves on delivering high-quality care that promotes independence and well-being, and we believe...
Aureus Home Care, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Horizons Home Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Life Home Care is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Complete Home Health Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dsn Home Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are delighted to have this opportunity to tell you about the benefits of our in-home, private duty personalized living assistance services. Whatever your non-medical care needs, for you or a family member, temporary or...
123 LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Michigan Home Health Services, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homecare Private Duty LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Solutions Home Care - Farmington Hills is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Prodigy Unlimited Care, we are committed to providing personalized care. Our caregiving services address the specific needs and preferences of each client. Our caregivers are not only passionate and experienced. They...
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,...
Universal Senior Care is a doctor-owned agency that provides in-home care services, by experienced and certified caregivers, at very affordable rates. Our goal is to help you maintain support for you and your loved ones,...
Delta Home Health Care LLC-Farmington Hills-MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
CARING HEARTS HOME HELP LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Innovative Senior Care Home Health is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Angels Home Help Services is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
True North Home Care Collective is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors - SW Oakland/ NW Wayne County, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Better Life Home Care of Farmington Hills, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vip Home Health Services, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Delicate Hands Home Care, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
Amb Healthcare, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Caregiving Solutions of Michigan: Compassionate In-Home Care Services At Senior Caregiving Solutions of Michigan, we are committed to providing high-quality, non-medical in-home care services that prioritize...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Discover personalized and affordable care services at Avalon Essential Home Care in Troy, Michigan. We prioritize understanding your loved ones’ needs to provide quality care with the right caregivers.
Carter’s Caring Services is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Pros at Home is the most reliable and trustworthy Home Health Care Service service in Oakland, and Genesee counties — providing excellent home care solutions to loved ones who are dealing with injury or illness. We...
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...
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.