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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.
✔
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:
Right at Home caregivers provide assistance so you can live comfortably at home. More importantly, our caregivers promote healthy living and well-being through the benefits of social interaction. Contact us today at (678)...
Our in-home companions are here to care for all of your family’s non-medical needs. Our experienced caregivers prevent loneliness by providing company and assisting with daily activities like bathing, shopping, and...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
LCH PHC is dedicated to helping you or your loved ones stay safe and independent in the comfort of familiar surroundings. Our in-home care services are tailored to support individuals facing a variety of health challenges...
Seniors Helping Seniors® for the Atlanta Southwest region serves Douglas, Fulton, Coweta, and Cobb counties, offering in-home care and companionship services by matching active, mature caregivers with seniors who need...
Local owners David and Deborah believe every family deserves individualized in-home senior care with a compassionate touch. Home Instead Peachtree offers friendly, responsive care right in your neighborhood.
A professional, dependable provider of services purpose-built to meet individual needs. Credentialed for hands-on care. A level of service that meets the homecare profession's highest standards. Flexible scheduling...
Charlotte Web Private Home Care, LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving is proud to serve Fayetteville and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
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 through compassionate support,...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
ACASA Senior Care is an in-home care service in the south Atlanta area that provides assistance with daily living tasks for seniors and other adults. Our compassionate care service is focused on providing clients the...
Welcome A little help could go a long way. We understand, and we are here to help with reliability, professionalism, and kindness. We send trained aides to the homes of our clients to provide support with activities of...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
At Careco - The Caregiving Company, we are committed to providing high-quality non-medical in-home care services tailored to the individual needs of each client. Our mission is rooted in compassion, respect, and...
At CareFinders, we seek to improve the lives of our members and caregivers by offering seamless in-home care that allows our members to age in place and gives peace of mind to families.
Amor Home Care LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PERSONAL COMPANIONS HOME CARE, LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mission Statement: To provide services and support that allow our clients to remain as independent as possible in their homes or residences while enabling a quality of life for our clients and their families which cannot...
BEST HOMECARE SOLUTIONS LLC Duplicate is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LAIGMINT MEDICAL AND CARE SERVICES LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Care Hhs LLC, GA is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home—there’s no place like it. It’s where your memories are. Where you raised your family and where friends have gathered for life’s celebrations. It’s been your basecamp through good times and bad. And it’s where you...
Bisol Homecare Services offers personalized and compassionate in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical care, and warm...
Touching Hearts at Home serves clients throughout Fayette county and the surrounding areas. Our mission is to help seniors and people with disabilities to enhance their quality of life and remain in their own homes for...
Acti-Kare of Fayetteville provides quality in home care services to families and seniors in Fayetteville, Peachtree City, Whitesburg, Palmetto, Moreland. Our carefully selected and qualified caregivers deliver...
At Sunvera Home Care, our team has made it our mission to warmly embrace our clients’ home care needs to ensure that we provide the services they need most.
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
Next Level Private Homecare is a home care provider that services in Fayetteville, 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.
FAMILY FIRST HOME AND HEALTHCARE SERVICES, LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sunshine Companions is here to help you in your situation. Our Joy is your Good Health and Long Life. We are positioned to Support an Effective, Coordinated Continuum of Care. With the aim to earn trust with our clients /...
Heavenly Companion Care is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BETH CARE CENTER LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CROWN HEALTH CARE SERVICES, INC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care - Fayetteville, GA is a home care provider that services in Fayetteville, 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,...
Ideal Healthcare Providers is more than just your care agency. We can also be your family. In everything we do, we prioritize your wellness, comfort, and satisfaction in every care. We make sure that you receive...
Personal Care, Companion, and Sitter Services Our care team can help your loved one with a wide range of personal care needs, allowing them to stay as independent as possible. This can include personal hygiene needs,...
Urbane Care LLC is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To create an Environment that promotes Independency, while ensuring dignity, respect, & compassion by our dedicated team of healthcare professionals to enhance the quality of life of Senior Citizens & Veterans through...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Premier Healthcare of Georgia caregivers provide assistance so you can live comfortably at home. More importantly, our caregivers promote healthy living and well-being through the benefits of social interaction
BrightHeart Homecare Inc. is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care for seniors and individuals in need of assistance.
Home Care Inbound is a home care provider that services in Fayetteville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With several years of experience in caring for families, Diversified Private Home Care LLC renders exceptional home care services that you or your family members with health conditions need. We go straight to your home....
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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.