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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:
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At Glory Hands Personal Home Care, we offer compassionate and personalized homecare services. Our dedicated team is committed to enhancing the quality of life for those we serve. We hold their hands, you hold their hearts.
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To be Indiana’s most trusted home care provider, delivering compassionate, personalized support that empowers individuals to live with dignity, independence, and enhanced quality of life in the comfort of their own homes.
At T & Z Home Care, we specialize in transportation, disability support, and home care services that make a positive impact on the lives of individuals and families. Our focus is on promoting independence, mobility, and...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
SYNERGY HomeCare of Northern Indianapolis is owned and operated by Trent Terry, a Master’s graduate in Business Administration who has since put his degree to use in multiple successful entrepreneurial ventures, ranging...
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Indianapolis NW, IN area, please contact...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
Humble Hearts Home Care provides compassionate, non-medical in-home care designed to support seniors and adults who want to remain safe and comfortable at home.
Shalom Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily tasks, medical support, and companionship, creating a...
Veracity Systems LLC provides dependable, person-centered non-medical home care services designed to support safety, comfort, and independence at home.
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
This home care agency stands out for its compassionate, highly trained caregivers and its unwavering commitment to personalized care. By focusing on dignity, safety, and meaningful relationships, the agency delivers...
Pleasant Place Home Care was founded with a passion for providing high-quality home care personal services to seniors and individuals with disabilities. Our founder, who has over 20 years of experience caregiving,...
A Day After Day Home Care Agency provides exceptional and compassionate in-home care services for all seniors and those who are disabled wanting to age in place. Giving our elders the freedom and independence to remain in...
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
At Home is Where The Heart Is Homecare our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely...
"At A Legacy Of Love Homecare, LLC, we are dedicated to empowering and enriching the lives of our clients by providing exceptional, personalized homecare services in Indianapolis, IN. Our mission is to enhance the quality...
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SC HOMECARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mujani Services in Indianapolis, IN, provides compassionate, non-medical in-home care to seniors and individuals who wish to remain independent and comfortable at home.
B & B Maximum Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gap Personal Services, LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health Services is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a Personal Care Agency that provides personal home services to the rapidly growing retirement community. We are dedicated to providing our clients with high-quality care and assistance, so they can live comfortably...
COZY CORNER HOME CARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hearts Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABUNDANCE OF LOVE HOME SERVICES LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Indiana Best Home Care Corp. is dedicated to providing compassionate, reliable, and personalized in-home care services to individuals and families throughout Indiana. Our mission is to support clients in maintaining their...
Lending Hands provides non-medical, home care services to clients, who may require assistance in their own homes and communities to assist in the maintenance and retention of their independence and well being. These...
Acti-Kare of Fishers, IN is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurturing Neighbors LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Humblehands Loving Care LLC is a compassionate and reliable home care agency dedicated to providing personalized, high-quality care for individuals in the comfort of their own homes.
Hyperion Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kaitin Care is a home care agency founded by me a mom of a special little girl named Kaitlin. In my role as a nurse I understand the health care side and understand the needs of a family who has a loved one who is in need...
A Family That Cares Home Care Co is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
WELLS & WIMBERLY HEALING HANDS LLP is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Mary's Best Home Care, we understand that personalized care is essential to our clients' wellbeing. Our experienced professionals are dedicated to providing exceptional care services for seniors and individuals with...
KC's Tender Touch provides personalized in homecare assistance , including companionship, homemaking, and personal assistance to help clients maintain their independence and quality of life. With over 26 years of...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
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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.