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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:
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
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...
One You Love Homecare Rockwall-Heath provides exceptional private in-home care services to older adults throughout east DFW; servicing a large area from Garland to Greenville, and from Farmersville down to Forney and...
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...
At Amada we understand that caring for relatives can be rewarding but also stressful, time consuming and emotionally exhausting. It is difficult for families to juggle work, children and other obligations and still find...
Our experienced and professional caregivers provide the care and support you or your loved one need to remain living independently at home while providing peace of mind to the family caregiver.
At Christian Companion Senior Care, we have been providing reliable and affordable in-home care services to clients in Dallas, Rowlett, Sachse, Wylie, Rockwall, Richardson, Plano, Garland, Mesquite, Forney, Fate, Royse...
Whether it’s helping with chores, providing medication reminders, or meal assistance, ComForCare gives you the freedom to focus on spending quality time with your family members and loved ones.
At A Better Solution In Home Care, we believe that aging, recovering, or living with a disability should never mean losing comfort, dignity, or independence. Founded with a deep commitment to compassionate service, we...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Mesquite. Our trusted Mesquite staff can’t wait to meet your loved one. We want to know how many...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
WELLNOW HOME HEALTH CARE, LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BBA Healthcare Partners, LLC, our mission is to empower healthcare providers and organizations by delivering innovative, evidence-based solutions that enhance patient care and operational efficiency. We strive to be a...
Empowering Lives through Compassionate Care At Sita Home Care Agency, we are dedicated to providing exceptional and personalized home care services that enhance the well-being and independence of our clients. With a...
Angels Care Home Health of Dallas is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Absolute Best Care LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Brightling Home Care LLC, we prioritize compassionate and professional in-home care that enhances the quality of life for our clients. Our experienced caregivers provide personalized support, from daily living...
Care At Home Services LLC, TX is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GOODHEARTED HOME HEALTH LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Elois Health Care LLC, our mission is to enhance the well-being of our community by providing compassionate, personalized, and accessible health care services. We are committed to delivering high-quality,...
Cordium Home Health is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Flower Mound, TX 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...
AMORACARE HOME HEALTH INC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Queen Of Peace Healthcare LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Willing American Home Care is committed to providing high-quality health care services to individual clients and their families, as well as to other healthcare organizations in need of supplemental staffing (such...
Mission Grace Has Found Me is dedicated to uplifting those navigating life's challenges by providing a safe space for connection, healing, and personal growth. We aim to: Foster Community: Build a welcoming...
ROYAL TOUCH HOME CARE LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cordium Home Health LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HARMONY HOMECARE SERVICES LLC, TX is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Network West Inc is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Connect Healthcare Inc is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels of Parent Forney and Cedar Hill, TX is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anointed Bethel Health Care Services LLC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Best Home Healthcare Services! We are dedicated to providing top-quality care for you your loved ones in the comfort of your own home. Our team of experienced professionals are here to ensure that you receive...
CALLISTA HOME HEALTH INC is a home care provider that services in Forney, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity. Based on...
At Peace Love & Happiness Home Health Care Corp, we bring more than care—we bring comfort, connection, and peace of mind. Our experienced caregivers provide personalized in-home support designed to help clients live...
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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.