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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 Senior Care® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance...
Supporting Independence at Home – Expert Senior Care in Williamson County Personalized, Professional Senior Home Care in Middle Tennessee At Assisting Hands Home Care of Williamson County, we provide trusted,...
At HomeWell Care Services – Middle Tennessee, we believe there’s no substitute for genuine, tailored care in the place you call home. As a locally owned and operated non-medical home-care provider, we pride ourselves on...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
As caregivers of older parents and young children, we’ve been in your shoes and know how challenging it can be to effectively manage these roles while also juggling careers and the busyness of life. That’s where Stay Home...
Our team of Caregivers will work with you to fully understand your loved one’s needs and make the best decisions for their quality of life and peace of mind. We are one of the nation’s leading providers of senior care and...
E.L.I.T.E. Love Care, LLC provides trusted companion and homemaker support, helping seniors live safely and independently at home. We offer companionship, meal prep, housekeeping, and transportation. Serving Middle...
Right at Home helps people stay in their homes. We believe that maintaining an independent lifestyle fosters the dignity and sense of purpose we all seek. Your own home provides invaluable comfort, a sense of security and...
We are Dan and Kathy Root, and we are owners of Synergy HomeCare of Middle Tennessee, pleased to meet you! In 2018, we relocated to Middle Tennessee to live closer to family, to raise our children, and to establish our...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Senior Helpers of Franklin knows that finding the best care for your loved one should not be a difficult or daunting process. Whether you need companion care, personal care or assistance with activities of daily living,...
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....
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
Amazing Grace Home Care offers in home senior assistance for those who would like to age in the comfort of their own home. With our optional video monitor, clients can watch their loved ones and keep a close eye on the...
Cornerstone Caregiving is a senior home care provider in Murfreesboro that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required. Our...
Guardian Home Care of Nashville, LLC is a home care provider that services in Franklin, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over 30 years, Griswold Home Care has been referring the best Caregivers. We only refer Professional Caregivers that pass our stringent “CareAssure Screening System”. For your peace of mind, all of our Caregivers have...
Nurse Next Door is an award winning home care company that provides assistance and support with all non medical related care for the elderly, new and expectant mothers, post op patients, those with physical and mental...
Thank you for your interest in Home Helpers. As I know choosing the right provider is a very difficult decision, I want to give you more information about my local office, our corporate office, how we choose our...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
Roger Seitzmeir lives in the Nashville area with his wife and two children. He has worked for over 30 years as a professional athlete and trainer, showing and training horses up to the international level. After...
TheKey Nashville is a home care provider that services in Franklin, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell Care Services - Franklin, TN is not your average home care agency. For us, it’s not simply about placing a caregiver in the home. We take a holistic approach to at-home care that focuses on both accomplishing the...
A leading in-home senior care company that has been trusted for over a decade, Acti-Kare, provides in-home elderly care to thousands of individuals every year and has constantly been ranked a leading senior and elderly...
Preferred Care at Home of Nashville South is a home care provider that services in Franklin, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar TN Operations, LLC is a home care provider that services in Franklin, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HOME CARE SERVICES Personalized Attention for All Your Home Care Related Needs At Alana Home Care, we care about our clients and are here to make life easier for you and your loved ones. Our wide range of home care...
At FirstLight Home Care of Nashville and Franklin, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home.
FocusPoint is a home care provider that services in Franklin, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Explore our four key pillars – Nurse Guided Care, Purpose Driven Care, Better Training, Better Care, and Innovative Care – to discover personalized, holistic, and cutting-edge care that exceeds expectations.
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...
ACASA Senior Care of Middle Tennessee’s compassionate team understands the importance of your loved ones receiving required care from gentle and skilled professionals, including inside their own homes. Our company...
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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.