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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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Best Care Home Care is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers, we are here to serve families within the Howard, Carroll and Frederick areas in any way we can. No matter how big or how small the task. We our licensed, bonded and insured and have screened and...
At Nucareway Health Services LLC, we have set up a stringent screening process for all our personnel, staff, and contractors. We are passionate about providing the highest quality services with compassion to our clients...
Senior Helpers - Frederick, MD is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Call - Frederick is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abuzz Healthcare Services, LLC is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abuzz Therapy Services is a home care provider that services in Frederick, MD. 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,...
HS&M Home Care is a home care service provider in Maryland, specializing in offering personalized care. The company focuses on delivering high-quality, compassionate care tailored to the specific needs of each client,...
Helenvic Home Care, LLC is a home care provider established in 2019. We provide supportive home care services and are licensed by the Maryland Department of Health’s Office Health Care Quality (OHCQ-RSA). We strive to be...
Epicare Health Corporation is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The search for a reliable home health care ends here! PeaceLand Healthcare offers reputable services delivered by our care team who are well-grounded in their respective field of work. We understand the challenges faced...
Right at Home - Central, MD is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We offer : Personal care at Shepherds Staff In-Home Care goes beyond just assistance. It’s about providing compassionate, individualized support that enhances the quality of life for our clients. Our dedicated caregivers...
First Care Nursing Services, Inc is a home care provider that services in Frederick, MD. 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 Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Skilled Home Health Care Providers LLC is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
For nearly 20 years, TheKey (formerly Home Care Assistance) has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its...
Personal In-Home Care Services in Frederick, MD Mobility Assistance Services Mobility assistance helps seniors maintain as active a lifestyle as possible when considering their ages, abilities, and overall health. There...
Options Home Care of Frederick is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital City Nurses - Frederick, MD is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at Zion Zeal Home Care, we believe that home care services should be tailored to the individual, so we take our time developing a unique and customized plan for each child or senior under our care. Our compassionate...
Home Care Services At ComForCare, our mission is to help people live their best life possible. Whether due to illness, injury or aging, home care helps people live independently, in their own homes, for as long as...
First Care Nursing Services Inc was founded to serve as an alternative to nursing home care and assisted living facilities for seniors. First Care Nursing Services Inc is a licensed, insured, and bonded home care company...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
At Zion Zeal Home care, we ensure to provide Quality, Compassionate and Appropriate care to your loved one of all ages. We have experienced and reliable professionals that are ready to provide care for individuals with...
Assured Care HomeHealth, LLC is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim HealthCare of Frederick, MD is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
God's Light Home Care is a non-medical home care agency based in Frederick, Maryland, dedicated to providing compassionate and personalized in-home support for seniors and individuals with disabilities. With a mission...
TheKey Corporate- Frederick,MD is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Call - Frederick is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Happycare Clinic provides primary care and ensures that our clients have access to quality healthcare that they deserve. Our licensed Residential health services branch ensures that our clients receive skilled care at the...
Frederick Memorial Hosp HHA is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shiloh Healthcare, LLC (Shiloh) is a Maryland State LLC based in Frederick, Maryland. Shiloh Healthcare provides dedicated, committed, and tailored sterling healthcare services for our clients at the comfort and pleasure...
At Homewatch CareGivers of Frederick, we understand that each person’s needs are unique and should be treated with utmost respect and dignity, which is why our caregivers work closely with clients and their families to...
Prospect Nursing and Home Care Services is a trusted provider of compassionate home health and professional healthcare staffing solutions in Frederick, MD. We proudly serve patients and clients of all ages — from babies...
Med-Pharm Home Care, LLC is a home care provider that services in Frederick, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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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.