Are you sure you want to exit? Your progress will be lost.
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:
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Healthcare for All Stages of Life Around The Clock Care is a full-service home care agency that provides a continuum of services to meet the needs of patients and caregivers. Our fully certified, licensed staff are...
What We Do At Seniors Helping Seniors® Fresno in-home care services, we understand and appreciate the unique challenges that come with age. That’s why our companionship and daily assistance offerings exclusively focus on...
Angel House, a proud veteran-owned organization, provides compassionate end-of-life care for individuals and families. Focused on dignity and holistic well-being, their experienced team offers support tailored to...
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...
Recently Awarded The Top 100 Leader in Experience with the highest Overall Satisfaction (OSAT) scores. We are #1 in Fresno and Kern Counties, and #2 Across the United States.
Senior Helpers of Clovis was proud to join the exceptional team of over 300 other Senior Helpers owners in 2007. Tiffany was originally drawn to Senior Helpers because of her own experience watching her family all pitch...
Senior Helpers Central Valley North was founded by Conny Gordeau in 2017. Conny prides herself on shooting for the best—hiring the best caregivers, providing the best quality care, and being the best in the business of...
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COMPASSIONATE CARE IN HOME CARE LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Auspice Home Care is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A-Plus In Home Care works closely with family members to ensure that the best care is provided for loved ones. We specialize in Alzheimer’s and Dementia Home Care, 24-Hour Home Care, Cancer Care, Personal Care, Veterans’...
Bestcare HHA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Tender Presence Home Care Agency is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Nurse Next Door, we go beyond home care. We believe seniors should have choice in everything they do. We match you or your loved one with the perfect caregiver, with care tailored to fit individual needs. We also...
Located in Fresno, CA, Armstrong 24/7 In-Home Care, LLC was founded in 2022. With 10+ years of experience in the industry, Armstrong 24/7 In-Home care, LLC offers the best quality services to the community of Fresno,...
Superior Staffing Services, Inc has provided home care and companion services to individuals and residents in a facility setting since 1996. Enabling individuals to live independently in their own homes with dignity and...
Valley Home Health is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Auspice In Home Care & Transport is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxim Healthcare Services, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
St Mary's Home Health Services, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
A Touch Of Angels Home Care Agency provides care for elders in the comfort of their own homes. In a time when many elderly people are put in retirement homes to spend their final years of life, we help by providing the...
Ask yourself this, "How valuable is my peace of mind?" At Dedicated Care In-Home Services, Inc. we say it's priceless. Knowing your loved one is in the hands of a caring and knowledgeable caregiver can relieve a heavy...
Valley Home Care is locally owned and operated. We are not a national franchise. Services are provided under the direction of our Executive Director, Kim Uriarte, R.N. She welcomes phone calls from clients and...
Healthcare California is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Everlight Care Parent is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Homecare, LLC is a non-medical home care agency licensed by the California Home Care Organization. Providing companion care and personal care services with integrity and compassion in the comfort of your own home.
Compassionate Care Home Health Agency is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lumiwell Home Care LLC is a home care provider that services in Fresno, CA. 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,...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
New Era In-Home Care LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Care Ser Fresno is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
We are an in-home care provider dedicated to helping individuals maintain their independence and quality of life in the comfort of their own homes. We offer a range of personalized services including assistance with...
Beautifulmind Homecare has the experience and knowledge needed to provide top-quality home health care. We’re only one call away for assistance with personal care, transportation, companionship, and so much more!
ONNIE'S HOME INC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Saint Agnes Home Health And Hospice is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rehabfocus Home Health, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Care Home Health Agency, LLC - CA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAMILLE HOME CARE LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devote In Home Care Services is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of Fresno, CA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Avance Home Health, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Our CareMax mission is to remain the top prime choice for personal care assistance in the comfort of your home by providing you with a high-quality level of professionalism and excellent care. Our home care professionals...
AngeliCare is an independent, family owned and operated non-medical home care agency based in Fresno, California. AngeliCare has been providing in home care since 2003 and have delivered trusted care to over 1,000 Valley...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Healthcare for All Stages of Life Around The Clock Care is a full-service home care agency that provides a continuum of services to meet the needs of patients and caregivers. Our fully certified, licensed staff are...
What We Do At Seniors Helping Seniors® Fresno in-home care services, we understand and appreciate the unique challenges that come with age. That’s why our companionship and daily assistance offerings exclusively focus on...
Angel House, a proud veteran-owned organization, provides compassionate end-of-life care for individuals and families. Focused on dignity and holistic well-being, their experienced team offers support tailored to...
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...
Recently Awarded The Top 100 Leader in Experience with the highest Overall Satisfaction (OSAT) scores. We are #1 in Fresno and Kern Counties, and #2 Across the United States.
Senior Helpers of Clovis was proud to join the exceptional team of over 300 other Senior Helpers owners in 2007. Tiffany was originally drawn to Senior Helpers because of her own experience watching her family all pitch...
Senior Helpers Central Valley North was founded by Conny Gordeau in 2017. Conny prides herself on shooting for the best—hiring the best caregivers, providing the best quality care, and being the best in the business of...
All our services come in one fixed price, they include: Companion Care Home-Care Personal-Care Respite Care Meal Planning Meal Preparation & Clean-up Light housekeeping Laundry Medication Reminders Pet...
COMPASSIONATE CARE IN HOME CARE LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Auspice Home Care is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A-Plus In Home Care works closely with family members to ensure that the best care is provided for loved ones. We specialize in Alzheimer’s and Dementia Home Care, 24-Hour Home Care, Cancer Care, Personal Care, Veterans’...
Bestcare HHA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Tender Presence Home Care Agency is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Nurse Next Door, we go beyond home care. We believe seniors should have choice in everything they do. We match you or your loved one with the perfect caregiver, with care tailored to fit individual needs. We also...
Located in Fresno, CA, Armstrong 24/7 In-Home Care, LLC was founded in 2022. With 10+ years of experience in the industry, Armstrong 24/7 In-Home care, LLC offers the best quality services to the community of Fresno,...
Superior Staffing Services, Inc has provided home care and companion services to individuals and residents in a facility setting since 1996. Enabling individuals to live independently in their own homes with dignity and...
Valley Home Health is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Auspice In Home Care & Transport is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxim Healthcare Services, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
St Mary's Home Health Services, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
A Touch Of Angels Home Care Agency provides care for elders in the comfort of their own homes. In a time when many elderly people are put in retirement homes to spend their final years of life, we help by providing the...
Ask yourself this, "How valuable is my peace of mind?" At Dedicated Care In-Home Services, Inc. we say it's priceless. Knowing your loved one is in the hands of a caring and knowledgeable caregiver can relieve a heavy...
Valley Home Care is locally owned and operated. We are not a national franchise. Services are provided under the direction of our Executive Director, Kim Uriarte, R.N. She welcomes phone calls from clients and...
Healthcare California is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Everlight Care Parent is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Homecare, LLC is a non-medical home care agency licensed by the California Home Care Organization. Providing companion care and personal care services with integrity and compassion in the comfort of your own home.
Compassionate Care Home Health Agency is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lumiwell Home Care LLC is a home care provider that services in Fresno, CA. 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,...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
New Era In-Home Care LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Care Ser Fresno is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
We are an in-home care provider dedicated to helping individuals maintain their independence and quality of life in the comfort of their own homes. We offer a range of personalized services including assistance with...
Beautifulmind Homecare has the experience and knowledge needed to provide top-quality home health care. We’re only one call away for assistance with personal care, transportation, companionship, and so much more!
ONNIE'S HOME INC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Saint Agnes Home Health And Hospice is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rehabfocus Home Health, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Care Home Health Agency, LLC - CA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAMILLE HOME CARE LLC is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devote In Home Care Services is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of Fresno, CA is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Avance Home Health, Inc is a home care provider that services in Fresno, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Our CareMax mission is to remain the top prime choice for personal care assistance in the comfort of your home by providing you with a high-quality level of professionalism and excellent care. Our home care professionals...
AngeliCare is an independent, family owned and operated non-medical home care agency based in Fresno, California. AngeliCare has been providing in home care since 2003 and have delivered trusted care to over 1,000 Valley...
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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.