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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.
✔
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:
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
ClinCare Nursing Services is a licensed home care agency. We are committed to providing compassionate and confidential nursing care that meets the client’s right where they are. Our skilled nursing and non-skilled home...
Experience a happier, healthier life at home. We know there’s no place like home. That’s why HomeWell brings you the highest quality of care so you can maintain your independence and experience life to the fullest.
Mia Dalcour understands firsthand the challenges of caring for an aging loved one. After her mother suffered from a stroke and began requiring assistance with her daily tasks, Mia learned the importance of reliable...
ProLux Home Care LLC is a local, licensed provider for non‑medical, in‑home support in Glen Burnie. While it doesn't handle medical or Medicare‑covered services, it’s a viable option for those seeking private‑pay, daily...
Comfort Keepers is here to help seniors thrive safely while living independently at home. Our empathetic caregivers are specially trained to provide uplifting care, transportation and support. From driving to doctor’s...
Sinad Home Care Services LLC is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare of Howard County and North Anne Arundel County, is a premier provider of in-home care. ComForCare is proud to be your resource for senior home care services - and with our highly qualified staff and experience...
Jeco Health Services Inc is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Ivory Inc, we believe that quality care is built on understanding and empathy. Our dedicated caregivers deliver tailored support—from help with daily activities to emotional companionship and specialized care—helping...
Allied Alternatives Healthcare Services is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
Credible Health Services is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Treasured Memories In Home Care, Llc is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rehoboth Health Care LLC is a Maryland Provisional Licensed Residential Service Agency that provides skilled and unskilled in-home nursing services at affordable and competitive rates in Maryland and its metropolitan...
Sincere Home Care is a non-medical home care services allow people to maintain the independence of their daily routines and familiar surroundings. We can help you loved ones avoid the emotional trauma of leaving their...
At YM Family Loving Care Services, LLC., we understand that every individual is unique and has different needs. That's why we offer personalized care services that are tailored to meet the specific needs of each client.
Precious Health Care LLC is a licensed agency in Abingdon, Maryland that acknowledges the tremendous improvement in people when cared for in a familiar environment. For this reason, we make it a priority to provide our...
Welcome to Our Family To Yours Home Care, LLC, your trusted partner in compassionate and personalized home care services in Glen Burnie, MD. At Our Family To Yours, we understand the importance of family and the desire to...
At D.A. Healthcare Innovations, L.L.C., we are dedicated to enhancing the quality of life for individuals and families in Glen Burnie, Maryland, and the surrounding areas. As a trusted non-medical homecare agency, we...
Amedisys Home Health of Maryland is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Purposeful Life LLC is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tabitha Home Health Care LLC is a home care provider that services in Glen Burnie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Severna Park provides a full range of senior home care services for you or your loved one—from companionship and housework help, to more complex care services, including disease management, Live-In and...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health.
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
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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.