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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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At SYNERGY HomeCare of Chatsworth, we believe that home care is more than assistance, it’s trust, compassion, and genuine human connection. Our mission is to help seniors and families to live fuller, more independent...
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At Senior Helpers we are here to help anyone we can. No matter how big or how small the task-- our goal is to keep your loved ones safe, maintaining or enhancing their quality of life, and I’m so glad you’ve taken this...
The Amada Senior Care team in San Fernando Valley is dedicated to going beyond basic home-care by gaining a deep understanding of clients and their individual needs so that they can make a truly positive impact on their...
Progress Home Health is a trusted provider of high-quality, compassionate in-home healthcare services. Dedicated to promoting wellness and independence, we offer personalized care plans tailored to each patient’s unique...
Home Instead - Winnetka, CA is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Perfect Fit Home Care is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
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.
Nu Care is the perfect solution for seniors and others in need who are not ready to leave their home for an institutional setting, but need support to remain at home. We improve your life by providing compassionate,...
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
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Kaiser Foundation Hospital Valley Continuing Care is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
At Blue Pond Healthcare Services, we are committed to providing exceptional healthcare solutions with a compassionate touch. Our mission is to ensure that every individual receives the highest quality care tailored to...
We provide high-quality, personalized care for seniors and their families. Our home care services offer assistance for various needs, whether it’s post-hospital support, help for aging parents, or respite for family...
SFV Caregivers LLC is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The need for home-based services is rising, as these services are being recognized as effective and cost efficient. With ONE CALL™ by Salus, just one phone call delivers your loved ones’ personal medical and non-medical...
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Devoted Home Health Services is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Professional Staffing, we specialize in providing high-quality, non-medical in-home care services to seniors and individuals in need throughout the San Fernando Valley. Our mission is to help clients maintain their...
Century Home Health Care is located in the heart of Granada Hills, We cover all of Los Angeles County and all of Ventura County in California. We are a home health agency committed to provide special needs of homebound...
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California Nurses Home Health is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Premier Home Care is your family's trusted companion and the leader in providing affordable personal in-home quality care solutions and services for seniors and disabled individuals. Services can be provided 24 hours a...
Millenium Home Care Agency is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Health 4U, Inc is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TLC Home Care Services is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dianna McRae and her father Syd Rodgers opened Senior Helpers San Fernando Valley and Santa Clarita Valley as a family business in 2009. We are committed to providing seniors with the personalized, high-quality care they...
Homewatch CareGivers of the Valleys is a locally owned and operated in-home personal and companion care company. We consistently provide premier home care services to senior citizens and others of all ages. We provide...
EDGE PLACEMENT INC., THE is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Griswold, care is personal, and we’ll work with you to create a care plan that best meets your needs, including companionship, homemaking, and personal care. We support those with certain conditions, illnesses, or...
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...
All City Caregivers, Inc is a home care provider that services in Granada Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In Home-Care Overview – Description Tender Home Health aims to listen and provide clients with truly individualized care through their thoughtful approach. Increased Freedom Our caregivers assist clients with daily...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
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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.