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.
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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:
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...
Senior Helpers of the Piedmont Triad offers a comprehensive range of senior services to support aging in place. Established by Jay Scripter, the Senior helpers team delivers high quality in-home care as a safe, affordable...
At Home Healers NC we provide high quality client-centered home care services to our clients by helping our clients to attain their optimum health to lead a dignified, respectful and independent lives in the comfort and...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
It’s not always easy to acknowledge when one of your loved ones needs extra care for their everyday wellbeing. Once you decide it’s time for in-home care services, trusting a stranger to be responsible for your loved...
Amada Senior Care of Greensboro, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hands on Care and Companion Services Fully Insured Licensed by the Department of Health and Human Services Division of Health Services Regulation Low Price Guarantee Covering 9 counties out the Greensboro office: Gilford,...
As FirstLight Home Care of Greensboro, 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. We exist to help people have...
At Home Helpers serving Eastern NC, we provide non-medical in-home care to Seniors, New Moms, Recuperative care, Respite care and Continuing care. Our agency has also been selected and added as a provider of Personal...
Our mission is to provide Quality, Compassionate, and Professional Care that is client/family centered at the comfort of your home. At Mount Eagle Health Care we believe in the principles of love while dedicated to...
At Home Care is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Liberty Home Care is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Regional Home Care, Inc. is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homewatch CareGivers of Greensboro, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dedicated Home Care NC LLC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our CNAs/PCAs will visit you at home or in the living environment of your choice, provide custodial care and assist with activities of daily living (ADL’s).
We are a team of healthcare professionals who possess the dedication to care for our clients genuinely. We look after each patient as if they are a part of our big family. We identify the different issues that they may be...
Meriweather Home Nursing Inc is a home care provider that services in Greensboro, NC. 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,...
In Loving Hands Home Care is a unique company that specializes in caring for seniors by offering comprehensive in-home services that assist them in leading dignified and independent lifestyles. Our services are designed...
Community Health Care is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
We are more than an in-home health care agency: we are your extended family when family cannot be there. We are a locally owned, trusted provider of quality, compassionate in-home care, and we customize our home care...
WeCare Home Care, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Reliable Home Care Greensboro, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Living Well Family Care’s personalized approach to homecare makes our services perfect for any assistance and care need. We know that different health and emotional situations will call for different approaches, so our...
Our mission at Reliance Health Source is to provide the perfect–fit of high quality, responsible and motivated professionals dedicated to exceeding client’s expectations in an environment that encourages creativity,...
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,...
At Arosa, we believe in keeping the entire trust circle actively involved in care plan development so we can all make informed choices that are truly in the client’s best interests. Contact us today to learn more about...
Living Well Family Care of Greensboro, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caresouth Homecare Professionals is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Helping Other People Empower-Themselves, Inc. is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Hands Home Health, Inc. is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tri-Sisters Home Care, LLC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shipman Family Home Care is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Your Choice Home Health, LLC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hospice and Palliative Care of Greensboro is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since it's inception, Quiana's Caring Hands, Inc. has made patient care its priority. We pride ourself on being "Patient Centered", meaning the mode of treatment and plan of care all are designed to empower the patient...
TDC Home Care is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors Guilford County is a home care provider that services in Greensboro, NC. 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...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in the heart of Greensboro or in surrounding areas of Guilford County.
At Diamond's Home Health Care Services, we have been providing an array of non-medical services that enable seniors, homebound adults, and those with physical challenges to remain within the familiar and comfortable...
Quality caregivers and medical staffing solutions in Guilford County At BrightStar Care of South Greensboro, owned by Steve and Karen Wall, our home care agency provides quality home care, caregivers, and medical...
ComForCare Home Care - Greensboro, NC is a home care provider that services in Greensboro, NC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your Home-Care Team in Greensboro, NC and surrounding areas Griswold Home Care of Greensboro is a Home Care Agency licensed by the North Carolina Department of Health and Human Services to provide for the home care...
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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.