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:
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,...
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...
Rehoboth Homecare Services LLC provides compassionate, non-medical in-home care to seniors and individuals in need of daily support. Dedicated to promoting dignity, independence, and peace of mind, our trained caregivers...
Our Mission We are committed to providing high quality, client centered and affordable home care services to assist our clients to lead dignified and independent lives in the comfort and safety of their own homes....
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 Life Enhancement Home Care, LLC, our mission is to provide compassionate, high-quality home care services that empower individuals to lead enriched and independent lives in the comfort of their own homes.
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...
Alston Personal Care Service 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...
A Victorious 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...
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...
First One Choice Home Care Agency, 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...
Company Keepers Inc offers residential care and nursing pool services, located in the triad. We have provided North Carolina with over 20 years of service to the elderly. Company Keepers Inc is about sustaining one's way...
Floodgate Home Care services include everything from companionship to homemaking chores and personal care activities like bathing and personal hygiene. Floodgate caregivers provide extra assistance with daily duties and...
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...
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...
50/50 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...
Alternative Home Care Solutions, Inc. 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...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
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,...
Jacqueline Loving 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...
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...
Confidential 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...
Greenlight 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...
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...
Ascend Care Together envisions compassionate, innovative home care that fosters independence, dignity, and joy, empowering clients to age gracefully in their own homes.
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...
1st Choice 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...
In Home Quality 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...
Our dedicated team of caregivers is trained to offer a wide range of services, including personal care, companionship, respite care, and specialized care for individuals with chronic conditions or disabilities. We...
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...
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...
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...
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...
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...
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Journey Homecare Services-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...
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...
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...
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 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...
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...
CompCare - 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...
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...
At Coleman 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 surroundings of...
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...
Our mission is to help people live their best life possible. ComForCare of Midlands South Carolina is committed to providing outstanding customer service, and our personalized approach to care sets us apart. Our In-home...
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.