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:
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Flourishing Hearts Home Care LLC is committed to providing compassionate personal and companion care that helps clients live comfortably and independently at home. We focus on nurturing well-being with dignity, respect,...
At Humble Beautiful Care LLC, our mission is to provide compassionate, person-centered care that uplifts the spirit, honors the dignity, and enhances the quality of life for every individual we serve. We are committed to...
At Right at Home Indianapolis West, we understand that every journey is unique. Whether you’re here seeking support to live independently, or you’re looking for peace of mind knowing a loved one is in capable hands, our...
Bless My Home LLC is a home health care agency located at 4109 East 38th Street, Indianapolis, Indiana, 46218. They offer a range of in-home care services designed to assist individuals in maintaining their independence...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
Reminisce personal Home Care Indianapolis provides Home care services to elderly, senior citizens and adults with disabilities that allows them to live safely and independently at home. We provide our Home Care services...
Alon's Home Care Logistical Services LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers support daily living, offer logistical...
Cherishing Lives Personal Care Services LLC is a licensed, non-medical home care agency based in Indianapolis, Indiana. The agency is dedicated to providing compassionate and personalized in-home support to individuals,...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Loving And More Homecare provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and...
We Make A Difference In Senior Lives At Happy Homes Homecare, we are dedicated to providing exceptional in-home care for seniors. Our mission is to ensure that every senior receives the care, respect, and companionship...
Called to Care Home Care LLC, Compassionate In-Home Care Services At Called to Care Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
Patient Hands strives to always remain personalable and relatable to the clients we serve. We strive to provide one on one care to make our clients activities of daily living as easy as possible. We like for our...
When you have an aging family member in Greenwood, IN who may benefit from senior care, Senior Helpers Greenwood is here to help. At Senior Helpers of Greenwood, we offer comprehensive care, and can tailor a package that...
Kind Hearts Caring Hands Homecare LLC is a trusted and compassionate home care agency dedicated to enhancing the quality of life for seniors and individuals with disabilities in the comfort of their own homes.
Obstacles of Life LLC provides compassionate and supportive in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily living, personal care, and emotional support,...
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 Precise Home Care Agency, we believe care should be personal. Our skilled and compassionate team provides reliable in-home support—from help with daily routines to companionship and specialized care—empowering clients...
Residential Care LLC provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, promoting independence, comfort, and safety while enhancing the quality of life for...
A & J Home Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and companionship,...
Ganda Service LLC was founded with a passion for providing high-quality home care services to seniors and individuals with dignity in the comfort of their homes. Our founders, who have over 15 years of experience in the...
Established in 2021, MAGNIFICENT HOMECARE LLC pays homage to the owner’s late sister, who courageously battled SMA and required constant in-home care. Her enduring journey profoundly inspired the core mission of our...
At Divine Care Solutions LLC, we are dedicated to providing compassionate, personalized home care services that promote dignity, independence, and peace of mind. Whether you or your loved one need assistance with daily...
At One Trusted Homecare we are dedicated to providing exceptional care and support to individuals and families in the comfort of their own homes. Our compassionate and experienced team of caregivers is committed 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...
Companion Care The goal of companion care is primarily emotional support, socialization, caregiver assistance, light housekeeping, and companionship to help senior and elderly adults function independently in their own...
A Shining Star LLC is a dedicated service provider focused on delivering exceptional care and support tailored to meet the unique needs of each client. Whether it's in-home care, senior services, or personalized...
At Brightness Home Care LLC, our mission is to illuminate the lives of our clients by providing compassionate, high-quality, and dependable in-home care services. We are committed to enhancing the quality of life for...
At Elevated Care with Compassion Inc., our mission is to provide exceptional, patient-centered healthcare that nurtures the whole person—mind, body, and spirit—through a seamless blend of professional expertise,...
We are designed to assist clients with non-medical support at home. These services aim to promote independence, enhance quality of life, and provide social companionship. The assistance provided is customized to meet the...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
Some services provided: Home care services include: Personal care, such as help with bathing, washing your hair, or getting dressed. Household chores, such as cleaning, yard work, and laundry. Also,Personal Care...
Coable Home Care Inc provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Reassuring Love & Resilience Homecare is a dedicated home care provider based in Indianapolis, Indiana, committed to enhancing the quality of life for seniors and individuals requiring assistance with daily living activities.
Gentle Home Personal Care in Indianapolis offers compassionate in-home assistance, tailored to each client's unique needs, ensuring comfort and independence. Our dedicated caregivers provide a nurturing environment,...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
HigherCareHaven.org is a nonprofit organization focused on providing support, resources, and services to individuals and families impacted by addiction and mental health challenges. They aim to create a community of care...
At Nana Cares, LLC, we wholeheartedly commit ourselves to enriching the lives of our clients through compassionate and personalized in-home care services. Our mission is not just about providing care; it's about nurturing...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
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'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...
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Flourishing Hearts Home Care LLC is committed to providing compassionate personal and companion care that helps clients live comfortably and independently at home. We focus on nurturing well-being with dignity, respect,...
At Humble Beautiful Care LLC, our mission is to provide compassionate, person-centered care that uplifts the spirit, honors the dignity, and enhances the quality of life for every individual we serve. We are committed to...
At Right at Home Indianapolis West, we understand that every journey is unique. Whether you’re here seeking support to live independently, or you’re looking for peace of mind knowing a loved one is in capable hands, our...
Bless My Home LLC is a home health care agency located at 4109 East 38th Street, Indianapolis, Indiana, 46218. They offer a range of in-home care services designed to assist individuals in maintaining their independence...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
Reminisce personal Home Care Indianapolis provides Home care services to elderly, senior citizens and adults with disabilities that allows them to live safely and independently at home. We provide our Home Care services...
Alon's Home Care Logistical Services LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers support daily living, offer logistical...
Cherishing Lives Personal Care Services LLC is a licensed, non-medical home care agency based in Indianapolis, Indiana. The agency is dedicated to providing compassionate and personalized in-home support to individuals,...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Loving And More Homecare provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and...
We Make A Difference In Senior Lives At Happy Homes Homecare, we are dedicated to providing exceptional in-home care for seniors. Our mission is to ensure that every senior receives the care, respect, and companionship...
Called to Care Home Care LLC, Compassionate In-Home Care Services At Called to Care Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
Patient Hands strives to always remain personalable and relatable to the clients we serve. We strive to provide one on one care to make our clients activities of daily living as easy as possible. We like for our...
When you have an aging family member in Greenwood, IN who may benefit from senior care, Senior Helpers Greenwood is here to help. At Senior Helpers of Greenwood, we offer comprehensive care, and can tailor a package that...
Kind Hearts Caring Hands Homecare LLC is a trusted and compassionate home care agency dedicated to enhancing the quality of life for seniors and individuals with disabilities in the comfort of their own homes.
Obstacles of Life LLC provides compassionate and supportive in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily living, personal care, and emotional support,...
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 Precise Home Care Agency, we believe care should be personal. Our skilled and compassionate team provides reliable in-home support—from help with daily routines to companionship and specialized care—empowering clients...
Residential Care LLC provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, promoting independence, comfort, and safety while enhancing the quality of life for...
A & J Home Care LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, personal care, and companionship,...
Ganda Service LLC was founded with a passion for providing high-quality home care services to seniors and individuals with dignity in the comfort of their homes. Our founders, who have over 15 years of experience in the...
Established in 2021, MAGNIFICENT HOMECARE LLC pays homage to the owner’s late sister, who courageously battled SMA and required constant in-home care. Her enduring journey profoundly inspired the core mission of our...
At Divine Care Solutions LLC, we are dedicated to providing compassionate, personalized home care services that promote dignity, independence, and peace of mind. Whether you or your loved one need assistance with daily...
At One Trusted Homecare we are dedicated to providing exceptional care and support to individuals and families in the comfort of their own homes. Our compassionate and experienced team of caregivers is committed 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...
Companion Care The goal of companion care is primarily emotional support, socialization, caregiver assistance, light housekeeping, and companionship to help senior and elderly adults function independently in their own...
A Shining Star LLC is a dedicated service provider focused on delivering exceptional care and support tailored to meet the unique needs of each client. Whether it's in-home care, senior services, or personalized...
At Brightness Home Care LLC, our mission is to illuminate the lives of our clients by providing compassionate, high-quality, and dependable in-home care services. We are committed to enhancing the quality of life for...
At Elevated Care with Compassion Inc., our mission is to provide exceptional, patient-centered healthcare that nurtures the whole person—mind, body, and spirit—through a seamless blend of professional expertise,...
We are designed to assist clients with non-medical support at home. These services aim to promote independence, enhance quality of life, and provide social companionship. The assistance provided is customized to meet the...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
Some services provided: Home care services include: Personal care, such as help with bathing, washing your hair, or getting dressed. Household chores, such as cleaning, yard work, and laundry. Also,Personal Care...
Coable Home Care Inc provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Reassuring Love & Resilience Homecare is a dedicated home care provider based in Indianapolis, Indiana, committed to enhancing the quality of life for seniors and individuals requiring assistance with daily living activities.
Gentle Home Personal Care in Indianapolis offers compassionate in-home assistance, tailored to each client's unique needs, ensuring comfort and independence. Our dedicated caregivers provide a nurturing environment,...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
HigherCareHaven.org is a nonprofit organization focused on providing support, resources, and services to individuals and families impacted by addiction and mental health challenges. They aim to create a community of care...
At Nana Cares, LLC, we wholeheartedly commit ourselves to enriching the lives of our clients through compassionate and personalized in-home care services. Our mission is not just about providing care; it's about nurturing...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
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'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...
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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.