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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
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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:
At Homelife Personal Care, we believe the best care makes home feel even more comfortable. Our attentive caregivers provide tailored support—from daily routines to meaningful companionship and specialized care—helping clients live with dignity, confidence, and peace of mind in familiar surroundings.
Assisting Hands exemplifies compassion, dependability and dignity to all of our clients. Our company was founded on the principles of caring for others in a way that we would also want to be cared for which is made evident through our nationwide team of trained professionals who feel called to give care. Providing non-medical in-home healthcare in the privacy of a client’s home or Assisted Living Facility, 24 hours a day, 7 days a week is why you can confidently rely on Assisting Hands Home Care
Home Instead works hard to provide the best in-home care services to families in East and South Jacksonville. Our team is available any day of the week, at any hour of the day or night, to help your senior loved ones remain safe in their own home.
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to be with your loved ones whenever they need help, for as long as they need help. Our local, trusted staff can’t wait to meet your loved one exactly where they’re at.
Beyond Your Care Home Care Agency is dedicated to providing compassionate, dependable, and personalized care that empowers clients to live safely and comfortably in their own homes. Our team of experienced caregivers offers a full range of non-medical home care services, including personal care, companionship, medication reminders, and assistance with daily living activities.
Cornerstone Caregiving provides a comprehensive range of non-medical in-home care services. Personal Care Assistance: Support with bathing, grooming, dressing, toileting, and hygiene to maintain dignity and comfort. Companionship: Engaging in conversation etc Medication Reminders: Ensuring timely intake of prescribed medications as per the care plan. Alzheimer’s & Dementia Care: Specialized care strategies to manage memory-related conditions with patience and understanding. And much more
At ComForCare Home Care – St. Augustine, we don’t just provide care—we follow the Yellow Brick Road with every family we serve. Owners Ashley and Travis are the real-life Dorothy and Wizard duo behind what many lovingly call “The Wizard of Oz agency.”
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now cared for tens of thousands of older adults.
With an emphasis on comprehensive person-centered care, our team at BrightStar Home Care Ponte Vedra / W. Jacksonville is committed to helping clients maintain their independence in the home where they feel comfortable. In addition to industry-leading employee screening and training, we provide Registered Nurse (RN) oversight for every individualized plan of care, ensuring that your loved one’s care evolves as needs change.
Concierge Home Services Inc. is a Jacksonville, Florida–based company providing professional, reliable, and personalized home care and lifestyle support services. Founded in 2015, the company was established with a clear mission—to help individuals and families maintain comfort, independence, and peace of mind in their own homes.
HomeWell Care Services FL260 – Jacksonville, FL Trusted Care. True Compassion. About Us At HomeWell Care Services, we believe that home is where care should begin and where dignity, comfort, and joy should remain. Our mission is simple: to provide families with peace of mind and loved ones with compassionate, professional care that truly makes a difference.
At Home Helpers® Home Care in Amelia, we understand that every individual has unique needs and challenges when it comes to daily living. That’s why our Cared-4℠ program takes a holistic approach to providing home care services in Fernandina Beach. Our caregivers are trained to assist with personal care, nutritional needs, wellness calls, and setting up 24/7 monitoring and emergency contact services. By targeting the four primary areas of need, we can ensure that your loved one receives the best
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 represents the strong foundation of Always Best Care. Every client receives extraordinary care in an inspiring environment with caring and compassionate people. Our Care Coordinators have worked with thousands of seniors across the country, and we're always ready to help. At Always
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the comfort of your home. Our in-home care services empower seniors to continue to live independent lives by taking care of day-to-day tasks that become more challenging as you age. As your health and personal requirements change, we’re here to assist in the ways you find most help
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the comfort of your home.
Locally owned and operated, Home Instead of West and North Jacksonville is dedicated to delivering a home care solution that meets your specific needs. Home Instead's devoted and experienced team provides compassionate caregivers wherever you reside.
David and Sherry Emery opened the doors of Senior Helpers Jacksonville in 2009. Since then, they have enjoyed making a positive impact in the greater North Florida area while building a strong team dedicated to supporting seniors and their families.
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.