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:
Every Glenside family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy daily...
Age in Place - Philadelphia/Montgomery Region is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Services. At 5karats of love we provide... In home care Personal care Non skilled care Monitor vital signs accompany doctor appointments Warm companionship Meal preparation Light...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
J-Ione Companion Care Agency is a trusted provider of compassionate, non-medical in-home care services for seniors and individuals with disabilities. Our dedicated caregivers offer personalized support with daily...
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...
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek.
Absolute Home Healthcare PA is dedicated to enhancing the quality of life for individuals and families in Southeastern Pennsylvania. We provide compassionate, personalized in-home care services to support those who need...
At Prime Health Home Care (PHHC) we started with a basic concept: to provide a family-centered approach to providing quality compassionate care to those in need. PHHC is dedicated to delivering care that not only...
Home Matters of Philadelphia-- Montgomery County is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amada Senior Care of Bucks and Montgomery County, PA is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
As we strive to offer companionship and holistic support for our clients, Jovial Care Givers works to enhance the quality of life for your loved ones while providing reliable in-home non-medical care in Pennsylvania.
Fidelity Home Care is a trusted provider of compassionate, high-quality in-home care services for individuals in need of assistance with daily living activities. With a strong commitment to personalized care, Fidelity...
YourVision Home Care is more than an agency; it's a promise of compassionate support, fostering a sense of belonging, and enriching the lives of those we serve. With open hearts and skilled hands, we embark on this...
Put Your Hart in Our Hands Agency, LLC is a premier non-medical in-home health care provider committed to delivering compassionate and personalized care to individuals in Philadelphia, PA, and surrounding areas. Founded...
senior woman with her caregiver Welcome to Pennsylvania Home Care LLC Whether you’re a young adult or a senior citizen who is injured, ill, or disabled, you can find compassionate and life-affirming care with us. Let...
Helping Hand Home Health Services is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Loving Solutions Home Care, LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
UNIQUELY PREPARED TO DELIVER excellent home care Affinity HealthCare Solutions stands apart as a home care agency that is uniquely prepared to provide trustworthy personal assistance to individuals and families with a...
Rhema Home Care Services is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Linda’s Care, we believe that the best home care services and companion care can only happen within a good relationship. Our caregivers aren’t just helping you with your daily needs; they are dedicated to making sure...
Eminent Care LLC of Jenkintown, PA is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Stay Living Well LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Provisions Home Healthcare Services LLC is a dedicated provider of comprehensive and compassionate healthcare services tailored to meet the needs of individuals in the comfort of their own homes. The company specializes...
Best Love Care, LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Delivering excellent care with respect for human dignity. We always put our clients first. Rising Sun Home Care offers quality care services to adults aged 40 and older. With years of experience in the caregiving field,...
Quality of Life Home Care & Hospice Agency strives to provide compassionate, reliable services in order for families and communities to better support their loved ones. We are committed to the foundation of our...
A Passion 2 Care, LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Justice Home Care agency in Jenkintown, Pennsylvania strives to take away the stress of finding a trusted in-home senior caregiver by making home care human. We are committed to providing reliable, compassionate, and...
Connecting Bridges, LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sarahcare Home Care Agency is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pennsylvania Home Care, LLC is a home care provider that services in Jenkintown, PA. 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,...
Linda's Care Home Care is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ASSURANCE HEALTH CARE SERVICES is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of East Montgomery - Jenkintown, PA is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Elder Home Care is a family owned (non-franchise) home care agency providing care to seniors throughout New York and Philadelphia. Our experienced staff (each with over 20 years in home care) are committed to providing...
Sarah Care Home Health Agency is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Leta Loving Home Care Services Jenkintown, PA Serving Montgomery County, Chester County, Philadelphia County, Delaware County and the surrounding areas.
You Got Family Home Care, LLC is a home care provider that services in Jenkintown, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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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.