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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.
✔
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:
Senior Care Partners PACE - Portage Center is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Companion and personal home care services provide emotional, social, and practical support to individuals in their own homes, enabling them to maintain their independence and quality of life.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in West Charlotte or in surrounding areas like Belmont, Stanley, or Bessemer City.
Senior Care Partners PACE - Kalamazoo Center is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home is an in-home care and assistance agency, providing quality senior and disabled persons care since 1995. We provide trained, insured and bonded caregivers for a variety of care giving needs. Whether it's...
Kalamazoo Home Care Services, LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Borgess Visiting Nurses is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anita's Complete Home Care LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why hire just one person to help at home when you can have an entire professional team at your service? From care planners, to schedulers, to multiple aides, we are all here to make sure your home care service is...
Bronson Home Health Care is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Battle Buddies Home Healthcare Llc is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alliance Home Health Services, Inc is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precious Companions Homecare LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lenora Home Care LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client
HomeJoy-Kalamazoo-MI is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Astounding Hearts LLC - Kalamazoo MI is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Garcia's HHC, LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premiere Health And Beyond LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
uThrive is a company that focuses on enhancing the well-being of the people we serve. We support our clients by helping them become aware of external and internal barriers that hinder the livelihood that they aspire to...
Advisa Care is a home care provider that services in Kalamazoo, MI. 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 Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Live Well Home Care LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lenora Home Care LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Agape Total Healthcare Systems,P.C.is a home healthcare agency providing services throughout Michigan. Our mission is to provide professional, compassionate, comprehensive, and quality care services to persons with home...
Safe Haven Home Health Care LLC is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Stay Home Companions is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Uns Home Health Agency Inc is a home care provider that services in Kalamazoo, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Absolute Home Care and Medical Staffing provides in home services, both non-medical & private nursing solutions, to help individuals age in place, heal at home and enjoy concierge services. In-home services are designed...
We pride ourselves on the quality of our senior care to the Kalamazoo and Battle Creek areas, plus home care to any accident victims or disabled persons in need. We believe in dignity, independence, and peace of mind for...
We send well-trained home care aides to the homes of our clients. They assist with daily living to provide comfort, convenience, health, and safety. Below we list just a few of the many ways a personal aide could help you...
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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.